Advanced Services

MEDICINE USE REVIEW

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AF MUR Template

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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.

22nd July 2019 announcement: MURs to be phased out:
In 2019/20 contractors can deliver a total of 250 MURs and in 2020/21 this will reduce to 100, with the service being decommissioned at the end of that year. All contractors can provide 250 MURs in total throughout 2019/20, but no more than 200 in the first half of the year.

Further information is available on the following LINK.

FAQs can be found HERE.

1st October 2019 update:
New targeting requirements apply to MURs conducted from 1st October 2019; these changes were agreed as part of the 5-year Community Pharmacy Contractual Framework agreement.

Seventy per cent of MURs conducted from 1st October 2019 to 31st March 2020 must be within the following two target groups:

  • patients taking high-risk medicines; or
  • patients recently discharged from hospital who had changes made to their medicines while they were in hospital.

From 1st October 2019, patients with respiratory disease and patients at risk of or diagnosed with cardiovascular disease and regularly being prescribed at least four medicines are no longer target groups for MURs.

Source: PSNC 

 


Additional support and commonly asked questions.

  • How many MURs can I conduct in 2019/2020 and 2020/2021?
  • What are the new national target groups for MUR?
  • I am a locum pharmacist working in different local NHS England teams; do I have to notify each team before providing an MUR?
  • Can children have an MUR?
  • More Frequently Asked Questions
How many MURs can I conduct in 2019/2020 and 2020/2021?

In 2019/20 contractors can deliver a total of 250 MURs and in 2020/21 this will reduce to 100, with the service being decommissioned at the end of that year.

https://psnc.org.uk/our-news/medicines-use-reviews-frequently-asked-questions/

What are the new national target groups for MUR?

New targeting requirements apply to MURs conducted from 1st October 2019; these changes were agreed as part of the 5-year Community Pharmacy Contractual Framework agreement.

Seventy per cent of MURs conducted from 1st October 2019 to 31st March 2020 must be within the following two target groups:

  • patients taking high-risk medicines; or
  • patients recently discharged from hospital who had changes made to their medicines while they were in hospital.

From 1st October 2019, patients with respiratory disease and patients at risk of or diagnosed with cardiovascular disease and regularly being prescribed at least four medicines are no longer target groups for MURs.

https://psnc.org.uk/services-commissioning/advanced-services/murs/national-target-groups-for-murs/

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.

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

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