Patient's Action

Pharmacist's Action

Entry in PF IT System?

Claim Payment?

Patient presents - No referral has been received.

Pharmacist follows up with the referrer.

If no referral is received:

No

No

Patient does not contact or attend pharmacy (referral received).

No contact with patient. Close referral, noting the reason.

Yes, to close

No

Patient fails to attend or cannot be reached by phone after a previous contact.

No further contact. Close referral, noting the reason.

Yes, to close

No

Patient seeks support elsewhere.

No follow-up action. Close referral, noting the reason.

Yes, to close

No

Patient's Action

Entry in PF IT System?

Claim Payment?

Prescription available via EPS tracker, medicine dispensed.

Yes, confirm outcome

Yes

Medicine cannot be supplied under emergency supply regulations; referral to GP or NHS 111 made.

Yes, indicate referral

Yes

Supply not necessary; agree action with patient, possibly refer to GP.

Yes, confirm outcome

Yes

Emergency supply appropriate and in stock; supply made.

Yes, confirm outcome

Yes

Emergency supply appropriate but only part of the supply available;

refer to another pharmacy for the remaining supply.

Yes, indicate supply and referral

Yes

Emergency supply appropriate but not in stock; refer to another pharmacy or NHS 111.

Yes, indicate referral

Yes

Patient's Action

Entry in PF IT System?

Claim Payment?

Consultation with red flag, obtain clinical advice if necessary, refer as needed.

Yes, indicate referral

Yes

Consultation with no red flags, provide advice, possibly supply medicine via MAS or PGD.

Yes, confirm outcome

Yes

Patient requires no further assistance; provide safety netting advice.

Yes, confirm outcome

Yes

Patient's Action

Entry in PF IT System?

Claim Payment?

Consultation, patient passes Gateway point but needs referral; obtain advice, refer if necessary.

Yes, indicate referral

Yes

Consultation, patient passes Gateway, no referral needed, provide advice,

possibly supply medicine.

Yes, confirm outcome

Yes

Further consultation needed after initial advice; re-assess, possibly refer.

Yes, indicate referral

Yes

Patient's Action

Entry in PF IT System?

Claim Payment?

Patient fails Gateway point on clinical pathway; treat under minor illness pathway.

Yes

Yes

Complete process under minor illness pathway, red flag identified - possibly

refer.

Yes

Yes

Patient passes Gateway point, but medicine not in stock; refer to another

pharmacy.

Yes, indicate referral

No

Distance Selling Pharmacy (DSP) receives referral but cannot provide service; refer to another pharmacy.

Yes, indicate referral

No

DSP conducts consultation, patient needs timely supply; refer to another

pharmacy.

Yes, indicate referral

No