Discharge Medicines Service (DMS)
Discharge Medicines Service (DMS) is an Essential Service for contractors
The Service:
The Discharge Medicines Service is an essential service (contractual requirement for all community pharmacies) for patients when they leave hospital. It has 3 stages for the community pharmacy to potentially do.
The stages:
Stage |
Description of process |
Timescale |
Who |
1 DMS is received by the pharmacy
(minimum service level required contractually) |
Check clinical information and actions. |
Within 72 hrs (3 working days). |
Pharmacist |
Are there any changes compared to pre-admission? |
Pharmacist, Pharmacy Technician |
||
Any issues identified to be raised with the hospital or surgery? |
|||
Check for any outstanding prescriptions awaiting collection -are they still appropriate? |
|||
2. The first prescription is received |
Check medicines prescribed post-discharge take account of the changes made. Any discrepancies, resolve them with the GP practice. |
7-28 days post-discharge |
Pharmacist, Pharmacy Technician |
3. Check of the patient’s understanding of their new medicines regimen |
Check understanding of what medicines they should now be taking/using.
Where appropriate, other services can also be provided e.g. New Medicine Service. |
First post-discharge prescription |
Pharmacist, Pharmacy Technician |
Claim for service delivery |
Submit claim on MYS along with Summary Data. |
Monthly on MYS |
|
Service Delivery:
DMS is an essential service that is must delivered in timely manner. As pharmacies have an increasing number of clinical service to offer it is critical to involve the whole team where/ when it is possible. Pharmacy Techinicans can support pharmacist in providing DMS. Colleagues have shared their experience in providng DMS in the videos below. Also a useful "DMS Must Do" quick guide with PharmOutcomes screen shots:
- Video 1 - Pharmacy Technician Morrisons Pharmacy
- Video 2 - Pharmacy Technician Morrisons Pharmacy
- Video 3 - Pharmacy Technician Day Lewis Pharmacy
- Video 4 - Pharmacist Day Lewis Pharmacy
- DMS Must Do Guide
Claiming:
NHS BSA are preparing a digital interface (API) to allow PharmOutcomes to send DMS claims automatically to the Manage Your Service (MYS) portal. This is expected early 2024.
Until then run a report on PharmOutcomes to get the data required for claiming, a guide on how to do is here:
Supporting information
PharmOutcomes training video for DMS:
CPE DMS digital guide:
CPPE:
NHS Toolkit:
Contractors providing the full service will be paid a fee of £35. Where only part of the service can be provided, in certain circumstances defined in the Drug Tariff, contractors will be paid a partial payment. Further details on the payments are on the following CPE website page:
Further information on the service is available on the following CPE & NHS England and NHS Improvement website pages:
- Discharge Medicines Service guidance published - PSNC website
- Discharge Medicines Service Toolkit published - PSNC website
- https://www.england.nhs.uk/wp-content/uploads/2021/01/B0366-discharge-medicines-service-toolkit-for-pharmacy-staff.pdf
Support Documents
Below, we have produced referenced indexes for all other important Discharge Medicines Service related information, documents, training and resources that we have uploaded into various CPSC news articles published:
- The indexes are automatically created in date order (newest at the top)
- DMS Patient Information Leaflet - HIOW - Final_.pdf
- PharmOutcomes User Guide - DMS Reporting.pdf
- DMS update from University Hospital Southampton April 2021.pdf
- VirtualOutcomes DMS flyer weblink.pdf
- DMS data collection sheet 2 patient.pdf
- DMS data collection sheet single patient.pdf
- PharmOutcomes DMS information update - Transfer of TCAM to DMS.pdf
- DMS (Discharge Medicines Service) Checklist.pdf
- DMS (Discharge Medicines Service) service process.pdf