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Chronic Medication Service (CMS) delivery stages

These steps help with improving a patient’s understanding of their medicines to optimise the benefits of their therapy.

Stage one

Those with long-term conditions register with a Community Pharmacy of their choice. They can only register with one pharmacy at any one time.

This is voluntary and includes an informed patient consent process which is given to the registering pharmacist.

Stage two

The pharmacist assesses those patients to identify and prioritise individuals or groups of patients with unmet care needs.

They then identify and record the patient’s needs, care issues, any desired outcomes and the actions required to meet them.

These are documented in a pharmaceutical care plan.

Stage three

If appropriate, a patient’s General Practitioner (GP) produces a 24, 48 or 56-week serial prescription to be dispensed at an interval indicated by the GP. Details are sent back to the GP practice after each dispensing by the Community Pharmacy has been submitted.

This stage determines any specific reporting or referral criteria for a number of conditions.

If an item has been cancelled by the GP, the pharmacist is not able to dispense the remaining quantities for that item. If there is any change to the item needed, a new serial prescription can be requested.

Once all items have been dispensed the pharmacist sends an end of care summary to the GP that includes a request for a new serial prescription.