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About LinkBacksThe multiples have just turned a good idea into a money making scheme. We hate the bullying emails from Head Office reporting those who haven't done any MUR's and the pathetic league tables they send every day.......
King Amongst Members
The multiples have just turned a good idea into a money making scheme. We hate the bullying emails from Head Office reporting those who haven't done any MUR's and the pathetic league tables they send every day.......
Newly registered in 1981
Head office the world over regard any lost opportunity for a lost sale as losing money.Originally Posted by dizzyb23
Probably training packs for assistance mention companion sales, such as a box of tissues if someone buys night nurse etc.
Look at it this way...
If you have a consulting room, are accredited to to them. Then have told the patients about MURs, recommended to some that they have one, have booked patients in for them, then you have done what you can do.
I'm guessing here - the main reason why a lot of us are less than willing to do them is that we are conscious that prescriptions and MDS are stacking up while we are absent, and once that happens it creates stress on the dispensary team to catch up. One lapse of concentration and....
Where am I?; In the Pharmacy.
Who are you?; The new Number 2.
Who is number 1?; You are number 6.
What do you want?;..................
King Amongst Members
I once had pharmacist a few weeks back asking me questions about MURs etc... (he'd been qualified for like 10 years and I think it was my second week, lol) and it transpired that he's been doing MURs on things that required basic advice and in in situations where MURs didnt apply, e.g. I think a youngish girl/woman/female must have come with a Rx for some penicillin and was on the pill, so he ended up doing a whole MUR because of the interaction, I had hard time explaining to him that MURs are Medication use review, and how can you do a medicines USE review on medicines that the patient hasnt USED. his line of argument was that he was advising patients about the use of medicines, I ended up leaving him to his thoughts, for some reason the word "review" didnt stick in his head, aso at that time I wasnt accredited and he was, which is quite amusing and ironic at the same time.the permament pharmacist was told by his area manager that an MUR could be done in three and a half minutes
i bet that MUR took 3.5mins and went towards meeting the pharmacist's MUR target.
The interaction isn't even needed for the MUR - nowt wrong with doing a MUR on a young woman taking the Pill - look at the actual failure rate.
Why only choose difficult ones? The idea is to make a difference.i bet that MUR took 3.5mins and went towards meeting the pharmacist's MUR target.
Jeff
Top-Class Member
Yes Get rid of them . . .
They're a pain in my arse!!!!
Saying that I do believe about half of the patients I do them on do benefit from them.
So I reckon get rid of the fee.
No fee = no pressure from area manager to do them = the patients that will benefit will get them.
Im sick of doing them on patients I already know are tip top regarding their meds just so I can tell His Majesty at the end of the week how many I've done.
Get rid of the fee!!!!
King Amongst Members
Jeff wrote:
I hope you realise Jeff that an MUR must be done on a multiple drug therapy, thats why its called the MEDICINES use review, also my point is that pharmacist didnt understand what MURs were for, his reason for doing the MUR was not to assisst the patients compliance of her contraception but because of the interaction.The interaction isn't even needed for the MUR - nowt wrong with doing a MUR on a young woman taking the Pill - look at the actual failure rate.
also about the 3.5 mins you said why chose the easy ones, well to be honest when I talk to a patient it takes me like 5 minutes to fully counsel them, how could these people do an MUR in 3.5 mins
just wanted to ask "M Pharm S", what would happen (or what you think would happen) if you didnt meet your targets for MURs consistantly??
King Amongst Members
I'm surprised that when someone finally wants to pay for your clinical experience and training you are willing to turn it down. Especially when half of the patients get a benefit from them.
King Amongst Members
leftArm, you have consider that the everyday workload of "Mr PharmS" hasnt gone down, e.g. dispensing Rxs, supervised addicts, nursing homes etc etc... if anything it must have gone up.
So in addition to that he's been burdened with meeting MUR targets too, which is normally eight a week, i'd assume, it takes considerable effort to recruit patients to this service and also while you're carrying them out, you might have a queue of 5-10 people all waiting for their Rxs, not very happy, because all they have to do is "take the box off the shelf and stick a label on it".
and also let me guess the "Mr Pharm S" doesnt really get any real incentive for it, financial or otherwise.
so technically they're NOT getting payed for the clinical experience, and most pharmacist would have a tendency towards helping patients in the best way they could using the resources they have, and one resource they dont have alot of even without the MURs and other advanced services is TIME, and adding such services puts extra pressure on the practive of a pharmacist.I'm surprised that when someone finally wants to pay for your clinical experience and training you are willing to turn it down. Especially when half of the patients get a benefit from them.
Finally, i've just re-read my post #16 above and would like to apologize for all the gramatical and the spelling mistakes in it, they shock me too e.g. using the word "chose" instead of "choose" and spelling assist as "assisst",
Top-Class Member
SolomanQ hits the nail on the head! We're not getting paid for doing MUR's. The money is funding the defecit that Category M has caused!!
I have to do 8 a week, each monday my area manager phones me up and asks how many (even though he already knows) and asks for an expalination why I havent hit 8 that week and what I am going to do to make sure I hit over my target next week.
I dont get any extra cover during the week to cover me for the 8 x 20 mins it takes to hit my target each week, My store team, 8 of us, get £100 if I do 100 MURs in a quarter of a year!!! So thats £12.50 before tax if I do 100. So thats an extra £7.50 ish after tax for 33 hours extra work every quarter. Thats a whopping £0.22 extra per hour - get in!!
SolomanQ: When I dont hit my target, which is most weeks, My area manager makes me explain why I havent and give him a action plan (which takes up more time) on how Im going achieve it next week. Humiliation!!
I cant see it going as far as being sacked for not hitting my target but still!
King Amongst Members
My concern is that without a fair fee pharmacy is being devalued. As you say The money is funding the defecit that Category M has caused!!
And as scripts drift away to warehouse pharmacies on industrial estates there will be even less to go around. Satelite dispensing and internet pharmacy will reduce the value of dispensing and, I'm afraid to say, the need for as many pharmacists.
MUR's and other patient focused services will take over the majority of a pharmacists work and it is essential that a fair price is agreed from the start to insure pharmacists salaries in the future.
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