Implementing MUR Audit

1
Implementing MUR Audit

• Sally Greensmith
• Community Pharmacy Development Lead
• (formerly lead for the Community Pharmacy
  Framework Collaborative, National prescribing
  Centre)

2
From this morning, the important issues for

• Patients
• Pharmacist has more time
• Someone cares
• But .does it need to be more than this?
• PCTs
• Cost savings
• Commissioners foremost
• Development and nurturing diminishing
• Value for money
• Guidance for pharmacists

3
The important issues for

• GPs
• What is MUR?
• Reducing risk
• Decrease in medicines management workload
• Identifying systematic errors
• Working with pharmacists?
• Pharmacists
• Job satisfaction
• Financial incentive
• Pharmacists perceptions of need may be different
  to GPs
• Seeing patients that GPs arent

4
Ideas for audit

• National baseline audit
• RPSGB developing audit tool
• Keep it simple
• Recruit support from stakeholders
• Random selection of PCTs
• One week
• Use results to develop local tools

5
Ideas for audit - 2

• Use MUR paperwork
• To collect data
• How was patient selected?
• Completed correctly
• Grade the issues and recommendations
• Adherence to any local guidance

6
Ideas for audit - 3

• Patient questionnaire
• GP follow up
• General questionnaire / interviews
• Newham PCT
• Tally sheet to record outcomes from received MUR
  paperwork

7
Questions to consider

• What tools do your PCTs already have?
• Multi disciplinary audits
• Monitoring visits
• Feedback from patients and GPs
• What else is needed?
• How can we do this without burdening community
  pharmacists, GPs and patients?
• Funding