Support
Support for New Medicine Service
The new medicine service (NMS) focuses on patients with long term conditions that have been prescribed new medicines. It is hoped that NMS will also lead to the following outcomes:
- improve medicines adherence
- increase patient engagement with their condition and medicines, which will support them in making decisions about their treatment and self management
- reduce medicines wastage
- reduce hospital admissions due to adverse events associated with medicines
- increase reporting of medicine adverse reactions by pharmacists and patients
- positive patient assessments
- provide evidence base on the effectiveness of the service
- enable the development of outcome and/or quality measures for community pharmacy
This builds on the current range of advanced pharmacy services available to patients. As an advanced service community pharmacies will need to fulfil certain criteria in order to be able to offer the service, however pharmacies can choose whether or not to provide the service. A one-off payment for implementation of the service will be provided to those offering the service, as well as target payments that are based on the quantity of consultations completed.
NMS will primarily focus on five clinical conditions: asthma; COPD, type 2 diabetes, antiplatelet/anticoagulant therapy, and hypertension. Patients can be offered the service when they present with a prescription for a new medicine in pharmacies, or may be referred to the service by prescribers.
New video for pharmacists on New Medicine Service
Paul Johnson talks you through the process and explains how it will all work.
The following resources will assist you in delivering the new medicine service:
RPS Resources
- Supporting locum pharmacists to deliver the New Medicine Service (NMS)
- NMS Q&As for healthcare professionals
- Counseling patients on medicines quick reference guide
- Lung cancer quick reference guide
- Smoking cessation quick reference guide
- Cholesterol testing quick reference guide
- Diabetes toolkit
- Obesity and weight management quick reference guide
- Blood pressure monitoring quick reference guide
- Supporting patients with asthma quick reference guide
- Supoprting patients with COPD quick reference guide
- Antiplatelet/anticoagulant therapy quick reference guide (coming soon)
Other Useful Resources
- Pharmaceutical Services Negotiating Committee: NMS
- NHS Employers
- National Pharmacy Association: NMS resources
- CPPE New Medicines Service: open learning programme
- CPPE New Medicines Service: workshop
- CPPE New Medicines Service: video wall
- CPPE Opening Learning Programmes
- NMS medicines list (see pages 10-11)
- NMS record keeping requirements
- NMS payment structure (see pages 3-5)
- NMS frequently asked questions (see pages 23-24)
- PSNC NMS presentation
Forms
Pharmaceutical Journal Articles
NMS Series
• Changes to the pharmacy contract mean that, from October 2011, all pharmacies in England will be required to have a whistle-blowing policy in place. The PJ looks at what pharmacists need to know.
• The focus of the new medicine service is adherence. Easy? A pharmacist gets a taste of her own medicine and reflects on her reaction to the prospect of adopting a one-a-day regimen.
• Evidence to back new medicines service
• NMS – an opportunity that must be seized
• NMS – The Co-op already on starting blocks
• NMS – how to do a consultation on the phone
Asthma
• Update on asthma management
• Asthma: the condition and its diagnosis
• Asthma: treatment and monitoring
• MURs with a twist: tweaking the format to achieve specific targets
• Patients with asthma: problems revealed by medicines use reviews
• Steroids better than montelukast in acute asthma exacerbations in children (POEM)
COPD
• COPD: management
• COPD: clinical features and diagnosis
• Helping COPD patients in the community
• Oral prednisolone equals IV prednisolone for COPD exacerbation (POEM)
Type 2 Diabetes
• Type 2 diabetes: pathophysiology and clinical features
• Type 2 diabetes: Management
• Managing diabetic emergencies
• Rosiglitazone withdrawal: what does that mean for medicines management?
• How to interpret blood glucose monitoring charts and adjust insulin doses
• An update on insulin analogues
Antiplatelet/Anticoagulant therapy
• Atrial fibrillation: management
• Can I take herbal products or dietary supplements with my warfarin?
Hypertension
• Overview of hypertension treatment
• Monitoring hypertension: how and why
Articles on concordance/adherence
• It is good to talk but better to engage
• Making it stick: a short look at adherence
• Sorting out the muddle in systems used to support medicines adherence
• The challenge of adhering to the NICE guidance on medicines adherence
• Why adherence is a sensitive issue
• Compliance is a complex matter
• How to help if a patient can't swallow
• What is concordance?
• How concordance and patient empowerment challenge pharmacy
• Patient information needs patients
• Concordance - is it a synonym for compliance or a paradigm shift
• Compliance, concordance and respect for the patient's agenda
• Why do older people not always take their medicines?
• How to achieve concordance through ethnic sensitivity and lateral thinking: A case study
• How pharmacists can encourage adherence to long-term treatments for chronic conditions
• Adherence: a taste of my own medicine

