Optimisation of Respiratory MURs and NMS in Community Pharmacy Friday, 04 October 2019

Aims & Objectives Improve Confidence and Skills in respiratory Improve quality & quantity of respiratory MURs across LLR Integrate Community Pharmacies into referral pathways for LTCs Create a quality register / Kite mark for pharmacies that have undertaken enhanced Inhaler Technique training Support future clinically focused roles and services for community Pharmacists Friday, 04 October 2019

Agenda The size of the Respiratory problem LLR Guidelines & Resources Patient engagement & targeting Inhaler technique training Putting learning into practice Q&A Feedback CPD Entry (Optional) Friday, 04 October 2019

Over to the CCG….. Friday, 04 October 2019

Top Tips to Identify patients for targeted respiratory MURs & NMS Friday, 04 October 2019

Preparation Start with why Engage the team Preparation Friday, 04 October 2019

Materials Stickers Consent forms PMR search Friday, 04 October 2019

Targeting patients High SABA use (except COPD) Non/poor -adherence with preventer therapy Duplication of therapy LABA/LAMA plus ICS/LABA etc COPD rescue packs > two per annum = refer Asthma action plan Spacers PMDI and DPI – different devices Side effects (cramps, tremor, dry mouth, blurred vision, oral thrush) Friday, 04 October 2019

Inhaler Technique training Over to Jane Scullion………. Friday, 04 October 2019

Respiratory MURs & NMS Templates integrated into daily practice Friday, 04 October 2019

Tools needed Confidence Skills Motivation Resources Patients Friday, 04 October 2019

Barriers Skills, Confidence motivation Resources Patient engagement TIME Friday, 04 October 2019

Engaging the patient Handing out the prescription Show me how….. Three simple questions…. Friday, 04 October 2019

Do you know what this is for? Shall I explain how this helps? Preventer / Reliever PRN / Regular use Do you think it is working? Friday, 04 October 2019

How do you use this medicine? Tell me how often Do you miss any doses? Show me how you use it (if technique poor show them) Consider manual dexterity If use a spacer – how often replaced? Friday, 04 October 2019

Do you have any side effects with this medicine? Funny taste in the mouth? Hoarse voice Tremors? Friday, 04 October 2019

Follow template CAT / ACT Smoking Cessation Flu (& pneumococcal) vaccination Physical activity / pulmonary rehabilitation Friday, 04 October 2019

MUR & NMS Templates – in your pack Friday, 04 October 2019

Friday, 04 October 2019

Friday, 04 October 2019

Friday, 04 October 2019

Medicines Optimisation

Feedback forms Friday, 04 October 2019

Questions…… Who you are Where you are from Who is the question for? Friday, 04 October 2019

Thankyou CCG Jane Scullion & Anna Murphy Pharmaceutical Companies LPC team Participants Friday, 04 October 2019

Optional CPD Session Friday, 04 October 2019

CPD Friday, 04 October 2019

Friday, 04 October 2019

Friday, 04 October 2019