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NHS111 Digital Minor Illness Referral Service (NHS111 DMIRS)- Community Pharmacy Referral Service - North East Local Enhanced Service

Registering and deregistering for the service

DMIRS is closed to new registrations.

If you want to register or deregister, contact your NHS England regional team.

The new Community Pharmacist Consultation Service, which will replace DMIRS, will roll out during October 2019.

Aim of the service

Reducing the burden on urgent and emergency care services for patients requiring low acuity advice and treatment.

Less than 1% of all NHS111 referrals result in a direction to a community pharmacy. Calls normally default to other primary care locations such as:

  • GP, in hours and out of hours
  • walk-in centres
  • A&E

These appointments block access to GP appointments for patients with greater clinical need.

The service aims to appropriately manage patients contacting NHS 111 with low acuity conditions, through referral to a community pharmacy to reduce pressure on the  primary and urgent care system, particularly GP out of hours.

What the service will provide

The agreement is for the pharmacy to provide self-care advice and support. This will include printed information to all people referred to the pharmacy by NHS111, due to a specified low acuity condition.

The end points of the consultation may include: 

  • advice given only
  • advice and the sale of an OTC medicine
  • advice and referral into the pharmacy local MAS (dependent on local commissioning arrangements - please see each service specification)
  • advice and ‘direct dial’ access to GP to set up appointment (each pharmacy will use a local arrangement for this)
  • advice and signpost on to another service

How patients access the service

Any patient, even those registered with a GP from outside the North East, can access DMIRS as they would likely still have attended another care location in the area. 

To access the service patients must:

  • have called NHS111 and been referred are eligible to receive advice and treatment
  • opt-in 
  • be assessed by the pharmacy, potentially being referred to other health and social care professionals, where appropriate

Patients who wish to consult their GP or other health care provider for their condition are still free to do so.

Service level agreement and specification

North East service specification (Word: 156KB)