Support
Support for Targeted Medicines Use Reviews
The current Medicines Use Review (MUR) service has been refined; the new targeted MUR service requires community pharmacists to provide a proportion (50%) of MURs to patients within select groups, thus ensuring that the service is provided to those who will gain most from it.
MURs can still be conducted with patients who would benefit from a review but do not meet the targeted MUR criteria and are taking other medicines, and existing MUR guidelines and recommended procedures would still apply.
The target groups are:
- Patients taking any of the following high risk medicines:
- NSAIDs
- Anticoagulants (including low molecular weight heparin)
- Antiplatelets
- Diuretics
- Patients recently discharged from hospital who have had a change in medicines during their hospital stay
- Patients with respiratory disease taking the following medicines for asthma or COPD:
- Adrenoreceptor agonists
- Antimuscarinic bronchodilators
- Theophylline
- Compound bronchodilator preparations
- Corticosteroids
- Cromoglicate and related therapy, leukotriene receptor antagonists and phosphodiesterase type-4 inhibitors
The following resources will assist you in delivering targeted MURs:
RPS Resources
- Counselling patients on medicnes 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
- Supporting patients with COPD quick reference guide
- Antiplatelet/anticoagulant therapy quick reference guide (coming soon)
Other Useful Resources
- Pharmaceutical Services Negotiating Committee: MUR
- NHS Employers: MUR guidance
- MUR frequently asked questions (see pages 25-26)
- CPPE opening learning: Targeting your MURs effectively
- CPPE Guides
- Medicines Reconciliation video
- Medicines Use Review and Prescription Intervention service specifications
- Working with hospital colleagues
- Department of Health: Medicines Use Review
Pharmaceutical Journal Articles
About targeted MURs
• Onwards and upwards with target MURs
High risk medicines
Patients discharged from hospital
• Keep patients with heart failure out of hospital: ensure that they get target doses
Respiratory disease
• Patients with asthma: problems revealed by medicines use review
• MURs with a twist: tweaking the format to achieve specific targets
