DH: Pharmacies to accept hospital referrals for medicine advice
From July, community pharmacies will be expected to offer advice on newly prescribed medicines to patients discharged from hospital, in a bid to reduce hospital readmissions.
Hospitals will be able to digitally refer patients to their pharmacy if they believe they need support with their newly prescribed medicines or changed prescriptions, the Department of Health and Social Care (DH) and the Pharmaceutical Services Negotiating Committee (PSNC) announced in an update to the five-year Community Pharmacy Contractual Framework (CPCF) yesterday (February 23).
The digital referral will be sent as a notification “to let the pharmacy team know that there is a patient they need to get in touch with and provide support to after being discharged”, the DH said.
Under the new NHS Discharge Medicines Service – which is being introduced as an essential service – pharmacies will be asked to complete a one-off consultation with the patient and/or carer, a PSNC spokesperson told C+D yesterday (February 23).
Hospitals will make referrals to pharmacies electronically, using IT systems such as PharmOutcomes, Refer to Pharmacy or NHSmail, the spokesperson added.
It is not yet clear how much pharmacies will be remunerated for providing the service, but they will “receive a fee” for every referral they complete. PSNC is negotiating the amount with the DH, along with the details of how the service will work, according to the spokesperson.
The number of referrals to individual pharmacies under this new service is expected to vary depending on their “patient cohort and the activity of local secondary care providers”, the negotiator said in a frequently asked questions (FAQs) document.
“There is still further work to be undertaken by the NHS to get all hospitals ready to send post-discharge information to community pharmacies”, the document also said.
Similar local schemes have been running in different parts of England since 2014, through the transfer of care around medicines programme.
These schemes showed that “patients who see their community pharmacist after they’ve been in hospital are less likely to be readmitted and, if they are, will experience a shorter stay”, the DH said.
The service will be rolled out nationally to help pharmacists advise their patients on the use of new medicines and identify their concerns as soon as possible, the DH added.
Health secretary Matt Hancock said: “I want all patients to get the right care close to home, and to avoid any unnecessary visits to hospital. To help do that I’ve begun the Pharmacy First programme, asking pharmacies to do more to support people in the community, as they do in other countries like France.”
Services: a “challenge”
In addition to the NHS Discharge Medicines Service, a number of new services will be rolled out this year as part of the CPCF, PSNC said.
These include extensions to the Community Pharmacist Consultation Service (CPCS) – under which GP practices will refer patients to community pharmacy and launching referrals for urgent medicine supply from NHS 111 online.
The new services also comprise a hepatitis C testing service and, depending on negotiations with NHS England, four NHS travel vaccines that are currently provided by some GP practices. These are: polio, typhoid, hepatitis A and cholera.
“This year will be a crucial one for our sector. It will be a significant challenge to deliver all that Government wants from community pharmacy within a flat funding envelope,” PSNC CEO Simon Dukes said.
PSNC will work closely with other pharmacy bodies to seek additional investment for the sector, he added.