Discharge Medicine Service


The Discharge Medicines Service (DMS) became a new Essential service within the Community Pharmacy Contractual Framework (CPCF) on 15th February 2021.

The aims of the service

The service seeks to ensure better communication of changes made to a patient’s medicines in hospital and its aims are to:

  • Optimise the use of medicines, whilst facilitating shared decision making;
  • Reduce harm from medicines at transfers of care;
  • Improve patients’ understanding of their medicines and how to take them following discharge from hospital;
  • Reduce hospital readmissions; and
  • Support the development of effective team-working across hospital, community and primary care networks pharmacy teams and general practice teams and provide clarity about respective roles.

Contractors need to ensure that the pharmacists and technicians –

  1. Read the section on DMS within the NHSE&I guidance on the regulations; and
  2. Read the DMS toolkit.

Additionally, it is recommended that they also complete the CPPE NHS Discharge Medicines Service eLearning and assessment.

There are 3 stages of consultation – 

1) checking the referral for any clinical actions needed, compare medicines on the discharge sheet to those on the PMR, if there are changes liaise with the gp practice and also check that you haven’t got prescriptions waiting on the system or already dispensed waiting for collection.
2)When the first post-discharge prescription comes in then check this is the same as on the discharge summary  and if not contact and resolve with the practice.  Input details into the PMR system.
3)  When the first post-discharge prescription comes in check the patient’s understanding of their new medicine regime.

Payments

Stage 1:                £12
Stage 2                 £11
Stage 3:                £12

Contractors will need to make a monthly claim for completed DMS provisions via the NHSBSA’s Manage Your Service portal.

More detailed information can be found on the PSNC website – https://psnc.org.uk/services-commissioning/essential-services/discharge-medicines-service/


Local information

Locally NUH have been part of the TCAM pilot and this has been transferred over to the DMS service using PharmOutcomes.  Originally it was only used on the elderly wards but now it is being widened to other areas of the hospitals.

Sherwood Forest Hospitals are using a different system that comes through to pharmacy via NHS mail, which then you can input into the pharmacy PMR and complete the process as usual.  SFH are working on moving to the PharmOutcomes model in the future.


Contractor event 02.03.21 – DMS contractor workshop

 

The link for the video is https://youtu.be/uK7RrMbz4qc.