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PSNC: We’ll use NHS 111 referrals to negotiate funding for walk-ins

Simon Dukes: I really hope the CPCS will be a success for pharmacy

PSNC will monitor the success of the NHS 111 referral service to negotiate remuneration for the possible increase in walk-in patients, its chief executive has said.

The Community Pharmacist Consultation Service (CPCS) – which launches across England on October 29 – will see pharmacies receive £14 for each consultation resulting from a referral from NHS 111 for minor illnesses and urgent medicines supply.

Pharmaceutical Services Negotiating Committee (PSNC) chief executive Simon Dukes said if an increasing number of patients are referred to pharmacy via NHS 111 – and possibly GP surgeries and urgent care, should the service be expanded as proposed in the five-year funding deal – it could lead to more patients “walking in, just to see the pharmacist”.

“If the consultation service is a success, which I really hope it will be…then people who have had a great service will think: ‘Well, why do I have to do that when I can just walk in?’,” he predicted at the Pharmacy Show in Birmingham on Sunday (October 6).

However, under the current contract for England, there is no remuneration for pharmacies managing walk-ins, which means they will not be paid for this additional workload, Mr Dukes added.

Once the CPCS launches, PSNC will be “capturing the data, to measure the baseline and increasing numbers of people walking in” and taking this information into its annual reviews of the contract with the Department of Health and Social Care (DH) and NHS England.

The increase in patient walk-ins “will happen, and then we need to find a way of remunerating appropriately as a result”, Mr Dukes told Pharmacy Show delegates.

Read C+D's analysis of how the five-year funding deal could affect your pharmacy

Do you think the CPCS will lead to an increase in walk-in patients to your pharmacy?

V K P, Community pharmacist

did PSNC just use the word negotiating?? where are the pigs flying????

the last time they mad us do work at our own cost in the form on FMD, they promised that in the next set of negotiations the funding for FMD will be negotiated. has that materialised? NOT AT ALL. infact they have gone and signed a death warrant and now trying to make it look nice. they are a joke of an organisation. 

Joan Richardson, Locum pharmacist

An hour and a half to deal with a NUMSAS yesterday - item required is in short supply and time had to be spent attempting to find some locally!  Eventually client had to be asked to contact their own GP surgery for an alternative and then for an electronic script for it to be sent through - still awaiting the script!  Four of these per day and nothing else will get done!

C A, Community pharmacist

Just imagine doing 4 walk in consultations per day at £14 per consultation, it would be like MURs (£28 x 2 per day target) never went away...

Kevin Western, Community pharmacist

I hope it does! But history tells us that nhs111 doesn't see pharmacy as an option cos we have no doctors or nurses.
Numsas uptake is poor and frequently for CDs or antibiotics. There just isn't the will,motivation or understanding to make it work
I look forward to being proven wrong

It might not be such a bad thing if there are not loads of referrals straight away. I don't know if I'll have time to provide the service properly if referrals can come at any time and an unknown quantity.

An easing in period of maybe 1 or 2 referrals a day would be ideal for me so we can get an idea of how long they take to deal with.

Like numsas, the paperwork and pharmaoutcomes data input will probably take a lot longer than the actual consultation.

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