Stoma Service

A stoma is the result of an operation to remove disease such as cancer, Crohn's disease or diverticulitis - or from a bowel obstruction or injury to the digestive or urinary system. It is an artificial opening through the wall of the abdomen that allows faeces or urine either from the intestine or from the urinary tract to pass. This can be temporary or permanent.

People who have a stoma need to use specialist products to collect and dispose of waste which would normally make its way through the digestive tract or urinary system. Community pharmacies can sign up to provide patients with these products, and to give advice on stoma care by agreeing to operate under the Stoma contract, which is optional and separate from the core contract which outlines most other services we provide.

The Stoma Contract sets out the service standards to be met by all Community Pharmacy contractors who have signed up to the service. Dispensing Appliance Suppliers can also be on the approved suppliers list and supply products direct to patients.

The service specification sets out the ongoing standards to be met by Community Pharmacy teams and Dispensing Appliance Suppliers for the purposes of remaining on the approved supplier list.

The current Fees for Stoma are as follows and subject to quarterly review to ensure there is no significant over or under spend of the Stoma Fees Global Sum.

Fees Payable Value
Base Dispensing fee £5.91
Customisation fee £4.75
Delivery Fee £3.70

 The Scottish Government has initiated a Quality and Cost Effectiveness review on the service.

Endorsing and Claiming

Stoma service providers will be required to endorse prescriptions which have been customised and/or delivered as:

    • “Product Customised” = CUST
    • “Product Delivered” = DEL

* Both endorsements may be used if required.

Related Information