NMS delivery

On the 13th May 2015 the LPC held an MUR and NMS event. The event was attended by over 40 people and was focused on how to increase drive and delivery of quality MUR and NMS outcomes.

The presentations from the MUR and NMS event can be accessed below:-

Those in attendance were asked to identify potential barriers to the advanced services and solutions to these challenges. The following areas were identified:

Time available: Both the patients time and the pharmacist time
Capability and availability of support staff (technicians, accuracy checking technicians, health care assistants)
Lack of staff engagement
Value and outcomes of the MUR and NMS service
Consultation room is uninviting for the patient to enter
Representatives collecting prescription or housebound patients
 Lack of knowledge on the patients behalf of the difference between a doctors clinical medical review and the pharmacist’s medicine adherence centered review
Lack of understanding of the pharmacy team on consultation styles and skills
 Consent form- Patient may fear the repercussions of information being passed on to GPs and other health professionals.
 Patients perception of the pharmacist and the MUR service
 Low prescription volume which usually coincides with low MUR uptake
 Patients fail to attend NMS or MUR appointments made


Second Pharmacist appointed (Financial viability must be assessed and it may be a second pharmacist/locum pharmacist is appointed on a part time basis)
Staff training and upskilling the staff to sell the service and educate patients.
Use staff to perform service administrative task.
Effective consultation skills
Create a well-equipped attractive environment for the consultation room.
GP meetings/local practice forums-enhance trust between GP/patient and pharmacist and raise awareness of the advanced services.
Having an appointment diary for MUR and NMS and ensure this is checked on a regular basis for cancellations or rescheduling appointments.
Set realistic and achievable targets for the advanced services to motivate the team.
Make an application to the area team to perform an MUR off premises or by telephone for housebound patients.
Forming relationships and rapport with patients
Adopt a patient centered approach to the service. Tell the patient that can I tell you a few things to support you taking your new medicine. Make the service about the patient.