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+Hi i'm Andy I'm one of the Pharmacists at
+the Great Yarmouth Store, I'm here to talk
+
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+to you a little bit about NMS, the new medicine
+service, we're going to be going over all
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+parts of the service and what you can do to
+help us.
+
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+The new medicine service, NMS, is a service
+we provide for patients starting a new medication
+
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+for one of the conditions listed on your screen
+now.
+
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+People often have problems when they start
+a new medication, NMS allows us to support
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+those patients with any problems they may
+face in those initial weeks.
+
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+Our aim is to help patients take their medication
+safely and more effectively.
+
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+This in turn results in savings for the NHS,
+whilst improving our patients quality of life.
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+The service is made of three main stages,
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+Initially you have the engagement stage, which
+is when we speak to the patient before they
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+start taking their medication
+We’ll see if they’re eligible for NMS
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+and ask if they’re interested in the service.
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+We’ll obtain their written consent, and
+agree on the best way we can contact them.
+
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+This can be on the phone or in person.
+
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+The intervention stage is 1-2 weeks after
+starting the new medication.
+
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+The pharmacist will speak with the patient
+about how they take their medcine, and identify
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+any barriers which prevent them from taking
+it.
+
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+This is where the pharmacist can give advice
+to the patient, and if anything serious has
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+come up, they can be referred to the GP.
+
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+Now if they’re going to continue with the
+medication, they'll agree a time for the follow
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+up stage.
+
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+The follow up stage is 2-3 weeks after the
+intervention stage.
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+It’s a similar conversation to the intervention
+stage, but the pharmacist will follow up anything
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+any prior issues
+They’ll reinforce the benefits of the medicine,
+
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+and ensure it’s being taken as prescribed.
+
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+Again, at any point if any issues that arisen
+since the intervention, they can still be
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+referred to the GP.
+
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+The engagement stage is where you can really
+help us.
+
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+Identifying and signing patients up for NMS
+can be undertaken by anyone in the pharmacy.
+
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+Every time you sign a patient up for NMS,
+you give them the best possible chance of
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+getting the most benefit from that medicine.
+
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+To help demonstrate this we’ll be following
+Rob.
+
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+He’s been prescribed a new inhaler for his
+asthma.
+
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+So when rob hands in a prescription, we’ll
+ask him one simple question
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+“Are any of these medications new for you?”
+
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+In this case, Rob has a new inhaler, so we’ll
+place a small star to the right hand side
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+of the new drug.
+
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+This highlights to the pharmacist what medicines
+are new.
+
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+To give you a better idea of what medication
+is eligible for NMS, let’s go to the dispensary.
+
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+So here's some medication you might see under
+NMS.
+
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+So you're looking for inhalers, that's for
+Asthma or COPD
+
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+Got your blood pressure medication there,
+your antiplatelet or anticoagulation medication
+
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+And finally, medication used for type two
+diabetes
+
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+Doesn't matter if you don't know all the medication
+under NMS, but it's great if you know some
+
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+Rob’s been prescribed a new salbutamol inhaler,
+this medication is eligible for NMS, so we’ll
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+check if he’s using it for a target condition
+Are you using this for Asthma?
+
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+Yes, I am,
+
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+So after confirming the medication is for
+a target condition, and it’s within NMS,
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+you can sign them up!
+
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+Now ensure you explain the consent form to
+the patient, speak to your pharmacy manager
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+for a more detailed explanation of this.
+
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+If they’re happy to continue, ensure they
+sign and date the form, then confirm their
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+phone number, or agree on a good time to come
+into the pharmacy.
+
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+But what if you haven’t seen the patient?
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+If you’re labelling their medication, a
+quick glance at their records may indicate
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+if it’s new.
+
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+If you think it is, star the medication on
+the prescription and add a consent form to
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+the basket if you think it might be an NMS.
+
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+When the pharmacist hands out the medication,
+they will be able to confirm if the patient
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+is eligible to take part in the new medicines
+service.
+
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+Rob has not had this inhaler before so the
+pharmacist will discuss things with him like
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+the benefits and side effects
+
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+And In one to two weeks’ time, we’ill
+give him a call, and see how he is getting
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+along.
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+Something as simple as a phone call could
+make a huge difference to someone’s health.
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+Rob’s asthma is under far better control
+thanks to NMS, turns out he wasn’t using
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+the inhaler as intended.
+
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+Thanks to the new medicine service, he is
+making far greater gains from his medication.
+
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+But Rob’s not alone, data shows that nearly
+1 in 5 patients aren’t taking their medication
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+as prescribed at the intervention stage.
+
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+Thanks to the new medicine service, by the
+follow up stage 2-3 weeks later, this number
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+reduces to nearly 1 in 10.
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+We want to be able to support as many patients
+like Rob as we can, as they start their own
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+journey with a new medicine.
+
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+That’s why we need your help.
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+Every patient we identify and sign up for
+NMS, is a step towards ensuring our patients
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+are receiving the best healthcare possible.
+
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+We do it because we care.
+
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+And It all starts by asking one simple question.
+
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+# Technical Notes: The New Medication Service (NMS)
+
+**Source:** [The New Medication Service (NMS) - Andy the Pharmacist](https://www.youtube.com/watch?v=Rm1wcX92XlQ)  
+**Goal:** Training guide for pharmacy staff to implement and manage the NMS effectively.
+
+---
+
+## 01: Introduction and Purpose [00:00:00]
+
+The **New Medicine Service (NMS)** is a professional consultation service provided by pharmacies for patients starting a new medication for specific long-term conditions.
+
+* **Primary Aim:** To support patients in the initial weeks of treatment to ensure they take medication safely and effectively.
+* **The "Why":** * **Patient Health:** Improves quality of life and treatment outcomes.
+    * **NHS Efficiency:** Reduces medicine wastage and prevents hospital admissions due to non-adherence.
+    * **Financial Impact:** Creates measurable savings for the healthcare system.
+
+---
+
+## 02: The Three-Stage Workflow [00:00:36]
+
+### Stage 1: Engagement (Day 0)
+* **Trigger:** When a patient presents a prescription for a new eligible medication.
+* **Process:**
+    * Identify eligibility based on condition.
+    * Explain the service and benefits.
+    * **Consent:** Obtain formal written consent.
+    * **Contact:** Agree on a follow-up method (Telephone or In-Person).
+* **Staff Role:** This stage can be initiated by *any* member of the pharmacy team.
+
+### Stage 2: Intervention (Weeks 1–2)
+* **Timeline:** 7 to 14 days after the patient starts the medicine.
+* **Process:**
+    * Pharmacist discusses how the patient is getting on.
+    * Identify **barriers** (side effects, forgetfulness, or poor technique).
+    * Pharmacist provides clinical advice or refers back to the GP if serious issues arise.
+
+### Stage 3: Follow-Up (Weeks 3–4)
+* **Timeline:** 2 to 3 weeks after the Intervention stage.
+* **Process:**
+    * Review any prior issues identified in Stage 2.
+    * Reinforce the long-term benefits of the medication.
+    * Confirm the patient is now taking the medicine as prescribed.
+
+---
+
+## 03: Operational Implementation [00:01:41]
+
+### Identifying Candidates
+* **The Golden Question:** *"Are any of these medications new for you?"*
+* **The Visual Cue:** Draw a small **star** on the right-hand side of the drug name on the prescription. This alerts the pharmacist that an NMS opportunity exists.
+
+### Eligibility Criteria (Target Conditions) [00:02:01]
+The service is limited to patients with:
+1.  **Asthma and COPD:** Respiratory issues (e.g., new inhalers).
+2.  **Hypertension:** High blood pressure.
+3.  **Antiplatelets/Anticoagulation:** Blood thinning medications.
+4.  **Type 2 Diabetes:** Blood sugar management.
+
+### The Paperwork [00:02:35]
+* **Consent Form:** Must be signed and dated by the patient.
+* **Phone Number:** Essential to capture an accurate number for the follow-up call.
+* **Dispensary Workflow:** If labeling a prescription for an absent patient, check records. If it looks like a new NMS drug, "star" the script and add a consent form to the basket for the pharmacist to handle during the handout.
+
+---
+
+## 04: Visual Reference Guide
+
+| Visual Element | Description / Purpose |
+| :--- | :--- |
+| **Progress Chart** | A linear timeline showing the 3 stages: Engagement $\rightarrow$ Intervention $\rightarrow$ Follow-up. |
+| **Condition Icons** | Visual symbols for Lungs (Asthma), Heart (Hypertension), Blood Drop (Anticoagulants), and Sugar (Diabetes). |
+| **The "Star" System** | A POV shot showing a staff member marking a script to signal the pharmacist. |
+| **Rob Case Study** | A real-world example of an asthma patient using an inhaler incorrectly, corrected by the NMS intervention. |
+| **Adherence Graph** | Shows non-adherence dropping from **1 in 5 (20%)** to **1 in 10 (10%)** via the NMS. |
+
+---
+
+## 05: Summary and Key Takeaways
+
+### High-Level Summary
+The NMS is a structured pharmacy intervention designed to catch medication errors and adherence issues early. By utilizing a three-step process—Engagement, Intervention, and Follow-up—pharmacies can halve the rate of patient non-adherence for critical conditions like diabetes and hypertension.
+
+### Key Insights
+* **Team Effort:** Identification isn't just for pharmacists; counter staff and dispensers are the "front line."
+* **Early Intervention:** Most problems occur in the first 2 weeks of treatment.
+* **Clinical Safety:** Provides a safety net to refer patients back to GPs before health deteriorates.
+* **Statistics:** NMS reduces non-adherence from 20% down to 10% by the final stage.
+* **Patient Care:** The service exists because "we care" about patient outcomes, not just dispensing boxes.
+
+### Glossary of Terms
+* **Adherence:** Taking medications exactly as prescribed (timing, dose, technique).
+* **COPD:** Chronic Obstructive Pulmonary Disease (lung condition).
+* **GP:** General Practitioner (Primary Care Doctor).
+* **Hypertension:** High Blood Pressure.
+* **Intervention:** A discussion to identify and solve a healthcare problem.
+
+---