New medicines service

Question 1

List the types of services under the NHS

Answer 1

Enhanced
Advanced
Essential

Question 2

Which services are National and which are local

Answer 2

National: Essential and advanced
Local: Enhanced

Question 3

What are the aims of the NMS

Answer 3

Improve adherence 
Increase patient engagement
Support patient decision making 
Reduce medicine wastage  
Reduce hospital admissions due to ADR
Support the development of outcome for community pharmacy

Question 4

When providing service what need to be in place

Answer 4

SOPs which are signed off by the pharmacist

Question 4

When providing service what need to be in place

Answer 4

SOPs which are signed off by the pharmacist

Question 5

What are the engagment steps that must be taken

Answer 5

Obtainig consent (orally allowed) and record of consent should be made

Provide information to the patient

schedule and interview

Question 6

Which conditions are covered/ class of medications are covered under the NMS

Answer 6

• Newly prescribed Hypertension meds
• Antiplatelet or anticoagulant
• Asthma or COPD
• Type 2 diabetes

Question 7

Which drugs are under the anti-hypertensive

Answer 7

Thiazide (-like )
Beta-adrenoceptor blocked
Vasodilators 
Alpha blocking
RAAS
Calcium channel blocker

Question 8

Which medications are under the class for asthma or COPD

Answer 8

• Adrenoceptor agonist
• Antimuscarinic bronchodilators
• Theophylline
• compound bronchodilators
• Corticosteroids
• Phosphodiester type 4 inhibitors/Leukotriene antagonists

Question 9

Which medications are under the class for Type 2 diabetes

Answer 9

Short acting insulin
Intermediate and long acting insulin
Anti-diabetic drugs

Question 10

What are the eligibility criteria for the NMS

Answer 10

All NHS prescription that are on the list
Not necessary for patient to be using your pharmacy
Delivered directly to the patient
Children?
Carer?
Can be conducted on the phone
No limit on NMS/year

Question 11

What issued should be addressed during the intervention stage and what types of questions should be asked

Answer 11

Side effects that can stop patient from taking medication

How well they are getting on with the medicine

If they think its working

Ask open question

Question 12

What should be looked at during the follow up phase

Answer 12

If side effects had subsided
Problems or concerns
Any missing doses

Question 13

What NMS data is required

Answer 13

Intervention Worksheet
Follow Up Worksheet
Record Keeping + reporting requirements