MURs

Question 1

What is an MUR?

Answer 1

A structured, adherence centred review with patients on multiple medicines

Question 2

Aims of MUR

Answer 2

Improve patients understanding of their medicines
Highlight problematic side effects and propose appropriate solutions
Improve adherence
Reduce medicine wastage

Question 3

Training for MUR

Answer 3

Only accredited pharmacists can conduct MURs and have to be registered with the PCO before they can be paid

Question 4

Eligibility

Answer 4

2+ medication, receiving medication at pharmacy for previous 3 months, only one MUR per 12 months

Question 5

English target groups

Answer 5

High risk drugs (NSAIDs, diuretics, anticoagulants, anti-platelets), respiratory disease, recently discharged from hospital, cardiovascular disease (4+ meds)

Question 6

Welsh target groups

Answer 6

High risk drugs, anti-hypertensives, respiratory medicines (asthma/COPD), patient taking meds no longer required e.g. waste

Question 7

Consultation area

Answer 7

Must take place in consultation room, must be clearly signed as consultation area, patient and pharmacist can sit down together, can talk at normal conversation volume without being overheard

Question 8

Examples of discussion topics

Answer 8

What the patient thinks each medicine is for
How compliant they are
Side effects
Identifying unwanted medicines
Lifestyle- smoking/alcohol etc.
Problems using appliances e.g. inhalers, child resistant closures

Question 9

Payment for MURs

Answer 9

Wales- Form PS/AS/1 submitted to the BSC
England: FP34C
Fee of £28 per MUR

Question 10

Paperwork

Answer 10

Need to get written consent form the patient that they agree to information obtained during MUR to be shared with: their GP, the CCG/LHB to allow them to make sure the service is being provided, NHS business services authority to make sure pharmacy is being paid correctly