Community Pharmacy Contractual Framework 2019/20 to 2023/24
              New five-year Community 
            Pharmacy Contractual Framework 
            (CPCF) published to support the 
             delivery of the NHS Long-Term 
                  Plan
  The Roadmap for Community Pharmacy
  • A Clinical Future
   o Urgent care
   o Prevention
   o Medicines optimisation and safety
  • Quality
  • Access
  • Guaranteeing Investment
  • Enabling transformation and new technology
       Key elements of the Community Pharmacy Contractual Framework
    A five-year                Commits almost £13 billion to community pharmacy through its contractual framework, 
    settlemen                  with  a commitment to spend £2.592 billion in each of the next five financial years
    t
    that delivers clinical     A new national NHS Community Pharmacist Consultation Service, connecting patients 
    services                   who  have a minor illness with a community pharmacy which should rightly be their 
                               first port of  call. Continues to promote medicines safety and optimisation and the 
                               critical role of  community pharmacy as an agent of improved public health and 
                               prevention.
    that continues to          Recognising the success of the Quality Payments Scheme, this continues for the next 
     prioritise quality        five  years at its current value of £75 million under a new name, the Pharmacy 
                               Quality Scheme  including important new requirements
    that retains access        Underlines the necessity of protecting access to local community pharmacies through a
                               Pharmacy Access Scheme.
    which includes a           The deal commits all parties to action which will maximise the opportunities of 
    programme of               automation  and developments in information technology and skill mix, to deliver 
    enabling reforms           efficiencies in  dispensing and services that release pharmacist time.
    and which promotes         With support through the Pharmacy Quality Scheme, the interim transition payment, and 
     engagement with           the  development of services complementary to the PCN   service specifications.
    Primary Care 
    Networks (PCNs)
           A Clinical Future for Community Pharmacy …
                 Urgent Care                                 Prevention                           Medicines 
      •                                           • By April 2020 being a Level 1             •   Optimisation
        The NHS  Community                                                                      Phasing out of medicines use  
        Pharmacist Consultation                     Healthy Living Pharmacy will                reviews - to be replaced by  
        Service (CPCS)                              become an essential                         enhanced structured  
      • From October 2019, referrals                requirement for community                   medication reviews by  clinical 
        to community pharmacies                     pharmacy contractors                        pharmacists in PCNs,  funded 
        being made from NHS 111  for              • Trained health champions to                 through the GP  contract.
        minor illness and urgent                    deliver interventions on key              • introduce a medicines  
        medicines supply                            issues such as smoking and                  reconciliation service to  
      • will replace the current NHS                weight management as well                   ensure that changes in  
        Urgent Medicines Supply                     as providing wellbeing and                  medicines made in  
        Advanced Service (NUMSAS)  as               self-care advice, and                       secondary care are  
        well as local pilots of the                 signposting people to other                 implemented appropriately  
        NHS111 Digital Minor Illness                relevant services                           when the patient is  
        Referral Service (DMIRS).                 • introduction of Hepatitis C                 discharged back into the  
                                                    testing in community                        community
                                                    pharmacies
         …That grows and develops over the five year contract term
               Urgent Care                              Prevention                         Medicines Optimisation
     • The NHS Community Pharmacist          New pilot areas:                        • Expand the New Medicine Service.
       Consultation Service (CPCS)           • detecting undiagnosed CVD and         • Test a new service to improve  
       expanded to include referrals           referral to treatment within            access to palliative care 
       from  general practice, subject to      PCNs                                    medicines
       successful evaluation                 • stop smoking support referred for     • Further support to medicines  
     • Pilots from urgent treatment  
       centres, from 111online and                 smoking    cessation  from          safety in line with the World  
       from  A&E.                              secondary  care                         Health Organisation’s ambition to 
                                             • investigating patient pathway use        see a 50% reduction in the level 
                                                of point of care testing around        of  severe, avoidable harm 
                                               minor illness (where supported          related to  medications.
                                               by  robust research, evaluation 
                                               and  training) which could 
                                               support  efforts to tackle 
                                               antimicrobial  resistance
                                             • monitoring of patients, for  
                                               example, those taking oral  
                                               contraception, being 
                                               supplied  under an electronic 
                                               repeat  dispensing 
                                               arrangement
                                             • supporting early cancer 
                                               diagnosis
       6 l NHS England and NHS Improvement