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Flashcards in MURs Deck (10)
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1
Q

What is an MUR?

A

A structured, adherence centred review with patients on multiple medicines

2
Q

Aims of MUR

A

Improve patients understanding of their medicines
Highlight problematic side effects and propose appropriate solutions
Improve adherence
Reduce medicine wastage

3
Q

Training for MUR

A

Only accredited pharmacists can conduct MURs and have to be registered with the PCO before they can be paid

4
Q

Eligibility

A

2+ medication, receiving medication at pharmacy for previous 3 months, only one MUR per 12 months

5
Q

English target groups

A

High risk drugs (NSAIDs, diuretics, anticoagulants, anti-platelets), respiratory disease, recently discharged from hospital, cardiovascular disease (4+ meds)

6
Q

Welsh target groups

A

High risk drugs, anti-hypertensives, respiratory medicines (asthma/COPD), patient taking meds no longer required e.g. waste

7
Q

Consultation area

A

Must take place in consultation room, must be clearly signed as consultation area, patient and pharmacist can sit down together, can talk at normal conversation volume without being overheard

8
Q

Examples of discussion topics

A

What the patient thinks each medicine is for
How compliant they are
Side effects
Identifying unwanted medicines
Lifestyle- smoking/alcohol etc.
Problems using appliances e.g. inhalers, child resistant closures

9
Q

Payment for MURs

A

Wales- Form PS/AS/1 submitted to the BSC
England: FP34C
Fee of £28 per MUR

10
Q

Paperwork

A

Need to get written consent form the patient that they agree to information obtained during MUR to be shared with: their GP, the CCG/LHB to allow them to make sure the service is being provided, NHS business services authority to make sure pharmacy is being paid correctly