Dear Colleague |
Please find correspondence HERE from Kathryn Turner, Pharmacy Lead, Strategic Planning and Performance Group. |
SUMMARY
- The Interim Community Pharmacy Medicines Adherence Service for Trust discharge patients will be the first phase in the commissioning of a Medicines Adherence Service from community pharmacy.
- Only those patients who have been assessed by the Trusts as requiring adherence support on discharge from hospital may be referred to community pharmacy for on-going provision.
- The interim adherence service is commissioned as a core service under the community pharmacy contract framework. As such, all community pharmacy contractors are required to provide this service from 18 July 2022 and a contract is not required to be returned to SPPG.
- The full details of the service are contained in the service specification and a summary flowchart.
- A formal assessment of the patient’s adherence needs will be carried out by a Trust Health and Social Care professional. All assessments will be reviewed by a Trust pharmacist before a referral will be made by Trust pharmacy to the patient’s community pharmacist. There will be an initial telephone call to the community pharmacist and the referral will then be sent via secure HSC email.
- Community pharmacists will dispense medication in line with the recommendations from the adherence referral form (ARF) when they receive the post-discharge prescription issued by the patient’s GP practice.
- Ideally, this should be completed within 72 hours of receipt of the post-discharge prescription.
- Community pharmacists should only accept referrals received via Trust pharmacy using this process. Direct requests or referrals from other Trust health and social care professionals are not currently part of this interim service.
- Community pharmacists must keep a register of patients for whom they have received referrals and provided the service.
- An annual fee of £600 per patient has been agreed with CPNI for patients referred into this service. Payment will be made on a monthly basis (£50 per patient) on submission of the claim form to your local SPPG office.
- The summary flowchart provides an overview of the service for Trusts, GP practices and community pharmacies. Separate detailed correspondence has been issued to both Trusts and GP practices to advise them of the service and detail the actions required to ensure successful implementation of this service.
- The ECHO training session which was delivered on 28 June 2022 was recorded and will shortly be available on the ECHO Moodle site. This recording should be viewed by all pharmacists prior to service delivery.
- Pharmacists must be registered with ECHO to view the recording. The link to registration is HERE. There is also a short video available here to assist with registration.
- Any problems please contact Elaine Kane at e.kane@hospiceuk.org Tel: 028 95582393.
- Work is continuing to specify a transitional commissioned adherence service later in 2022. This will enable community pharmacists to assess and provide adherence support to patients in the community (Cohort 2) and maintain a register of these patients within the pharmacy.
ACTION
- Contractors and pharmacists involved in the provision of this service are asked to review the correspondence and service specification.
- All community pharmacy contractors should put in place a Standard Operating Procedure (SOP) for the provision of the service.
- If you have any queries please contact a Pharmacy Advisor at your local SPPG office.
- Please do not hesitate to contact the CPNI office should you require any further information.
Kind regards

GERARD GREENE
Chief Executive