Why nms

However, there may be circumstances, where in the professional opinion of the pharmacist, they believe the patient would benefit from the provision of the NMS where they are moving from one formulation of a medicine to another for example the prescribing of the same inhaled medicine, but in a different inhaler device from that previously used by the patient.

NMS consultations provided in the pharmacy will be undertaken in the consultation room. Alternatively, consultations can be undertaken by telephone or video consultation, where the patient has previously consented to this and it is clinically appropriate. A pharmacist providing the NMS by telephone or video consultation can do so from the pharmacy premises or from another location, e. In seeking consent, contractors need to ensure that the patient is made aware that the consent enables:.

The service specification requires information on the NMS to be given to the patient; this requirement may be fulfilled by providing a leaflet to the patient. NMS patient leaflet Microsoft Word. If an NMS item is dispensed for a patient, but the medicine is being delivered to the patient, or a representative is collecting the prescription, the following template leaflet may be used to offer the NMS to the patient:.

Further guidance on creating your own patient communication materials can be found on the Communicating with patients page. The NMS interview schedule should be used by pharmacists to help shape the conversation they have with patients at the intervention and follow up stages of the service. The interview is based on the approach used in the proof of concept research and members of the original research team helped to design it.

Interview schedule with notes. Interview schedule without notes. There may be occasions during the provision of the NMS when pharmacists will need to refer patients to their GP, where an issue has arisen that cannot be solved by the pharmacist and patient.

Where the information to be fed back to the GP practice is less urgent, the form should be sent to the practice, with the patient being advised that the GP practice will contact them about the information in the NMS Feedback form where necessary.

It also provides flexibility for the GP practice to manage the issue by telephoning the patient if that is deemed an appropriate alternative to an appointment in the practice. The GPC view was that this approach provided more flexibility for practices to manage queries in the best way for their patients and using the full range of skills within their team, rather than requiring all queries to be dealt with via a face to face appointment with a GP.

Pharmacists providing the service must make records to support ongoing provision of the service to patients, their future care and audit of the service. The records must be kept for at least two years from the date on which the service is completed or discontinued. The minimum requirements for record keeping are detailed in the service specification.

If you do not have access to a computer in the consultation room, or do not wish to use it during your discussion with the patient, the following NMS Worksheets can be used to record notes during the Intervention and Follow up stages of the service and then summarise your discussion with the patient to support the creation of summary data for submission to the NHSBSA.

NMS Worksheet. Coding to be used to record the ethnic group of people. The development of Primary Care Networks PCNs has resulted in the employment of clinical pharmacists within PCNs, based at general practices; in many cases the clinical pharmacist may be able to assist the community pharmacist and patient with the matter identified during the NMS.

The temporary introduction of catch-up NMS allows contractors to offer patients who were prescribed a new, eligible medicine including from the expanded conditions during the COVID pandemic, but who did not receive the NMS at that time, additional support.

The catch-up service may be offered to eligible patients between 1st September and 31st March Provision of a catch-up NMS will ordinarily follow the standard NMS path as described above, however, it is recognised that patients are likely to have started using the new medicine s and may have been established on the regimen for several months, so the timings of the different stages may be varied from the standard approach.

It is expected that in most cases the contactor will have dispensed the first prescription for the eligible medicine s at the point it was initially prescribed. However, it is recognised that the patient may have changed their community pharmacy since the medication was initially dispensed. Therefore, to provide a catch-up NMS the contractor does not have to have dispensed the first prescription, but the contractor should confirm with the patient that they have not previously received an NMS in respect of that medication.

She is always very helpful and informative. She never makes me feel like I am bugging her and is very patient with me when I am trying to wrap my head around something. Just thought you should know! However, what I like most is the fluency and easiness of user interface; which makes it fun working with these options.

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NMLS If you have any questions feel free to ask us, we're here for you and happy to assist. Thank you. Hawkeye View Profile View Posts. I bought this game for space exploration. Why would I want to tie myself to a single planet? Especially one not of my choosing. JFC HG, you have seriously lost your way. Guess I'll add this to the rest of the useless updates i.

So disappointing! I have nearly 3k hours of play. I will continue playing but I'm seriously questioning the direction HG is going. Showing 1 - 15 of comments. You're not tied to anything, you can keep exploring and only teleport back if you want to.

Or you can just not become an Overseer at all. It's all up to you. While I love exploring and what not, getting upset at an optional addition to this game makes no sense at all. You're not forced to do it. Bowi View Profile View Posts. I have a question since I haven't played. Are there now some little pre-built settlements on each planet now? To be fair, they did force a lot of things on early adopters in the past; like a reworked language system which rendered previously intelligible NPC interactions totally unintelligible unless we would spend MORE time learning words Last edited by Bowi ; 1 Sep am.

NMS has gone in more directions than a Gordian Knot. Originally posted by davidb11 :. Last edited by Spark Sunbright ; 1 Sep am.