Services Database Medicines Use Review (MUR) Local Service (9 LPCs involved)

Please note this service is commissioned by the local NHS West Midlands team across multiple LPCs. Therefore, the following LPCs have the same MUR Local Service  in their areas:

• Birmingham LPC;
• Coventry LPC;
• Dudley LPC;
• Herefordshire & Worcestershire LPC;
• Sandwell LPC;
• Solihull LPC;
• Walsall LPC;
• Warwickshire LPC; and
• Wolverhampton City LPC.

The service has only been added onto the Services Database under this entry to avoid duplication.
The aims of this service are to improve health outcomes for patients who experience difficulty in getting to a community pharmacy for the purposes of a MUR (ie. housebound or usually resident in a care home). The service also aims to demonstrate the role that community pharmacy teams can play in raising quality and improving efficiency. This will be achieved by:

• maximising the MUR allocations available per community pharmacy contractor and waiving the requirement to submit PREM notification forms for each and every patient where a domiciliary or telephone MUR is required and in doing so, improve access to MURs for patients who experience difficulty in getting to their community pharmacy;
• increasing patient and carer understanding of their medicines, identifying risks of polypharmacy and adherence issues and working to resolve these to facilitate improved health outcomes; utilising the evidence-based Polypharmacy Stopp/Start approach;
• supporting carers by signposting them to appropriate sources of help and advice;
• identifying and addressing factors contributing to waste, such as stock-piling and working with carers, prescribers and the community pharmacy team to reduce unnecessary supply;
• facilitating better use of skill-mix across the community pharmacy team by encouraging pharmacy technicians to have a role in the service in regards to medicines reconciliation; and
• fostering positive working relationships between GP practices and community pharmacy teams.

Not known.