MEP/Pharmacy Services Misc Flashcards
What is an MUR? Why is it carried out?
- Medicines use review: Essential service
- Undertaken by the pharmacist to help patients manage their medicines are effectively, their understanding their meds, how to use them and when needed giving feedback to their prescriber.
What is a prescription intervention?
An MUR triggered by a significant adherence problem which is noticed during the dispensing of a prescription.
when should an MUR not be undertaken?
- when a patient has has the NMS within the previous 6 months.
- To children and those with mental disabilities.
at least what % of MURS should community pharmacy contractors carry within any financial year?
70%
How many target groups are their for MURs?
4
Describe the high risk medicines MUR target group
- patient is taking at least one med and is listed from this list:
1. Diuretics
2. Anticoagulants (inclu LMWHs)
3. Antiplatelets
4. NSAIDs
Describe the respiratory MUR target group
- patient is taking 2 or more meds
- one of the patient’s meds is listed from here:
1. adrenoceptor agonist
2. antimuscarinic bronchodilators
3. Theophylline
4. compound bronchodilator preps
5. LTRA, cromoglicate
Describe the post discharge MUR target group
- patient is taking 2 pr more meds:
- patients has been discharged from hospital within the previous 8 weeks AND has had med changes while in hospital.
- this MUR SHOULD be done within 4 weeks of discharge.
Describe the CV risk MUR target group
- patient is taking 4 or more meds:
- at least one of their meds should be from:
1. CVD system chapter
2. Antidiabetic drugs
3. Thyroid and anti- thyroid drugs
What requirements should the consultation room meet to comply to the MUR requirements?
- area should be where both the pharmacist and patient can sit down together.
- the patient and pharmacist should be able to talk at normal speaking level without being overheard by other people.
- the area should be clearly designated as an area for confidential consultations, distinct from the general public areas.
What is an NMS?
- New medicine service
- Aims to provide support to patients with long term conditions who have been prescribed a new med to improve adherence.
who is eligible for the NMS?
patient needs to be prescribed a new med to manage on of these long term conditions:
- ASTHMA & COPD
- T2DM
- HTN
- ANTIPLATELET/ANTICOAGULANT THERAPY
What are the 3 stages of the NMS service?
- Patient engagement
- intervention
- follow-up
what does confidential information include?
electronic or hard copy data, personal details, info about a patient’s medication, other info about a patient’s med HX, treatment and care that could identify them.
what does confidential info NOT include?
anonymous info, coded info, info that is already legitimately in the public domain.
what does the Home Office advise on the destruction of CDs?
all CDs in sch 2-4 part 1 should be denatured and rendered irretrievable before disposal.
what CD in the pharmacy must the destruction be witness?
expired pharmacy stock of sch 2 CD
for Sch 3 CD, is it a LR or GP for their denaturing to be witnessed by another member of staff?
Good practice (GP)
does patient returned CDs need to be witnessed?
No, but GP
For pharmacy stock (expired) SCH 2 CDs that have been destroyed, where do we keep the records?
CD register, The CD balance should be updated accordingly
For patient returned CDs that have been destroyed, where do we keep the records?
separate patient returns CD register.
what records for what CD sch are recorded in prisons?
the use of sch 3 CD and any destruction should be recorded in the CD register
what is clinical governance?
looks at the recognition and maintenance of good practice, learning from mistakes and improving the quality of services
What processes are included in clinical governance?
- audit
- clinical effectiveness
- CPD
- involving people that use their services
- staff management
- risk management
- GDPR and data protection
As a community pharmacist with an NHS contract, how many audits are required per year?
2
what records have to be submitted for the GPhC revalidation process?
4 CPD records
1 reflective account
1 Peer discussion
what happens if you cannot submit some/all of the records with good reason?
- this includes mat leave, sick leave, breaks from practice etc.
- can still renew registration, contact GPhC asap.
- if any time gaps- should not be more than 12 months.
- an extension to submit records might be given
what happens if you don’t submit some/all of the GPhC records and have not told them?
pharmacist enters the ‘remediation process’
- get another chance to submit records.
- if still not submitted records ‘administrative removal’ process will start.
What are the Essential services that all community pharmacies offer?
7 services:
- dispensing Medicines and appliances
- repeat dispensing
- clinical governance
- Public health (promotion of healthy lifestyles)
- Disposal of unwanted medicines
- signposting
- support for self care
What are the Advanced services in community pharmacies?
- Flu vaccines
- MUR
- NMS
- appliance use reviews (AUR)
- stoma appliance customisation
- NHS urgent medicine supply advanced service (NUMSAS)
Do community pharmacies have to do all advanced services?
No, community pharmacies can choose any as long as they meet the requirements set out in the Secretary of State directions
What are the enhanced services that community pharmacies can officer?
Examples include:
- chlamydia screening and treatment
- care home or domicillary care
- EHC
- NHS health check
- needs and syringe programme
- minor ailments service
- stop smoking service
What is medicines optimisation?
Patient focused approach to gaining the most benefit from their investment in and use of medicines.
Ensures the right patient gets the right choice of medicines at the right time and focuses on outcomes and patients.
What is the purpose of medicines optimisation in helping patients?
- Improve their outcome
- take their medicines correctly
- avoid taking unnecessary medicines
- reduce wastage of medicines
- improve medicines safety
Overall, encouraging patients to take ownership of their treatment.
