1. Community Pharmacy Local Service Commissioning Routes March 2014

2. Who can commission what? The services specified or described in the Secretary of State Directions are additional services (Pharmaceutical Services)Secretary of State Directions Under the terms of the NHS Act 2006, as amended by the Health and Social Care Act 2012, pharmaceutical services may only be commissioned by NHS England This means that pharmaceutical services (Essential, Advanced or Enhanced) can only be commissioned by NHS England The Directions list twenty Enhanced services (see last slide)

3. Who can commission what? Responsibility for pharmacy local Enhanced services previously commissioned by PCTs transferred to NHS England (the Area Team) NHS England does not have the power to direct CCGs to manage these services on its behalf This does not preclude CCGs from commissioning services locally from community pharmacies

4. Who can commission what? Pharmacies may also be commissioned to provide any other services for which they are qualified, by: – Local Authorities (e.g. public health services); and – Clinical Commissioning Groups (CCGs) Whilst the service specifications of these services may be identical to those used by NHS England to commission Enhanced services, for example minor ailments services commissioned by CCGs, they will not be commissioned as pharmaceutical services – LAs may use the standard public health contract – CCGs must use the standard NHS contract

5. Who can commission what? However, a CCG or LA can ask NHS England to commission a service listed in the Directions on their behalf, e.g. a CCG could request that a minor ailments service is commissioned as an Enhanced service Services commissioned this way are commissioned under Pharmaceutical Services and consequently the public health, NHS standard or local contracts dont need to be used Area Teams have however been advised not to enter into agreements to commission on behalf of other organisations until there is national clarification about co-commissioning of primary care services

6. Commissioning routes – Local Authorities Decision to commission service that could be provided by community pharmacies May use a tender process or Any Qualified Provider Use standard public health contract Use LAs own contract If service is listed in the Enhanced service Directions, LA can ask NHS England to commission it as an Enhanced service NHS England area team commissions the service as an Enhanced service (i.e. under Pharmaceutical Services) Once the providers have been identified Cost of service is billed back to the Local Authority

7. Commissioning routes – CCGs Decision to commission service that could be provided by community pharmacies May use a tender process or Any Qualified Provider Use standard NHS contract If service is listed in the Enhanced service Directions, CCG can ask NHS England to commission it as an Enhanced service NHS England area team commissions the service as an Enhanced service (i.e. under Pharmaceutical Services) Once the providers have been identified Cost of service is billed back to the CCG Anywhere CCG

8. Services listed in the Enhanced Services Directions Enhanced Services Directions Anticoagulant Monitoring Service Care Home Service Disease Specific Medicines Management Service Gluten Free Food Supply Service Independent Prescribing Service Home Delivery Service Language Access Service Medication Review Service Medicines Assessment and Compliance Support Service Minor Ailments Service Needle and Syringe Exchange Service On Demand Availability of Specialist Drugs Service Out of Hours Service Patient Group Direction Service Prescriber Support Service Schools Service Screening Service Stop Smoking Service Supervised Administration Service Supplementary Prescribing Service

9. Visit www.psnc.org.uk for information and support on local pharmacy services commissioningwww.psnc.org.uk