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  • MUR's in patients homes

    Is there any legal or PCT requirements you need to fullfill before carrying out MURs in patients homes?

    ie. Criminal Record Checks, PCT accreditation for home visits?

    Anybody done an MUR in a patients home?

  • #2
    Re: MUR's in patients homes

    My PCT stated CRB check necessary. Also they want prior notification of pts to be visited. This is why Lloyds are forming new division to offer service to PCTs.
    johnep

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    • #3
      Re: MUR's in patients homes

      does this mean a self employed locum can do MURs in patients homes without following the 400 MURs/pharmacy/year rule?
      [COLOR=Olive]xxxx They tried to break my back, but i survived. whatever doesn't kill you, will only makes you stronger xxxx
      [/COLOR]

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      • #4
        Re: MUR's in patients homes

        Yes. MUR numbers are tied to a 'contractor'. However, if you become an independent contractor for MURs, then 400 a year.
        johnep

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        • #5
          Re: MUR's in patients homes

          Originally posted by johnep View Post
          Yes. MUR numbers are tied to a 'contractor'. However, if you become an independent contractor for MURs, then 400 a year.
          johnep
          Just wondering how one becomes "an independent contractor for MURs"???? Surely the contract is linked to the 'bricks & mortar' pharmacy be that an NHS contracted pharmacy or internet pharmacy?
          '

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          • #6
            Re: MUR's in patients homes

            Interesting point. Presumably if property then you could say your house. However not sure if contractor specified as one who holds NHS contact to dispense.
            johnep

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            • #7
              Re: MUR's in patients homes

              You need either a dispensing contract which must satisfy the "necessary and desirable" tests or one of the exemptions.

              In principle a self employed pharmacist could obtain an internet contract (please don't ask, there are full details on the PSNC website) and do MURs in patient's homes. However they would require permission in advance for all patients from the PCT. A bit onerous but do-able. You would however be limited to 400 as things stand.

              You would need premises as they would need to be inspected by the RPSGB and registered with the DOH before you could start. However, an internet pharmacy could NOT do MURs on it's premises.
              http://uk.youtube.com/watch?v=Hmbyj0XFUhA

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              • #8
                Re: MUR's in patients homes

                Not sure what people are suggesting here - to set up an internet based pharmacy, the prime objective of which is to perform as many MURs as possible; or to become an independent contractor meaning a locum providing primarily MUR services.

                If the former - then it is not likely to be successful as the regulations state that MUR services may be provided outside the pharmacy (or exceptionally by telephone) only where the PCT consents and I cannot see contracts being granted for an internet pharmacy on these grounds as it would appear to be an attempt to exploit a loophole in the system. Secondly patients must have been receiving pharmaceutical services from the pharmacy for a period of three consecutive months to be eligible for an MUR.

                Nothing to stop anybody who is suitably accredited becoming a locum MUR-specialist pharmacist and provided this service to pharmacies. Under these circumstances 400/year rule doesn't apply as that refers to the number of MUR consultations per pharmacy not pharmacist.

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                • #9
                  Re: MUR's in patients homes

                  The PCT has no choice but to grant an internet contract. They have no grounds for turning it down. The question was about how a locum could set themselves up in this way. Of course there are hoops to jump through but it is technically possible. The RPSGB inspection, concerning storage etc in a premises is the most difficult hurdle.

                  With regard to specialising in MURs, indeed a locum could do as many as they wanted for contractors but couldn't be expected to be paid the full £27 for each one.

                  I do know a pharmacist who manages an ASD branch and does MURs for people in his spare time.
                  http://uk.youtube.com/watch?v=Hmbyj0XFUhA

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