Home MUR
- the Medicines Use Review and Prescription Intervention Service
The first Advanced Service introduced within the NHS community pharmacy contract was the Medicines Use Review (MUR) and Prescription Intervention Service.
The service consists of accredited pharmacists undertaking structured adherence-centred reviews with patients on multiple medicines, particularly those receiving medicines for long term conditions.
National target groups have been agreed in order to guide the selection of patients to whom the service will be offered. The MUR process attempts to establish a picture of the patient's use of their medicines - both prescribed and non-prescribed. The review will help patients understand their therapy and it will identify any problems they are experiencing along with possible solutions. A report of the review will be provided to the patient's GP where there is an issue for them to consider.
Directions, Guidance and Service Specification
The legal basis for the service is provided by the Secretary of State Directions. The service specification provides a 'plain English' version of the Directions
The Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2011
MUR service specification (January 2012)
PSNC and NHS Employers have produced detailed official Guidance on MURs for pharmacy contractors, their staff and PCTs.
A list of suggested questions has been developed to help shape the discussion pharmacists have with patients during the MUR consultation. The questions are not compulsory, but pharmacists may find them useful to obtain the maximum amount of information from the patient’s perspective as is possible.
More information
- MURs: the basics
- National target groups for MURs
- Patient consent requirements
- MURs and Prescription Interventions - what is the difference?
- MUR data requirements (including the MUR form and quarterly reports to PCTs)
- Working with hospital colleagues
- How do pharmacists gain accreditation to provide MURs?
- What are the pharmacy premises (consultation area) accreditation requirements for MURs? (includes PREM1 form)
- Can MURs be provided off the pharmacy premises? (includes PREM2 form)
- How many MURs have been conducted? (MUR statistics section)
- What payment is made to pharmacies for providing MURs?
- PCT monitoring of the MUR service (includes Annual regulatory standards checklist and declaration)
- Frequently Asked Questions (FAQs)
MUR resources
Click on the link below to access a range of resources to help pharmacists provide the MUR service.
MUR resources