[Zoggite]

Wow! 800 MURs in 9 months- and there was me, quite chuffed with myself for managing 15 a week...!
Surely you've done these spread over at least 4 Pharmacies, otherwise it really doesn't seem worth it?
As far as I can gather, a "prescription intervention MUR" differs from an "ordinary" MUR by the fact that it has been "triggered" by a pharmacist spotting something whilst dispensing a script:from the PSNC's website, MUR FAQs:
"3. What is the difference between MUR and the Prescription Intervention Service?
There is only one service, but the trigger is different. A Prescription Intervention is triggered by a significant issue that arises during the dispensing of a prescription; the MUR is a routine review. For a standard MUR, the pharmacy is required to have provided pharmaceutical services for a minimum of three months. This requirement does not apply in the case of a prescription intervention triggered MUR."
In my experience, this means that even my numerous holidaymakers are "fair game" for an MUR, as long as there's an issue with their script; for instance, today I cornered a chap from Walsall who had a script for 84 tabs methotrexate 2.5mg, "take as directed"; I had no previous PMR for him, but fortunately he had his repeat slip with him, and 15 minutes to spare me, so I went ahead with a prescription intervention MUR.
I find these PI MURs take just as long as ordinary MURs (20 mins average...), but they are more satisfying for myself and for my patients as they usually lead to a tangible improvement, it's not just "a chat about your medicines".
I think it would be rather unprofessional to review only selected items of a patient's medication, it would completely miss the whole point of them- how can you be sure you haven't missed an interaction, or that all the drugs are synchronised if you choose to look at a few only?
Appointments: haven't had much joy there either. I favour the "On-the-spot" approach, I think it's less intimidating.
Impact on waiting customers: yes, MURs do extend the average waiting time. Lloyds reckon it's increased from 8 minutes average, to 14 minutes...
I guess it all depends on the time of day, the weather, how relaxed your support team are (if they appear stressed & rushed off their feet, then the customers tend to be more impatient, paradoxically!); I suppose as ever, you just can't please All the people all the time.
Lloyds asthma intervention MUR:I think (but I'm not 100% sure) that it's based on their "5 questions to assess your asthma" test:"how often have you needed your blue inhaler in the past week: once or twice (2 points), 3 or 4 times (3 points), 4 to 7 times (5points) or more than 8 times (6 points)? And so on; then, depending on the total score, you either conduct an MUR showing them how to get the most out of their inhalers or improve their technique, or you refer them to the GP/asthma nurse for a full review, or give them the Last Rites and Sacrament!
My overriding sentiment on these MURs and Rx interventions: It's something we've been doing for ages, we just didn't make such a song and dance about it or fill in tons of pretty forms...!