title: Summative service and stakeholder evaluation of an NHS-funded community Pharmacy Emergency Repeat Medication Supply Service (PERMSS).
abstract: OBJECTIVE
  Service and stakeholder evaluation of an NHS-funded service providing out-ofhours (OOH) emergency repeat medications to patients self-presenting at community pharmacies.
  
  
  METHODS
  Community pharmacies across the North East of England accredited to provide this service.
  
  
  METHODS
  Patients self-presenting to community pharmacies during OOH periods with emergency repeat medication supply requests.
  
  
  METHODS
  Community pharmacists assessed each request for clinical appropriateness and when suitable provide an emergency repeat medication supply, with additional pharmaceutical advice and services if required.
  
  
  METHODS
  Number of emergency repeat medication supplies, time of request, reason for access, medication(s), pharmaceutical advice and services provided. Secondary outcomes were community pharmacist and patient satisfaction.
  
  
  RESULTS
  A total of 2485 patients were managed across 227 community pharmacies (15 December 2014 to 7 April 2015). Most patients presented on Saturdays, with increased activity over national holidays. Older age was associated with increased service use. Of the 3226 medications provided, 439 were classified as high risk. Patients found this service easy to access and were willing to access the community pharmacy in the future for medication-related issues. In the absence of this service, 50% of patients would have missed their medication(s) until they saw their doctor and a further 46% would have accessed an alternative service. The cost of National Health Service (NHS) service(s) for patients who would have accessed an alternative OOH service was estimated as 37 times that of the community pharmacy service provided. Community pharmacists were happy to provide this service despite increased consultation times and workload.
  
  
  CONCLUSIONS
  Community pharmacists were able to manage patients' OOH requests for emergency repeat medication and patients were happy with the service provided. Since the service cost was favourable when compared with alternative OOH services, it would be a viable option to reduce the workload on the wider NHS.
authors.affiliation: School of Medicine, Pharmacy and Health, Durham University, Stockton-On-Tees, UK.
authors.forename: Hamde
authors.initials: H
authors.lastname: Nazar
authors.affiliation: School of Pharmacy and Biomedical Sciences, University of Portsmouth, Portsmouth, UK.
authors.forename: Zachariah
authors.initials: Z
authors.lastname: Nazar
authors.affiliation: Clinical Strategy, NHS England North-Cumbria and the North East, Durham, UK.
authors.forename: Jill
authors.initials: J
authors.lastname: Simpson
authors.affiliation: Senior Specialist Pharmacist Advisor, Northumberland, Tyne and Wear Local Pharmacy Network, Northumberland, UK.
authors.forename: Andre
authors.initials: A
authors.lastname: Yeung
authors.affiliation: School of Medicine, Pharmacy and Health, Durham University, Stockton-On-Tees, UK.
authors.forename: Cate
authors.initials: C
authors.lastname: Whittlesea
mesh_terms: D000293:Adolescent; D000328:Adult; D039602:After-Hours Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002648:Child; D003157:Community Pharmacy Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D004632:Emergency Medical Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D004739:England; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D015397:Program Evaluation; D013222:State Medicine / Q000191:economics* / Q000458:organization & administration; D055815:Young Adult
keywords: HEALTH SERVICES ADMINISTRATION & MANAGEMENT; PRIMARY CARE; URGENT CARE; community pharmacy; emergency medciation supply; out of hours services