Requirements - North East London Local Pharmaceutical Committee

PHARMACY CONTRACTOR ADVANCED SERVICES REQUIREMENTS PREMISES SELF-CERTIFICATION FORM

Self-certification form which is to be submitted to the PCT by a pharmacy contractor prior to provision of the Advanced service (Medicines Use Review/Prescription Intervention Service).

Name of Primary Care Trust   _________________________________________________   

Name of pharmacy contractor    _________________________________________________   

Address of premises to which this form applies    ______________________________      

__________________________________________________________________________   

Address for correspondence (if different)    ____________________________________   

__________________________________________________________________________   

I / we confirm that the pharmacy is complying with the Terms of Service relating to the provision of Essential Services, and has an acceptable system of clinical governance, and undertake to provide the Advanced Service (Medicines Use Review/Prescription Intervention Service) from the above premises from      /   /   . (insert date)

I / we further confirm that if the Primary Care Trust notifies me of the categories of patient who would benefit from the MUR service, I / we shall have regard to that information when determining to whom the MUR service will be offered.

I / We confirm that the premises contain a consultation area which meets the following requirements:

  Tick
1.   The consultation area is a designated area where both the patient and pharmacist can sit down together.   
2.   The patient and pharmacist are able to talk at normal speaking volumes without being overheard by other visitors to the pharmacy, or by pharmacy staff undertaking their normal duties.   
3.   The consultation area is clearly designated as an area for confidential consultations, distinct from the general public areas of the pharmacy.   

Signed _______________________________________   Date _______________   

  Tick
4.   I enclose a copy of a MUR certificate1 for each pharmacist who will be providing Advanced services from the above premises   
5.   I have previously sent the PCT a copy of a MUR certificate for each pharmacist who will be providing Advanced services from the above premises  


Contact for queries relating to this form      Telephone number   
              
1. 'MUR certificate' means a certificate awarded or endorsed by a higher education institute being evidence that a pharmacist has satisfactorily completed an assessment relating to the competency framework for pharmacists providing Advanced services approved by the Secretary of State. The document 'Competency Framework for the Assessment of Pharmacists Providing the Medicines Use Review (MUR) and Prescription Intervention Service' dated 23rd December 2004 is published by the Department of Health on its website www.dh.gov.uk/mpi.

What are the requirements to conduct an MUR?

1.   Must be MUR accredited. This can be obtained in a couple of ways, CPPE host an on-line assessment. There is no real guidance or training before the test is undertaken, its simply a matter of having a go and re-doing what you don't pass. Most people take 3 or 4 attempts according to CPPE. There are also courses which you can pay to attend, they teach you about the MUR process and you complete a paper assessment at the end which is sent off for you, these can cost between £100 - £600.

http://www.cppe.manchester.ac.uk/mur/
http://www.theinformacist.com/
http://www.psnc.org.uk/data/files/resource_network.pdf
http://www.skillsformurs.co.uk/

2.   Your consultation room must be certified and approved by the PCT.

Consultation areas must meet the following requirements:
"   The patient and the pharmacist can sit down together.
"   They can talk at normal speaking volumes without being overheard by staff or customers.
"   The area is clearly signed as a private consultation area.

Go here for a self-certification form
http://www.psnc.org.uk/data/files/PharmacyContract/advanced_service/form_prem1_psnc.doc

3.   Any patient on more than 1 medication can have an MUR

4.   The patient must have been collecting their medication from the pharmacy for at least 3 months.

5.   If there is a significant problem with the patients medication the pharmacist can conduct an intervention MUR. All of the other requirements apply.


6.   The patient must consent to the MUR and consent to information being sent to their GP.

7.   ALL of the medication the patient is taking should be discussed regardless of the stimulant for the MUR.

8.   The following aspects should be covered:

"   Establishing the patient's actual use, understanding and experience of taking all their medicines
"   Identifying, discussing and assisting in the resolution of poor or ineffective use of drugs by the patient
"   Identifying side-effects and drug interactions that may affect the patient's compliance with instructions given to him/her
"   Improving the clinical and cost-effectiveness of drugs prescribed to patients thereby reducing the wastage of such drugs.


9.   It is NOT necessary to conduct a clinical review - you do not need to ensure compliance with NICE guidance, check on blood results or suggest new medications to be added.

10.    Have a go! Start off easy (2 or 3 medications you are comfortable with only) and progress as you feel comfortable.