Patients occasionally attend the surgery having run out of their regular NHS medication, often because a repeat request has been left late. As repeat prescriptions usually take 3–5 working days to be processed, there is now a national NHS pathway in place to support patients safely in this situation.
When NHS 111 is Appropriate
If a patient:
- Has run out of their regular NHS medication, and
- Does not yet have a prescription issued, and
- There isn’t enough time for the surgery to issue one safely
They can be advised to use NHS 111, ideally via the online service.
How NHS 111 works
When NHS 111 is used:
- The patient is assessed through the NHS 111 service (Automated)
- A referral is sent directly to a community pharmacy
- The pharmacist carries out a clinical assessment
- If appropriate, the pharmacist will supply the medication, and
- The supply and consultation are fully recorded on the NHS system
The online route is usually the fastest and easiest option, with referrals often coming through to pharmacies almost instantly.
Useful Links:
Emergency prescriptions via NHS 111:
https://www.nhs.uk/nhs-services/prescriptions/emergency-prescriptions/
https://111.nhs.uk
If a patient has difficulty accessing NHS 111 themselves, the pharmacy team may be able to support them with the request, although most patients find the online service straightforward.
Important Limitations
- There are some exclusions, including controlled drugs, which cannot be supplied via this route.
- Pharmacies are not permitted to provide a supply and then deduct it from a future NHS prescription.
- It is up to the pharmacist's discretion on how much supply is made.
Private Emergency Supplies
While pharmacies can sometimes make a private emergency supply, this is not an NHS prescription. Patients would need to pay:
- The full cost of the medicine, plus
- A service fee. This is often significantly more than an NHS prescription charge, and many patients are normally exempt from NHS charges and don’t expect this cost.
Routine Repeat Prescriptions
For routine repeat medication, patients should continue to order their prescriptions at least 3–5 working days in advance via the surgery as normal.