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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
Well see if theyre eligible for NMS
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and ask if theyre interested in the service.
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Well 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 theyre 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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Its a similar conversation to the intervention
stage, but the pharmacist will follow up anything
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any prior issues
Theyll reinforce the benefits of the medicine,
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and ensure its 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 well be following
Rob.
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Hes been prescribed a new inhaler for his
asthma.
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So when rob hands in a prescription, well
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 well
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, lets 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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Robs been prescribed a new salbutamol inhaler,
this medication is eligible for NMS, so well
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check if hes 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 its 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 theyre 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 havent seen the patient?
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If youre labelling their medication, a
quick glance at their records may indicate
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if its 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, weill
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 someones health.
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Robs asthma is under far better control
thanks to NMS, turns out he wasnt 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 Robs not alone, data shows that nearly
1 in 5 patients arent 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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Thats 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.