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The New Medicine Service (NMS)

The Role of Community Pharmacists The New Medicine Service and Inhaler Technique Wale Abimbola, Pharmacist. The New Medicine Service (NMS). Community pharmacy Advanced Service Provides support for patients who have been started on a new medicine

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The New Medicine Service (NMS)

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  1. The Role of Community PharmacistsThe New Medicine Serviceand Inhaler TechniqueWale Abimbola, Pharmacist

  2. The New Medicine Service (NMS) • Community pharmacy Advanced Service • Provides support for patients who have been started on a new medicine • Pharmacist reminds the patient what the medicine is for, why it is important, how it should be used etc • Pharmacist reinforces the messages that have been given by the GP/practice nurse • Patient can ask further questions • Improves medicine adherence • Delivers better outcomes Carried out in a private consultation room

  3. Eligibility for the NMS • New medicine for the management of a LTC • COPD and asthma are included: • Adrenoceptor agonist • Antimuscarinicbrochodilators • Compound bronchodilator preparations • Corticosteroids • Theophylline • Cromoglicate& related therapy, leukotriene receptor antagonist, phosphodiesterase type-4 inhibitors

  4. The COPD Guideline and the NMS The COPD guideline Review patient and ensure correct inhaled therapy option, in line with the GOLD grade Switch non-formulary inhalers to formulary inhalers Device/medication change Teach/check correct inhaler technique Refer to community pharmacist for the NMS and ongoing support Re-check correct inhaler technique

  5. The NMS process Patient prescribed new inhaler for COPD Referred by GP or practice nurse to community pharmacist OR Identified by community pharmacist as having a new inhaler The NMS Patient engagement Intervention Follow up • Assess the patient’s adherence • Identify problems • Determine need for further information and support Initial advice about the medicine and its use

  6. Inhaler technique • Inhaled medications are the cornerstone of COPD management • Good inhaler technique is essential • Evidence suggests that many patients are unable to use their inhalers effectively • lowers drug deposition to the lungs • wastes medication • poor disease control & reduced QOL • increased emergency hospital admissions and higher treatment costs

  7. Inhaler technique (2) Guideline Placebo inhaler devices Patient information leaflets Inhaler technique videos https://www.westsuffolkccg.nhs.uk/test-page/

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