Should MURs be scrapped and replaced with something different

[kemzero]

Should the goverment scrap MURs and replace it with a similar scheme but integrate it into the current FP10 and the future we've been promised!

What about if there was a box asking the patient to tick and sign if she has recieved appropriate advice from the pharmacist/dispenser

Box to be ticked if intevention has been made ....this could include our day to day interventions or lifestyle interventions(public health role) '

The pharmacist initials/reg number should also be on script , once the clinical check etc has been done .

Dispenser and ACT signature should also be on script to ensure that the ACT doesn't disp and check

This should be for all prescriptions , mot just for a certain limit, so perhaps a fee of £4 -5 per script would suffice ,and the current MUR pressure would be off

MUR £27 /400 = £10,800

but if the above method is adopted (PSNC would have to negotiate)
£5x 4000scripts(av) =£20,000, more expensive but this would include our public health role/clinical role etc;

Does anyone think its a workable idea

[johnep]

Is it compulsory for such info to be given in the USA.? Perhaps that is why they get you to sign a waiver on collection.
johnep

[kemzero]

Oui Johnep

So you can't turn back and sue for side-effects etc

[Web Ferret]

Originally Posted by kemzero

The pharmacist initials/reg number should also be on script , once the clinical check etc has been done .

Dispenser and ACT signature should also be on script to ensure that the ACT doesn't disp and check

One group I work for has the following on a script on the bottom right hand corner:
An identifier to:
Who took in the script
Who labelled it
Who dispensed it
Which pharmacist

If its an ACT script the pharmacist puts ACT on the top after the clinical check.

Yes I think MURs should be scrapped but don't agree to the particular changes you recommend.

[Band6]

I think that MUR's are a good idea. Certainly in my hospital trust, we will refer people to their community pharmacy for an MUR if we believe that they need one post discharge to see how they're getting on. The trouble is, the pharmacy chains have ruined them by setting targets. A lot of pharmacies that I have locumed in aim to get quick and easy MUR's to make up the numbers - meaning that those who really could do with an MUR (ie the complicated ones) are not targeted. Also, GPs now have to wade through a veritable flood of MUR forms, most of which are worthless - doesn't endear our profession to them!

I was told recently at a community pharmacy that the permament pharmacist was told by his area manager that an MUR could be done in three and a half minutes!!! I wonder what the quality of that MUR would have been? Would it be useful to the patient and GP? I doubt it!!

[Sir_Dispensalot]

we should all club together and get someone techy to help us breed a race of small monkeys that can sit on area managers shoulders and bite them on the ear every time they say a phrase containing the words "MUR Target"


I'd happily donate the change in my pocket for that!

[Titch]

Originally Posted by Sir_Dispensalot

we should all club together and get someone techy to help us breed a race of small monkeys that can sit on area managers shoulders and bite them on the ear every time they say a phrase containing the words "MUR Target"


I'd happily donate the change in my pocket for that!

I'd donate more than the change in my pocket

[paco]

I work for Lloyds and a PCT
I get the crap of meeting targets for MURs, while hearing the public announcement bullshit from senior management how they are not pressurising pharmcists from achieving their targets and are only 'concerned' about patients(= £27)
With my PCT hat on I can tell you they are not stupid and know exactly what's going on, I'm not sure how long this farce will continue.

[Raoul]

"What about if there was a box asking the patient to tick and sign if she has recieved appropriate advice from the pharmacist/dispenser"
in the USA, they have a similar system.... problems arise when counter assistent do not inform the patients what are they signing for.

[Raoul]

"I work for Lloyds and a PCT"
i just got a pre-reg offer from Lloyds, if possible PM me with any advice based on your experience and the "pressurising p'cists issues"..etc
i believe i am going to accept the offer even that working with "independents" is great :P