NHS England – London Region Community Pharmacy FAQ – 2nd Floor Southside, 105 Victoria Street, London SW1 6QT

LINKS TO Subject Specific queries Who to contact How to contact Details to be included in the correspondence DOCUMENTS/FORMS /TEMPLATES Contractual Notification of  Call or send email or complete form unplanned temporary  Notification of  [email protected]  OCS code, name & borough area suspension of services pharmacy emergency Commissioning Team  0203 182 4993  Reasons for closure closure  Signposting arranged for patients & other healthcare professionals in place Request for a planned  Notification of planned  [email protected] temporary suspension Commissioning Team pharmacy closure  0203 182 4993 of services

 Complete form Application to change  Request to amend core  [email protected]  At least 90 days notice core opening hours Commissioning Team opening hours  0203 182 4993  Send completed to market entry

Notification of  Request to amend  [email protected] changes to supplementary opening Commissioning Team  0203 182 4993 supplementary hours opening hours 100hours Pharmacy  Submission of 100 hour  Complete template weekly  [email protected] Monitoring Template pharmacy monitoring Commissioning Team  Send completed template to London  0203 182 4993 template Region team at the end of each month  Complete Prem 1 form & send certificate Forms & more info to provide MURs at pharmacy premises could be access via  Complete Prem 2 & application forms to PNSC website @:- provide MURs outside pharmacy premises http://psnc.org.uk/ser  Request to provide  [email protected] Commissioning Team  Complete notification form for NMS vices- Advanced services  0203 182 4993  Complete application forms to provide commissioning/advan AUR, SAC ced-services/  Send all completed forms to the London Region Team  Submission Special Commissioning Team  [email protected]  CPs are to hold on to these until further TBC Certificate of Conformity  0203 182 4993 communication from NHSE (COC & COA)

LONDON REGION COMMUNITY PHARMACY FAQ NHS England – London Region Community Pharmacy FAQ – 2nd Floor Southside, 105 Victoria Street, London SW1 6QT

LINKS TO Subject Specific queries Who to contact How to contact Details to be included in the correspondence DOCUMENTS/FORMS /TEMPLATES  For All Pharmacies in the NCEL & NW of London Contact Anenta on:- T: 0330 122 2143  Pharmaceutical Waste Waste Collection E: [email protected] Call or Email Collection Company  For All Pharmacies in the South of London Contact Essentia on T: 020 8254 8337 E: [email protected] PLEASE CLICK ON THE ATTACHED DOCUMENT TO  Request for smart cards Local Registration ACCESS CONTACT DETAILS FOR EACH LONDON London Region Community Pharmacy Smart Card Contact Details & other related issues Managers AREA TEAM Commissioning Team  [email protected]  The forms for new contracts and changes  0203 182 4993 in directors and/or superintendents for NHS England » body corporates, please follow the  Fitness to Practice Pharmacy – Inclusion hyperlink to NHS England Website. The in a pharmaceutical forms are on each page and can be list on fitness grounds accessed by a zipped file.  The application form for a change of NHS England » ownership can be found on the NHS Pharmacy – Market England website, under application forms. entry The forms are in a zipped file; please  Change of Ownership complete the change of ownership form.  NHSE also need to be informed of change London Market Entry of superintendent Pharmacist. Enquiries

 The application form for “no significant change relocation” can be found on the  No Significant Change NHS England website, under application Relocation forms. The forms are in a zipped file; please complete the no significant change relocation form.  Request to enter NHSE  Applicants will find the required Pharmaceutical list (i.e. application forms for new applications can

LONDON REGION COMMUNITY PHARMACY FAQ NHS England – London Region Community Pharmacy FAQ – 2nd Floor Southside, 105 Victoria Street, London SW1 6QT

LINKS TO Subject Specific queries Who to contact How to contact Details to be included in the correspondence DOCUMENTS/FORMS /TEMPLATES be downloaded from NHS England website. Please ensure that you new pharmacy download and complete the correct form application) as these cannot be changed once they are submitted. Forms are in a zipped file on the website. Payments Templates & more info could be access via PNSC website @:-

http://psnc.org.uk/fu  Complete template letter from the PNSC nding-and-  Request for Top-up London Region  [email protected] website statistics/funding- payment Commissioning Team  0203 182 4993  Send completed form and evidence of distribution/essential- claim to the London Region Team service- payments/practice- payment- establishment- payment-top-ups/ Please note that NHSE is not in any position to make discretionary  Pharmacy OCS Code, name & borough payments as this is  Request for London Region  [email protected]  Breakdown of issue not stipulated in the Discretionary payments Commissioning Team  0203 182 4993  Send email to the London Region Team drug tariff. This includes switch prescriptions payment requests  Request for EPS Monthly London Region  [email protected]  Download and complete claim form Claim form & more Allowance Commissioning Team  0203 182 4993  Submit completed claim form to the info could be access London Region Team via PNSC website @:- http://psnc.org.uk/fu nding-and- statistics/funding- distribution/it-and- eps-

LONDON REGION COMMUNITY PHARMACY FAQ NHS England – London Region Community Pharmacy FAQ – 2nd Floor Southside, 105 Victoria Street, London SW1 6QT

LINKS TO Subject Specific queries Who to contact How to contact Details to be included in the correspondence DOCUMENTS/FORMS /TEMPLATES allowances/#monthly  Electronic Prescription  [email protected] NONE NHS BSA  F Code, Pharmacy Name and address Claiming Issues  03003 301349 Templates & more info could be access via PNSC website @:-  Download and complete grant form  Request for Pre-  Submit completed application to the London Region  [email protected] http://psnc.org.uk/fu Registration Training London Region Team Commissioning Team  0203 182 4993 nding-and- Grant  Send in the trainee GPHC training log statistics/funding- distribution/pre- registration-training- grant/  Pharmacy name & borough NONE  Pre-payment certificate London Region  [email protected]  Full breakdown of situation including backdated payment Commissioning Team  0203 182 4993 backdated amount to be paid Patient queries  Send query to the London Region Team  Pharmacy name & borough NONE  Assistance with  [email protected] Complaints Team  Full breakdown of the query complaints  03003 11 22 33  Send query to the London Region Team The London regional team are not responsible for DBS certification. The umbrella bodies recommend by the  [email protected]  Pharmacy OCS Code, name & borough CRB/DBS  Request for CRB/DBS London Region home office for  0203 182 4993  Process not yet developed. checks checks to carry out Commissioning Team supporting applicants domicile MURs with their DBS applications can be found at https://dbs-ub- directory.homeoffice. gov.uk

LONDON REGION COMMUNITY PHARMACY FAQ NHS England – London Region Community Pharmacy FAQ – 2nd Floor Southside, 105 Victoria Street, London SW1 6QT

LINKS TO Subject Specific queries Who to contact How to contact Details to be included in the correspondence DOCUMENTS/FORMS /TEMPLATES Pharmacies in North Central & East London Form to be attached  [email protected]  01502 719550 / 08452 410528  OCS code, Pharmacy name & borough Pharmacies in North West London  NHS.net email address or name of new  Unlock accounts & reset  [email protected] user Commissioning NHS.net passwords  020 3350 4050  Details of a personal email address, or Support Units  New user request 020 8795 6676 mobile telephone number, that a new Pharmacies in South London (Please click on the link password can be sent to securely below)  Complete request form London Region Community Pharmacy Smart Card Contact Details  Pharmacy name, OCS code & borough  Full breakdown of query Pharmacies can now request to destroy obsolete schedule 2 CD by emailing the CDAO.  Any queries relating to  [email protected] On many occasions the CDAO can designate controlled drugs & Medical Directorate  0207 932 3113 them as an authorised person for the purposes witnessing destructions Controlled of witnessing the destruction of controlled drugs drugs for a limited time. You MUST NOT act as an Authorised Person until you have received an authority (electronically) from the CDAO.  Please contact the CD Accountable Officer  NHS E control drug  [email protected] William Rial for any CD queries Accountable Officer  0207 932 3113

 Any queries or advice  Pharmacy name, OCS code & borough http://systems.hscic.g Information London Region  [email protected] relating to Information  Full breakdown of query ov.uk/infogov Governance Commissioning Team  0203 182 4993 Governance  Send query to the London Region Team

 Any queries or advice  Pharmacy name, OCS code & address NHS Choices NHS Choices Team  [email protected] relating to NHS Choices  Full breakdown of query Forged/  Reporting forged/stolen NHS England Alert  [email protected]  Scan copy of prescription (only via NHS stolen prescription Team mail if there is patient identifiable prescription information)

LONDON REGION COMMUNITY PHARMACY FAQ NHS England – London Region Community Pharmacy FAQ – 2nd Floor Southside, 105 Victoria Street, London SW1 6QT

LINKS TO Subject Specific queries Who to contact How to contact Details to be included in the correspondence DOCUMENTS/FORMS /TEMPLATES

Serious Incident Notification Form Word.docx

Serious Incident  Complete the attached form Notification Excel.xls Incident/  Reporting incident/ London Region  [email protected]  Send completed form to the London Complaints complaints Commissioning Team  0203 182 4993 Region Team

National serious incident framework April 2013.pdf

London NHS CB LRO SI Operating Model V2 FINAL 2013 03 25.doc Pharmacy  To order for pharmacy Primary Care Support Stationery & stationery, CD Codes etc. Team - other Primary (Pharmacies located PLEASE CLICK ON THE ATTACHED DOCUMENT TO ACCESS CONTACT DETAILS FOR EACH AREA TEAM London Region Care Support in the North Central Community Pharmacy NCEL Primary Care Support Team.docx duties & East London) Primary Care Support PLEASE CLICK ON THE ATTACHED DOCUMENT TO ACCESS CONTACT DETAILS FOR EACH AREA TEAM Team - (Pharmacies located London Region in North West Community Pharmacy NW Primary Care Support Team.docx London)

LONDON REGION COMMUNITY PHARMACY FAQ NHS England – London Region Community Pharmacy FAQ – 2nd Floor Southside, 105 Victoria Street, London SW1 6QT

LINKS TO Subject Specific queries Who to contact How to contact Details to be included in the correspondence DOCUMENTS/FORMS /TEMPLATES Primary Care Support Team - (Pharmacies located PLEASE CLICK ON THE ATTACHED DOCUMENT TO ACCESS CONTACT DETAILS FOR EACH AREA TEAM London Region in the South of Community Pharmacy South Primary Care Support Team.docx London) Please send your queries to the immunisation team (including request to vaccinate off site) to: [email protected] London Imms – For new user: www.sonarinformatics.com/londonvac influence Service Existing user: www.firstpct.org ( Flu) (The Sonar platform and click new user).  For any issues relating to Pharmacy NHS England Enhanced Please send your queries to the London Region Team Commissioned Enhanced Services PURM Service  [email protected] services  0203 182 4993 Other Enhanced Please send your queries to the London Region Team Service  [email protected] MAS, MDS/MOS,  0203 182 4993 Palliative Care  [email protected] Payment details  0203 182 4993 for Enhanced services attached All documents are online for the national service: Error! Not a Anything not covered by the London Region http://psnc.org.uk/services- valid link. above Commissioning Team commissioning/advanced-services/flu-vaccination-  OCS code , Name of Pharmacy & Borough Ad-hoc service/flu-vaccination-service-spec-and-pgd/  Full breakdown of the query  Send query to the London Region team Flu Advance services London Region Permission request to conduct vaccination offsite Commissioning Team to be sent with DBS certificate to:  [email protected]  0203 182 4993

LONDON REGION COMMUNITY PHARMACY FAQ Notification of unplanned temporary suspension of services

Name of contractor

Full address of premises to which the application relates

ODS Code

Address for correspondence (if different)

This is a notification of an unplanned temporary suspension of pharmaceutical services. Date of the temporary suspension ………………………………………………………….

Times at which pharmaceutical services were not provided ……………………………. Please set out in the box below the reasons for the temporary suspension.

Please set out in the box below any actions taken to limit the impact on users of the premises.

Signature …………………………………………………………………………………..

Name ……………………………………………………………………………………….

Position …………………………………………………………………………………….

LONDON REGION COMMUNITY PHARMACY FAQ Date ………………………………......

On behalf of ………………………………………………………………………………… (Insert name of contractor)

Contact email address in case of queries …………………………………………………

Contact phone number in case of queries …………………………………………………

LONDON REGION COMMUNITY PHARMACY FAQ Request for a planned temporary suspension of services

Name of contractor

Full address of premises to which the application relates

ODS Code Address for correspondence (if different)

This is a request for a planned temporary suspension of pharmaceutical services.

Date(s) of the temporary suspension ……………………………………………………… (Please note three months’ notice must be given) Please set out in the box below the reasons for the temporary suspension.

Signature …………………………………………………………………………………..

Name ……………………………………………………………………………………….

Position …………………………………………………………………………………….

Date ………………………………......

On behalf of ………………………………………………………………………………… (insert name of contractor)

Contact email address in case of queries …………………………………………………

Contact phone number in case of queries ………………………………………………… LONDON REGION COMMUNITY PHARMACY FAQ Application to change core opening hours

Name of contractor

Full address of premises to which the application relates

ODS Code

Address for correspondence (if different)

This is an application to:  permanently change core opening hours 

 make a one-off change 

(Please tick as relevant). Please insert below the current core opening hours for these premises. Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Please insert below the proposed core opening hours for these premises. Monday Tuesday Wednesday Thursday Friday Saturday Sunday

If this is a permanent change, please state in the box below the date from which you would like the change to take effect.

If this is a one-off change, please enter the dates for the change below.

LONDON REGION COMMUNITY PHARMACY FAQ Please provide information on the changes to the needs of people in the area of the Health and Well-being Board, or other likely users of the premises, for pharmaceutical services that have led to your application.

Signature …………………………………………………………………………………..

Name ……………………………………………………………………………………….

Position …………………………………………………………………………………….

Date ………………………………......

On behalf of ………………………………………………………………………………… (insert name of contractor)

Contact email address in case of queries …………………………………………………

Contact phone number in case of queries …………………………………………………

LONDON REGION COMMUNITY PHARMACY FAQ Notification of changes to supplementary opening hours

Name of contractor

Full address of premises to which the application relates

ODS Code Address for correspondence (if different)

This is an application to:  permanently change supplementary opening hours 

 make a one-off change 

(Please tick as relevant). Please insert below the current supplementary opening hours for these premises. Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Please insert below the proposed supplementary opening hours for these premises. Monday Tuesday Wednesday Thursday Friday Saturday Sunday

If this is a permanent change, please state in the box below the date from which the change will take effect.

If this is a one-off change, please enter the dates for the change below.

LONDON REGION COMMUNITY PHARMACY FAQ At least 3 months’ notice must be given. If you are seeking to change the supplementary opening hours within a shorter timescale please set out your reasons below and NHS England will consider whether it can agree to a shorter notice period.

Signature …………………………………………………………………………………..

Name ……………………………………………………………………………………….

Position …………………………………………………………………………………….

Date ………………………………......

On behalf of ………………………………………………………………………………… (insert name of contractor)

Contact email address in case of queries …………………………………………………

Contact phone number in case of queries …………………………………………………

LONDON REGION COMMUNITY PHARMACY FAQ Monitoring return for pharmacy contractors subject to a condition under Regulation 65 of the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013

Certain pharmacy contractors may be required to open for more than 40 core opening hours. This form asks such contractors to provide information on their opening hours and should be completed on a 4 weekly basis and sent to the [insert name of contact] within the [insert name of AT] for verification in accordance with NHS England’s policy and procedure for monitoring opening hours.

The [insert name of AT] will check the information received and contact you if there appears to be any discrepancy between the declared and contracted opening hours. We will also be logging your data on our systems for future audit purposes.

Declaration by the contractor:

I declare that information provided in this return is accurate and that the persons were present as stated.

Signature ……………………………………………………………………………………………………………………………………………..

Name …………………………………………………………………………………………………………………………………………………

Position ……………………………………………………………………………………………………………………………………………….

Date ………………………………......

On behalf of …………………………………………………………………………………………………………………………………………. (insert name of contractor)

Please complete the details below for each week.

Week beginning Monday (date/month/year) ……………………………………………………………………………………………………..

LONDON REGION COMMUNITY PHARMACY FAQ Pharmacy name, ODS Code and address………………………………………………………………………………………………………..

Day of week Pharmacist name (PRINT) Pharmacist signature GPhC registration Hours worked Total opening no. hours during which a WEEK 1 pharmacist was available From To

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday Total weekly hours

Please complete the details below for each week.

Week beginning Monday (date/month/year) ……………………………………………………………………………………………………..

Pharmacy name, ODS Code and address ……………………………………………………………………………………………………..

LONDON REGION COMMUNITY PHARMACY FAQ Day of week Pharmacist name (PRINT) Pharmacist signature GPhC registration Hours worked Total opening no. hours during which a WEEK 2 pharmacist was available From To

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday Total weekly hours

Please complete the details below for each week.

Week beginning Monday (date/month/year) ……………………………………………………………………………………………………..

Pharmacy name, ODS Code and address ……………………………………………………………………………………………………..

LONDON REGION COMMUNITY PHARMACY FAQ Day of week Pharmacist name (PRINT) Pharmacist signature GPhC registration Hours worked Total opening no. hours during which a WEEK 3 pharmacist was available From To

LONDON REGION COMMUNITY PHARMACY FAQ Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday Total weekly hours

Please complete the details below for each week.

Week beginning Monday (date/month/year) ……………………………………………………………………………………………………..

Pharmacy name, ODS Code and address ……………………………………………………………………………………………………..

Day of week Pharmacist name (PRINT) Pharmacist signature GPhC registration Hours worked Total opening no. hours during which a WEEK 4 pharmacist was available From To

LONDON REGION COMMUNITY PHARMACY FAQ Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday Total weekly hours

Please return completed form to [email protected]

LONDON REGION COMMUNITY PHARMACY FAQ LONDON REGION COMMUNITY PHARMACY SMART CARD CONTACT DETAILS

AT Boroughs Contacts AT Boroughs Contacts AT Boroughs Contacts Barking & T: 020 8430 7007 : Brent T:02089661013 & Bexley T:0208 298 6166 – Dagenham E:servicedesk@[email protected] 02089661040 - E:[email protected] E:[email protected] Barnet T:020 3688 1414 – Ealing T:0208 962 4903 – Bromley T:0208 315 8702 E:[email protected] E:nwlcsu.RegistrationA E:it.support@bromleyhealthcar [email protected] e-cic.nhs.uk

Kingston Your Healthcare T:0844 8944 044 E: mailto:itservicedesk@yourh elathcare.org Camden T:020 3688 1881- Hammersmith & T:0208 962 6591 - Croydon E:[email protected] Fulham E:Registration.authority North @nwlcsu.nhs.uk North Central & East South City & T:020 3688 1414 – West Harrow T:02089661013 & Greenwich London London Hackney E:[email protected] London 02089661040 - Enfield T:020 3688 1414 – Hillingdon E:[email protected] Merton E:[email protected] Haringey Hounslow T:020 8630 1159 Lambeth E:[email protected] Havering T:020 8430 7007 – Kensington & T:0208 962 6591 Lewisham E:servicedesk@[email protected] Chelsea E:Registration.authority Islington T:020 3688 1414 – Westminster @nwlcsu.nhs.uk Southwark T:020 3049 6000 - Newham E:[email protected] Sutton [email protected] Redbridge T:020 8430 7007 – Richmond E:servicedesk@[email protected]

Tower T:020 3688 1414 – Wandsworth Hamlets E:[email protected] Waltham T:020 8430 7007 – Forest E:servicedesk@[email protected]

LONDON REGION COMMUNITY PHARMACY FAQ LONDON REGION COMMUNITY PHARMACY SMART CARD CONTACT DETAILS

Thank you for enquiry to the London Market Entry Team.

Applicants will find the required application forms can be downloaded from NHS England website. Please ensure that you download and complete the correct form as these cannot be changed once they are submitted. A link to the website is found below; this website lists the different types of applications with the appropriate forms for each of these. http://www.england.nhs.uk/pharm-mrkt-ent/

If you would like to find copies of the new regulations, links to these and the guidance can be found on the PCC website. A link for these is below. http://www.pcc-cic.org.uk/article/previous-pharmaceutical-services-regulations-and-directions Applicants that have not previously completed fitness to practice (ftp) before, will need in addition to complete the relevant fitness to practice form, please ensure that you use the correct form for new fitness to practice. A web link to the forms for this is listed below: http://www.england.nhs.uk/pharm-incl-fit-grds/ Applicants may also wish to view the PSNC control of entry pages to assist them, please find below the link to these pages: http://www.psnc.org.uk/pages/control_of_entry.html Please select the correct application form(s) , complete and return this to: Pharmacy Market Entry Team, NHS England, 2nd Floor, Southside, 105 Victoria Street, London, SW1E 6QT.

When submitting an application you must include the appropriate fee and make the cheque payable to NHS England. Below is a table of fees payable for each type of application Excepted Applications Application for Distance Selling Premises £750 (Regulation 25) Applications for relocations which do not result £250 in a significant change (regulation 24) Application for Change of Ownership where the £150 applicant is already included on the pharmaceutical list (regulation 26(1)) Application for Change of Ownership where the £250 applicant is not already included on the pharmaceutical list (regulation 26(1)) Applications for change of ownership combined £250 with a relocation that does not result in a significant change, where the applicant is already included on the pharmaceutical list regulation 26 (2)) Applications for change of ownership combined £350 with a relocation that does not result in a significant change, where the applicant is not included on the pharmaceutical list regulation 26 (2)) Routine Applications First Application £750 Duplicate application submitted within 180 £1,500 days of a previous outcome (this includes distance selling applications.)

LONDON REGION COMMUNITY PHARMACY FAQ LONDON REGION COMMUNITY PHARMACY SMART CARD CONTACT DETAILS

Subsequent application submitted within £3,000 180 days of a previous outcome for a duplicate application (this includes distance selling applications.)

No fees are payable for the following applications: Temporary listings arising out of suspensions (regulation 27) Applications from persons exercising a right of return to a pharmaceutical list (regulation 28) Applications relating to emergencies requiring flexible provision of pharmaceutical services (regulation 29) Applications for change of core hours

LONDON REGION COMMUNITY PHARMACY FAQ