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Home > Pharmacist > Pharmacy Contract - New Medicine Service

New Medicine Service

New Medicine Service guidance

NHS Employers and PSNC have published guidance for the New Medicine Service (NMS).

This version of the guidance was published in December 2013. A resource for community pharmacists and commissioners, it includes information that will help to ensure the NMS is delivered and monitored successfully, such as contractor requirements and record keeping and reporting arrangements. There are also a number of helpful templates and information on the payment structure.

The New Medicine service specification was published in 2011 and updated in 2013 to reflect the new NHS commissioning structures.

PSNC/NHS Employers Guidance on the New Medicine Service – updates

PSNC and NHS Employers guidance on the NMS for contractors, their staff and local NHS England teams (updated in December 2013 to reflect the NHS re-organisation). Since this guidance was published, a change to the NMS reporting requirements has taken place since publication and therefore some aspects of the guidance document are now out of date. This PSNC document details the parts of the joint guidance which are now out of date and should be read alongside the joint guidance document.

Source: nhsemployers.org and psnc.org.uk
Pharmacy Resource: Guidance and Update
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Last Checked: 16/11/17 Link Error: Report It

 

The Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013

These Directions may be cited as the Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013 and come into force on 1st April 2013.

Source: gov.uk
Pharmacy Resource: Directions
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Last Checked: 15/11/17 Link Error: Report It

 

Advanced and Enhanced Directions consolidation to 1 September 2017

PSNC has created a document which consolidates the 2013 Directions and subsequent amendments made up to December 2016.

Source: psnc.org.uk
Pharmacy Resource: Directions
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Last Checked: 15/11/17 Link Error: Report It

 

Service specification – New Medicine Service (NMS)

This service will provide support to people who are newly prescribed a medicine to manage a longterm condition,which will generally help them to appropriately improve their medication adherence.

Source: psnc.org.uk
Pharmacy Resource: Service Specification
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PSNC Briefing 016/14: Advanced Services (MURs and the NMS)

This PSNC Briefing summarises the changes being made to the Medicines Use Review (MUR) service in 2014/15 and it covers the re-commissioning of the New Medicine Service (NMS).

Source: psnc.org.uk
Pharmacy Resource: Briefing
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Last Checked: 15/11/17 Link Error: Report It

 

Impact Assessment on the Introduction of the New Medicine Service

The New Medicine Service (NMS) aims to help people prescribed a new medicine for certain Long Term Conditions (LTC) to manage their LTC and to improve their medication adherence through providing further clinical support at the outset of taking new medication in keeping with overall government health policy to involve patients in shared decision making and to optimise medicines use.

Source: gov.uk
Pharmacy Resource: Impact Assessment
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Last Checked: 15/11/17 Link Error: Report It

 

PSNC Briefing 062/16: Services Factsheet – NMS guide for other healthcare professionals

This briefing provides information on the New Medicine Service (NMS) in a 2-page guide, answering five common questions about NMS as well as providing information on which patients are eligible for the service. It may be a useful resource to provide to other healthcare professionals to increase awareness and understanding of NMS.

Source: psnc.org.uk
Pharmacy Resource: Briefing
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Last Checked: 15/11/17 Link Error: Report It

 

CPPE
New medicine service (NMS)

When you have worked through this e-learning programme, you will have gained an understanding of how the NMS should be delivered in a patient-centred, effective way as part of your day-to-day practice.

On completion of all aspects of this learning programme you should be able to:

  • describe the background of the NMS, including the evidence base
  • describe possible options to engage and recruit patients into the service
  • explain how to deliver a patient-centred approach to supporting individuals with their medicines.
Source: cppe.ac.uk
Pharmacy Resource: CE / CPD / Learning
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Last Checked: 15/11/17 Link Error: Report It

 

CPPE
Champions of the new medicine service: Making a difference

After listening to the podcast and completing your workbook, you should be able to:

  • discuss the benefits of NMS consultations for patients
  • identify three success factors that contribute to high-quality NMS consultations and improve patient adherence to their medicines
  • list three potential barriers to good NMS consultations.
Source: cppe.ac.uk
Pharmacy Resource: CE / CPD / Learning
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Last Checked: 15/11/17 Link Error: Report It

 

The new medicine service – a guide for GPs and other healthcare professionals

The A4-sized document summarises the new service and the importance of adherence, as well as the benefits to patients and all members of the healthcare team.

The detailing card also features a flowchart describing how the service works in practice, from the moment that a patient hands in a prescription through to interventions and follow-up. The card will be an ideal support for pharmacists when they visit GPs to talk about NMS.

Source: cppe.ac.uk
Pharmacy Resource: Detailing Card
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NHS community pharmacy advanced services – Briefing for GP practices

This document has been developed jointly by NHS Employers, the Pharmaceutical Services Negotiating Committee (PSNC) and the British Medical Association's General Practitioners Committee (GPC) to provide information for GP practices about advanced services provided by community pharmacies in England under the new NHS structures implemented in April 2013.

Source: nhsemployers.org
Pharmacy Resource: Briefing
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Last Checked: 15/11/17 Link Error: Report It

 

PSNC Advanced Services PowerPoint presentation for GPs and hospital colleagues

Community Pharmacy – NHS Advanced Services

Source: psnc.org.uk
Pharmacy Resource: Presentation
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PSNC Briefing 040/17: NHS community pharmacy Advanced Services – information for general practitioners and practice staff

This PSNC Briefing is intended to be shared with GP practice teams to provide information about Advanced Services provided by community pharmacists in England.

Source: psnc.org.uk
Pharmacy Resource: Briefing
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Last Checked: 15/11/17 Link Error: Report It

 

NMS and MURs – top tips from community pharmacies

Pharmacies offering the NMS and MURs may be interested to read recently published top tips on overcoming challenges such as recruiting patients, managing workload and selling the services to GPs.

The tips, suggested by community pharmacists and their teams, were collated following best practice events hosted by PSNC and NHS Employers, in association with Nottinghamshire and Hampshire & Isle of Wight LPCs, last summer, and many of them may be applicable to other services as well as the NMS and MURs.

Source: psnc.org.uk
Pharmacy Resource: Tips
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Last Checked: 15/11/17 Link Error: Report It

 

Supporting Locum Pharmacists to Deliver the New Medicine Service - Twelve Actions to Help YOU

Locum pharmacists are an important part of the workforce – it is essential that they are able to play their role in making the New Medicine Service a success for patients and pharmacy.

Source: psnc.org.uk
Pharmacy Resource: Briefing
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Last Checked: 15/11/17 Link Error: Report It

 

The relationship between the New Medicine Service and Medicines Use Reviews

NHS Employers and PSNC recognised the importance of explaining the relationship between the New Medicine Service and the Medicines Use Review (MUR) service. This is particularly important as the two services may be targeted at similar patient groups.

Source: psnc.org.uk
Pharmacy Resource: Document
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Last Checked: 15/11/17 Link Error: Report It

 

NMS Frequently Asked Questions

  1. General NMS questions
  2. Who is eligible?
  3. Undertaking the service
  4. Patient consent and other data requirements
  5. Funding and claiming payment
Source: psnc.org.uk
Pharmacy Resource: Frequently Asked Questions
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Last Checked: 15/11/17 Link Error: Report It

 

New Medicine Service – list of medicines

Four conditions/therapy areas were selected to be included in the initial rollout of the NMS. These are:

  • asthma and COPD
  • type 2 diabetes
  • antiplatelet/anticoagulant therapy
  • hypertension
Source: psnc.org.uk
Pharmacy Resource: List
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Last Checked: 15/11/17 Link Error: Report It

 

New Medicine Service - self-assessment of readiness for community pharmacists

This self-assessment is to provide you (the pharmacist) with a framework to assure yourself, your employer (where appropriate) and the NHS that you have reflected upon the skills and knowledge necessary to deliver the New Medicine Service (NMS) and can demonstrate them.

Source: nhsemployers.org
Pharmacy Resource: Self Assessment Form
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Last Checked: 15/11/17 Link Error: Report It

 

New Medicine Service - Pharmacy Contractor Declaration Form

Before they can begin delivering the service, community pharmacies must inform NHS England of their intention to do so. This is done via the NMS pharmacy contractor declaration form. NHS England should retain this form as it will provide a record of which community pharmacies are providing the NMS in their area and will form part of the contract monitoring process.

Source: nhsemployers.org
Pharmacy Resource: Declaration Form
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Last Checked: 15/11/17 Link Error: Report It

 

NMS and MUR patient consent requirements

From 1st October 2011, where a patient agrees to participate in the New Medicine Service(NMS) or the Medicines Use Review (MUR) service they must sign a consent form which uses the following wording

Source: nhsemployers.org
Pharmacy Resource: Document
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Last Checked: 15/11/17 Link Error: Report It

 

NMS Consent Forms

PSNC template NMS and MUR consent form (to which a pharmacy address can be added)
PSNC template NMS and MUR consent form

Source: psnc.org.uk
Pharmacy Resource: Consent Form Templates
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New Medicine Service: helping you with your new medicine

NHS Employers and PSNC have also developed text for use in patient leaflets for the NMS

Source: nhsemployers.org
Pharmacy Resource: Patient Information Leaflet
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Last Checked: 15/11/17 Link Error: Report It

 

Template press release on NMS

Please find below a template press release LPCs can use with their local media to promote the New Medicine Service.

NMS Q&A sheet for patients

If you are prescribed a new medicine for the first time for either an existing or newly-diagnosed health problem

Source: psnc.org.uk
Pharmacy Resource: Template Press Release and Q&A Sheet
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Last Checked: 15/11/17 Link Error: Report It

 

New Medicine Service Intervention Interview Schedule

The NMS interview schedule can be used by pharmacists to help shape the conversation they have with patients at the intervention and follow up stages of the service. The interview is based on the approach used in the proof of concept research and members of the original research team have helped to design it.

Source: psnc.org.uk
Pharmacy Resource: Interview Schedule
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Last Checked: 15/11/17 Link Error: Report It

 

New Medicine Service - record keeping requirements

Pharmacy records for the service will be maintained to support the delivery of the service and audit.

Source: nhsemployers.org
Pharmacy Resource:
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Last Checked: 15/11/17 Link Error: Report It

 

New Medicine Service (NMS) data definitions

Source: psnc.org.uk
Pharmacy Resource: NMS Data Definitions
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Last Checked: 15/11/17 Link Error: Report It

 

Medicines Use Review (MUR)/New Medicine Services (NMS) quarterly submission

Pharmacy contractors providing the MUR and the NMS services are required by the Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013 to maintain records of the consultations. When requested, pharmacy contractors must provide information on the MUR and NMS interventions undertaken in the previous quarter to NHS England.

NHS England has requested that this data is provided on an on-going basis and pharmacies must therefore complete the nationally agreed electronic reporting template with details of the MUR/NMS conducted in that quarter, using data collated from pharmacy records.

Source: nhsbsa.nhs.uk
Pharmacy Resource: MUR Reporting Template and Forms
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Last Checked: 15/11/17 Link Error: Report It

 

NHS New Medicine Service Intervention Worksheet

Source: psnc.org.uk
Pharmacy Resource: Worksheet
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Last Checked: 15/11/17 Link Error: Report It

 

NHS New Medicine Service Follow Up Worksheet

Source: psnc.org.uk
Pharmacy Resource: Worksheet
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PowerPoint presentation for LPCs to use when discussing NMS/MUR with hospital colleagues

Source: psnc.org.uk
Pharmacy Resource: Presentation
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Targeted Medicine Use Review and New Medicine Service Guidance for Secondary Care

Patients may be referred in to either of these services by healthcare professionals working in secondary care. This can be done using the Community Pharmacy Request form (Targeted Medicine Use Review and New Medicine Service) form.

Source: cpwy.org
Pharmacy Resource: Guidance
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Last Checked: 15/11/17 Link Error: Report It

 

Community pharmacy services - guidance for hospitals

This guidance outlines the New Medicine Service and targeted Medicines Use Reviews and outlines how these two services can support patients who have recently discharged from hospital and can help to improve the transfer of care between the hospital and the community setting.

Source: nhsemployers.org
Pharmacy Resource: Guidance
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Last Checked: 15/11/17 Link Error: Report It

 

Working with hospital colleagues to support patients discharged from hospital
Guidance for community pharmacists

The guidance was developed and published by NHS Employers and PSNC working with a hospital and community pharmacy reference group. The guidance has been endorsed by the Royal Pharmaceutical Society.

The following documents have been produced to aid engagement between hospital and community pharmacists; to help to raise awareness among secondary care colleagues of the benefits of engaging with community pharmacy and to provide additional information for patients.

Source: nhsemployers.org
Pharmacy Resource: Guidance
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Last Checked: 15/11/17 Link Error: Report It

 

Community pharmacy referral

a standardised referral form that hospital pharmacists and others can complete when a patient is discharged.

Source: nhsemployers.org
Pharmacy Resource: Form
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Last Checked: 15/11/17 Link Error: Report It

 

leaflet for patients who are leaving hospital

a leaflet for patients who are leaving hospital which outlines the services that they can receive from their community pharmacy

Source: nhsemployers.org
Pharmacy Resource: Patient Information Leaflet
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Last Checked: 15/11/17 Link Error: Report It

 

Medicines Reconciliation Video

This video aims to highlight the role each sector plays in medicines reconciliation, particularly hospital pharmacy.

Source: nhsemployers.org
Pharmacy Resource: Video
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Last Checked: 15/11/17 Link Error: Report It

 

New Medicine Service – when is it complete?

This table sets out the range of scenarios associated with the NMS and when an episode of the NMS is complete (and hence can be included in the total number of completed NMS claimed at the end of the month on the FP34c).

Source: psnc.org.uk
Pharmacy Resource: Table
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Last Checked: 15/11/17 Link Error: Report It

 

Welcome to the reporting site for the Yellow Card Scheme

The Yellow Card Scheme is vital in helping the MHRA monitor the safety of all healthcare products in the UK to ensure they are acceptably safe for patients and those that use them. Reports can be made for all medicines including vaccines, blood factors and immunoglobulins, herbal medicines and homeopathic remedies, and all medical devices available on the UK market.

Source: yellowcard.mhra.gov.uk
Pharmacy Resource: Online Reporting
Register to Access Content: No

Last Checked: 15/11/17 Link Error: Report It

 

CPPE
New medicine service - anticoagulants and antiplatelets

The aim of this programme is to equip you with the knowledge and skills to facilitate a patient-centred approach when supporting patients in optimising medicines during a consultation for a newly prescribed anticoagulant or antiplatelet medicine.

By the end of this learning programme, you should be able to:

  • discuss key issues and provide information regarding side-effects, interactions and counselling points to patients taking an anticoagulant or antiplatelet medicine
  • find key resources to help you plan and complete new medicines service consultations for patients taking anticoagulants and antiplatelets
  • provide advice for patients taking warfarin and clopidogrel as a new medicine.
Source: cppe.ac.uk
Pharmacy Resource: CE / CPD / Learning
Register to Access Content: Yes

Last Checked: 15/11/17 Link Error: Report It

 

CPPE
New medicine service - antihypertensives

The overall aim of this learning programme is to provide and signpost you to key learning to increase your confidence in providing effective NMS consultations for patients newly prescribed an antihypertensive medicine.

On completion of all aspects of this learning programme you should be able to:

  • discuss the key issues in the drug management of hypertension
  • find key resources to help you plan and complete NMS consultations for patients taking antihypertensives
  • list the key counselling points for patients taking antihypertensives as a new medicine
  • provide advice for patients presenting with questions and concerns at an NMS consultation.
Source: cppe.ac.uk
Pharmacy Resource: CE / CPD / Learning
Register to Access Content: Yes

Last Checked: 15/11/17 Link Error: Report It

 

CPPE
New medicine service - asthma and COPD

This programme will provide learning and signposting to help pharmacists to conduct effective New Medicine Service (NMS) consultations for people taking respiratory medicines.

On completion of all aspects of this learning programme you should be able to:

  • identify the key issues for patients taking a new respiratory medicine
  • provide advice to patients to enable them to manage their condition effectively
  • find key resources to help you plan and deliver effective new medicine service consultations for people with respiratory disease
  • provide advice to people using a new inhaler and support them in ensuring they have an effective inhaler technique.
Source: cppe.ac.uk
Pharmacy Resource: CE / CPD / Learning
Register to Access Content: Yes

Last Checked: 15/11/17 Link Error: Report It

 

Understanding your Asthma: Ask your Pharmacist 

Asthma UK has launched a new leaflet, 'Understanding your Asthma: Ask your Pharmacist', which recognises the important role that pharmacists play in promoting self-management of asthma. The leaflet outlines the services that pharmacists can offer people with asthma, including the New Medicines Service and the Medicine Use Review. It encourages people with asthma to go to their local pharmacy for advice about their medicines, how to use their inhaler, as well as other services such as repeat prescriptions and smoking cessation.

Source: asthma.org.uk
Pharmacy Resource: Leaflet
Register to Access Content: No

Last Checked: 15/11/17 Link Error: Report It

 

CPPE
New medicine service - type 2 diabetes

This programme will provide learning and signposting to help pharmacists to conduct effective new medicine service (NMS) consultations in type 2 diabetes.

On completion of all aspects of this learning programme you should be able to:

  • discuss the key issues in the drug management of type 2 diabetes
  • find key resources to help you plan and complete NMS consultations for patients taking blood-glucose lowering therapy
  • list the key counselling points for patients taking blood-glucose lowering therapy as a new medicine
  • provide advice for patients presenting with questions and concerns at a new medicine service consultation.
Source: cppe.ac.uk
Pharmacy Resource: CE / CPD / Learning
Register to Access Content: Yes

Last Checked: 15/11/17 Link Error: Report It

 

The New Medicine Service Study

Welcome to the New Medicine Service Study (NMS-Study) website.

The NMS-Project was funded by the Department of Health and was conducted to review the implementation and benefits of the New Medicine Service (NMS) introduced into community pharmacy in October 2011.

This study has now finished. To access and download copies of the study publications please click on the icons below.

  • Study protocol December 2013 - Trials journal
  • Press release August 2014 - Study final report published
  • Study final report August 2014 - Main report
  • Study final report August 2014 - Main report appendices
Source: nottingham.ac.uk
Pharmacy Resource: Various
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Last Checked: 15/11/17 Link Error: Report It

 

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