Advanced Services

MEDICINE USE REVIEW

http://www.coventrylpc.co.uk/wp-content/uploads/2015/11/AdobeStock_92913846_MUR.jpeg

Service Specification


Download Service Specification

Forms



Supporting Documents



Accreditation & Learning



68% of patients felt they had learnt more about their medicines following an MUR, 58% felt they knew more about side effects and 83% thought the MUR improved their compliance.¹

The Medicines Use Review (MUR) and Prescription Intervention Service introduced in 2005 consists of accredited pharmacists undertaking structured adherence-centred reviews with patients on multiple medicines, particularly those receiving medicines for long-term conditions. National target groups are specified to focus the service towards patients of greatest need.

The MUR is usually conducted face to face in the pharmacy and allows an opportunity for the pharmacist to discuss the patient’s prescribed and non-prescribed medicines to increase their knowledge and understanding. It is a chance for any issues with taking the medicines, missing doses, side effects or patient concerns to be raised. The patient is given advice on medicines taking and with the patient’s permission any clinical issues are referred to their GPs.


Additional support and commonly asked questions.

  • I have just been accredited to provide MURs, but I am still waiting for my certificate to arrive, can I start performing MURs?
  • I am a locum pharmacist working in different local NHS England teams; do I have to notify each team before providing an MUR?
  • How do I let my local NHS England team know that I am starting to provide MURs?
  • What are the national target groups?
  • Can children have an MUR?
  • More Frequently Asked Questions
I have just been accredited to provide MURs, but I am still waiting for my certificate to arrive, can I start performing MURs?

No. A condition of the Directions is that the pharmacist has an MUR certificate and that a copy of the certificate is supplied to NHS England prior to providing the service.

I am a locum pharmacist working in different local NHS England teams; do I have to notify each team before providing an MUR?

The community pharmacy contractor has the responsibility to provide the local NHS England team with a copy of the MUR certificate of all pharmacists providing the MUR service in the pharmacy before each pharmacist can undertake MUR consultations. However, a local NHS England team may accept a copy of the MUR certificate from locum pharmacists, who may work in several different pharmacies, but there is no obligation on the local NHS England team to do so.  Because the contractor has the obligation to notify NHS England and produce a copy of the MUR certificate, many contractors may prefer to submit the copy certificate themselves, to avoid NHS England later finding the contractor in breach.

How do I let my local NHS England team know that I am starting to provide MURs?

Once both the pharmacy premises meet the requirements for MURs and the pharmacist has become accredited by a Higher Education Institution (HEI) to provide the service (by successfully completing an assessment, based on the nationally agreed competency framework), the contractor needs to notify their local NHS England team using the PREM1 form.

What are the national target groups?

The national target groups are:

  • patients taking high risk medicines;
  • patients recently discharged from hospital who had changes made to their medicines while they were in hospital. Ideally patients discharged from hospital will receive an MUR within four weeks of discharge but in certain circumstances the MUR can take place within eight weeks of discharge;
  • patients with respiratory disease; and
  • patients at risk of or diagnosed with cardiovascular disease and regularly being prescribed at least four medicines.

From 1st April 2015 community pharmacies must carry out at least 70% of their MURs within any given financial year on patients in one or more of the above target groups.

Can children have an MUR?

The MUR needs to be conducted with the patient in order to comply with the Directions. An MUR could be conducted with a patient who is a child if they are competent (i.e. they have the capacity to give informed consent) and are able to fully engage in the discussion with the pharmacist. Under the current regulatory framework it is not appropriate to conduct an MUR for the parent, carer or guardian of a person who is not competent. Were an MUR to be conducted with a competent child, the pharmacist should be aware of the local Safeguarding (child protection) policy and guidelines and should know where to refer any young person who they are concerned about.

More Frequently Asked Questions

coventry-lpc-logo-white_16

Providing information for Community Pharmacies about the work of the Local Pharmaceutical Committee and of the Community Pharmacy Services commissioned within Coventry

pharmacy-logo

Copyright by Coventry LPC. All rights reserved.

Thanks!

Opening times

Click the link below to view pharmacy opening times over the bank holiday period, including Christmas & New Year 2016/17

Bank holiday opening times

Thank you! You've now joined our newsletter, you should receive a confirmation in the next few minutes. You can unsubscribe at any time by clicking the unsubscribe link from any of our emails.

Join our newsletter

Enter your email address in the box below to be kept up to date on everything that's going on with the Coventry LPC.

If at any time in the future you wish to leave just hit the 'unsubscribe' link in the email.