Pharmacist and Medication Reviews Flashcards
What is CPCF?
The CPCF is the community pharmacy contractual framework. The aim of the framework is to expand the role of community pharmacies as part of the NHS Long term plan.
What are the three levels of service?
Local services – address the needs of a population within specific regions. Aka STI services near universities
Essential services – receiving medication and questioning patients on how they are doing with their medication
Advanced services – Extra services that can be acquired once accreditation requirements have been obtained. For example, blood pressure monitoring
What is the New Medicine Service (NMS)? And what is the benefit?
to support patients on newly prescribed medicines by explaining exactly how their medication is going to help support their treatment. This saves the GP time and money and also helps the patient to maximise the benefits
What is the criteria for NMS?
Common health conditions are all available for NMS. This includes diabetes, hypertension, glaucoma, asthma and COPD, osteoporosis.
What are the stages of NMS specification? Explain each stage.
There are three stages to the NMS services. This includes stage 1: patient engagement – where the patient gives consent to the NMS service, discuss what their medication is for and the dispensing process (how they will take the drug for 7-14 days and then come back for an intervention)
Stage 2: intervention stage – after 7-14 days after using the medication the patient will discuss how they are getting on with their medication and any side effects
Stage 3: Follow up stage – carried out 14 – 21 days after stage 2 to see if patient is still taking their medication, how they are getting on with their medication and if their side effects are manageable
What is the MUR service?
The medicine use review service was a structured review carried out by pharmacists and provided to the prescriber as feedback. It was used to support patients use of their medication but was decommissioned in 2020/2021
What is the discharge medicine service? And what is the benefit of the service?
Part of the essential services in the CPCF. It is for patients who have been discharged from hospital to understand their medication and how to take them. It is also to reduce hospital readmission.
What are the stages of a discharge referral by a pharmacy. Explain each process.
Stage 1: The NHS trust sends a referral form to the pharmacy following patient’s consent.
Stage 2: the pharmacy receives the first prescription following discharge and confirm all the clinical checks are appropriate
Stage 3: check patient’s understanding of their medicines regimen
Explain the medicine review process in hospital.
Admission: drug history of the patient with 3 references, medicines reconciliation – confirming if the patient’s drug history is in line with what she is being given in hospital and discussing any concerns/discrepancies
During: TDM and the need to stop or start any new medication whilst in hospital
Discharge: discharge planning will consider what sort of care the patient will require after discharge, if the patient can self-administer their medication and will adhere to taking their medication and any monitoring required post discharge that the patient needs to be aware of.
How many reference sources do you need for a patient? What kind of source?
3 but most places just use two, GP, Hospital, pharmacy
What is TDM?
Therapeutic drug monitoring – drugs with a narrow therapeutic window
What is SMR? what is the benefit of this?
Structured medication review is a review of the patient’s medication if the drug puts the patient at risk of medicine related problems. Stopping over-prescribing of specific medication and reducing the risk of adverse drug reactions are the aims
Explain what the summary care record is used for?
Emergency supply
