MURs and Repeat Dispensing nearly three years on

1
MURs and Repeat Dispensingnearly three years on
2
A vision for pharmacy in the new NHS (2003)
Community Pharmacy

• An integral part of the NHS
• Planning and delivering local services
• Support self-care
• Respond to diverse needs of patients
  communities
• Source of innovation in delivery of services
• Help deliver aspirations in NSFs
• Help tackle health inequalities

3
Community Pharmacy Contractual Framework (2005)

• Essential services
• Dispensing, including repeat dispensing and use
  of EPS
• Disposal of unwanted medicines
• Promotion of healthy lifestyles
• Prescription linked interventions
• Public health campaigns
• Signposting
• Support for selfcare
• Clinical Governance
• Patient satisfaction survey
• Practice leaflet
• Advanced services
• MUR and prescription intervention service

4
Our NHS, Our FutureNHS Next Stage
ReviewInterim Report, October 2007

• creation of a world class NHS that prevents ill
  health, saves lives and improves the quality of
  peoples lives.

5
A World Class NHSThe vision

• An NHS that is
• Fair, personal, effective and safe
• Locally accountable

6
A World Class NHSThe vision Effective

• Long term conditions 15m people
• 55 GP appointments
• 68 outpatient AE attendances
• 77 inpatient bed days
• Effective prevention and treatment

7
Cumulative number of MURs
8
Number of MURs per month
9
(No Transcript)
10
MURs

• As relevant today as they were in 2005
• Maximising the benefits patients get from their
  medication
• Reducing waste
• Making better use of pharmacists skills
• Nationally took account of feedback
• Revised the form (available December 2007)
• Revised arrangements for feedback to GPs.
• Is it working well for every one patients,
  prescribers, pharmacists the NHS?
• What has been done where it is working well for
  all?
• What else needs to be done to ensure
• Appropriate outputs/VFM?
• Wider support/clinical engagement?

11
(No Transcript)
12
Repeat Dispensing

• As relevant today as in 2005
• Maximising the benefits patients get from their
  medication
• Reducing waste
• Making better use of pharmacists skills
• Release 2 EPS simplifies repeat dispensing for
  prescribers
• No printing of numerous batch issues
• Prescriber able to cancel repeat prescription
• Still have to select/recruit patients
• Disappointing national figures but there are
  areas where of RD is significant
• What has been done where it is working well?
• What can be done to encourage uptake whether
  paper/electronic prescriptions being used.