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

2. 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

3. 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

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

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

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

7. Materials
Stickers
Consent forms
PMR search
Friday, 04 October 2019

8. 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

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

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

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

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

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

14. 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

15. 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

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

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

18. MUR & NMS Templates – in your pack
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22. Medicines Optimisation

23. Feedback forms
Friday, 04 October 2019

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

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

26. Optional CPD Session
Friday, 04 October 2019

27. CPD
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