NMS Session 2 - Intervention

To start the Intervention session:

  1. From the New Medicine Service screen find the required episode and select OPEN .

    See Searching for, Sorting or Filtering NMS Episodes for more details.

  2. From the summary screen, select START SESSION on the Session 2 - Intervention tile.

    Training Tip - Select VIEW SESSION to view the details recorded during the Engagement session, or select EDIT to change the appointment time and date of the next session.

    The Session 2 - Intervention screen displays.

The Intervention session includes the following sections, complete as appropriate:

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

Select either:

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

  • No - To record that the Intervention session was not delivered, and select a reason 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    • Patient has withdrawn consent for information sharing

    • Patient has withdrawn consent to receive the service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 CLOSE & SAVE to close the Service Provision 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 - Select Date to open a calendar and select a date, or select NOW to add the current date and time.

    • Time - 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) - You must select a Pharmacist Location when recording that the Intervention session was delivered by telemedicine.

      • In branch, or

      • Remote

To review a medication added to the NMS:

  1. Select REVIEW on the medication required.

  2. The Review medicine 1 of n screen displays, where n is the number of medication to review.

    Complete the medication review as appropriate:

    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.

    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.

    If required, record any outcomes of discussions 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 prescriber:

        • 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.

      • Other action - You must describe the other action.

    • Additional Notes - Enter any other relevant details for pharmacy records/GP feedback form.

  3. Select ADD REVIEW to add the review and return to Medicines to be Reviewed.

    Training Tip - Select EDIT to edit the review, if required.

  4. When referring the patient back to the prescriber, complete the following sections:

    • Confirm the Referral Destination - Select either:

      • GP, or

      • Other - Specify a referral destination.

    • Patient's Registered GP Details - Confirm the patient's registered GP details are correct, or select EDIT to edit the patient's GP details.

  5. Complete other medication reviews as required.

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

  1. 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.

Note - Does not display if the outcome of the medication review is to refer the patient back to the prescriber.

Set a date and time for the Follow Up session with the patient or advocate, and enter the details as appropriate.

  1. Enter a date and time for the Follow Up session:

    • Date - Select to open a calendar and select a date, or select IN 14 DAYS to add the current time 14 days from now.

    • Time - Select to enter the time of consultation, or select IN 14 DAYS to add the current time 14 days from now.

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

Note - The GPHC number is required for the Intervention session.
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 for all medications under review, select Completing the NMS Epiosde - Refer back to the Prescriber:

To complete the Intervention session and NMS episode when selecting to refer a patient back to the prescriber for all medications under review:

  1. From the Pharmacists Details screen, select COMPLETE .

  2. A message displays asking if you are sure you want to refer all the medications back to the prescriber and complete this patient's NMS episode.

    Select COMPLETE to complete the Intervention session.

  3. The Intervention Completed screen displays and the NMS saves to the Completed Episodes tab.

    From the Intervention Completed screen, select from:

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

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

To complete the Intervention session:

  1. From the Pharmacists Details screen, select COMPLETE .

  2. A message displays asking if you are sure you want to complete this patient's Intervention session.

    Select COMPLETE to complete the Intervention session.

  3. The Intervention Completed screen displays.

    From the Intervention Completed screen, select BACK TO NMS EPISODES to return to the New Medicine Service screen.

See NMS Session 3 - Follow Up for more information.
Note - To print this topic select Print in the top right corner and follow the on-screen prompts.