TARGETED MURS. BY AMIT PATEL. WHAT IS A TARGETED MUR (tMUR)?. Is one of the changes to the Community Pharmacy Contract that will be introduced from 1 st October 2011. It is NOT a new service – simply a change to the existing service.
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Is one of the changes to the Community Pharmacy Contract that will be introduced from 1st October 2011.
It is NOT a new service – simply a change to the existing service.
50% of MURs to be delivered should be with pts from one of the 3 national target groups: pts with Respiratory disease; pts taking a high risk medicine (anticoagulants, antiplatelets, diuretics and NSAIDs); and pts recently discharged from hospital who have had changes made to their medicines while in hospital.
HOW MANY MEDICINES DO PTS NEED TO BE TAKING TO HAVE AN MUR?
More than one - except if the patient is prescribed a ‘high risk’ medicine. With the exception of prescription intervention MURs, the patient must have had their medicines dispensed at the pharmacy for the past 3 months.
IF I UNDERTAKE AN MUR WITH A PT IN ONE OF THE NATIONAL TARGET GROUPS, DO I NEED TO REVIEW ALL THEIR MEDICINES?
Yes, all the medicines that the pt is taking should be reviewed, NOT just the medicine related to the target area.
IF A PT IS ELIGIBLE FOR A POST-DISCHARGE MUR BUT HAS ALSO BEEN STARTED ON A NEW MEDICINE, SHOULD I UNDERTAKE AN MUR OR RECRUIT THE PT TO THE NEW MEDICINE SERVICE?
Pts may NOT access both services at the same time. If you have a pt who is eligible for both services, the pharmacist will need to use the information and make a professional judgement about which service would benefit the pt most.
If the pt has come in for a targeted MUR and then 3-4 weeks later comes in with a Px for a ‘new’ medicine, then the pharmacist can perform a NMS consultation.