NHS Urgent Medicine Supply Advanced Service (NUMSAS) – FAQs

NHS Urgent Medicine Supply Advanced Service (NUMSAS) – FAQs

This page contains Frequently Asked Questions (FAQs) on the NHS Urgent Medicine Supply Advanced Service (NUMSAS) – last updated on 18th August 2017.

Background and general

Q. What type of service is NUMSAS?
This is a pilot of a national Advanced Service as part of the Community Pharmacy Contractual Framework – the service is available to all pharmacies in the area that meet the eligibility criteria to sign up to participate. This Advanced Service is currently running as a pilot, and part of the evaluation of the service will look to review the process and set up at a national level, using local learning from across England. The evaluation of the pilot is under development and a key part of that is the patient feedback, so encouraging completion of the patient questionnaire after a patient has received NUMSAS is important.

Q.Is it compulsory to provide this service?
No. NUMSAS is an Advanced Service in the Community Pharmacy Contractual Framework so contractors can choose whether they wish to provide this service.

Q. Can distance selling pharmacies provide the NUMSAS?
Yes. A distance selling pharmacy may provide Advanced and Enhanced Services, as long as any Essential Service which forms part of the Advanced or Enhanced Service is not provided to persons present at the premises. The distance selling pharmacy must fully meet the requirements for the provision of the NUMSAS, which includes the consultation room requirements.

Q. Can pharmacies in Wales provide the NUMSAS?
The new Advanced Service only applies to England; Community Pharmacy Wales undertakes separate negotiations on Advanced Services which are provided in Wales.

Commissioning and service requirements

Q. How do contractors inform NHS England that they intend to provide the NUMSAS?
Contractors must notify NHS England that they intend to provide the service via a declaration on the NHSBSA website.

The electronic form on the NHSBSA website asks for the Pharmacy Organisation Code; this is the ODS or F code for the pharmacy that is used on the end of month submission to the Pricing Authority. If the form is incorrectly completed it may result in non-payment for the service.

Q. Does the notification of NHS England of a pharmacy contractor’s intention to start providing the service (via the form on the NHSBSA website) need to be undertaken for each pharmacy a contractor owns?
Yes. The notification may be undertaken centrally by one person on behalf of the contractor, but a notification needs to be made for each individual pharmacy that will be providing the service.

Q. Does the notification to NHS England of intent to provide the service have to be made for each pharmacist that will provide the service?
No. The notification is only required for each pharmacy.

Q. Will the service be commissioned on an ongoing basis?
This is currently unknown as the pilot is only commissioned until 30th September 2019. As with any service commissioned by the NHS, it will be necessary to demonstrate that the service is offering value for money and having a positive impact on patient care. An evaluation of the service will be undertaken as part of the pilot and this will be used to help demonstrate the value of the service.

Q. What is the length of time that the service is commissioned for?
The Urgent Medicine Supply Service commenced on 1st December 2016 and will run until 30th September 2019.

Q. Will the service be evaluated?
Yes. NHS England will commission an evaluation as part of the pilot.

Q: How do pharmacies who are offering NUMSAS provide feedback on the service?
During the evaluation, contractors and NHS teams will have the opportunity to give feedback on NUMSAS. The process is under development and further guidance will be issued in due course.

Q. How will NHS England evaluate the service?
NHS England will use service information provided by contractors, information gathered from completed patient questionnaires and other data to evaluate the service.

Q. I am an LPS contractor. Will I be able to provide the NUMSAS?
All the services to be provided by an LPS contractor must be agreed between NHS England and the pharmacy and be included in the LPS contract. If LPS contractors want to provide the service, they should contact their local NHS England team to propose a contract variation, to include an Urgent Medicine Supply Service.  The location of the ‘essential small pharmacy’ LPS premises often in areas where there are no other healthcare providers could provide a very convenient service for the public who would otherwise be hard to reach.

Q. An Emergency Supply Service is already commissioned from community pharmacies in my area. What will happen to that service?
Many LPCs have managed to persuade local commissioners to commission such a service in their area and many of these services also have a wider scope beyond patients referred directly by NHS 111. This approach provides a more coherent community pharmacy solution to the challenges that urgent care services are facing, and PSNC has sought to persuade NHS England that a service with a wider scope would deliver greater value to patients and the NHS. NHS England has, however, remained adamant that the scope of the service can only cover patients referred directly by NHS 111.

PSNC has advised LPCs that have emergency supply services commissioned in their area that they may wish to discuss the commissioning of the national service with their local commissioners, to ensure they understand the restricted scope of the proposed national service.

Where a locally commissioned service is currently only focussed on referrals from NHS 111, PSNC has advised LPCs that they may want to propose to the commissioner that at the point the national service is implemented, the scope of the locally commissioned service could be changed to focus on patients self-presenting in pharmacies or being referred directly via other healthcare providers.

Q. How does NUMSAS work in my area because there is already a locally commissioned emergency supply service in place?
In some areas, local commissioners may decide to continue with a local walk-in scheme and consequently contractors may decide to provide the local service and NUMSAS as a referral from NHS 111. This is possible and just needs careful consideration to avoid confusion about how pharmacies claim for payment and monitor activity. Other areas are transitioning over to NUMSAS from a locally commissioned emergency supply service which just included referrals from NHS 111. It is important that the NHS 111 DoS lead has the pharmacy details correctly recorded for each service.

Q. Once I have my shared NHSmail account, how do I register to provide NUMSAS?
Once you have your new pharmacy’s shared NHSmail account, you can proceed to registering to provide NUMSAS on the NHSBSA website. You must register using your pharmacy’s shared NHSmail account (including the NHSPharmacy prefix at the beginning of your email address) NOT your personal NHSmail account; if a personal NHSmail account is used to register to provide the service, your application will not be processed.

Premises requirements

Q. My pharmacy doesn’t have a consultation room; can I provide the service?
No. Having a consultation room is a prerequisite for provision of the NUMSAS. The consultation room, which can be used to consult with the patient or patient’s representative, must comply with the minimum requirements set out below:

  • the consultation room must be clearly designated as an area for confidential consultations;
  • it must be distinct from the general public areas of the pharmacy premises; and
  • it must be a room where both the person receiving services and the pharmacist providing those services are able to sit down together and talk at normal speaking volumes without being overheard by any other person (including pharmacy staff), other than a person whose presence the patient requests or consents to (such as a carer or chaperone).

 The consultation room must also meet the General Pharmaceutical Council (GPhC) Standards for Registered Premises.

Eligible patients

Q. Can patients who do not live in England, such as temporary visitors or tourists, access NUMSAS?
NUMSAS is available to anyone in England  who has recently been treated on the NHS and has received an NHS prescription.

Patients treated in Wales, Scotland & Northern Ireland would be eligible, as would patients with prescriptions generated  from other NHS organisations, for example, acute trusts.

For overseas patients visiting from countries outside the UK, a NUMSAS supply of medicines could be made for a patient who was receiving ongoing care under the NHS with an NHS prescription and needed an urgent supply of medicines to continue treatment. For example, this might include a patient who was recently discharged from an NHS hospital or who was treated on the NHS and had received an NHS prescription under a reciprocal Healthcare arrangement.

Q. Is this service available to patients that self-present to the pharmacy requesting an emergency supply?
No. This service is only available to patients who have been referred to the pharmacy from NHS 111. No payments will be made under this service for medicines or appliances supplied to walk-in patients who have not been referred by NHS 111.

Q. Are patients who are not prescription-exempt eligible for this service?
Yes. Patients who are not prescription-exempt are eligible to access this service; NHS prescription charges would be collected as normal.

Q. Are housebound patients eligible for this service?
Yes. The pharmacist can interview the patient on the telephone to assess whether it is appropriate to make an emergency supply.  However, if a patient is housebound and therefore unable to visit the pharmacy, the pharmacist should use their professional judgement as to whether it is appropriate for a representative to collect the medication or appliance on the patient’s behalf.

Practicalities of service provision


Q. How do we know if NUMSAS is ready to ‘go live’ in our area?
That’s a decision for each local implementation team to make led by the NHS England Pharmacy Contract Manager. The local NHS England Pharmacy contracts team, CCG Commissioner Clinical Lead, NHS 111 Provider, DoS lead and the LPC need to be aware of the ‘go live’ date and contractors need to be advised when this will happen.

To ‘go live’ successfully an area needs a reasonable number of pharmacies registered to provide NUMSAS which are geographically spread and open at surge times when patients are likely to access NUMSAS. In some areas, this may only be a very small number of pharmacies e.g. Guildford and Waverley CCG area went live with 6 pharmacies and Cambridge and Peterborough CCG area went live with 15 pharmacies in December 2016 and then more pharmacies have been joining the service in the area since then. It is not essential that every village/small town is covered initially. If there is no local or convenient pharmacy for a patient who has contacted NHS 111 they will be directed to the GP OOH service as they were before.

Registering on the NHSBSA website for NUMSAS does not mean that you can start providing the service. Each area will need to be assured of coverage and a technical test may be carried out to confirm that a referral from NHS 111 can be received by the pharmacy. Some areas may choose to do a technical test with all pharmacies registered via the NHSBSA before a ‘go live’ date is agreed.

Q. How do I give feedback to the NHS 111 provider about the referral process?
All NHS 111 providers have a local feedback process established as part of their service. Contact your local NHS 111 provider to find out how feedback, including in relation to any patient safety incidents, should be provided.

Q. What should I do if a patient makes a second or third request for a supply of medicines or appliances through NUMSAS?
Pharmacists are expected to use their professional judgment about any repeated requests for urgent medicine or appliance supplies that are referred to their pharmacy. If there are any concerns, these should be raised with the patient’s GP as part of the feedback process and a review of the patient should be recommended. In some cases, it may be appropriate for the GP to add a Special Patient Note (SPN) to the patient’s care record to flag this issue to NHS 111.

Q. Is the supply of a Schedule 2 or 3 Controlled Drug for the treatment of epilepsy permitted as part of NUMSAS?
Emergency supplies of Schedule 2 or 3 CDs cannot be supplied in an emergency without a valid prescription, except for phenobarbital or phenobarbital sodium for the purpose of treating epilepsy. This legal requirement also applies to NUMSAS, therefore, emergency supplies of Schedule 2 or 3 CDs cannot be supplied under NUMSAS; unless the request is for phenobarbital or phenobarbital sodium for the purpose of treating epilepsy.

Referrals from NHS 111

Q. A patient has contacted the pharmacy and said they have been referred for NUMSAS, but there is no referral email or message. How do I proceed?
The pharmacist should check with the patient the name of the pharmacy that they were referred to. If the patient has been referred to the correct pharmacy, the pharmacist should re-check (they should also check the junk mail folder) for a referral message. If no email or message is found, then the pharmacist should contact the referring service. This should be recorded in the pharmacy and reported to both the local NHS England team and the referring service provider as an incident.

Q. Will the NHS 111 call handler assess the patient to determine if an emergency supply is appropriate?
No. The NHS 111 call handler will advise patients that the pharmacist may decide to make a supply of the medicine or appliance required, but the supply will only be made at the professional discretion of the individual pharmacist.

Q. How often should we be checking NHSmail for NHS 111 referrals?
NHS England has advised that NHSmail must be ‘regularly’ checked, especially within traditional out of hours periods such as weekday evenings, weekends and holidays, to pick up referrals from NHS 111 in a timely manner. This should include when a pharmacy opens and before the pharmacy closes each day.

‘Regularly’ has not been defined by NHS England in the service specification, therefore it is up to the contractor to determine the appropriate intervals.

Q. What happens if the patient contacts NHS 111 but there are no local (or convenient) pharmacies offering NUMSAS to refer the patient to at the end of the call?
The patient will be referred to the GP OOH service as they would have been before NUMSAS was available. Even if patients are offered the opportunity to be referred to a pharmacy that offers NUMSAS, they are not obliged to use this service and may still choose to use the GP OOH service.

Q. What is the appropriate action to take if the NUMSAS referral is for a medicine liable to misuse?
While it is for the pharmacist to determine if a supply is appropriate, they should check if the Clinical Commissioning Group has issued guidelines to local GP OOH services on the supply of medicines liable to misuse (this should already be included in the pharmacy’s SOP). The pharmacist needs to balance the potential for misuse versus the need and the impact on the patient of not supplying a medicine or appliance. A limited supply of 1 or 2 days, until the next working day for GP practices, could be considered.

Q. I have received a NUMSAS referral from NHS 111 whilst my pharmacy was closed. In what instances can such referrals be sent and do I have to call the patient as soon as I open?
NUMSAS referrals may be made to a pharmacy when the pharmacy is closed if the patient declares that their next dose is due within the next 6, 12 or 24 hours. In such instances, the patient will be advised that they need to call the pharmacy when it is next open.

Q. NHS 111 has sent a NUMSAS referral for a patient requesting a Controlled Drug. Why has this occurred?
Generally, NHS 111 call handlers do not conduct an assessment of the legality or clinical appropriateness of the emergency supply request as the majority are not clinicians. Additionally, they are not trained on the Human Medicines Regulations to determine what constitutes a valid emergency supply. They will advise patients, when sending a NUMSAS referral, that the pharmacy may decide to make a supply however this will be at the professional discretion of the pharmacist.

Q. What is the appropriate action to take if I receive a referral from NHS 111 for a patient requesting a Controlled Drug?
If it is not possible to make an emergency supply due to prohibitions within the Human Medicines Regulations or other factors, but the pharmacist believes that there is a genuine patient need to obtain a supply of their medicine, the pharmacist must contact the local GP OOH service to ensure the patient is contacted by another appropriate healthcare professional. Contacting the GP OOH service must not be delegated to the patient.

Q. I have received a NUMSAS referral for a patient however their GP practice is still open. What is the best way to proceed?
Patients should be advised to contact the GP practice if this is practically the most appropriate option to obtain their medicine or appliance, however this may not be possible, for example, if the patient is away from home and unable to access their own GP practice.

Telephone call between the patient and pharmacist

Q. Can a pharmacy staff member conduct the telephone call with the patient?
No. Since the call involves assessing the patient’s suitability for a supply of a medicine or appliance, the telephone call must take place between the pharmacist and the patient.

Q. If we do not have an item in stock and we refer the patient to another pharmacy, are we still able to claim for the Consultation and Administration fees?

Q. If, during the telephone consultation I determine that it is not possible to make a supply to a patient, who should sign the reverse of the FP10DT EPS dispensing token?
If a supply of a medicine or appliance is not made, the reverse of the FP10DT EPS dispensing token does not need to be signed.

 Q. If I don’t have the medicines or appliances that the patient requires in stock, how do I send the referral on to another pharmacy that provides NUMSAS that has the medicines or appliances in stock?
All pharmacies providing NUMSAS have a premises specific shared NHSmail address. Once another pharmacy that is offering NUMSAS is found that has the required medicine or appliance in stock and is willing to take the referral, the patient’s details received from NHS 111 should be forwarded by NHSmail to the premises specific shared NHSmail address of the pharmacy accepting the referral.

Emails sent from nhs.net accounts to other nhs.net accounts are secure, and this therefore ensures that patient details are protected. In some areas that are using an IT based documentation process, e.g. PharmOutcomes, a secure email message will still need to be used when sending information to other pharmacies providing NUMSAS.

Q: My area does not have a telephone number for pharmacy contractors / healthcare professionals to contact the GP OOH service, e.g. if the patient has run out of a Controlled Drug. How do I ensure the patient is supported without asking them to phone NHS 111 again?
The patient should be referred to the GP OOH service operating in your locality. The contact details for the service can be located in the Mobile DoS at www.pathwaysdos.nhs.uk using the sign-in and password details provided to you by your local DoS lead.

If mobile DoS is not available in your area, then the DoS lead should provide a contact list for the GP OOH service. Before you ‘go live’, the contact details need to be clarified and available to staff working in the pharmacy who will be providing NUMSAS.

Q: Some pharmacies on DoS are shown as company names instead of trading names; this is confusing especially when I want to forward patient details. How can I easily locate a pharmacy which is offering NUMSAS in these situations?
Within the DoS all pharmacies can be located by postcode. Use the patient’s location postcode to find the nearest pharmacy that is offering NUMSAS.

Q. What is the appropriate action to take if the patient is unable to travel to the pharmacy for a NUMSAS consultation?
If the patient is unable to travel to the pharmacy, the patient should be asked if there is someone they can ask to collect the medicine or appliance for them; pharmacies are not expected to deliver medicines or appliances to patients as part of NUMSAS but should follow usual practice.

If this option is not available, the pharmacy will need to consider the impact of the missed dose(s) and alternative options. Options include referring the patient to another pharmacy offering NUMSAS which is open the next day and is closer to the patient, or referring the patient to their GP. Alternatively, the patient could be referred to a local pharmacy not participating in NUMSAS to obtain an emergency supply of their medicine or appliance (please note, the patient would need to pay for medicines or appliances supplied through this route).

Q. I have contacted a patient after receiving a NUMSAS referral for them, however the patient informed me that they no longer have an urgent need for the medicine or appliance. What is the best way to proceed?
This referral should still be recorded onto an FP10DT EPS dispensing token and endorsed with the appropriate no supply code and submitted to the NHSBSA as the contractor will be able to claim for the consultation and administration fee.

Summary Care Record (SCR)

Q. Does the pharmacy need to be SCR enabled to provide this service?
Yes. The patient’s SCR is a useful decision making aid to check a patient’s previous prescription history and whether a prescription for the urgently requested medicine or appliance has recently been issued by the patient’s GP. The SCR should be accessed during the telephone or face-to-face consultation with the patient. If the SCR was not accessed, the reason for not doing so must be recorded.

Q. Does verbal consent to check the patient’s SCR over the telephone meet the consent requirements for accessing SCR?

Q.How does a pharmacy become SCR enabled?
Please refer to PSNC’s page on preparing for SCR.

Q.Will a supply of a medicine or appliance made to a patient through NUMSAS, show on their Summary Care Record (SCR)?
When a medicine or appliance is supplied as part of NUMSAS, the pharmacist is required to ensure that a notification (‘Post Event Message’) of any supply made as part of the service is sent to the patient’s GP practice on the same day the supply is made or as soon as possible after the pharmacy opens on the following working day, so they are aware a medicine or appliance has been supplied to the patient.

The medicine or appliance will only be visible on the patient’s SCR if the information is received from the pharmacist and added to the patient’s record at the GP practice as an acute or repeat item. If it is added as an acute item it will appear as ‘prescribed elsewhere’ under the acute medicines list. If it is added as a repeat item then it will appear under repeat item list as ‘repeat prescribed elsewhere’.

If the pharmacist dispenses an electronic prescription as part of NUMSAS instead of making a supply, then this will be visible on the patient’s SCR.


Q. Does this service only allow prescription only medicines (POMs) to be supplied?
No. The service allows the supply of all medicines and appliances that can be supplied on an NHS prescription, in line with the provisions of the Human Medicines Regulations.

 Q. How many days’ worth of treatment can be supplied?
The pharmacist should apply their professional judgement to determine the most appropriate length of treatment to supply, in line with the provisions of the Human Medicines Regulations.

Q. Is there a maximum number of times that a patient can use the service?
No. The pharmacist should apply their professional judgement to determine the appropriateness of supply each time a patient is referred, in line with the provisions of the Human Medicines Regulations.

Q. Is there a maximum number of medicines or appliances that can be supplied as part of the service?
No. The pharmacist should apply their professional judgement to determine the appropriateness of supply of each requested medicine or appliance, in line with the provisions of the Human Medicines Regulations.

Service promotion

Q. Can we promote the service to patients?
No. This service should not be promoted to the public by either the pharmacy staff or the NHS to ensure that it is only used by patients for urgent cases and not as a replacement for the normal repeat prescription ordering and repeat dispensing processes.

Records and documentation

Q. Can we make a supply if a patient does not provide evidence of exemption entitlement?
Yes. Where a patient is unable to provide evidence of their exemption from NHS prescription charges, the contractor should record this on the FP10DT EPS dispensing token. NHS England may make checks on patients’ claims to entitlement of exemption from NHS prescription charges.

Training and other requirements

Q. Is a specific standard operating procedure (SOP) required for the NUMSAS?

Q. How does a pharmacy become NHSmail enabled?
Please visit PSNC’s page on NHSmail.

Q. What do pharmacies do if they’re having trouble accessing their new NHSmail account?
All queries relating to these accounts should be escalated to the pharmacyadmin@nhs.net account.

Q. Do pharmacies have to use the ‘nhspharmacy’ naming convention for a shared NHSmail account?
If the pharmacy has a shared mailbox set up prior to December 1st 2016 they will have a mailbox name that is different. This can be used to register for NUMSAS. In some areas ‘generic’ NHSmail accounts were set up before 1st December and it is not known if they were set up as shared mailboxes. As an interim process those pharmacies can still register using these NHSmail accounts via the NHSBSA but NHS Digital want to move these accounts over to the new naming convention in the summer of 2017 so that they can be assured they are set up correctly as shared accounts.

It must be noted that if a pharmacy has been issued with an email account after December 1st and it has ‘nhspharmacy’ as the prefix this MUST be used as part of the full email address to register with the NHSBSA and in any correspondence otherwise it will not be recognised as a valid email address.

Q: Do I have to follow local OOH prescribing guidelines for NUMSAS?
When local prescribing guidelines exist, these should be noted and act as a guide.

Service availability

Q. Is this service only available out of hours i.e. evenings, weekends and bank holidays (when GP surgeries are closed)?
No. The service must be available throughout the opening hours of the pharmacy (both core and supplementary hours).

Q. The service specification states that the contractor must ensure that the service is available throughout the pharmacy’s core and supplementary opening hours – does this mean that locum pharmacists that I book to work in my pharmacy must be able to provide this service?
Yes. Once a contractor starts to provide the service they must ensure that the service is available throughout the pharmacy’s contracted opening hours. Therefore, contractors should seek to book locum pharmacists who can provide the NUMSAS.

Data recording and reporting

Q. Is there national paperwork/forms for the service?
Yes. National paperwork has been developed to notify the patient’s GP practice of the supply of medicine or appliance and a patient questionnaire is also available. These forms can be downloaded from the NUMSAS hub on the PSNC website.

Q. Must patient consent be recorded in writing?
No. NHS 111 will obtain patient consent for receiving the service and for the pharmacy sharing information with the patient’s GP practice, NHS England and the NHS Business Services Authority.

Q. Does the patient’s GP practice always need to be informed if a medicine or appliance has been supplied to the patient?
Yes. The requirement is that a notification of the medicine or appliance supplied is sent to the patient’s GP practice on the same day the medicine or appliance is supplied or on the following working day.

 Q. If a web-based platform such as Sonar or PharmOutcomes is available in my area for the NUMSAS, do I have to use it?
PSNC would strongly encourage the use of web-based platforms, such as Sonar or PharmOutcomes if they are available in your area as this means that the local NHS England team and/or the LPC will be able to access local data to monitor uptake of the service. It also means the GP notification form can be sent electronically, taking away the need to print out a GP notification form and deliver or fax to the GP surgery.

Q. Will NHS England provide IT support for recording and claiming for provision of the service?
No national IT support will be provided by NHS England to support provision of the service. If at a local level, IT systems are available that allow the notification of a patient’s GP practice to take place electronically, these may be used.

Training and competency requirements

Q. Are there specific training requirements for this service?
The necessary knowledge and skills to provide the service should be a core competency for all pharmacists. Pharmacists will want to ensure they have an up to date understanding of the Human Medicines Regulations in relation to the emergency supply of prescription only medicines. The Royal Pharmaceutical Society’s guidance on emergency supply and the Urgent care: a focus for pharmacy distance learning from CPPE may also provide useful knowledge to support provision of the service.

The contractor must ensure that all pharmacy staff involved in provision of the service are appropriately trained on the operation of the service, including relevant sections of the standard operating procedure.

Funding and payment claims

Q. How do I claim payment for provision of the NUMSAS?
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 NHSBSA 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.

Q. Can we submit the NHS Urgent Medicine Supply Advanced Service Claim submission form as part of the monthly prescription bundle?
Yes. However, please ensure that the FP10EDT EPS tokens (completed as part of NUMSAS) are separated from other tokens, or there is a risk that claims will be not reimbursed if the NUMSAS tokens are scanned and stored with other tokens.

Q. Do I need to ask the patient or their representative to complete the back of the FP10DT EPS when a supply of a medicine or appliance is being made?
When a supply of a medicine or appliance is being made, all patients should be asked to complete the back of the FP10DT EPS unless their date of birth is computer generated on the front of the token and the patient is under 16 years of age or aged 60 years or over.

If the reverse of the token is not completed, it will be assumed that the patient is not exempt and has therefore paid for their items. These items will be ‘switched’ and will therefore affect the number of charges that are deducted from the contractor.

Q. Do I need to complete an FP10DT EPS dispensing token for each referral I receive from NHS 111 or can I just submit the required information on a blank piece of paper to NHSBSA?
An FP10DT EPS dispensing token must be completed as stated in the service specification for each referral received from NHS 111; the required information should not be submitted to NHSBSA on any other forms or on a blank piece of paper.

Q. If I send my claims form to the NHSBSA a month later than the medicines or appliances were supplied will I still get paid (provided I have sent them before the March 2019 submission date when the service finishes)?
Claims should be sent immediately following the months they correspond to; otherwise contractors are at risk of not getting paid.

Q. If it is not possible to make a supply due to prohibitions within the legislation or other patient factors, are we still able to claim the Consultation and Administration fees?

Q. Will my pharmacy be sent paperwork for the service or do I need to download this from the PSNC website?
The forms will need to be downloaded from the PSNC or NHSBSA (for the claim form) websites.

Q. Can I make claims for payment via PharmOutcomes or Sonar instead of using the claim form and sending it to the Pricing Authority?

Q. Do contractors get paid the concessionary price if dispensing an item with a concessionary payment as part of NUMSAS?
Yes. The NHSBSA has confirmed that contractors will get paid the concessionary price for dispensing an item as part of NUMSAS.

Q. Where is the money for the service coming from?
Money from the Pharmacy Integration Fund is being used to test and evaluate the national pilot of the service.

Q. How much money is available the fund the service?
NHS England has budgeted £2 million for the pilot based on NHS 111 call volumes and estimated referral rates.

Patient questionnaire

Q. What is the website address for the patient questionnaire IT platform?
The website address for the patient questionnaire IT platform is https://numsas.nhsdatacollection.org/ 

Q. Is it a requirement to upload all questionnaire results electronically if captured via paper?
When patient questionnaires are completed on paper, contractors should utilise the functionality available on the IT platform to submit patients’ responses to the questionnaire.

Q. Do all patients have to be asked to complete the patient questionnaire following the supply of a medicine or appliance?
Yes. Patients should be encouraged to complete the questionnaire, but they have the right to refuse to do so.

Q. What does the NHS England patient questionnaire website support contractors and patients to do?
The website supports several functions, including allowing patients to complete the questionnaire online and allowing pharmacy teams to collate the results of completed paper questionnaires returned to them by patients. Patients will also be able to access and complete the questionnaire via a QR code if the patient has a smart phone with a QR code reader App installed on it.

Q. How should patients or their representatives complete the NUMSAS patient questionnaire?
All patients or their representatives must be invited to complete the patient questionnaire in the format that is best suited to their needs e.g. online or on paper.

Patients can access the questionnaire and complete this online by:

  • using the website address of the patient questionnaire IT platform for patients: https://numsas.nhsdatacollection.org/; or
  • using a QR code if the patient has a smart phone with a QR code reader App installed on it.

Pharmacy teams can print off personalised compliment slips which include the web address of the patient questionnaire IT platform and the QR code to provide to patients from the NUMSAS pharmacy login section of the IT platform.

A paper copy of the questionnaire is available to print out by logging in to the NUMSAS pharmacy login section of the patient questionnaire IT platform. Please note, when patient questionnaires are completed on paper by patients, contractors should utilise the functionality, also available on the NUMSAS pharmacy login section of the patient questionnaire IT platform, to submit patients’ responses to the questionnaire; the questionnaires should not be sent to the NHS Business Services Authority (NHSBSA).

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