Advanced Services


The Community Pharmacy Contractual Framework Advanced Services Consist of the following elements:

  • Medicines Use Review (MUR) – Please note changes from 1st October 2019 below *
  • New Medicines Service (NMS)
  • Appliance Use Review (AUR)
  • Stoma Appliance Customisation (SAC)
  • Flu Vaccination
  • NHS Urgent Medicine Supply Advanced Service (NUMSAS) – This has been replaced with the new Community Pharmacy Consultation Service (CPCS) from 29th October 2019

All service information for the above services can be found by following this link.

* In 2019/20, contractors can provide a total of 250 MURs and in 2020/21 this will reduce to 100, with the service being decommissioned at the end of that year. All contractors can provide 250 MURs in total throughout 2019/20, but no more than 200 in the first half of the year. Further information is available on PSNC CPCF settlement: 2019/20 to 2023/24 webpage and also FAQs on the number of MURs which can now be provided in 2019/20.

Revised MUR targeting requirements applied from 1st October 2019.

National target groups (Changes to target groups applied from 1st October 2019)

NEW Community Pharmacy Consultation Service (CPCS) launched 29th October 2019.

Please see below key resources to help pharmacy contractors successfully deliver the service:

Service specification

Toolkit

The following has been agreed with NHS England Area Team for off site MUR’s in South Yorkshire:

MURs off premises or Telephone MUR Applications

Use the South Yorkshire and Bassetlaw version of the PREM2 form and submit to:
england.sybprimarycare@nhs.net

In order to facilitate prompt MURs at patient’s homes it has been agreed that only one South Yorkshire version of the PREM2 application (see attached) needs to be completed per pharmacist per pharmacy (i.e. if there are 2 pharmacists providing MURs for the same pharmacy, they will need to send in 2 applications. Similarly, if one pharmacist provides off premises MURs on behalf of 2 pharmacies, they need to submit 2 applications). Section 3 of the PREM2 should be completed stating “patients home” and “patients unable to attend the Pharmacy” (this has already been entered on the attached form).
Once sent to the Area Team, MURs can be completed at the patient’s home. At the end of the month (and before the 10th of the following month) a list of off premises MURs carried out that month stating date and address (but not patient name etc) has to be sent to the Area Team using the attached form.

Telephone MURs
Applications for undertaking MURs by telephone should be made only in exceptional circumstances and a PREM2 form should be submitted for each patient

MUR off premises monthly list
PREM 2 Form

Useful Resources for Advanced Services

NMS Anticoagulation Guidance for Pharmacy click here

Boots STH MUR/NMS referral form can be accessed here

Joint CPS / LMC Letter re Flu Vaccination Service 2019/20 – see here.