Murs can i be

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Patients had to be prescribed two or more medicines to be eligible for a post-discharge MUR. From 1st September , it was no longer a contractual requirement that written consent was obtained from patients prior to the provision of MURs. Prior to service provision, verbal consent had to be sought from each patient.

In seeking consent, contractors needed to ensure that the patient was made aware that the consent enabled:. Pharmacists providing MURs had to keep records of each one provided using a national dataset. The requirements to use the MUR form to record the MUR consultation and to give a copy of the completed form to the patient were removed on 1st July From 1st October , cardiovascular risk and respiratory disease were removed from the MUR target groups, which meant a change to the national dataset.

The data collected from each MUR needed to be kept for two years from the date the service was completed and may be stored electronically. Pharmacists may have kept additional clinical records over and above the MUR dataset to support their ongoing care of the patient. There were two ways to submit the electronic reporting templates to the NHSBSA and contractors could choose which method to use:. Further information and links to the online form and electronic reporting template were available on the NHSBSA website.

A paper-based approach could be taken to collating this data throughout the quarter so that contractors could then submit the data to the NHSBSA at the end of the quarter. The following form was designed to allow this paper-based collation of data:.

In this circumstance, the pharmacist should have completed a copy of the nationally approved MUR feedback form and sent it to the GP practice. This could then be followed up in writing using the feedback form.

It also provided flexibility for the GP practice to manage the issue by telephoning the patient if that was deemed an appropriate alternative to an appointment in the practice. The GPC view was that this approach provided more flexibility for practices to manage queries in the best way for their patients and using the full range of skills within their team, rather than requiring all queries to be dealt with via a face to face appointment with a GP.

There was only one service; it is what prompted the review that was the differentiating factor. Regular MURs could have been prompted pro-actively by identification of a certain group of patients for example, those in the national target groups see National target groups for MURs section above that subsequently led to an invitation for an MUR.

The issue or issues that prompted the pharmacist to offer an MUR in this circumstance were likely to be highlighted as part of the dispensing process. Commonly the issues would highlight the need for the patient to develop their understanding of their medicines in order to improve their own use of the medicines. Were dose optimisation and dose synchronisation prescription interventions? It would not have been sufficient for a pharmacist to simply complete an MUR form solely relating to a proposed dose optimisation or synchronisation as an MUR.

However, dose optimisation and synchronisation could clearly have been included as part of a regular or Prescription Intervention MUR. The following examples were provided to assist pharmacists in determining what may and may not have been considered a Prescription Intervention MUR:.

Scenario 1. A prescription requested 56 Lisinopril 10mg tablets TWO to be taken daily. This intervention alone would not have led to a Prescription Intervention MUR, but could habve been included as a recommendation if an MUR was initiated for another reason. Scenario 2. A patient presented at the pharmacy with a prescription for 28 days of Aspirin and you knew that they came to the pharmacy last week for a 28 day prescription of Simvastatin. This intervention alone would not have led to a Prescription Intervention MUR, but it could have been included as a recommendation if an MUR was initiated for another reason.

Scenario 3. Whilst talking to the patient, it transpired that they had not been using their medication as they needed to do to obtain the most benefit. You decided that the patient needed more advice than the brief counselling that you were able to provide at the time of dispensing and invited the patient for an MUR. Application to undertake MURs off the pharmacy premises at alternative premises with a consultation area:. Application to undertake MURs off the pharmacy premises at alternative premises for a particular patient on a particular occasion:.

Application to undertake MURs off the pharmacy premises at alternative premises or a category of premises for a particular category of patients:. MUR statistics. When was the MUR service decommissioned?

The Directions required the pharmacy to have provided pharmaceutical services to the patient for the previous three months before an MUR. So for an MUR conducted in April you would have expected to see dispensing recorded on the PMR to cover supplies during the previous three months, i.

January to March. Prescriptions did not need to be dispensed every single month, so if prescriptions authorising two months supply were dispensed in January and March that would have met the requirements.

Could a pharmacist have done an MUR for a patient who was only taking one medicine? Yes, but only in one specific circumstance. If a patient was taking one high risk medicine they could receive an MUR; all other MURs had to be conducted on patients on multiple medicines.

Could MURs be carried out on patients in a care home that were supplied with medication from the pharmacy? The form must be completed and sent to the Wessex Area Team together with copies of MUR Certificates for each pharmacist including locums intending to deliver the service. The Area Team will be monitoring compliance with these criteria during a monitoring visit. A new MUR Training resource is available online at: www. Whilst not a requirement for MURs, it is recommended that contractors invest in a consultation area which will meet the potential criteria to deliver future commissioned Enhanced Services including an appropriate sink, a networked computer for pharmacist access to patients records during consultations, a panic alarm button and create an inviting, but professional environment.

Below, we have produced referenced indexes for all other important MUR related information, documents and resources that we have uploaded into various CPSC news articles published:. MURs decommissioned from 31st March The review is one of medicine use, not a clinical review. The aim of the Service is to achieve a concordant approach to medicine taking by: identifying, discussing and resolving poor or ineffective use of their medicines; identifying side effects and drug interactions that may affect patient compliance; improving the clinical effectiveness and cost effectiveness of prescribed medicines and reducing medicine wastage.

Consultation Area The three criteria for accreditation are: The consultation area is a designated area where both the patient and pharmacist can sit down together; The patient and pharmacist are able to talk at normal speaking volumes without being overheard by other visitors to the pharmacy, or by pharmacy staff undertaking their normal duties; The consultation area is clearly designated as an area for confidential consultations, distinct from the general public areas of the pharmacy.

Below, we have produced referenced indexes for all other important MUR related information, documents and resources that we have uploaded into various CPSC news articles published: - The indexes are automatically created in date order newest at the top MUR info Community Pharmacy process for Telephone MURs - version Final Making best use of consultation areas NPA. About Us About Us What we do. Who we work with.

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