(NUMSAS) NHS Urgent Medicine Supply Advanced Service

On 20th October 2016, the Department of Health and Social Care (DHSC) and NHS England announced that as part of the 2016/17 and 2017/18 community pharmacy funding settlement, money from the Pharmacy Integration Fund (PhIF) would be used to fund a national pilot of a community pharmacy Urgent Medicine Supply Service. The service was commissioned as an Advanced Service, initially from 1st December 2016 to 31st March 2018. In November 2017, NHS England announced that the service would continue to be commissioned until the end of September 2018 and this was further extended until the end of March 2019.

The decision to commission the service came after PSNC proposed a community pharmacy emergency supply service as part of its counter proposal to the NHS and Government, but was clear that any new national service would need additional funding rather than being funded from within the existing community pharmacy funding envelope. DHSC then proposed that the PhIF could be used to fund a pilot scheme to test and evaluate such a service in order to inform possible future commissioning.

NHS England has shared the following to provide updates on progress with the service:

For more information on the following please click here to visit the PSNC NUMSAS pages

The service specification, Directions, Guidance and Updated Toolkit


PSNC’s advice to contractors

Signing up to provide the service

Requirement for a shared NHSmail mailbox

PharmOutcomes support

Communicating with GP practices

Patient questionnaire

Claiming payment


Related resources

NUMSAS webinar and Slide Deck

LPC NUMSAS and PURMS comparison

The LPC have created the following document to help contractors differentiate between the NHS Urgent Medicine Supply Advanced Service (NUMSAS) service and the Pharmacy Urgent Repeat Medicine Service (PURMS):

NUMSAS and PURMS comparison V1.1

NUMSAS Training Event 25/06/18 Resources:

Questions and Answers from NUMSAS Event

NUMSAS Process and Signing up

NUMSAS_111 DoS User Access Request Form North Yorkshire Humber

In Hull and ER Out of hours GPs are no longer commissioned to write prescriptions for urgent repeat medications (except CDs or those inappropriate for pharmacy emergency supply). All requests for urgent repeat medications will be referred to pharmacy either via NUMSAS or the local emergency supply service (PURMS). Therefore please be prepared for an increase in referrals !

If you receive a referral from NHS 111 via NHS mail for the NUMSAS service please do not refer patients back to NHS 111:-

NUMSAS Specification
‘’If it is not possible to make an emergency supply due to prohibitions within the legislation or other patient factors, in order to ensure the patient is able to speak to another appropriate healthcare professional, the pharmacist will either: a. refer the patient to their own general practice, or b. contact the local GP OOHs provider to discuss a solution, and if necessary request that the patient be contacted by an appropriate healthcare professional. Pharmacists should not refer a patient back to NHS 111 or the IUC CAS by asking them to call back directly.’’

Please be aware that the ability of GP OOHs to write prescriptions is likely to be switched off in other CCGs in the near future so there will be an increased demand for NUMSAS.

Useful Numbers

GP Out of hours: NUMSAS pharmacies should have been sent this number from NHS England as the number should not be given to the general public; therefore isn’t on our website, please contact the LPC directly if you are not aware of the number.

Local Directory of Service (DoS) Lead
Hull/N Lincs: Tony Simpkins Tel  0114 305 4561
East Riding: Cayley Dimelow Tel 01482 672033
NE Lincs: Elaine Johnson Tel 0300 3000 537

NHS 111 Health Professional’s telephone number: 0300 3305403