Community Pharmacy October 2019 and Beyond

IMPORTANT – Diary Dates for Pharmacy Quality Scheme (PQS)

KEY CHANGES – Update October 2019

Contractor CPCF Calendar 2019-20

Five-year Community Pharmacy Contractual Framework Deal Contractor summary:

Other key elements of the deal can be summarised as follows:

  • The five-year deal represents a series of agreements in principle, with detail of new services and payments to be negotiated on an annual basis by October each year.
  • Although the overall quantum of funding and the key elements within that have been agreed for 2019/20, accelerated discussions are ongoing and further details will be made available to contractors over the coming months.
  • From October 2019, there will be some immediate structural changes to funding including the phasing out of MURs and the Establishment Payment, but these monies are being reinvested into the sector.
  • Contractors will receive monthly transitional payments in the second half of 2019/20 and again in 2020/21 in recognition of costs associated with changes such as integration into Primary Care Networks, preparation for Serious Shortage Protocols and implementation of the Falsified Medicines Directive.
  • Contractors can earn additional payments for meeting quality targets under the renamed Pharmacy Quality Scheme (formerly the Quality Payments Scheme).
  • A new national NHS Community Pharmacist Consultation Service is being commissioned from this autumn, which will bring together the national NUMSAS and local DMIRS pilots into one national service.
  • An increasing use of technology and other enablers, to seek to make the dispensing process as efficient as practicable.
  • Other elements of the deal include the continuation of the Pharmacy Access Scheme (PhAS) and the use of the Pharmacy Integration Fund to fund pilot services which may, if successful, be commissioned nationally from pharmacies.
  • All agreements are outlined in a joint CPCF Agreement Document.

PSNC, the Department of Health and Social Care (DHSC) and NHS England and NHS Improvement (NHSE&I) have reached agreement on a five-year deal for community pharmacy.

The deal sets out what pharmacies will be expected to deliver through the Community Pharmacy Contractual Framework (CPCF) from October 2019 through to 2023/24.

It includes a clear vision for the piloting and introduction of new pharmacy services – such as the NHS Community Pharmacist Consultation Service (CPCS), being introduced ahead of this winter – over the course of the five years. This will bring pharmacy into a more integrated central role within primary care and it enables the sector to help to deliver the ambitions set out within the NHS Long Term Plan.

Crucially, following strong representations from PSNC about rising costs for pharmacies, the deal secures funding for five years over this period of change. The deal will be reviewed on an annual basis, with detailed discussions on implementation and funding of new services each autumn.

This funding – which amounts to almost £13bn over the five years – is a significant increase on the Government’s planned funding level.

PSNC agreed to the deal following lengthy and difficult negotiations, recognising that while many community pharmacies are facing severe financial pressures, the deal puts the sector on a clear future path.

The deal provides pharmacy with opportunities to transform and prove our value; protected funding despite widespread Government austerity measures; opportunities to explore new funding models and to improve the delivery of funding to contractors; the chance to pilot and roll out new services; opportunities to look for new ways to make efficiencies and to further integrate within primary care; and, importantly, a new collaborative relationship with our key customers.

The proposals constitute a fundamental and challenging ‘change of ask’ for community pharmacy, but successful delivery will further benefit the NHS and the hundreds of thousands of people who visit and are helped by community pharmacies on a daily basis.

You can read further information about the deal below.

Discussions about services and funding for introduction from October 2019 are being accelerated and further information will be made available for contractors as soon as possible.

Full information is available here

Community Pharmacy Forward View

The Community Pharmacy Forward View, published by PSNC and Pharmacy Voice, with the support of the RPS English Pharmacy Board, on 30th August 2016, sets out the sector’s ambitions to radically enhance and expand the personalised care, support and wellbeing services that community pharmacies provide. In the scenarios outlined in the document, pharmacy teams would be fully integrated with other local health and care services in order to improve quality and access for patients, increase NHS efficiency and produce better health outcomes for all.The Community Pharmacy Forward View sets out the organisations’ shared ambition for the sector, focused on three key roles for the community pharmacy of the future:

1. As the facilitator of personalised care for people with long-term conditions

2. As the trusted, convenient first port of call for episodic healthcare advice and treatment

3. As the neighbourhood health and wellbeing hub

Read the full Forward View document here

The Value of Community Pharmacy

#valueofpharmacy As part of the response to Government proposals to reduce community pharmacy funding by £170m, the Pharmaceutical Services Negotiating Committee (PSNC) commissioned PricewaterhouseCoopers LLP (PwC) to examine and quantify the economic contribution of community pharmacy in England in 2015.The resulting report analysed the value (net benefits) to the NHS, public sector, patients and wider society of 12 specific services provided by community pharmacy. Services analysed included supervised consumption, emergency hormonal contraception provision, minor ailments, delivering prescriptions and managing drug shortages. Read the result of the PwC report here