network across an extended period of time. In relation to our 100 hour pharmacy contractors we have considered the current provision from contractors and the potential for these contractors to apply to reduce their hours in the future based on the PNA. We have concluded that our current 100 hour contractors perform a crucial role in opening up access in the early morning, evening, late evening and at weekends. We have concluded that are no current gaps. 7.5 Advanced Services Since 2005 community pharmacies have been able to provide medicines use reviews (MUR) under the Advanced Services within the community pharmacy contract. Contractors may choose to provide MURs and must make a declaration of conformity with the requirements to provide. The MUR service is intended to improve patients' understanding of their medicines; highlight problematic side effects & propose solutions where appropriate; improve concordance; and reduce medicines wastage, by encouraging the patient to take medicines correctly and only order the medicines they require. The provision of Advanced Services is linked to the provision of consultation areas within pharmacies; this was explored in some depth in the pharmacy contractor questionnaire. 7.5.1 Premises and consultation areas The presence of consultation areas in many pharmacies presents an opportunity to commission pharmacies in new and potentially exciting ways to deliver new services. In some respects this is already happening through commissioning enhanced and other locally commissioned services. 7.5.2 Medicines Use Reviews The MUR service is intended to improve patients' understanding of their medicines; highlight problematic side effects & propose solutions where appropriate; improve concordance; and reduce medicines wastage, by encouraging the patient to take medicines correctly. The provision of MURs in Solihull has increased over the past 5 years and this can be seen from the HSCIC data. The patient survey informs us that there is a good awareness of this service. Almost all (95%) of pharmacies in the Borough provide this service. MUR’s are a very useful tool to help the Solihull Health and Wellbeing Board and Solihull CCG to achieve their strategic aims by improving the quality of life for people with multiple long-term conditions, reduce hospital admissions and Increase life expectancy - by tackling specific health conditions for certain age groups. However the evidence base for the effectiveness of MURs remains unclear and requires further evaluation. Figure 22 Mean number of Medicine Use reviews per provider by West Midlands Cluster
network across an extended period of time. In relation to our 100 hour pharmacy contractors we have considered the current provision from contractors and the potential for these contractors to apply to reduce their hours in the future based on the PNA. We have concluded that our current 100 hour contractors perform a crucial role in opening up access in the early morning, evening, late evening and at weekends. We have concluded that are no current gaps. 7.5 Advanced Services Since 2005 community pharmacies have been able to provide medicines use reviews (MUR) under the Advanced Services within the community pharmacy contract. Contractors may choose to provide MURs and must make a declaration of conformity with the requirements to provide. The MUR service is intended to improve patients' understanding of their medicines; highlight problematic side effects & propose solutions where appropriate; improve concordance; and reduce medicines wastage, by encouraging the patient to take medicines correctly and only order the medicines they require. The provision of Advanced Services is linked to the provision of consultation areas within pharmacies; this was explored in some depth in the pharmacy contractor questionnaire. 7.5.1 Premises and consultation areas The presence of consultation areas in many pharmacies presents an opportunity to commission pharmacies in new and potentially exciting ways to deliver new services. In some respects this is already happening through commissioning enhanced and other locally commissioned services. 7.5.2 Medicines Use Reviews The MUR service is intended to improve patients' understanding of their medicines; highlight problematic side effects & propose solutions where appropriate; improve concordance; and reduce medicines wastage, by encouraging the patient to take medicines correctly. The provision of MURs in Solihull has increased over the past 5 years and this can be seen from the HSCIC data. The patient survey informs us that there is a good awareness of this service. Almost all (95%) of pharmacies in the Borough provide this service. MUR’s are a very useful tool to help the Solihull Health and Wellbeing Board and Solihull CCG to achieve their strategic aims by improving the quality of life for people with multiple long-term conditions, reduce hospital admissions and Increase life expectancy - by tackling specific health conditions for certain age groups. However the evidence base for the effectiveness of MURs remains unclear and requires further evaluation. Figure 22 Mean number of Medicine Use reviews per provider by West Midlands Cluster
Draft-Solihull-PNA1.docx