NMS Session 3 - Follow Up

You must record if the Follow Up session was delivered before recording any other data.

Select either:

• Yes - To record that the Follow Up session was delivered, and continue to the Consultation Details section, or

• No - To record that the Follow Up session was not delivered, and select a reason why the session was not completed from the available list:

  

  • Patient has withdrawn consent for information sharing

  • Patient has withdrawn consent to receive the service

  • Patient could not be contacted

  Select COMPLETE to close the Follow Up Delivered screen. The NMS saves to the Completed Episodes tab.

Complete the Consultation Details section as appropriate:

1. Enter the date and time of the consultation:

   • Date of Consultation - Select Date to open a calendar and select a date, or select NOW to add the current date and time.

   • Time of Consultation - Select Time to enter the time of consultation, or select NOW to add the current date and time.

2. Select a method of consultation from the available list:

   • Face to face in the pharmacy

   • Face to face in the patient's home

   • Telephone - You must select a Pharmacist Location when recording that the Intervention session was delivered by telephone:

     

     • In branch, or

     • Remote

   • Telemedicine (Video Call)

To review a medication added to the NMS:

1. Select REVIEW on the medication required:

   

   The Review medicine 1 of n screen displays:

   

   Training Tip - The Intervention Review summary displays at the top of the screen.

   Complete the medication review as appropriate:

   Is the patient using medicine as prescribed?

   Select either:

   • Yes - To record that the patient is using the medicine as prescribed, and continue to the Issues reported by patient (Optional) section, or

   • No - To record that the patient is not using the medicine as prescribed, and select a reason why from the available list:

     

     • Patient has not started using the medicine

     • Prescriber has stopped new medicine

     • Patient is not using the medicine in line with the directions of the prescriber

     • Patient reports missing a dose in the past 7 days

     If required continue to the Issues reported by patient (Optional) section.

   Issues reported by patient (Optional)

   If required, record any issues reported by the patient:

   

   • Needs more information about the medicine

   • Side effects

   • Negative feelings about medicine

   • Uncertain on whether the medicine is working

   • Forgets to take medicine

   • Difficulty using the medicine due to its pharmaceutical form / formulation

   • Other - You must indicate the issue reported:

     

   Outcome of discussions with patient

   If required, record any outcomes of discussion with the patient:

   

   • Information provided (Optional)

     • Interactions with other medicines

     • Why am I using the medicine / what is it for

     • How to use the medicine

     • Correct dose of the medicine

     • Effects of the medicine on the body / how it works

     • Why should I take the medicine

     • Timing of the dose

     • Interpretation of side effect information

   • Advice provided (Optional)

     • Reminder strategies to support use of medicine

     • Change to timing of doses to support adherence

     • How to manage or minimise side effects

   • Agreed patient actions (Optional)

     • Carry on using medicine as prescribed

     • Use medicine as agreed during the intervention

     • Submit Yellow Card report to MHRA

     • Other action - You must describe the other action:

       

   • Agreed pharmacist actions (Optional)

     • Reminder chart / MAR chart

     • Submit Yellow Card report to MHRA

     • Referred back to the prescriber - Select from the available list of reasons to refer back to the precriber:

       • Drug interaction(s)

       • Potential side effect(s) / adverse drug reaction preventing use of medicine

       • Patient reports not using medicine any more

       • Patient reports never having started using medicine

       • Patient reports difficulty using the medicine: Issue with device

       • Patient reports difficulty using the medicine: Issue with formulation

       • Patient reports lack of efficacy

       • Patient reports problem with dosage regimen

       • Patient reports unresolved concern about the use of the medicine

       • Other action - You must describe the other action:

         

       Patient's Registered GP Details

       Note - Only required when referring a patient back to the prescriber as the outcome of the medication review.

       Confirm the patient's registered GP details are correct, or select EDIT to edit the patient's GP details:

       

     • Other action - You must describe the other action:

       

   In the Additional Notes section, enter any additional text as required.

Indicate if any of the following advice was given to the patient:

Select from the list:

• Alcohol

• Diet & Nutrition

• Smoking

• Physical Activity

• Weight Management

• Sexual Health

• Other - You must indicate the type of advice given in the section provided:

  

  In the Additional Comments section, enter any additional text as required.

This section automatically populates with the logged in user details. Update the details manually if required:

Note - Select SAVE & EXIT to save the session and return to the NMS Overview screen without completing the session.

If you are referring a patient back to the prescriber, select Completing the Follow Up Session - Refer back to the Prescriber:

Completing the Follow Up session - Refer back to the Prescriber

To complete the Follow Up session when selecting to refer a patient back to the prescriber in the medication review:

1. From the Delivered By screen, select COMPLETE:

   

2. A message displays asking if you are sure you want to complete the patient's NMS episode:

   

   Select COMPLETE EPISODE to complete the Follow Up session.

3. The Follow Up Completed screen displays and the NMS saves to the Completed Episodes tab:

   

   From the Follow Up Completed screen, select either:

   • BACK TO NMS EPISODES - To return to the New Medicine Service screen.

   • DOWNLOAD PDF - Select DOWNLOAD PDF to download the GP Feedback Form.

   • NMS OVERVIEW - To view a summary of the NMS episode:

     

     From here you can select VIEW SESSION  to view details from a previous session, or DOWNLOAD PDF to download the GP Feedback Form.

To complete the Follow Up session:

1. From the Delivered By screen, select COMPLETE :

   

2. A message displays asking if you are sure you want to complete the patient's NMS episode:

   

   Select COMPLETE EPISODE to complete the Follow Up session.

3. The Follow Up Completed screen displays and the NMS saves to the Completed Episodes tab:

   

   From the Follow Up Completed screen, select from:

   • BACK TO NMS EPISODES - To return to the New Medicine Service screen, or

   • NMS OVERVIEW - To view a summary of the NMS episode:

     

     From here you can select VIEW SESSION  to view details from a previous session.