NHS England Digital Minor Illness Referral Service (DMIRS) Engagement evening run by Devon Local Pharmaceutical Committee
Welcome! DMIRS Digital Minor Illness Referral Service
Context The Five Year Forward View (2014) highlighted need for pharmacy to be better connected to urgent and emergency care (UEC) services. The Urgent and Emergency Care Review (2016) highlighted potential of pharmacies open up to 100 hours a week with A qualified pharmacist on hand to advise on minor illness and medication queries
What currently happens?
What change is proposed?
What is DMIRS? The Digital Minor Illness Referral Service (DMIRS) aims to appropriately manage patients contacting NHS 111 with low acuity conditions, by referring the patient to a community pharmacy. The primary aim of the DMIRS is to increase capacity in the system and relieve pressure on existing urgent care services; delivering care closer to home in the community and promoting self care. DMIRS Digital Minor Illness Referral Service
How has DMIRS come to Devon? • Started as a pilot in North East England (since September 2017) • Funded by the Pharmacy Integration Fund Early results, based on 7,404 completed referrals from the first 7 months of provision, show that almost 64% of referrals resulted in appropriate advice being given, with 31% of these patients also purchasing a recommended medication . DMIRS Digital Minor Illness Referral Service
Extended pilot in more sites: • The service is now being offered in three additional pilot areas: • Devon • London • East Midlands • Independent Evaluation will include • Impact of system change • IT and communication links • Patient behaviours • NHS 111 call handling • Delivery of self care programmes
Why is the service important? • It is a formal referral from the NHS – integrating community pharmacy into a patient pathway • It will reinforce the recent NHSE guidance: ‘Conditions for which over the counter items should not routinely be prescribed in primary care ’; and • ‘It will further encourage patients to choose their community pharmacy as their first point of contact for advice’ DMIRS Digital Minor Illness Referral Service • Helps develop community pharmacy’s position as a
The PharmOutcomes service PharmOutcomes service video DMIRS Digital Minor Illness Referral Service
DMIRS in detail • Referral in from NHS 111 • The DMIRS consultation in detail • Conditions covered • Recording the consultation • Resources and support DMIRS Digital Minor Illness Referral Service
Referral in to DMIRS • From NHS 111 • Via PharmOutcomes (NHS mail will only be used as a back up) • 12 hour timeframe to deal with the referral • The patient should present to the pharmacy DMIRS Digital Minor Illness Referral Service
The consultation screen DMIRS Digital Minor Illness Referral Service
The consultation screen DMIRS Digital Minor Illness Referral Service
The consultation screen DMIRS Digital Minor Illness Referral Service
Red Flags
Red Flags
NICE CKS summary Clinical Knowledge Summaries (CKS) are a reference source to help you with • Providing the best quality care • Help to identify red flags They are not a checklist or algorithm to follow during a consultation DMIRS Digital Minor Illness Referral Service
Training and CPD resources
The consultation screen DMIRS Digital Minor Illness Referral Service
Printed information for patients
The consultation screen DMIRS Digital Minor Illness Referral Service
Escalation DMIRS Digital Minor Illness Referral Service
Finishing the consultation “If your symptoms don’t improve, or become worse, then either come back to see me or seek advice from your GP” • Patient evaluation questions • Message sent to GP via PharmOutcomes “If your symptoms don’t improve, or become worse, then either come back to see me or seek advice from your GP” DMIRS Digital Minor Illness Referral Service
Payment DMIRS Digital Minor Illness Referral Service
Signing up to DMIRS The registration page is now open https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/ dispensing-contractors-information/digital-0 DMIRS Digital Minor Illness Referral Service
….and finally…
Questions and Answers DMIRS Digital Minor Illness Referral Service
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