Pandemic Delivery Service
Pandemic Delivery Service
This page provides information for pharmacy contractors and their teams on contractual responsibilities introduced during the COVID-19 pandemic related to supporting certain groups of people to obtain their medicines via a delivery service.
There are service requirements within the Terms of Service which apply to all pharmacy contractors (excluding distance selling pharmacies) and an optional Advanced service which contractors can choose to provide.
Initially, the service requirements applied to clinically extremely vulnerable (CEV) patients self-isolating at home (also referred to as shielded patients), but this cohort of patients is not now covered by the service.
From 16th March 2021, people who have been notified of the need to self-isolate by NHS Test and Trace are able to access support for the delivery of their prescriptions from contractors.
This page also contains general guidance on delivering all prescriptions during the pandemic and on the use of volunteers.
The service is currently ACTIVE until 23:59 on 31st March 2022 for people notified of the need to self-isolate by NHS Test and Trace in all areas of England.
The service is NOT active for CEV (shielding) patients.
This webpage contains information on and resources for the current pandemic delivery service. Information on the service related to previous provision to shielded patients and local outbreaks can be found in the Pandemic Delivery Service Archive.
Most community pharmacies already offer a prescription delivery service to some or all patients, either as a free of charge or paid for service.
At the time of launching the pandemic delivery service (early April 2020), Government restrictions meant most people had to stay at home, as part of the efforts to control the spread of the coronavirus, but people could leave their homes for healthcare reasons, such as visiting a pharmacy.
The service was originally commissioned across England to support clinically extremely vulnerable (CEV) patients until 31st July 2020, with some specified local outbreak areas still being covered by the service until 5th October 2020.
During the second national lockdown across England, new advice was issued to people who were clinically extremely vulnerable from COVID-19 and the service was restarted on 5th November 2020 and it ran until 3rd December 2020. The service for CEV patients continued in announced Tier 4 areas before then recommencing across the whole of England following commencement of a new national lockdown in England from 5th January 2021. Provision of the service to CEV patients ended at 23:59 on 31st March 2021, when shielding for that group of patients was paused.
From 16th March 2021 to 23:59 on 31sth March 2022, people who have been notified of the need to self-isolate by NHS Test and Trace are able to access support for the delivery of their prescriptions from contractors.
2) Patients eligible for prescription deliveries
From 16th March 2021, people who have been notified of the need to self-isolate by NHS Test and Trace are able to seek support from community pharmacies under the Pandemic Delivery Service. This is part of a package of measures which the Government put in place to support people to self-isolate effectively and reduce the spread of COVID-19.
This means all pharmacies (excluding distance selling pharmacies) are required to ensure those people who have been notified by NHS Test and Trace to self-isolate can receive their prescription medicines and appliances by home delivery during the ten-day self-isolation period, if they are unable to arrange for medicines to be picked up.
This service is only available to people during their ten-day* self-isolation period and who can provide their NHS Test and Trace Account ID when requesting the service (people are provided a unique NHS Test and Trace Account ID, which is an 8-character mix of letters and numbers, when they are contacted by NHS Test and Trace).
A record of the NHS Test and Trace Account ID reference number must be made and retained as part of the contractor’s delivery record.
* Should COVID-19 symptoms develop within the initial 10-day isolation period after receiving an initial positive test (where no symptoms were being exhibited), or as a contact, and the advice given is to continue to isolate for a short period beyond the initial 10 days, self-isolating people will still be provided the medicines delivery service against their initial reference number.
The maximum amount of time someone could be self-isolating is 20 days, i.e. in the unlikely event they develop symptoms on the 10th day of their self-isolation period. This is based on guidance for households with possible or confirmed COVID-19 infection.
Each time someone enters the NHS Test and Trace system, they will receive a new unique contact tracing reference number. Therefore, if someone has been identified as a contact, they will receive one through their first contact with Test and Trace, and then if they go on to test positive, they should receive another one.
This service is commissioned until 23:59 on 31st March 2022.
What about deliveries to other patients?
Other patients, including those who were advised to shield, may request home deliveries, but they are not covered by the NHS-funded service and except for deliveries of Specified Appliances, contractors continue to be able to charge patients for the delivery of prescriptions if they wish.
3) What does the delivery service entail?
The Terms of Service for all pharmacy contractors, bar distance selling pharmacies (DSP), have been amended to require contractors to help eligible patients to receive their prescriptions. Additionally, an Advanced service for delivery of prescriptions to eligible patients, which contractors can provide if they wish to, has been commissioned by NHSE&I.
The combined Terms of Service requirements and the Advanced service only apply to the eligible group of patients during the pandemic. The service is not to be used for any other patients.
The Terms of Service requirements which pharmacies must comply with
Patients eligible for prescription delivery are encouraged in the first instance to see if their medicines can be collected from the pharmacy and then delivered by family, friends or a carer.
If the patient cannot identify a family member, friend or carer to collect their prescription from the pharmacy, they have been advised to contact the pharmacy. The pharmacy must then:
- provide advice to the patient on how to identify a local volunteer to collect the prescription from the pharmacy on their behalf and then deliver it. This could be locally organised volunteer arrangements (e.g. organised by a local council) or volunteers from the NHS Volunteer Responders programme (see further details below); or
- where no volunteer is available, deliver the medicine as part of the Advanced service; or
- where no volunteer is available, arrange for another pharmacy to deliver it on their behalf. The other pharmacy will be able to claim payment for the delivery under the Advanced service; or
- where no volunteer is available, arrange for the prescription to be dispensed and delivered by another pharmacy (by referring the patient to another pharmacy, including a distance selling pharmacy).
Funding for the Terms of Service requirements
Pharmacies (excluding Distance Selling Pharmacies, who are already contractually obliged to deliver dispensed items to their patients) will be paid an allowance to recognise the work involved in supporting the group of eligible patients with their deliveries. This payment is made automatically by the NHS Business Services Authority (NHSBSA).
The payment is from additional funding being made available to respond to the pandemic, i.e. it is not part of the community pharmacy global sum.
The payment is aligned to the banding used for the Transition Payment.
|Prescription items within the month||Daily payment – Clinically Extremely Vulnerable (CEV) patients only (1st-15th March 2021)||Daily payment – Self-isolating and CEV patients (16th-31st March 2021)||Daily payment – Self-isolating patients only (from 1st April 2021 onwards)|
Payments will be on the same line as the Transitional Payment and will show as a total figure on the FP34 Schedule of Payments.
The Home Delivery during a Pandemic – Advanced Service
Where a contractor is able to make deliveries to eligible patients, the Advanced service provides funding for each delivery of a prescription that a contractor makes under options b or c above.
Contractors can also outsource the deliveries via a secure delivery method, e.g. using a courier company, if they wish.
As Distance Selling Pharmacies are already contractually obliged to deliver dispensed items to their patients, this Advanced service is not open to them to provide.
The service specification sets out the requirements the contractor must comply with, including keeping records of the eligible patients to whom a delivery was made under this service and the date of the delivery.
Contractors can claim, via the Manage Your Service (MYS) portal, a payment of £6 (including VAT) per delivery, as part of the normal end of month process.
When the NHSBSA make the payments for provision of the Advanced service, they will be separately itemised on the FP34 Schedule of Payments, listed as ‘Additional advance payment’ under the section titled ‘Summary of Payment Amounts’.
This payment is from additional funding being made available to respond to the pandemic, i.e. it is not part of the community pharmacy global sum.
4) Volunteer support for deliveries (including NHS Volunteer Responders)
At the start of the pandemic, many contractors had offers of help with delivering prescriptions and undertaking other tasks during the pandemic. Some of these offers of help have come from individuals, but many have been organised by local voluntary groups, parish councils and district councils.
- delivering medicines from pharmacies;
- driving patients to appointments;
- bringing them home from hospital; and
- making regular phone calls to check on people isolating at home.
GPs, pharmacists, nurses, midwives, NHS 111 advisers and social care staff can all request help for their at-risk patients via a website or call centre run by the RVS, who will match people who need help with volunteers who live near to them, using the GoodSam app.
If they wish, contractors can also request help from NHS Volunteer Responders to deliver all prescriptions, not just those for shielded patients. This can be requested on a one-off basis, e.g. to assist with deliveries next Wednesday afternoon, or on an ongoing basis, e.g. each morning, Monday to Friday.
Helping patients eligible for prescription deliveries to find a volunteer
Where an eligible patient asks for advice on finding a volunteer to deliver their prescription, pharmacy teams must assist them under the new Terms of Service requirement.
Pharmacy teams may be able to refer the clinically extremely vulnerable patient to local volunteer schemes, many of which are being organised by or with the help of local councils and voluntary organisations. Your Local Pharmaceutical Committee may be able to provide you contact details for such local schemes.
Eligible patients can also seek help from NHS Volunteer Responders with collecting shopping, prescriptions or other essential supplies or accessing a ‘check in and chat’ to help prevent loneliness. Patients can call 0808 196 3646 (8am to 8pm) to seek volunteer assistance.
Pharmacy teams are also able to request support for clinically extremely vulnerable patient and other isolated, vulnerable people.
Submit a request for support from the NHS Volunteer Responders via:
- the patient referral form: goodsamapp.org/NHSreferral;
- the GoodSam app; or
- the RVS telephone call centre – 0808 196 3382.
Important considerations when you use volunteers to undertake work on your behalf
When an employed delivery driver delivers prescriptions for a pharmacy, the contractor holds responsibility for these employees, and they are appropriately trained and are covered by professional indemnity insurance as part of their work for the pharmacy.
When carers, friends, relatives and neighbours collect prescriptions and purchase OTC medicines from a pharmacy on behalf of patients, they have been selected by the patient to act on their behalf and will be individuals they trust and those with whom they have a family, professional or neighbourly relationship.
The new group of volunteers that may support delivery of prescriptions to patients during the pandemic are different to the above groups. The individuals concerned are not chosen by the patient or member of the public; it is the volunteer service that is chosen, not the person who will deliver the medicine.
While it remains for a patient to make their own decisions and choose their own volunteer, isolated people may have little choice but to use such volunteers and trust that the Government and community pharmacy has made the necessary checks for them.
The majority of people volunteering will be reasonable, trustworthy, safe and public-spirited individuals who wish to assist others in their community at this time of need. It is not with the majority that the concerns lie; it is with the minority of individuals who may seek to exploit those who are isolated and dependent on others for help, or simply be careless as to their safety or their personal information.
Consequently, PSNC advises that, where the pharmacy is directly involved in the selection or request process for a volunteer, for example, booking a delivery driver for an afternoon or requesting an NHS Volunteer Responder via the GoodSam app to deliver a prescription to a shielded patient, there is an obligation to ensure that the individual is appropriate for the role, in skills and competence, and that other checks have been made, such as the individual having had a recent Disclosure and Barring Service (DBS) check.
In relation to the Terms of Service requirement to ensure eligible patients can have their prescriptions delivered, NHSE&I agreed to PSNC’s recommendation that the pharmacist has the right to reject a volunteer if they believe they are not an appropriate person to deliver medicines to the patient. This means that if, following the advice above that checks should be made on volunteers selected or requested by the contractor, they decide that the volunteer is not an appropriate person to deliver medicines to a patient, the pharmacist has the right to reject the volunteer. In this circumstance, the contractor may then seek another appropriate volunteer to deliver the prescription to the patient or they may determine that it is necessary for the delivery to be undertaken directly by the pharmacy, utilising the Advanced service.
Other matters, such as indemnity insurance need to be considered by contractors in relation to the use of volunteers and further guidance from other bodies should be read and acted upon before selecting and using volunteers to deliver prescriptions on behalf of a pharmacy.
Further guidance is available from:
Volunteers and Controlled Drugs
Where a contractor decides to use volunteers to deliver prescriptions on their behalf, they should not deliver Schedule 2 and 3 Controlled Drugs and pharmacists should use their professional judgement to determine whether it is appropriate for a volunteer to deliver Schedule 4 or 5 Controlled Drugs.
5) Practical advice on making deliveries to all patients during the pandemic
Pharmacy staff or volunteers delivering prescriptions during the pandemic need to take precautions to protect themselves and patients from the risk of spreading the coronavirus.
That could include placing a prescription on the doorstep and then stepping back two metres from the front door, after knocking on the door or ringing the doorbell. Alternatively, once the prescription has been placed on the doorstep, the delivery driver could phone the patient. That should allow confirmation of the safe delivery of the prescription to the correct household, from a safe distance.
Patients who need to pay an NHS prescription charge and can do so by credit or debit card should be encouraged to pay over the phone before a delivery is scheduled, where the contractor has the facility to take such remote payments.
Patients who are not able to pay by credit or debit card could pay by cash at the point of delivery. To protect the eligible patients and the delivery driver, cash must not be handed directly from the patient or representative to the person delivering medicines or vice versa, i.e. money should be placed on the doorstep, with the patient or representative then stepping back two metres to allow the delivery driver to safely approach to collect the cash. After leaving the patient’s home, the delivery driver should sanitise their hands and any money given, where possible.
Further guidance on making deliveries is available from the:
6) Key points for volunteers delivering medicines on a pharmacy’s behalf
In addition to the separate points above on delivering prescriptions during a pandemic, the following points were drafted by a small group of contractors, PSNC and NHSE&I as guidance for NHS Volunteer Responders delivering prescriptions on behalf of pharmacies:
Delivering medicines to people is a vital role in current times to patients in self-isolation or may already be house-bound due to other existing medical issues; it is vitally important that the correct medicine is delivered to the correct patient.
To avoid the potential for confusion, you must also complete all deliveries from a single pharmacy before picking up further prescriptions for delivery from another pharmacy.
Below are some considerations for you when delivering medicines to patients:
Several organisations have developed freely available, short training programmes for volunteers who will deliver prescriptions on behalf of pharmacies:
7) Frequently asked questions
Visit the COVID-19 Frequently Asked Questions page for FAQs on the delivery service requirements.
8) Resources for pharmacy teams
A digital guide to the service:
End of the service:
PSNC has developed a patient leaflet that can be used to explain when the service is ending and why, as well as advising clinically extremely vulnerable patient on what they should do going forwards. Some pharmacies may choose to continue to provide a delivery service, for example with a charge being paid by patients, so the leaflet is adaptable to describe your pharmacy’s particular circumstances.
A set of related media lines have also been uploaded to our LPC Members Area. Any contractors wishing to see a copy of these lines or needing assistance with media enquiries should contact email@example.com