Overview of NHS New Medicines Service Technical Toolkit

The NHS New Medicines Service Technical Toolkit provides a high-level overview of the technical components required to deliver the New Medicines Service. It includes details on referral and reporting pathways, essential and desirable technical components, and future requirements. The service is advanced for community pharmacy contractors and available to all patients prescribed eligible new medicines.

• NHS
• New Medicines Service
• Technical Toolkit
• Community Pharmacy

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1. NHS New Medicines Service toolkit overview 2 Scope of NHS New Medicines Service 3 NHS New Medicines Service Technical Toolkit NHS New Medicines Service pathway flow diagram 4 NHS New Medicines Service technical components 5 NHS New Medicines Service essential / required / 6 desirable components NHS New Medicines Service general requirements 11 Contact details 15 Approval Sign-off Sheet 16 Version history17 Version history 17 29 May 2022 v1.2.13 1

2. NHS New Medicines Service Technical Toolkit Overview This NHS New Medicines Service technical toolkit is designed to provide a high-level overview of the technical components required to deliver the New Medicines Service. It should be read in conjunction with the Advanced Service Specification NHS New Medicine Service (NMS) The toolkit includes: technical flow diagram for the referral and reporting pathways associated with New Medicines Service details of the essential technical components that system suppliers must have in place to deliver the live service required future technical components desirable technical components 2

3. Scope of NHS New Medicines Service The New Medicines Service is an Advanced service for community pharmacy contractors. As an Advanced service, community pharmacy contractors can choose whether to provide it. The service is available to all patients, prescribed eligible new medicines. Referrals can be made via the following routes: GP referral (following initiation of a new medicine) Hospital referral (inpatient discharge or outpatient - following initiation of a new medicine) Pharmacy initiated 3

4. Minor Illness pathway requirements New Medicines Service pathway flow diagram Essential Essential = = Future = NHSmail NHSmail GP report Message GP FHIR Alternative Pharmacy FHIR [Backup: NHSmail] [Backup: NHSmail] Pharmacy notification message Essential: NHS Mail to any participating pharmacy GP Referral essential: NHS Mail to any participating pharmacy. Strategic direction: FHIR Pharmacy notification message (onward referral) NHSmail GP GP notification message NHS Mail Pharmacy FHIR NHS Trust NHS Trust report message [Backup: NHSmail] FHIR [Backup: NHSmail] GP notification message Essential: NHS Mail with PDF attachment. Future: FHIR Reporting + claims Pharmacist Business Services Authority (BSA) FHIR Reporting (claims and reporting) via MYS API Reporting + claims Essential: ALL reporting submitted via MYS API. 4

5. New Medicines Service consultation technical components NICE Clinical Knowledge Summaries (CKS) FUTURE REQUIREMENT Directory of Services (DoS Dictionary of Medicines and Devices (dm+d) Summary Care Records (SCR) or equivalent patient clinical record Personal Demographics Service (PDS) CKS can be used to facilitate consultation The dm+d is a dictionary of descriptions and codes that must be used to record medicines and devices Providers must use PDS to validate patient details. Verifying a patient with the PDS will allow access to the SCR Pharmacies Providers must have access to view SCR and/or alternative Shared Care Record Access DoS must be used to retrieve service information for other healthcare providers Pharmacy IT platform 5

6. New Medicine Service essential / required / desirable components Technical component Essential requirement Future requirement Desirable GP report message (inbound) NHSmail via NHS.net shared email address. The referral must be able to be sent to any participating pharmacy irrespective of IT system (see Directory of Services for more information) FHIR Backup: NHSmail Strategic direction: Booking and Referral Standard (BaRS) NHS Trust report message (inbound) NHSmail via NHS.net shared email address. The referral must be able to be sent to any participating pharmacy irrespective of IT system (see Directory of Services for more information) FHIR Backup: NHSmail Strategic direction: Booking and Referral Standard (BaRS) GP notification message (outbound) Pharmacy to GP referral NHSmail (PDF attachment). See Directory of Services for more information. A referral must be able to be sent to any practice irrespective of IT system (see Directory of Services for more information) FHIR / MESH / ITK3 Backup: NHSmail Strategic direction: Booking and Referral Standard (BaRS) 6

7. New Medicines Service essential / required / desirable components Technical component Essential requirement Future requirement Desirable Pharmacy notification (outbound) NHSmail via NHS.net shared email address. The notification must be able to be sent to any participating pharmacy irrespective of IT system (see Directory of Services for more information) FHIR Backup: NHSmail Strategic direction: Booking and Referral Standard (BaRS) Personal Demographics Service (PDS) Personal Demographics Service - FHIR API (Application-restricted access) Personal Demographics Service - FHIR API (Healthcare worker access) Summary Care Record (SCR) Summary Care Record application (SCRa) or SCR 1- Click Functionality Shared Care Record Access or Detailed Record Access / Access to the Patient Health Record (Tier 2) Integrated viewer: May be developed by system suppliers to allow users to view the SCR within their existing clinical system. NICE Clinical Knowledge Summaries (CKS) Embedded hyperlink 7

8. New Medicines Service essential / required / desirable components Technical component Essential requirement Future requirement Desirable Dictionary of Medicines and Devices (dm+d) Medicines and medical devices should be described using the Dictionary of Medicines and Devices - BSA Claims and reporting FHIR. Reporting (claims and reporting) via MYS API Directory of Services (DoS) 1. GP to Pharmacy referral by NHS Mail (GP report message) Local directory of pharmacy shared email addresses held in the system (pharmacy.ODScode@nhs.net e.g., pharmacy.fc683@nhs.net) 1. GP to Pharmacy referral (GP report message) DoS Proof of Concept API search by Service Type (ID TBC) and location to return NHS NMS Service providers within a 37.5 mile radius. Results should contain Public name (or Service Name), Address, Postcode, Public telephone, Opening Times, Specified Dates and Endpoint information. Continued overleaf. 8

9. New Medicines Service essential / required / desirable components Technical component Essential requirement Future requirement Desirable Directory of Services (DoS) 2. NHS Trust to Pharmacy referrals by NHSmail (NHS Trust report Message) Local directory of pharmacy shared email addresses held in the system (pharmacy.ODScode@nhs.net e.g., pharmacy.fc683@nhs.net) 3. Pharmacy to GP notification by NHSmail (GP notification message) Local directory of GP practice email addresses held in system. 2. NHS Trust to Pharmacy notification (NHS Trust report Message) DoS Proof of Concept API search by Service Type (ID TBC) and location to return NMS Service providers within a 37.5 mile radius. Results should contain Public name (or Service Name), Address, Postcode, Public telephone, Opening Times, Specified Dates and Endpoint information. 3. Pharmacy to GP notification (GP notification message) DoS Proof of Concept API search byODSCode to return details of the matching GP Practice and retrieve the Endpoint information Continued overleaf. 9

10. New Medicines Service/ required / desirable components Technical component Essential requirement Future requirement Desirable Directory of Services (DoS) 4. Pharmacy to Pharmacy referral by NHSmail (Pharmacy notification message) Local directory of pharmacy service information (Results should contain Service Name, Address, Postcode, Public telephone, Opening Times) and shared email address (pharmacy.ODScode@nhs.net e.g., pharmacy.fc683@nhs.net) 4. Pharmacy to Pharmacy referral (Pharmacy notification message) DoS Proof of Concept API search by Service Type (ID TBC) and location to return NMS Service providers within a 37.5 mile radius. Results should contain Public name (or Service Name), Address, Postcode, Public telephone, Opening Times, Specified Dates and Endpoint details. 10

11. The IT platform must conform to the requirements defined below: Referral management Referral receipt - Notification / alert of any referral received by the pharmacy Display a list of outstanding referrals due to be actioned Referral status Display Referral status Display referral status "Pending , "Closed , "Accepted , "Completed" Make available Manual Entry service templates to manage referrals received by NHSmail / referrals where information is recorded incorrectly by the referrer General New Medicines Service IT requirements 11

12. User authentication Only authenticated users should access the IT platform General New Medicines Service IT requirements Practitioners should register and login using their full name (as registered with GPhC) and GPhC number The pharmacy secure nhs.net shared mailbox address should be confirmed at first login at the pharmacy by the first practitioner to allow certain functionality (GP notification message) Consultation The pharmacist should be prompted to access the SCR or an alternative available clinical record to check for concurrent medication or medical conditions The pharmacist should be prompted to review changes relating to medicine prescribing, including changes to patient condition The pharmacist should be prompted to signpost to general practice when changes to symptoms necessitate this 12

13. Data reporting / recordkeeping - the IT platform must capture and share a record of the consultation in accordance with the NHSEI NMS Data Specification, Professional Record Standards Body (PRSB) Community Pharmacy Standard, the Records Management Code of Practice for Health and Social Care 2021 and the NHS Data Security and Protection Toolkit. Onward referral - capability to forward the original referral to another pharmacy (or other suitable service) if required. The Directory of Services API should be used to obtain the receiving service information. The minimum referral requirement is a PDF attachment via NHS Mail General New Medicines Service IT requirements 13

14. Helpdesk support IT platform suppliers are required to provide helpdesk support for the following periods: Monday to Friday: 8am 6pm Weekends: 8am 2pm Bank holidays : Response within 24 hours Issues affecting service provision must be acknowledged within 24 hours General New Medicines Service IT requirements Claims Claims for payment should be made [INSERT TIME INTERVAL] via the BSA MYS API as part of general reporting The IT platform should create a month end collated activity report for contractors to be able to reconcile their activity 14

15. Key contacts For more information please contact: TBC, Service Manager, NHS Digital (technical development and assurance) Claire Hobbs, claire.hobbs01@nhs.net, Senior Policy Manager - Digital Pharmacy, NHS England and NHS Improvement (Policy queries) Ben Tindale, ben.tindale@nhs.net, Senior Service Delivery Manager MYS, NHS Business Services Authority (NHSBSA) 15

16. Approval Sign-off Sheet For approval of the New Medicines Service Technical Toolkit version [INSERT] The undersigned indicate understanding and approval of this technical toolkit. Role and Name Organisation Date Project Lead Hammaad Patel NHS England & NHS Improvement Service Lead [INSERT] NHS Digital Service Lead [INSERT] NHS Business Services Authority 16

17. Reviewer Sign-off Sheet For review of the New Medicine Service Technical Toolkit version [INSERT] The undersigned indicate understanding and review of this technical toolkit. Role and Name Organisation Date IT Lead PSNC 17

18. Version history Version 1.0 1.1 1.2 1.2.12 1.2.13 Date Rationale First draft Darryl Jones NHS E/I National Commercial and Procurement Hub Revised by Brian Stratford NHS E/I National Commercial and Procurement Hub Revised by Claire Hobbs, NHS England and NHS Improvement Minor revisions Review by PSNC IT and PSNC services 31/03/2022 14/04/2022 16/05/2022 18/05/2022 29/05/2022 18