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“GOLD STANDARD” RESPIRATORY MURs

The "Gold Standard" for Respiratory Medication Use Reviews (MURs) reveals significant therapeutic benefits and cost savings. Research on the Isle of Wight shows that despite initial GP perceptions of variable MUR quality, structured MURs have proven beneficial. Advanced inhaler technique training for healthcare professionals led to a 22.7% reduction in beta-agonist costs and 50% fewer emergency asthma admissions. Initiatives in Norfolk aim to enhance support for pharmacies and streamline referral pathways, ultimately improving patient outcomes and lowering costs related to respiratory care.

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“GOLD STANDARD” RESPIRATORY MURs

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  1. “GOLD STANDARD” RESPIRATORY MURs The Background

  2. Why??? &

  3. Why? • GP perception of MUR quality and usefulness mixed BUT significant evidence that structured MURs CAN and DO have therapeutic benefits and can significantly help SAVE COSTS…

  4. Sorry, it’s always “The Isle of Wight” but: • Research showed that 96% of HCP were unable to demonstrate a good technique themselves • All HCP received advanced inhaler technique training • HCP’s then gave all patients using inhaled medication: • Consistent inhaler technique training • Provided training devices to patients when applicable

  5. RESULTS FROM IOW • Reliever therapy ( ePACT data) showed an immediate drop • Costs of selected beta-agonists decreased by 22.7% in 1st year (still falling) • PCT spend for bronchodilators now 20% below national average for this type of drug • Use of ICS preventers is also falling compared with the trend for England

  6. IOW RESULTS Cont. • Emergency hospital admissions due to Asthma reduced by 50% and deaths by 75% • Hospital inpatient costs for asthma related admissions have fallen by 66% since the project commenced • IOW COPD admissions markedly lower than other PCT’s despite high prevalence in the area

  7. The Norfolk Idea: • Provide additional training/advice/structure for Respiratory MURs/NMS incl. • Interested Pharmacies to express an interest in further support. • LPC Support for Pharmacies to discuss with their surgeries/CCGs. • LPC/Industry to facilitate additional demonstration/check devices. • Feedback to LPC on positive and negative GP response

  8. 6. Pathway for MUR/NMS Referral agreed between surgery and pharmacy. 7. LPC to gather data on outcomes… 8. LPC to share the learning…then, hopefully…

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