NMS: Making your end of month claim

Ahead of making a claim for the New Medicine Service (NMS) consultations carried out in April 2025, pharmacy owners are reminded of the changes to NMS that were announced as part of the contractual settlement for 2025/26 and that came into effect from 1st April 2025.

What can be claimed for?

As part of the negotiations it was agreed that from 1st April 2025, the payment structure for NMS would be simplified to a £14 fee for each Intervention or Follow up consultation provided to the patient, i.e. a total fee of £28 will be paid if the pharmacy has undertaken both the Intervention and Follow up consultations.

This change to the funding structure does not change the existing service requirement to undertake the Intervention consultation and to try to contact the patient to undertake the Follow up consultation.

A £14 payment can only be claimed if a consultation has been undertaken with the patient.

If the patient cannot be contacted by the pharmacy to undertake a consultation, the fee for that consultation cannot be claimed.

For example, two £14 fees can be claimed in the end of month MYS claim once the Intervention consultation and Follow up consultation have been provided to the patient.

Similarly, one £14 fee can be claimed in the end of month MYS claim if the Intervention consultation has been provided and the pharmacy tries but fails to contact the patient for the Follow up consultation (which does not take place and hence cannot be claimed for).

When can I include an NMS provision in my claim?

The fee or fees for the provision of NMS consultations for an individual patient should be claimed once the overall service provision has been concluded for that individual.

If the provision of the service straddles two months, the claim for fees should be submitted in the MYS claim relating to the second month.

For example, an Intervention consultation is provided in May, but the Follow up does not take place until June, so the fees for both consultations should be claimed in the MYS claim for June.

Making your end of month claim

There has been no change to the timelines for making a claim for NMS: pharmacy owners must claim payments by stating within the MYS portal, the number of completed NMS they have undertaken in a given month, with claims for payment being submitted by the 5th day of the month following the month in which the service was provided.

Later in 2025, the NHSBSA will amend the MYS module which pharmacy owners use to claim for their provision of NMS to allow the number of Intervention consultations and Follow up consultations to be separately entered.

Until that change is made to MYS and starting with claims for NMS provided in April 2025, pharmacy owners need to claim the total number of Intervention consultations and Follow up consultations they have provided in the month. For example:

Number of completed Intervention consultations                                20

Number of completed Follow up consultations                                     11

Number of NMS provisions to be claimed in the MYS module             31

Once the NHSBSA have updated the MYS module, pharmacy owners will be able to separately report on the number of Intervention consultation and Follow up consultations, with the NHSBSA making payment based on the total number of each. We will alert pharmacy owners ahead of that change to MYS taking place.