GP Referral to CPCS (Includes Pharmacy Team and GP Guidance)
Updated 24/11/2022
From 1st November 2020, the CPCS was extended across England to include referrals from general practices as well as from NHS 111.
GPs can refer patients to community pharmacies to receive a CPCS consultation for minor illness (unlike NHS 111, GPs cannot refer patients for an urgent supply of a medicine or appliance). From summer 2021 the resources to support GPs in Lincolnshire had been rolled out and we envisaged a gradual increase in referrals as we moved from autumn into winter 2021 and then into 2022.
Pharmacies who are signed up to CPCS are automatically required to do the GP referrals too; contractors cannot choose to only undertake referrals from NHS111.
Resources to Support Pharmacy Teams
As well as the training resources above, The PSNC website has a range of resources and materials to support pharmacy implementation of GP referral to CPCS. In addition, the materials below are specific to Lincolnshire:
- Flow Chart GPCPCS CPCS Process 20.04.22.
- GP-CPCS Flyer V3 Jan 2021
- FAQs for Lincolnshire Pharmacies relating to GP CPCS
A suggested process to help pharmacy teams manage all CPCS referrals when a locum is in place can be found on the main CPCS page on this website here and can be downloaded in pdf format here:
GPCPCS Not contactable/no show patient process
Some GPCPCS referrals will arrive via PharmOutcomes, if the GP surgery use the relevant IT interface, in which case you follow the same process as you would for 111 CPCS referral for non-attendees: there is a box to indicate ‘patient did not attend’ on PharmOutcomes.
If referrals arrive via nhs.net email the process is slightly different. As you know, the process agreed in Lincolnshire is that the patient will ring the pharmacy. However, this may not happen. The patient may walk-in to the pharmacy and say they have been referred from the GP, in which case you would just find the referral on nhs.net mail BUT there may be patients who do not ring or turn up, the process in that instance is suggested to be as follows:
1. You find the GPCPCS referral when checking your store nhs.net mailbox or they arrive in PharmOutcomes if an integrated system is used by the GP practice.
2. You attempt to contact the patient up to three times.
3. If you are unable to contact them after three separate attempts then you will need to email back the GP surgery advising them that the patient has not attended, so that they can then follow up. This ‘closes the loop’ within the system.
Initial Training
We hosted some Lincolnshire specific events for pharmacies, to allow some discussion and an opportunity to ask questions. The recordings of these events are below.
- Wednesday 23rd June 2021 07:30 PM
Webinar recording - Thursday 24th June 2021 01:00 PM
Webinar recording - Slides from the sessions: GP Referral to CPCS for Contractor Webinars June 2021 FINAL V2.1
Resources to Support GP Practices with Implementation
Lincolnshire CCG have agreed NHS England funding until 30th April 2023 for a system that will make referral easier for GP practices (both EMIS & TTP) using EMIS web-based software, known as ITK software. If the system is utilised by GP practices, further extensions to this funding will be considered. CPL are supporting and lobbying for this extension
- Both systems include a triage tool which reduces the number of bouncebacks to general practice and onward referrals to other health providers, ensuring the most appropriate patients are sent to the pharmacy. The statistics show using nhs.net bouncebacks are 28% in Lincolnshire but if PharmRefer or EMISWeb (known as the ITK software) are used the rate falls to 5%.
- With the ITK software, the referral arrives directly in the pharmacy software system ‘PharmOutcomes’ which is beneficial as they system is more frequently checked in pharmacies than nhs.net and Locums have access to PharmOutcomes but they do not have access to nhs.net – relying on other team members to access it for them. This reduces the risk of a referral being missed.
Engagement with local surgeries is key to the development of this service. To support this, Community Pharmacy Lincolnshire worked with the LMC to produce a Local Toolkit; this was shared with the PCN Clinical Directors, the Locality Leads and the PCN Managers in Spring 2021. Some of the contents are available to download below.
Those pharmacies signed up for the service can be found on the Directory of Services (DOS). The initial toolkit included some suggested scripts for front line triage staff and downloadable referral forms, which GP practices should have received directly from their PCN representatives. We can provide copies of the suggested scripts on request. Referral guides for both EMIS and SystmOne practices can be found at the links below.
It is important to ensure that you have an up-to-date email address recorded on the Pinnacle system. The pilot sites revealed that if the wrong practice email address is recorded on the system, or if this is missing then you will not receive the confirmation and summary back from the pharmacy once the consultation has been completed.
It is vital to send a test patient to your local pharmacy in the first instance when you decide to start using GPCPCS and liaise with them to ensure the technology is functioning for the entire patient journey.
GP surgeries should request the suggested triage scripts if needed via an email to info@pharmacylincolnshire.org
GP Toolkit update April 2022
Guide For System One Practices using PharmRefer
Guide for System One Practices not using Pharm Refer
- System One Step by step referral video for CPCS for GP Practices
- System One Step by step pdf referral guide for CPCS for GP practices (made prior to video above).
Guide for EMIS Practices using the EMIS Web Patient Access Connect App
Guide For EMIS Practices Without EMIS Web Patient Access Connect App
A Word version of GP Referral into Pharmacy form can be accessed here.
We also ran two webinars for GP Practices and PCNs to help them to understand the key elements of the service and ask questions. Recordings of these webinars are shown below. Watching one of these will give you an overview of the service. The 9th June webinar is suggested if you are watching just one as the 17th June webinar is missing the first part due to technical difficulties on the night. Whilst both cover the same presentation content, the questions form GP colleagues at the end are different.
An overview of the service giving more information and a step by step flow chart of the process can be found on the following documents:
- GP-CPCS Flyer V3 Jan 2021
- GP Tools for Lincs Roll out – Patient Pharmacist Consultation
- GP Tools for Lincs Roll out – Referral Journey
- Flow Chart GPCPCS CPCS Process 20.04.22.
