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New Medicine Service

  • England

NMS is an advanced service within the NHS community pharmacy contract to help improve patient’s adherence to their new medicine. The service consists of the pharmacist having two conversations with the patient to discuss their newly prescribed medicine.

  1. Intervention: 7 to 14 days after engagement 
  2. Follow up: 14 to 21 days after intervention

Payments are based on

  • Number of prescription items dispensed monthly
  • NMS completed as % of 100% target level*

-       >20%                - all completed NMS paid  at £20
-       20% and above - all completed NMS paid at £25 
-       40% and above - all completed NMS paid at £26
-       60% and above - all completed NMS paid at £27
-       80% and above - all completed NMS paid at £28

* 100% target level = 0.5% of monthly items dispensed e.g.  for 8000 items = 40 completed NMS

What is the role of an NMS?

30% to 50% of medicines are not taken as recommended and the 1st month of having a medicine prescribed is a critical period to support adherence. NMS is an opportunity for you and your patient to discuss their new medicine to:

  • Help the patient understand why they are taking each medicine and how they should take them
  • Identify any problems they may be having which affects them taking the medicine as directed e.g.
    • side effects
    • difficulty taking – formulations/timing
    • doesn’t want to take
  • Provide possible solutions to any problems or if appropriate refer back to the GP

Who can have an NMS?

An NMS is for patients with long term conditions, who have been prescribed a new medicine from the following conditions/therapy groups:

  • Asthma / COPD
  • Type 2 Diabetes
  • Antiplatelet / Anticoagulation therapy
  • Hypertension

More details on the service and national targets groups can be found on PSNC – NMS information.

Why offer NMS?

  • Develops customer loyalty
  • Improves health outcomes and usage of prescribed medicines
  • An additional revenue stream; a pharmacy dispensing an average 8000 items per month, if achieve 80% target can generate £10752 annually

How do I start?

  1. Pharmacists providing the service must be accredited to provide MURs and complete a ‘Self-Declaration’ form
  2. Notify NHS England of your intention to provide the service by completing the ‘Contractor Declaration Form’
  3. Download the relevant NMS SOP which covers in detail how to carry out an NMS (updated October 2018)
  4. Additional resources are available through the link under ‘see also’

How to offer a successful service

Talk to your local GPs:

  • Tell them you intend to offer the New Medicine Service:
    • Ask if there are any patient groups they want you to target
    • Agree how they would like referrals back to the practice to be made
    • Promote the service using posters and leaflets
    • Encourage your dispensary staff to identify patients prescribed new medicines in the therapy groups
    • Ensure you claim monthly for all NMS completed in the month.