Discharge Medicines Service (DMS)


From 15 February 2021, NHS Trusts will be able to refer patients who would benefit from extra guidance around new prescribed medicines for provision of the DMS at their community pharmacy.

The following NHS Trusts are already providing Electronic Medicines Optimisation Pathway (EMOP) within the Hertfordshire and West Essex Integrated Care System (ICS) and will transfer to DMS and they will continue to send referrals using PharmOutcomes:

Lister Hospital
Princess Alexandra Hospital
Watford Hospital
A number of NHS Trusts outside Hertfordshire are also already live and with the introduction of the national service may see referrals from these.

Contractors are reminded that the service becomes an essential service and a pharmacy cannot opt out as was an option with the previous EMOP service. NHS England and Improvement (NHSE&I) will initially adopt a light touch approach to contractual assurance with pharmacies in regards to the service. Contractors should note that not all Trusts will be fully ready to make referrals at the time the service commences.

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. CPH has put together a quick guide on the DMS service process and the partial fees available.

Contractors will also be paid a setup fee of £400 to cover the costs of preparing to provide the service, principally training staff and putting in place a standard operating procedure for the service.

Full information on DMS is available on the following PSNC website, which we would suggest you familiarise yourself with. We would particularly recommend that the pharmacy work through the PSNC DMS Contractor Checklist in preparation for getting ready to provide the service. Please note that the PharmOutcomes template to record service provision has not yet been made available.