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Home > Pharmacist > Pharmacy Contract - Medicines Use Reviews

Medicines Use Reviews

MUR service specification

The service includes Medicines Use Reviews undertaken periodically or when there is a need to make an adherence-focused intervention due to a problem that is identified while providing the dispensing service (a prescription intervention MUR).

Source: psnc.org.uk
Pharmacy Resource: Service Specification
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Last Checked: 15/11/17 Link Error: Report It

 

The Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013

These Directions may be cited as the Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013 and come into force on 1st April 2013.

Source: gov.uk
Pharmacy Resource: Directions
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Advanced and Enhanced Directions consolidation to 1 September 2017

PSNC has created a document which consolidates the 2013 Directions and subsequent amendments made up to December 2016.

Source: psnc.org.uk
Pharmacy Resource: Directions
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Last Checked: 15/11/17 Link Error: Report It

 

PSNC Briefing 016/14: Advanced Services (MURs and the NMS)

This PSNC Briefing summarises the changes being made to the Medicines Use Review (MUR) service in 2014/15 and it covers the re-commissioning of the New Medicine Service (NMS).

Source: psnc.org.uk
Pharmacy Resource: Briefing
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Guidance on the Medicines Use Review service

The NHS Employers organisation and the Pharmaceutical Services Negotiating Committee have produced guidance on the Medicines Use Review (MUR) service. The guidance will be updated in due course to reflect the changes to the MUR service agreed as part of the 2014/15 CPCF settlement.

The current guidance was updated in October 2013 to reflect changes to commissioning arrangements in the NHS from April 2013. The guidance is a useful resource for commissioners of community pharmacy, pharmacy contractors and individual pharmacists.  It includes information on the conditions of the service, how to deliver it successfully, monitoring arrangements, the MUR service specification and a list of suggested questions which pharmacists can use during the MUR consultation with patients.

PSNC/NHS Employers Guidance on the Medicines Use Review service – updates

In October 2013, PSNC and NHS Employers published a joint guidance document on the Medicines Use Review (MUR) service. A few changes to the MUR service have taken place since publication and therefore some aspects of the guidance document are now out of date. This document details the parts of the joint guidance which are now out of date and should be read alongside the joint guidance document.

Source: nhsemployers.org and psnc.org.uk
Pharmacy Resource: Guidance and Update
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PSNC Briefing 061/16: Services Factsheet – MUR guide for other healthcare professionals

This briefing provides information on the Medicines Use Review (MUR) service in a 2-page guide, answering five common questions about MURs as well as providing information on the national target groups. It may be a useful resource to provide to other healthcare professionals to increase awareness and understanding of the MUR service.

Source: psnc.org.uk
Pharmacy Resource: Briefing
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MUR Frequently Asked Questions

1) General MUR questions
2) National MUR target groups
3) MURs initiated as a result of a prescription intervention
4) Consultation areas/rooms
5) Fees and funding issues

Source: psnc.org.uk
Pharmacy Resource: Frequently Asked Questions
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Medicines use review

Dataset to be retained by pharmacy contractors delivering the Medicines Use Review service.

Documents

Download Medicine use review - Dataset to be retained by pharmacy contractors
Download Medicine use review – Reporting Template for PCTs
Download Medicine use review – Template GP notification form
Download Medicine use review – Template GP notification form

Source: gov.uk
Pharmacy Resource: Documents
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Medicines Use Reviews (MUR) data definitions

The document offers guidance to clarify the data that contractors need to input in each column of the reporting template.

Source: nhsemployers.org
Pharmacy Resource: MUR Data Definitions Document
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MUR service dataset following the introduction of the 2014/15 CPCF changes

Source: psnc.org.uk
Pharmacy Resource: List
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MUR service - data to be reported to the NHS England Area Team on request

Data to be collated on MURs in the MUR electronic reporting template following 2014-15 CPCF changes

Source: psnc.org.uk
Pharmacy Resource: List
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PSNC MUR Worksheet following 2014-15 CPCF changes

PSNC has developed an MUR Worksheet for use when providing an MUR. Contractors / pharmacists are free to develop their own approach to making records of MURs as long as they ensure they collect the MUR dataset as a minimum.

Source: psnc.org.uk
Pharmacy Resource: Worksheet
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Medicines Use Review (MUR)/New Medicine Services (NMS) quarterly submission

Pharmacy contractors providing the MUR and the NMS services are required by the Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013 to maintain records of the consultations. When requested, pharmacy contractors must provide information on the MUR and NMS interventions undertaken in the previous quarter to NHS England.

NHS England has requested that this data is provided on an on-going basis and pharmacies must therefore complete the nationally agreed electronic reporting template with details of the MUR/NMS conducted in that quarter, using data collated from pharmacy records.

Source: nhsbsa.nhs.uk
Pharmacy Resource: MUR Reporting Template and Forms
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PSNC MUR data collation sheet following 2014-15 CPCF changes

A paper based approach can be taken to collating this data throughout the quarter, so that you can complete the spreadsheet for emailing to the AT at the end of the quarter. The following form has been designed to allow this paper based collation of data

Source: psnc.org.uk
Pharmacy Resource: Collation Sheet
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National target groups for MURs

The national target groups are:

  1. patients taking high risk medicines;
  2. patients recently discharged from hospital who had changes made to their medicines while they were in hospital. Ideally patients discharged from hospital with receive an MUR within four weeks of discharge but in certain circumstances the MUR can take place within eight weeks of discharge;
  3. patients with respiratory disease; and
  4. patients at risk of or diagnosed with cardiovascular disease and regularly being prescribed at least four medicines.
Source: psnc.org.uk
Pharmacy Resource: Article
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Medicines use review: Understand your medicines

The MHRA contributed to this guide for patients that explains the new medicines use review service with pharmacists and helps them prepare to get the most out of their review.

Source: webarchive.nationalarchives.gov.uk
Pharmacy Resource: Guide
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NMS and MUR patient consent requirements

From 1st October 2011, where a patient agrees to participate in the New Medicine Service(NMS) or the Medicines Use Review (MUR) service they must sign a consent form which uses the following wording

Source: nhsemployers.org
Pharmacy Resource: Document
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MUR Consent Forms

PSNC template NMS and MUR consent form (to which a pharmacy address can be added)
PSNC template NMS and MUR consent form

Source: psnc.org.uk
Pharmacy Resource: Consent Form Templates
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NHS community pharmacy advanced services – Briefing for GP practices

This document has been developed jointly by NHS Employers, the Pharmaceutical Services Negotiating Committee (PSNC) and the British Medical Association's General Practitioners Committee (GPC) to provide information for GP practices about advanced services provided by community pharmacies in England under the new NHS structures implemented in April 2013.

Source: nhsemployers.org
Pharmacy Resource: Briefing
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PSNC Advanced Services PowerPoint presentation for GPs and hospital colleagues

Community Pharmacy – NHS Advanced Services

Source: psnc.org.uk
Pharmacy Resource: Presentation
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PSNC Briefing 040/17: NHS community pharmacy Advanced Services – information for general practitioners and practice staff

This PSNC Briefing is intended to be shared with GP practice teams to provide information about Advanced Services provided by community pharmacists in England.

Source: psnc.org.uk
Pharmacy Resource: Briefing
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MUR Feedback Form

Community pharmacy contractors are required to contact the patient’s GP if an issue is identified during the Medicines Use Review (MUR) where the pharmacist believes the GP should be informed. In this circumstance, the pharmacist must complete a copy of the nationally approved MUR feedback form and send it to the GP practice. This form was developed by the Professional Relationships Working Group (PRWG), which includes NHS Employers, PSNC and the British Medical Association (BMA) General Practitioners Committee (GPC).

Source: psnc.org.uk
Pharmacy Resource: Feedback Form
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Community pharmacy services - guidance for hospitals

This guidance outlines the New Medicine Service and targeted Medicines Use Reviews and outlines how these two services can support patients who have recently discharged from hospital and can help to improve the transfer of care between the hospital and the community setting.

Source: nhsemployers.org
Pharmacy Resource: Guidance
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Working with hospital colleagues to support patients discharged from hospital
Guidance for community pharmacists

The guidance was developed and published by NHS Employers and PSNC working with a hospital and community pharmacy reference group. The guidance has been endorsed by the Royal Pharmaceutical Society.

The following documents have been produced to aid engagement between hospital and community pharmacists; to help to raise awareness among secondary care colleagues of the benefits of engaging with community pharmacy and to provide additional information for patients.

Source: nhsemployers.org
Pharmacy Resource: Guidance
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Community pharmacy referral

a standardised referral form that hospital pharmacists and others can complete when a patient is discharged.

Source: nhsemployers.org
Pharmacy Resource: Form
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leaflet for patients who are leaving hospital

a leaflet for patients who are leaving hospital which outlines the services that they can receive from their community pharmacy

Source: nhsemployers.org
Pharmacy Resource: Patient Information Leaflet
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PowerPoint presentation for LPCs to use when discussing NMS/MUR with hospital colleagues

Source: psnc.org.uk
Pharmacy Resource: Presentation
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Targeted Medicine Use Review and New Medicine Service Guidance for Secondary Care

Patients may be referred in to either of these services by healthcare professionals working in secondary care. This can be done using the Community Pharmacy Request form (Targeted Medicine Use Review and New Medicine Service) form.

Source: cpwy.org
Pharmacy Resource: Guidance
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Clinical Medication Review
A Practice Guide

A definition of medication review is “a structured, critical examination of a patient’s medicines with the objective of reaching an agreement with the patient about treatment, optimising the impact of medicines, minimising the number of medication related problems and reducing waste”.

Source: webarchive.org.uk
Pharmacy Resource: Guide
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A Guide to Medication Review

This guide provides advice for those providing and commissioning medication reviews in a wide range of care settings, with the needs of vulnerable groups such as the elderly and those with long-term conditions particularly in mind.

It provides:

  1. A framework for medication review based on current practice and placing a strong emphasis on involvement of patients and their carers. The framework is a simplified and clarified version of the one that originally appeared in 'Room for Review' and which has previously been used widely in the NHS, though mainly in primary care. The framework suggests how hospital reviews and medicines use reviews undertaken by community pharmacists can be included. Accompanying case studies illustrate how the framework can be applied in practice.
  2. Practical advice on putting medication review into practice, which includes a consideration of wider public health issues and a section specifically aimed at commissioners of services.
  3. Suggestions for monitoring and assessing the impact of both existing and new services.
Source: webarchive.org.uk
Pharmacy Resource: Guide
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How to........MUR

Hold any discussions with patients about their medication in the consultation room – this will start the MUR process if appropriate

Source: psnc.org.uk/avon-lpc
Pharmacy Resource: Best Practice Guide
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MUR premises requirements

Pharmacy premises need to meet national standards to ensure that MURs take place in a confidential environment.

Source: psnc.org.uk
Pharmacy Resource: Various
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Conducting MURs off the pharmacy premises

Though the MUR service was designed to be provided in the pharmacy, it is possible to conduct MURs in other venues. The NHS England Area Team (AT) must give consent to pharmacy contractors wishing to carry out consultations off the pharmacy premises, and this consent can be for

Source: psnc.org.uk
Pharmacy Resource: Various
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Get a Free Medicines Check from your Local Pharmacist Campaign
Colour Poster

The PSNC, ‘Get a Free Medicines Check from your Local Pharmacist’ campaign materials allow contractors and LPCs to promote the availability of Medicines Use Reviews to patients.

Source: psnc.org.uk
Pharmacy Resource: Poster
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MURs and Prescription Interventions - what is the difference?

A frequently asked question is about the differentiation between MURs and prescription intervention MURs. There is only one service; it is what prompts the review that is the differentiating factor.

Source: psnc.org.uk
Pharmacy Resource: Frequently Asked Question
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Medicines use review and prescription intervention

This guide is meant to be used as an aid by community pharmacists carrying out medication use reviews and prescription intervention as an advanced service under the new pharmacy contract. It includes the types of intervention which would be considered to be ‘over and above’ the basic interventions relating to safety which a pharmacist would make as part of an essential level dispensing service. This list could never be exhaustive – it is meant to be used as a handy aide memoire and is not intended to supersede an individual pharmacist’s clinical judgement.

Source: webarchive.org.uk
Pharmacy Resource: Guide
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Guidance for conducting MURs - a guide on conducting MURs produced by Derbyshire's PCTs and community pharmacists as part of the Community Pharmacy Framework Collaborative

Contents

Background
The Basics
Getting Started
Selection of Patients
Preparing for a MUR
Conducting Reviews
Paperwork Page
Case Studies Page
Service Overview
Contact Details

Source: psnc.org.uk
Pharmacy Resource: Guide
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Medication Review

Medication review is an essential element of pharmaceutical care. PCNE has held several workshops and symposia on the topic. Reports from this work can be found on this site. The aim of the working group is to bring experts together in order to create a set of guidelines for conducting medication review, including an algorithm for patient selection. Most useful information can be found in the reports of the different symposia.

Source: pcne.org
Pharmacy Resource: Various
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How to make a success of MURs

Lin-Nam Wang, The Journal's senior contributions editor and community pharmacist, recently attended an event organised by Barnet Primary Care and run by UniChem, where community pharmacists shared their experiences and tips for improving medicines use review services. This article is based on the presentations and discussions

Source: pharmaceutical-journal.com
Pharmacy Resource: Journal Article
Register to Access Content: Yes - content available to members of the RPS and paid subscribers

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NMS and MURs – top tips from community pharmacies

Pharmacies offering the NMS and MURs may be interested to read recently published top tips on overcoming challenges such as recruiting patients, managing workload and selling the services to GPs.

The tips, suggested by community pharmacists and their teams, were collated following best practice events hosted by PSNC and NHS Employers, in association with Nottinghamshire and Hampshire & Isle of Wight LPCs, last summer, and many of them may be applicable to other services as well as the NMS and MURs.

Source: psnc.org.uk
Pharmacy Resource: Tips
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10 steps to success with Medicines Use Reviews

In order for the service to be judged a success, it is essential that the profession wholeheartedly embraces MURs. These top tips will help you to make the service a reality in your pharmacy.

Source: psnc.org.uk
Pharmacy Resource: Tips
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Medicines Use Review Suggested Questions

A list of suggested questions has been developed to help shape the discussion pharmacists have with patients during the MUR consultation. The use of the questions is not compulsory, but pharmacists may find them useful to obtain the maximum amount of information from the patient’s perspective as is possible.

Source: psnc.org.uk
Pharmacy Resource: Questions
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Medicines Reconciliation Video

This video aims to highlight the role each sector plays in medicines reconciliation, particularly hospital pharmacy.

Source: nhsemployers.org
Pharmacy Resource: Video
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CPPE
Targeting your MURs more effectively

The aim of this useful guide is to help pharmacy teams work together to undertake effective, high quality MURs.

On completion of all aspects of this learning programme you should be able to:

  • identify and prioritise those patients in the national target groups who would benefit most from MURs
  • develop successful strategies for communicating with patients about high risk medicines
  • identify interventions that can improve medicines management for patients with respiratory disease
  • describe local arrangements for communication of post-discharge information from hospital to the community
  • implement improvements in the care of patients in the national target groups by undertaking high quality MURs
  • demonstrate that your MURs provide value for money.
Source: cppe.ac.uk
Pharmacy Resource: CE / CPD / Learning
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Guide to Better MURs
The East Lancashire Local Pharmaceutical Committee

Simple clear advice on how to complete your Medicines Use Reviews

Source: psnc.org.uk
Pharmacy Resource: Guide
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Improving Communication Between Community Pharmacy and General Practice

A joint initiative from the General Practitioners Committee of the British Medical Association and the National Pharmacy Association

The General Practitioners Committee of the British Medical Association and the National Pharmacy Association have produced this workbook to help GPs and community pharmacists manage their day-to-day interactions in such a way as to maximize efficiency and ensure a safe and effective service to patients.

Source: bma.org.uk
Pharmacy Resource: Workbook
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MUR - COPD bag stuffer

Source: psnc.org.uk/dorset-lpc
Pharmacy Resource: Bag Stuffer
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QOF 2016/17 Results

The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP surgeries in England, detailing practice achievement results.

Browse the online database to find the results for your local surgery.

Other searches will compare your local GP practice to other GP practices in the local area and the national results across England, but caution should be taken in interpreting the results, as explained below in “what this site cannot tell you”.

The online database provides easy access to comprehensive information on the pattern of common chronic diseases such as asthma, diabetes and coronary heart disease. In terms of scale, the data for QOF are collected from 7,392 GP practices with over 58 million registered patients in England.

Source: qof.hscic.gov.uk
Pharmacy Resource: Database
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Medication Review for the 10 minute consultation

This bulletin discusses the rationale for medication review, some of the resources available to support the process, and one approach to medication review using the “NO TEARS” tool.

Source: wemerec.org
Pharmacy Resource: Medicines Resource Centre Bulletin
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Welcome to the reporting site for the Yellow Card Scheme

The Yellow Card Scheme is vital in helping the MHRA monitor the safety of all healthcare products in the UK to ensure they are acceptably safe for patients and those that use them. Reports can be made for all medicines including vaccines, blood factors and immunoglobulins, herbal medicines and homeopathic remedies, and all medical devices available on the UK market.

Source: yellowcard.mhra.gov.uk
Pharmacy Resource: Online Reporting
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CPPE
High-risk medicines and MURs

The aim of this programme is to support pharmacy teams in improving their knowledge of high-risk medicines and help pharmacy professionals to identify how they can minimise adverse events and improve patient understanding. It also includes scenarios linked to the targeted high-risk medicines MUR to support your personal development and practice.

On completion of all aspects of this learning programme you should be able to:

  • define high-risk drugs and update your knowledge of them
  • determine what education and advice patients taking high-risk medication need
  • identify the signs and symptoms that would prompt a referral
  • implement actions to minimise risk to patients in your pharmacy
  • examine your professional judgement in the programme’s high-risk medicines scenarios and identify areas for self-development.
Source: cppe.ac.uk
Pharmacy Resource: CE / CPD / Learning
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National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summaries (CKS)

Welcome to the NICE CKS service which provides primary care practitioners with a readily accessible summary of the current evidence base and practical guidance on best practice in respect of over 330 common and/or significant primary care presentations.

The service is being regularly maintained and upgraded as and when significant new evidence emerges. More than 65 topics will be updated and up to 10 new topics will be added each year.

Source: cks.nice.org.uk
Pharmacy Resource: Various
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National Institute for Health and Care Excellence (NICE) Guidance

The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to improve health and social care.

Our guidance can be used by the NHS, local authorities, employers, voluntary groups and anyone else involved in delivering care or promoting wellbeing.

Source: nice.org.uk
Pharmacy Resource: Guidance
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Scottish Intercollegiate Guidelines Network (SIGN) Guidelines

The Scottish Intercollegiate Guidelines Network (SIGN) was formed in 1993. Our objective is to improve the quality of health care for patients in Scotland by reducing variation in practice and outcome, through the development and dissemination of national clinical guidelines containing recommendations for effective practice based on current evidence.

Source: sign.ac.uk
Pharmacy Resource: Guidelines
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Royal Pharmaceutical Society Guide: Medication Reviews

This guidance is for all pharmacists who monitor and review patient medicines.

Medication reviews can be conducted in different healthcare service settings such as community pharmacies, primary and secondary care, care homes, etc.

This guidance provides a basic understanding of what a medication review is and describes the aims of conducting one. It outlines factors you may need or feel appropriate to consider when providing a medication review and after completion of the review.

The guidance provides signposting information on the community pharmacy contractual services in England, Scotland and Wales.

Source: rpharms.com
Pharmacy Resource: Guide
Register to Access Content: Yes - content available to members of the RPS

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Medicines Use Reviews

Welcome to MUR training, the online resource that helps pharmacists practice their MURs. This website has been developed by practising pharmacists to help pharmacists who want ideas on how to develop their MUR skills. There are several case scenarios for you to work through, accompanied by the main MUR points and the MUR outcomes. There are also videos showing MUR snapshots.

I hope that these videos will not only provide guidance on conducting MURs, but also give you ideas on ways of delivering MURs. The MUR case scenarios are based on real life cases, but all names and details of patients and doctors are fictitious. Each case presents a scenario and list of medication, followed by the option to view the MUR main points, outcomes and completed MUR form. Some of the cases also have a video demonstrating one possible way of approaching that particular MUR.

Source: murtraining.co.uk
Pharmacy Resource: Various
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Last Checked: 15/11/17 Link Error: Report It

 

MUR Zone

The MUR Zone is your one-stop resource to get the most out of medicines use reviews, including the four target groups covered in targeted MURS, as well as being a vital reference for the scottish chronic medicines service.

Categorised by both drug and condition, the zone is an essential library, covering common therapies, key counselling points and lifestyle advice.

Source: chemistanddruggist.co.uk
Pharmacy Resource: Various
Register to Access Content: Some resources require registration (registration is FREE)

Last Checked: 15/11/17 Link Error: Report It

 

NHS Cumbria
STOPP START Toolkit supporting Medication Review

  • Introduction
  • Gastrointestinal System
  • Cardiovascular System
  • Respiratory System
  • Central Nervous System
  • Endocrine System
  • Urogenital System
  • Musculoskeletal System
  • Miscellaneous
Source: webarchive.org.uk
Pharmacy Resource: Toolkit
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Analgesia as part of Pain Management

Community Pharmacy West Yorkshire is pleased to offer training to pharmacy teams to help them to support patients taking medication for pain. Community pharmacy teams have a significant role to play in supporting patients to care for themselves and to get the best out of prescribed medication for pain. This event will help you to do that.

Source: cpwy.org
Pharmacy Resource: Handout
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MUR Tips
Fentanyl Patches — Do your patients or their carers know the right way to use them?

Below we have written some advice on how to use the patches, which could be completed as part of the advice provided in a MUR.

Source: psnc.org.uk/gloucestershire-lpc
Pharmacy Resource: Tips
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MUR Info
Bisphosphonates & Strontium

Medicine Issues/ Tips

Source: psnc.org.uk/gloucestershire-lpc
Pharmacy Resource: Tips
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Patients taking warfarin: problems revealed by medicines use reviews

Susan Youssef, a community pharmacist who has been performing medicines use reviews at Dean and Smedley pharmacy in Derby, shares some of her experiences of MURs with patients taking warfarin

Source: pharmaceutical-journal.com
Pharmacy Resource: Journal Article
Register to Access Content: Yes - content available to members of the RPS and paid subscribers

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MUR Info
Warfarin

Medicine Issues/ Tips

Source: psnc.org.uk/gloucestershire-lpc
Pharmacy Resource: Tips
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MUR Info
Statins

How to take Tips

Source: psnc.org.uk/gloucestershire-lpc
Pharmacy Resource: Tips
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Diabetes MUR+ and Diabetes Risk Assessment

The award winning Devon LPC pharmacist led diabetes support service was completed in twelve healthy living pharmacies (HLP) in Plymouth over an 8 week period as part of the Devon LPC HLP evaluation. The pharmacists received mandatory training on supporting compliance in diabetes and a comprehensive knowledge update for the disease area. The aim of service was to improve adherence to medicines through supporting the diabetes with pharmacist led educational interventions with behavioural support.

Source: devonlpc.org
Pharmacy Resource: Documents
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Last Checked: 15/11/17 Link Error: Report It

 

Diabetes patients and MURs

Source: communitypharmacyhumber.org
Pharmacy Resource: Presentation
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Key information for community pharmacists
Parkinson's UK

This booklet is for pharmacists and their teams working in the community and tells you about how you can help someone with Parkinson's to take control of their condition through effectively managing medication.

It includes information about the importance of medication in Parkinson's and the key ways you can support people with Parkinson’s in your everyday practice.

Source: parkinsons.org.uk
Pharmacy Resource: Booklet
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Last Checked: 15/11/17 Link Error: Report It

 

MUR Info
Inhaled Corticosteroids (ICS)

Medicine Issues/ Tips

Source: psnc.org.uk/gloucestershire-lpc
Pharmacy Resource: Tips
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Last Checked: 15/11/17 Link Error: Report It

 

Asthma UK / PSNC / MIMS MUR support pack 

  1. Guide to a medicines use review with a patient with asthma
  2. Asthma medicines
  3. Inhaler techniques
  4. Asthma control
Source: psnc.org.uk
Pharmacy Resource: Support Pack
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Last Checked: 15/11/17 Link Error: Report It

 

Understanding your Asthma: Ask your Pharmacist 

Asthma UK has launched a new leaflet, 'Understanding your Asthma: Ask your Pharmacist', which recognises the important role that pharmacists play in promoting self-management of asthma. The leaflet outlines the services that pharmacists can offer people with asthma, including the New Medicines Service and the Medicine Use Review. It encourages people with asthma to go to their local pharmacy for advice about their medicines, how to use their inhaler, as well as other services such as repeat prescriptions and smoking cessation.

Source: asthma.org.uk
Pharmacy Resource: Leaflet
Register to Access Content: No

Last Checked: 15/11/17 Link Error: Report It

 

Patient safety failures in asthma care: the scale of unsafe prescribing in the UK 

Last year’s National Review of Asthma Deaths highlighted prescribing errors in nearly half of asthma deaths in primary care (47%). Asthma UK has subsequently analysed data from over 500 UK GP practices which shows these prescribing errors were just the tip of the iceberg.

Our analysis reveals there is evidence that over 22,000 people with asthma in the UK, including 2,000 children, have been prescribed medicines (long-acting reliever inhalers) in a way that is so unsafe they have a ‘black box warning’ in the USA due to the risk they pose to the lives of people with asthma. Our report also indicates that almost 100,000 people with asthma have been prescribed too many short-acting reliever inhalers (more than 12 in a year) without national clinical guidelines being followed, leaving them at risk of life threatening asthma attacks.

Source: asthma.org.uk
Pharmacy Resource: Report
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Last Checked: 15/11/17 Link Error: Report It

 

Patients with asthma: problems revealed by medicines use reviews

Locum pharmacist Perry Melnick has been conducting medicines use reviews since May 2005. This year, with the help of pharmacy manager Lee Doherty, he has already performed over 300 at Manor Pharmacy, his regular locum spot in Letchworth. In this article, he shares some of his experiences of MURs for patients who have asthma

Source: pharmaceutical-journal.com
Pharmacy Resource: Journal Article
Register to Access Content: Yes - content available to members of the RPS and paid subscribers

Last Checked: 15/11/17 Link Error: Report It

 

High-dose inhaled corticosteroids in asthma

High-dose inhaled corticosteroids key review questions to assist with mur

Source: psnc.org.uk/gloucestershire-lpc
Pharmacy Resource: Tips
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Last Checked: 15/11/17 Link Error: Report It

 

Chronic Obstructive Pulmonary Disease (COPD) Consultation Toolkit
Devon LPC

This ‘COPD Pharmacist Consultation Toolkit’ is designed to help improve the confidence of the community pharmacist to provide high quality consultations for patients using medicines for COPD: COPD patient pharmacist consultations can help to:

  • establish the patient’s actual use, understanding and experience of taking medicines;
  • identify, discuss and assist in the resolution of poor or ineffective use of medicines by the patient;
  • identify side effects and drug interactions that may affect the patient’s compliance with instructions given to them by a health care professional for the taking of medicines; and
  • improve clinical and cost effectiveness of medicines prescribed to patients.
Source: devonlpc.org
Pharmacy Resource: Toolkit
Register to Access Content: No

Last Checked: 15/11/17 Link Error: Report It

 

Psoriasis MUR Toolkit
Devon LPC

The LPC has prepared a downloadable toolkit to help pharmacists to deliver effective MURs to patients with psoriasis.

  • A full briefing on the condition and its treatment and management to help pharmacists improve their knowledge and understanding;
  • A consultation guide including key questions and prompts for pharmacists carrying out the MURs;
  • A record form to be completed during the MUR and given to the patient; and
  • Ideas on lifestyle advice pharmacists could also give patients and places they could be signposted to for more information.
Source: devonlpc.org
Pharmacy Resource: Toolkit
Register to Access Content: No

Last Checked: 15/11/17 Link Error: Report It

 

The Medicines Use Review: patient satisfaction survey

The Medicines Use Review (MUR) is a community pharmacy service funded by the NHS to improve patients’ adherence to medication and/or reduce medicines waste. However, patients’ satisfaction with MURs was until now untested.

Source: reading.ac.uk
Pharmacy Resource: Key Findings
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Last Checked: 15/11/17 Link Error: Report It

 

PSNC Briefing 038/17: A summary of literature relating to Medicines Use Reviews

This PSNC Briefing provides a summary of the key literature on the Medicines Use Review (MUR) service identified by PSNC. This work was undertaken to support PSNC’s development of community pharmacy medicines optimisation services, but it is being published as it may be of interest or use to Local Pharmaceutical Committees (LPC) and pharmacy contractors.

Source: psnc.org.uk
Pharmacy Resource: Briefing
Register to Access Content: No

Last Checked: 15/11/17 Link Error: Report It

 

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