NMS

Question 1

What type of service in NMS and why was it originally implemented?

Answer 1

Advanced service - attempt to tackle adherence issues

Question 2

Give examples for conditions covered in NMS

Answer 2

Asthma
COPD
T2DM
HPT
AF

Question 3

List the 4 aims of NMS

Answer 3

1. Improve adherence
2. Reduce waste
3. Enhance pharmacists role
4. Promote self management

Question 4

Briefly describe each of the contractor requirements for NMS.

Answer 4

• Meet all essential services and acceptable system of clinical governance.
• Have SOPs in place for NMS
• Notify local GP practices that they are providing the service
• Have a consultation room
• Inform NHS England and NHS improvement team if above are met.

Question 5

What are the pharmacist requirements for NMS?

Answer 5

Complete a self assessment/declaration that they understand and consider the background, aims, how to run, consultation skills and necessary communication.

Question 6

What is Stage 1 of the NMS process?

Answer 6

Day 0 - Patient Engagement
- Pt referred by prescriber
- Initial advice given
- Consent and follow up arranged

Question 7

What is Stage 2 of the NMS process?

Answer 7

Day 7-14 - Intervention
- FtF/ telephone interview to see how patient is managing
- Adherent
- Non-adherent - give advice & support
- Arrange follow-up

Question 8

What is Stage 3 of the NMS process?

Answer 8

After 14 days
- 2 outcome adherent/ non-adherent
- If non-adherent refer to GP for more advice & support

Question 9

How long should any records be kept more?

Answer 9

2 years from date after completion of service

Question 10

What must be provided to the NHSBSA?

Answer 10

Summary of numbers on quarterly basis

Question 11

What is the payment to CP for each service?

Answer 11

£20-28

Question 12

When is NMS considered complete?

Answer 12

Stage 2 - problem identified and referred to GP
Stage 3
- Tried to contact patient but failed to answer
- Meds discontinued by GP
- Adherent and no issues
- Problem identified and referred to GP