NMS Session 2 - Intervention

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  • Patient has withdrawn consent for information sharing

  • Patient has withdrawn consent to receive the service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 Intervention 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) - 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:

   

   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 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:

         

       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.

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

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

   • Time of Follow Up - 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 - 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 Intervention Session - Refer back to the Prescriber:

Completing the Intervention Session - Refer back to the Prescriber

To complete the Intervention 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 this patient's NMS episode:

   

   Select COMPLETE EPISODE 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.

   • 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 Intervention session:

1. From the Delivered By screen, select COMPLETE to complete the Intervention session:

   

2. The Intervention Completed screen displays:

   

   From the Intervention Completed screen, select either:

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

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

     

   From here you can select VIEW SESSION  to view a session's details, select START SESSION  to start the next session, or select Edit to change the appointment details of the next session.