national community pharmacy urgent medicines pilot – NUMSAS
National Community Pharmacy Urgent Medicines Service Rollout
1.Phased Rollout and dates
1.The Pharmacy Integration Fund (PhIF) will be used to fund a a national pilot of a community pharmacy Urgent Medicines The service is being commissioned as an Advanced Service and it will run from 1st December 2016 to 31st March 2018 with a review point to consider progress in September 2017.
The NUMSAS pilot is being commissioned as a fully integrated service and it therefore requires a number of key elements to be in place before it can go live. It will be rolled out in LLR in February 2017.
In summary, the following fees will be paid for provision of the service:
(a) For ANY referral received from NHS 111 for a request for an urgent medicine or appliance supply, whether or not a supply is made and irrespective of the reason for any non-supply:
(i) a Consultation fee of £10, AND
(ii) an Administration fee of £2.50 per consultation to reflect the additional work/documentation required to support evaluation of the service.
(b) Where a medicine or appliance has been supplied, a supply fee of £1.50 will be made for the first item and an additional £0.50 will be paid for each additional item supplied.
Full details of the payments and when they can be claimed are set out in the Service specification.( attached)
3.How to Register for the service – updated september 2017
ACTION : Community pharmacy contractors are able to notify NHS England of their intention to provide the NUMSAS pilot by completing the notification form on the NHS Business Services Authority (NHS BSA) website. (click the link). You will only be able to register if you have a registered nhs mail address already or once you obtain one
There seems to be some confusion around what you are required to do if you wish to deliver NUMSAS and the process is now as below;
For groups or multiples; please contact your HO for advice as they are likely doing this centrally for you.
Please note ; you still must obtain NHS mail account to meet the Quality Payment entry gateway criteria for claim in November if not done so;
To deliver NUMSAS ;
You will be required to have NHS mail account which also forms part of the Quality Payment Criterion.
- The NHS have now set up a new NHS mail portal so please apply for your NHS mail if you have not applied or not received your nhs mail details;
- This is an important step that you must take in order to deliver NUMSAS. If you have an old NHS mail account which is not a shared mailbox ( i.e. one provided by the local team you must re-apply through the portal and get a new one. https://portal.nhs.net/pharmacyregistration
- Once you have your NHS mail ; please ensure you register your intent to provide the service with the NHSBSA.
- Link : https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/dispensing-contractors-information/nhs-urgent-medicines-supply-advanced-service-pilot ( you must do this to enable the registration to be fed back to the local NUMSAS team)
- Link to nhs mail guidance via PSNC : http://psnc.org.uk/contract-it/pharmacy-it/nhs-mail/
- If you have any queries : please contact NHSmail national helpdesk : 0333 200 1133 or firstname.lastname@example.org
You must complete the above two steps in order to be able to deliver NUMSAS so please action this as soon as possible. NHSE have only received few numbers of registered intent ( around 40) but I have received many queries from contractors
Once your registration is noted by NHSE local team;
- The NHSE/DOS team will be sending a test email to Pharmoutcomes to ensure the referral works
- Please note that in LLR : NUMSAS will be delivered via Pharmoutcomes which is easier and allows you to print the EPS token for records once you have completed your entry.
- You will need to ensure you read the directions and guidance and Service specification carefully to understand the process; http://psnc.org.uk/services-commissioning/urgent-medicine-supply-service/
- You should have an SOP in place. If you are an NPA member there is a template available: https://www.npa.co.uk/services/the-pharmacy-imposition/nhs-urgent-medicine-supply-advanced-service-pilot-numsas/
- Patients must be asked to complete a copy of the national patient questionnaire (Annex D of the service specification) following the supply of a medicine or appliance.NHS England has launched an IT platform to enable patient questionnaires from the NUMSAS to be completed electronically either by the patient themselves or with help from the pharmacy team.
- Pharmoutcomes will automatically notify GP’s if they have agreed to receive notifications.
- You will need to follow a separate claims process to claim for NUMSAS via the NHSBSA
- To claim payment for this service, contractors must complete the NHS Urgent Medicines Supply Advanced Service Pilot claim form and submit it to the NHS BSA, along with the completed FP10DT EPS dispensing tokens (completed as part of the NUMSAS), not later than the 5th day of the month following that in which the urgent supply was made.
- In order to claim for NUMSAS, contractors must do the following each month:
- complete the existing NHS Urgent Medicines Supply Advanced Service Pilot claim form;
- place the completed NUMSAS claim form along with the completed FP10DT EPS dispensing tokens (completed as part of the NUMSAS) in an envelope clearly marked ‘NUMSAS’; and
- send the NUMSAS envelope to the NHS BSA with the normal monthly submission bundle.
Please ensure that FP10DT EPS tokens (completed as part of NUMSAS) are separated from other tokens, or there is a risk that claims will not be reimbursed if the NUMSAS tokens are scanned and stored with the other tokens.
PSNC Briefing 034/17: NHS Urgent Medicine Supply Advanced Service (NUMSAS) – checklist for completing an FP10DT EPS dispensing token and end of month submission process contains a checklist for completing an FP10DT EPS dispensing token after each referral and a checklist for submitting the tokens and claim form at the end of the month.
PSNC Briefing 035/17: Services Factsheet – NHS Urgent Medicine Supply Advanced Service (NUMSAS) – how much will I be paid? is a quick reference guide to see how much contractors will be paid for each referral they receive depending on the outcome of the referral.
- PSNC Briefing 033/17: Checklist for the NHS Urgent Medicine Supply Advanced Service (NUMSAS) contains a checklist of tasks to complete before providing NUMSAS.
- Service specification, directions and guidance : http://psnc.org.uk/services-commissioning/urgent-medicine-supply-service/
- Please ensure you read the above and have your SOP’s in place before delivering the service.
- Contractors are able to notify NHS England of their intention to provide the NUMSAS pilot by completing the notification form on the NHS Business Services Authority (NHS BSA) website
- NUMSAS video guide Pharmoutcomes https://media.pharmoutcomes.org/video.php?name=NumsasIntegratedServiceGuide
- NUMSAS guide Pharmoutcomes : https://pharmoutcomes.org/pharmoutcomes/guides/provider/Service%20Delivery%20-%20NUMSAS.pdf
- All information regarding NUMSAS is available at; http://psnc.org.uk/services-commissioning/urgent-medicine-supply-service/
PSNC advice for contractors
As with any new service, PSNC recommends that contractors consid the likely costs they will incur in setting up and providing the service and compare this with the likely income that will be available from the service as part of a careful assessment of whether it is sensible for them to seek to provide the service.
The volume of referrals from NHS 111 to contractors is likely to be relatively low, based on information provided by NHS England; the maximum number of all such potential referrals is in the region of 200,000 per annum, and based on the experience of similar locally commissioned services, it is unlikely that it will be possible to transfer all of these patient requests to community pharmacy, at least to begin with. Clearly the likely volume of transactions per pharmacy will also need to be a factor that is considered when contractors make a decision on whether they wish to seek to provide the service.
All details regarding notification to GP’s and other key information regarding the emergency medicine supply service can be found at the following PNSC link;
webinars for NUMSAS Quality payments flu and other key developments available on demand