NMS Session 3 - Follow Up

To start the Follow Up session for the New Medicine Service (NMS):

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

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

  2. A summary of the NMS displays, select START SESSION .

    Training Tip - Select VIEW SESSION to view details of a previous session.

  3. The Session 3 - Follow Up screen displays.

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

    Complete the medication review as appropriate:

The Follow Up session includes the following sections, complete as appropriate:

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 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    • Patient has withdrawn consent for information sharing

    • Patient has withdrawn consent to receive the service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 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.

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

    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 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.

      • Other action - You must describe the other action.

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

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

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

  1. 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.

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 - The GPHC number is required for the Follow Up 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, select 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 Pharmacists Details screen, select COMPLETE .

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

    Select COMPLETE 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.

To complete the Follow Up 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 Follow Up session.

    Select COMPLETE to complete the Follow Up session.

  3. The Follow Up Completed screen displays.

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

Note - To print this topic select Print in the top right corner and follow the on-screen prompts.