Repeat Dispensing and MUR Workshop LESSONS FROM THE COALFACE

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Repeat Dispensing and MUR WorkshopLESSONS FROM
THE COALFACE

• Jackie Matthews
• Head of Medicines Management (Provider)
• East Riding of Yorkshire PCT

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ERY PCT who are we?

• 38 GP practices
• 15 Dispensing
• 58 Community Pharmacies
• 15 Independents

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Repeat Dispensing

• Local drivers
• Medicines Management Services Collaborative
• Pathfinder Site
• Integrated Medicines Management Programme for
  Long Term Conditions
• Medicines Management Strategy
• Coastal visitors

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Local Implementation

• PDSA approach
• Small is beautiful!
• Start with single drugs with uncomplicated
  monitoring
• e.g. thyroxine
• Practice nurse or GP identify suitable patients
• Joint workshops for Community Pharmacists and
  Practices

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Challenges

• Initial software glitches
• Unable to involve dispensing practices
  legislation issues
• In-house repeat prescription management systems
• Initial pathfinder too cautious
• Temporary resident regulations
• BUT ..patients like it!!

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Medicines Use Reviews

• Workshops for all health care professionals
• Joint LPC/LMC advice sheet
• PCT priorities
• Joint CP/GP priority areas
• Over 65 on 4 or more meds
• LTC
• At risk of poor compliance
• Identified as poor compliers

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MURs - Challenges

• Lack of understanding
• Disastrous paperwork
• Quantity versus quality
• Lack of clinical background

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Tips for success RD

• LINK TO GP CONTRACT
• Training lots of it and ongoing
• Dispel the EPS myth
• Involve Community Pharmacists
• To identify and recommend suitable patients
• To explain the service to patients
• Link to MUR

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Tips for Success - MURs

• LINK TO GP CONTRACT
• More explanation nationally
• Allow PCTs to stipulate priority groups
• Incorporate quality targets into MURs
• Facilitate meetings locally
• Some clinical background would be helpful