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<p>Medicines Usage Reviews (MURs) are adherence centred reviews with the community
pharmacist in isolation from the prescriber. The new Structured Medication Reviews,
offered by clinical pharmacists working in primary care networks (PCNs), will provide
a more comprehensive review of a patient’s medication with access to the patient record
and with the greater ability of clinical pharmacists to make independent decisions
to change medication, if that is the result of a review. It is expected that community
pharmacists and practice-based pharmacists will work closely together to optimise
medicines usage.</p><p>Recently announced changes to the Community Pharmacy Contractual
Framework, include a Medicines Reconciliation Service, through which community pharmacists
will be expected to collaborate with PCN pharmacists and prescribers, to ensure patients
are clear about changes to their medicines, post-discharge, in line with the National
Institute for Health and Care Excellence guideline on medicines optimisation. The
Pharmacy Quality Scheme and the general practice Quality and Outcomes Framework Quality
Improvement modules incentivise PCNs and community pharmacy to identify those taking
high risk medicines and take actions to reduce risks where appropriate.</p>
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