Medicines Use Review (MUR)

Medicines Use Review (MUR)

The Medicines Use Review (MUR) and Prescription Intervention 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.

Pharmacists and community pharmacy contractors practising in Wales should visit the Community Pharmacy Wales website for information on MURs in Wales.

In 2020/21, contractors can provide a total of 100 MURs, with the service being decommissioned at the end of the year.

From 1st September 2020, it is no longer a contractual requirement that written consent is obtained from patients prior to the provision MURs. Additionally, MURs may now be provided by phone or video consultation, where this is clinically appropriate, and without the contractor having to seek prior approval from NHSE&I.

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 2013

These Directions have been amended a number of times since publication. The amendment Directions are printed in the Drug Tariff. The most recent changes are set out in amendments to the Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013 which can be viewed on the NHS Business Services Authority website.

PSNC has created a document which consolidates the 2013 Directions and subsequent amendments.

MUR service specification (August 2013)

list of suggested questions has been developed to help shape the discussion pharmacists have with patients during the MUR consultation. The use of the questions is not compulsory, but pharmacists may find them useful to obtain the maximum amount of information from the patient’s perspective as is possible.

Click on a heading below for more information.

The basics

Premises requirements

MUR accreditation

National target groups

Patient consent requirements

Record keeping and NHSBSA reporting requirements

Communicating with GPs

Working with hospital colleagues

MURs v. Prescription Interventions

Conducting MURs off the premises

MUR funding

MUR statistics


More MUR resources


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