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 more details.

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

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

  3. The Session 3 - Follow Up screen displays:

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 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    • Patient has withdrawn consent for information sharing

    • Patient has withdrawn consent to receive the service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 Follow Up session was delivered by telephone.

      • In branch, or

      • Remote

    • Telemedicine (Video Call) - You must select a Pharmacist Location when recording that the Follow Up session was delivered by telemedicine.

      • In branch, or

      • Remote

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:

    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 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:

        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 - The GPHC number is optional for the Engagement 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 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.

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