The reasons provided by community pharmacists for rejecting a NHS 111 referral
| Reasons for rejections (n=204, 14%) | |
|---|---|
| Medication not in stock | 59 (28.9) |
| Patient did not attend | 57 (27.0) |
| Error in referral information entered by call handler | 28 (13.7) |
| Clinically inappropriate to supply* | 20 (9.8) |
| Patient received supply elsewhere | 14 (6.9) |
| No evidence provided by the patient | 6 (2.9) |
| Duplicate referral by NHS 111 | 6 (2.9) |
| Supplied under normal emergency supply procedure† | 4 (2.0) |
| No reason specified | 10 (4.9) |
*For example, an acute medication (eg, antibiotic) or controlled drug is required by the patient. This service only allows for the supply of repeat medications and does not allow the supply of controlled drugs apart from the exceptions described above.
†The community pharmacist does not check for any notification of a referral on PharmOutcomes before undertaking the consultation with the patient and providing a medication as per the standard emergency supply regulations. Therefore no entry onto PharmOutcomes was made for remuneration.