The second tier of the NHS contractual services (CPCF) are the Advanced Services. There are currently six such services that a community pharmacy may choose to provide. They are not mandatory, unlike the Essential Services, although most pharmacies will provide at least two of the services available.
The services are:
- Medicines Use Review (MUR)
- New Medicines Service (NMS)
- NHS Flu vaccination Service
- NHS Urgent Medicine Supply Advanced Service (NUMSAS)
- Stoma Appliance Customisation (SAC)
- Appliance Use Review (AUR)
If providing these services, then the Directions as set out by the Secretary of State must be met. Additional training or continuing professional development may be required (service dependent) and a professional self-declaration as well as evidence of having acquired the necessary competence may have to be provided to NHS England.
For further detail, please refer to the Pharmaceutical Services Negotiating Committee (PSNC) web site. http://psnc.org.uk/services-commissioning/advanced-services/