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England
Discharge Medicines Service Actions:
As part of the England pharmacy contract Stage one: Reconcile discharge medicines
and since February 2021, Discharge with those taken before admission and
Medicines Service is an essential service resolve any issues identified.
that all pharmacies must offer.
The role of the DMS is to eliminate the Stage two: Check prescription reflects
increased risk of avoidable medication any changes made during hospital
related harm that is associated with the admission.
discharge from hospital and in line with
NICE recommendation, the DMS supports Stage three: Conduct a confidential
a medicines reconciliation process, for conversation with patient/carer to ensure
patients being discharged from hospital, they understand how/when/why they are
back into primary care. NHS Trusts will be taking their medicines.
able to refer patients that they feel would
benefit from extra support to help them A setup fee of £400 was agreed to cover
understand their medicines regime, after a the costs of preparing to provide the
discharge from a hospital. service, principally training staff and
putting in place a standard operating
The service consists of three stages that procedure for the service. Any pharmacy on
contractors must complete. the pharmaceutical list on 1 February 2021
st
st
Stage one: complete as soon as automatically received this payment on 1
possible on receipt of referral. But must be April 2021.
completed within 72hours of receipt.
On completion of all three stages, a
st
Stage two: On receipt of 1 prescription payment of £35 per review is received. In
following patients discharge. certain circumstances when all three stages
cannot be completed, partial payment may
Stage three: On dispensing of the 1 be made. Details of partial payments are
st
prescription. available in Part VIA of the Drug Tariff.
As part of your membership, we have
developed guidance and downloadable
resources to help you set up and offer a
successful DMS. Resources include SOPs,
contractor checklist and key contracts
template.
Access at: numarknet.com/3018
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