1. FOCUS: How to increase drive and delivery of quality MURs outcomes Personal Experience By Jyoti Hadani

2. Background: MUR delivery: Four different roles - 3 busy practices.  MUR specialist  2 nd pharmacist  ID MUR & issues only.  RP- MUR only if dispensing supported  RP – low disp.  MUR

3. Personal BarriersStrategies Attitude- Proactive > Reactive Time- Confident Consultation Skill - Pre-printed material: Conditions /Inhaler/Other devices’ use Effective communication - Adapted MRCF - Open-ended questions - Side effects: prompts-closed questioning - Use analogies: Aids education - Keep ‘medication taking’ agenda

4. Organisational set-up and attitudes BarriersStrategies Patient ID- Words: not ‘review’ but ‘check’ - Motivated team work - Emerg. reqt., review due /last RD. - Repeat collection: System ID + tagged - ‘Ad-hoc’ or Appointment - Walk-in: ID labelling + MUR - Declined : deflated future opportunity Staff motivation Staff ID: Share + ve outcomes = feel good factor.

5. Organisational set-up and attitudes BarriersStrategies Appointment system - Give appointment slip - Contact details - Agree reminder - Failure/cancellation Consultation room occupied - 2 nd room - Link PH services + MUR Low disp=Low MUR Maintain proactive : least 1 MUR - builds relationship with patient

6. Organisational set-up and attitudes Barriers Strategies MUR Quality - Good communication skills - Good patient experience, motivation - Non-judgemental - Patient centred delivery - PMR drug history check - GP review due + effective MUR/referral - Flag system: post-MUR communication

7. Organisational set-up and attitudes Barriers Strategies MUR Quantity - ID system - Regular MUR days but daily proactive target - 2 nd pharmacist, high volume, MUR + workload - Labeller & frontline staff: walk-in ID + engage - Ad-hoc & appointment - Consultation room available - Laptop available - Notes + log and write referral later - Personal targets

8. Organisational set-up and attitudes Barriers Strategies Relationship with Surgery - Understand practice and local pop. needs. - Referral short, 1 page - Bullet points, evidence + explanation - Maintain good patient- GP relationship. -Gain confidence in service provision – build rapport.

9. SUMMARY:  Pro-active effective service  +ve impact on people’s attitude & health = Recognition  Personal experience: easier 3 rd /4 th MUR FUTURE: Mandatory mini MUR. : Rx disp. = Drive delivery?

10. Thank you Any questions?