Discharge Medicines Service (DMS)

Medicines Support (Hospital to Home) Transfer of Care Around Medicines (TCAM)

TCAM Will Be Superseded By DMS (Discharge Medicines Service) Which Is A National Service From Feb. 15th. 2021

What information do contractors have to report to the NHSBSA via MYS for each provision of DMS?

The DMS summary information has to be reported to the NHSBSA as part of the contractor’s claim via the MYS portal. This data will help demonstrate the impact of the service, and it will be used by the NHS in its evaluation of the DMS. Additionally, the data will trigger the payment to the contractor for the provision of the service. A DMS MYS module has been built by the NHSBSA, and this will be added to MYS in time for contractors to make their first claims for the service in early March 2021.

If contractors use the PSNC DMS worksheet to make their clinical records for the service, they will also be recording all the information that they will need to add to MYS when the service is complete, and they make their claim.

DMS Toolkit and Contractor Checklist

DMS Declaration of Competence CPPE link

TCAM and DMS Training Videos

Hospitals in our area launched their referral to community pharmacy service via the PharmOutcomes™ platform from January 2020.

The following Trusts in the locality will be making referrals:

• Walsall Healthcare NHS Trust (Walsall Manor Hospital)
• Wolverhampton Royal NHS Trust (New Cross Hospital)
• Sandwell and West Birmingham NHS Trust (City and Sandwell Hospitals)
• Dudley Group NHS Foundation Trust (Russells Hall Hospital)

This service represents an important milestone for pharmacies: community pharmacy and hospital pharmacy colleagues in The Black Country and West Birmingham STP have been working together with West Midlands AHSN to try and improve care for recently discharged patients where it is thought there would be potential benefit of a further intervention. Medicines Support (Hospital to Home) will be a new service which aims to ensure patients receive appropriate support from their community pharmacist soon after leaving hospital by using PharmOutcomes™ to pass messages securely to and from the hospital and community pharmacy.

Hospital pharmacists will use PharmOutcomes™ to refer patients nearing discharge to the patients chosen local community pharmacy. Patient information will be sent electronically to the community pharmacy and will include: date of birth, postcode, NHS number, GP details and the discharge medicines list (attached as a PDF). A member of the community pharmacy team will then contact the patient ideally within three days to arrange for them to come in for a consultation. This visit may then result in the completion of a Medicines Use Review, New Medicine Service and/or other suitable services; such as repeat dispensing, home delivery, stop smoking, flu vaccination etc…
This is not itself a directly commissioned service, however can potentially lead to the important provision of other advanced or enhanced commissioned services by community pharmacies. Evidence has shown real benefits to patients receiving such interventions
through reduced readmission rates back into hospital and improved health outcomes. you may wish to read The Pharmaceutical Journal has published an article about a similar scheme which it.

The service has been coordinated by the LPCs, Local Acute Trusts and West Midlands AHSN supported by local CCGs.