Mur threats

[jessie]

Hi

My understanding is that we have to target every patient within a certain group, and the group status will change, thus doing this intervention will lead to murs, which we are paid for.

So even though we are not being paid for the intervention we are being monitored again, as the patients we are targeting we need to keep a record of the patient to prove we are doing them!

Its still time consuming without the staff! we also have a very 'on the ball' New Age Doctors surgery nearby that does and has always done, for years, yearly reviews on their patients, asthma checks, and everything else that is available including all dispensing now for everyone. Perhaps I should go there?

[imaginegenerous]

Hi
We are being hit, by phone calls from area manager each day sometimes twice a day wanting mur figures! It's doing all our heads in, do we dispense for all the waiting customers? do murs properly which takes longer than 5 mins unlike some places if done correctly and not at the counter, like I have seen some done. This then takes away our only pharmacist, and now being pushed for intervention targets as well and an unrealistic figure for more dossetts!

They have no idea how community pharmacies are run, we do not always have the constant footful like the giant shops, but many behind the scenes jobs that targets do not take into account, with the limited staff, of just three, lots of elderly customers that do not go to the larger towns and we are all working 200% the cracks are starting to come.

It sounds like you work in my branch! Sometimes I think those people working at head office are so far removed from the front line they haven't got a clue what working in a pharmacy involves. As for interventions, our PCT actually started up an intervention scheme where pharmacies get paid for any interventions we make and highlighting 'not dispensed' items to the surgery e.g. if customers meds are out of sync and they've got an excess of one item at home or they haven't ordered something and the surgery staff have put it on the script anyway. We get paid just over £4 a time for the service although we don't have targets for it....yet.

[shonap87]

I have to do a business plan as part of my pre-reg and my tutor seemed keen on promoting MURs. After reading all the experiences on this forum I'm not so sure!

While I can see the patient benefit in an interview done well, surgeries around here seem to have barely enough time to deal with their patients or a phonecall, how are they going to take on the extra paperwork?

My main worry is she would want me to do them. Although I probably received more training than she did for them at uni, I already do too many things that a pre-reg shouldn't be doing.

[Pharmanaut]

I have to do a business plan as part of my pre-reg and my tutor seemed keen on promoting MURs. After reading all the experiences on this forum I'm not so sure!

While I can see the patient benefit in an interview done well, surgeries around here seem to have barely enough time to deal with their patients or a phonecall, how are they going to take on the extra paperwork?

My main worry is she would want me to do them. Although I probably received more training than she did for them at uni, I already do too many things that a pre-reg shouldn't be doing.

Talk about going to meet the local GPs and discussing patients who would most benefit from some time spent with them explaining medication. Call them "Targetted MURs".
Just my two tablets worth.

[shonap87]

sounds good, I will work something out.

Turns out in northern ireland you can only do 20 a year.

[andrew paxton]

What interventions are being set targets?
I can understand targets (But not condone) MUR targets, but as I understand it we don't get paid for interventions?

Some Area Managers have found about Prescription Interventions, which is another name for MURs, but only when the trigger is a problem with the prescription, rather than the fact that the patient is regular, on 2 or more medications, and hasn't has an MUR in the last year. The non-Pharmacist AMs think that any intervention, even the cheery 'don't take Grapefruit Juice with these!' counts as one. It doesn't

[gmorris291]

I can remember a description of a sociologist job being "the study of those who don't need it, by those who think they do." It would appear that MUR's may be classified in a similiar way if not actioned sensibly!