Directed services applications

Directed services are pharmaceutical services that NHS chemists can apply to provide under Regulation 23 of the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013. They are commissioned locally by integrated care boards and are distinct from essential services (which all pharmacies must provide) and advanced services (which pharmacies can opt into if they meet the requirements). Directed services vary by ICB area and reflect local health priorities.

An application must be submitted to the relevant ICB under Regulation 23. The ICB assesses whether the applicant meets the requirements to provide the directed service. TI Pharmacy Consultancy advises on eligibility and manages the application process from submission through to determination.

Not all directed services are open to all pharmacies — the ICB may set specific eligibility criteria, including accreditation, training requirements or premises standards. TI Pharmacy Consultancy advises on the eligibility requirements for specific directed services in your ICB area before any application is submitted.

If an ICB refuses a directed services application, the applicant may have grounds to challenge the decision. TI Pharmacy Consultancy advises on the options available following a refusal, including representations to the ICB and any appeal or review rights.

Wales has its own framework for locally commissioned pharmacy services under the NHS (Pharmaceutical Services) (Wales) Regulations 2020, administered by local health boards. The Welsh framework differs from the English directed services regime. TI Pharmacy Consultancy advises on locally commissioned services in Wales specifically for the Welsh regulatory environment.