1 00:00:00,110 --> 00:00:02,899 Hi i'm Andy I'm one of the Pharmacists at the Great Yarmouth Store, I'm here to talk 2 00:00:02,899 --> 00:00:06,190 to you a little bit about NMS, the new medicine service, we're going to be going over all 3 00:00:06,190 --> 00:00:08,900 parts of the service and what you can do to help us. 4 00:00:08,900 --> 00:00:13,679 The new medicine service, NMS, is a service we provide for patients starting a new medication 5 00:00:13,679 --> 00:00:17,710 for one of the conditions listed on your screen now. 6 00:00:17,710 --> 00:00:21,730 People often have problems when they start a new medication, NMS allows us to support 7 00:00:21,730 --> 00:00:25,160 those patients with any problems they may face in those initial weeks. 8 00:00:25,160 --> 00:00:29,090 Our aim is to help patients take their medication safely and more effectively. 9 00:00:29,090 --> 00:00:33,680 This in turn results in savings for the NHS, whilst improving our patients quality of life. 10 00:00:33,680 --> 00:00:36,710 The service is made of three main stages, 11 00:00:36,710 --> 00:00:40,100 Initially you have the engagement stage, which is when we speak to the patient before they 12 00:00:40,100 --> 00:00:42,670 start taking their medication We’ll see if they’re eligible for NMS 13 00:00:42,670 --> 00:00:44,530 and ask if they’re interested in the service. 14 00:00:44,530 --> 00:00:48,040 We’ll obtain their written consent, and agree on the best way we can contact them. 15 00:00:48,040 --> 00:00:50,210 This can be on the phone or in person. 16 00:00:50,210 --> 00:00:53,649 The intervention stage is 1-2 weeks after starting the new medication. 17 00:00:53,649 --> 00:00:57,239 The pharmacist will speak with the patient about how they take their medcine, and identify 18 00:00:57,239 --> 00:00:59,310 any barriers which prevent them from taking it. 19 00:00:59,310 --> 00:01:03,000 This is where the pharmacist can give advice to the patient, and if anything serious has 20 00:01:03,000 --> 00:01:04,909 come up, they can be referred to the GP. 21 00:01:04,909 --> 00:01:09,000 Now if they’re going to continue with the medication, they'll agree a time for the follow 22 00:01:09,000 --> 00:01:10,320 up stage. 23 00:01:10,320 --> 00:01:13,100 The follow up stage is 2-3 weeks after the intervention stage. 24 00:01:13,100 --> 00:01:16,970 It’s a similar conversation to the intervention stage, but the pharmacist will follow up anything 25 00:01:16,970 --> 00:01:19,900 any prior issues They’ll reinforce the benefits of the medicine, 26 00:01:19,900 --> 00:01:21,310 and ensure it’s being taken as prescribed. 27 00:01:21,310 --> 00:01:25,010 Again, at any point if any issues that arisen since the intervention, they can still be 28 00:01:25,010 --> 00:01:26,619 referred to the GP. 29 00:01:26,619 --> 00:01:30,159 The engagement stage is where you can really help us. 30 00:01:30,159 --> 00:01:34,520 Identifying and signing patients up for NMS can be undertaken by anyone in the pharmacy. 31 00:01:34,520 --> 00:01:38,510 Every time you sign a patient up for NMS, you give them the best possible chance of 32 00:01:38,510 --> 00:01:40,830 getting the most benefit from that medicine. 33 00:01:40,830 --> 00:01:43,130 To help demonstrate this we’ll be following Rob. 34 00:01:43,130 --> 00:01:45,350 He’s been prescribed a new inhaler for his asthma. 35 00:01:45,350 --> 00:01:48,470 So when rob hands in a prescription, we’ll ask him one simple question 36 00:01:48,470 --> 00:01:50,869 “Are any of these medications new for you?” 37 00:01:50,869 --> 00:01:54,479 In this case, Rob has a new inhaler, so we’ll place a small star to the right hand side 38 00:01:54,479 --> 00:01:55,540 of the new drug. 39 00:01:55,540 --> 00:01:58,369 This highlights to the pharmacist what medicines are new. 40 00:01:58,369 --> 00:02:02,960 To give you a better idea of what medication is eligible for NMS, let’s go to the dispensary. 41 00:02:02,960 --> 00:02:06,090 So here's some medication you might see under NMS. 42 00:02:06,090 --> 00:02:08,869 So you're looking for inhalers, that's for Asthma or COPD 43 00:02:08,869 --> 00:02:13,090 Got your blood pressure medication there, your antiplatelet or anticoagulation medication 44 00:02:13,090 --> 00:02:16,450 And finally, medication used for type two diabetes 45 00:02:16,450 --> 00:02:20,040 Doesn't matter if you don't know all the medication under NMS, but it's great if you know some 46 00:02:20,040 --> 00:02:25,200 Rob’s been prescribed a new salbutamol inhaler, this medication is eligible for NMS, so we’ll 47 00:02:25,200 --> 00:02:28,880 check if he’s using it for a target condition Are you using this for Asthma? 48 00:02:28,880 --> 00:02:29,880 Yes, I am, 49 00:02:29,880 --> 00:02:34,020 So after confirming the medication is for a target condition, and it’s within NMS, 50 00:02:34,020 --> 00:02:36,050 you can sign them up! 51 00:02:36,050 --> 00:02:40,569 Now ensure you explain the consent form to the patient, speak to your pharmacy manager 52 00:02:40,569 --> 00:02:44,310 for a more detailed explanation of this. 53 00:02:44,310 --> 00:02:51,379 If they’re happy to continue, ensure they sign and date the form, then confirm their 54 00:02:51,379 --> 00:02:54,240 phone number, or agree on a good time to come into the pharmacy. 55 00:02:54,240 --> 00:02:55,850 But what if you haven’t seen the patient? 56 00:02:55,850 --> 00:02:59,550 If you’re labelling their medication, a quick glance at their records may indicate 57 00:02:59,550 --> 00:03:00,550 if it’s new. 58 00:03:00,550 --> 00:03:03,800 If you think it is, star the medication on the prescription and add a consent form to 59 00:03:03,800 --> 00:03:05,840 the basket if you think it might be an NMS. 60 00:03:05,840 --> 00:03:08,910 When the pharmacist hands out the medication, they will be able to confirm if the patient 61 00:03:08,910 --> 00:03:11,830 is eligible to take part in the new medicines service. 62 00:03:11,830 --> 00:03:15,380 Rob has not had this inhaler before so the pharmacist will discuss things with him like 63 00:03:15,380 --> 00:03:17,019 the benefits and side effects 64 00:03:17,019 --> 00:03:21,330 And In one to two weeks’ time, we’ill give him a call, and see how he is getting 65 00:03:21,330 --> 00:03:22,330 along. 66 00:03:22,330 --> 00:03:24,590 Something as simple as a phone call could make a huge difference to someone’s health. 67 00:03:24,590 --> 00:03:28,690 Rob’s asthma is under far better control thanks to NMS, turns out he wasn’t using 68 00:03:28,690 --> 00:03:29,790 the inhaler as intended. 69 00:03:29,790 --> 00:03:33,550 Thanks to the new medicine service, he is making far greater gains from his medication. 70 00:03:33,550 --> 00:03:38,209 But Rob’s not alone, data shows that nearly 1 in 5 patients aren’t taking their medication 71 00:03:38,209 --> 00:03:40,750 as prescribed at the intervention stage. 72 00:03:40,750 --> 00:03:44,890 Thanks to the new medicine service, by the follow up stage 2-3 weeks later, this number 73 00:03:44,890 --> 00:03:47,570 reduces to nearly 1 in 10. 74 00:03:47,570 --> 00:03:51,050 We want to be able to support as many patients like Rob as we can, as they start their own 75 00:03:51,050 --> 00:03:52,060 journey with a new medicine. 76 00:03:52,060 --> 00:03:53,060 That’s why we need your help. 77 00:03:53,060 --> 00:03:56,799 Every patient we identify and sign up for NMS, is a step towards ensuring our patients 78 00:03:56,799 --> 00:03:59,600 are receiving the best healthcare possible. 79 00:03:59,600 --> 00:04:01,090 We do it because we care. 80 00:04:01,090 --> 00:04:03,799 And It all starts by asking one simple question.