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Profession demands MUR 'culture change'

Credit: Andrew Cheung

Pharmacists who took part in C+D's Twitter chat used the #MURabuse hashtag to demand a change to how the service is delivered

Pharmacists who took part in C+D’s Twitter debate last week (April 22) highlighted the need for a culture change to improve medicines use reviews (MURs), and called for a new approach to the service to counter allegations of abuse.

Community pharmacist Chris Bonsell suggested that the profession needs to change the way it looks at MURs, and stressed pharmacists should not consider the 400 limit as a target. 

Pharmacist Emily Bond said that companies, as well as contractors and individual pharmacists, need to be held accountable by the regulator, the General Pharmaceutical Council (GPhC). 

While a pharmacist tweeting as Mr G suggested that payments for the service should be changed.

This is the latest in a series of articles exploring the issue of MUR abuse, following on from our Twitter debate. For all of the coverage on #MURabuse, see our dedicated page.

 


Can the professional culture around MURs be changed?

We want to hear your views, but please express them in the spirit of a constructive, professional debate. For more information about what this means, please click here to see our community principles and information

12 Comments

Shaun Steren, Pharmaceutical Adviser

Employee/locum pharmacists have been exposing the crooked target culture for over ten years, nobody has bothered to listen. 

V M, Pharmacy

When I used to be a 'manager' (even that title irritates me , as your not a manager just a spokesperson for bad news and to take the [email protected]) for a large multiple based in the west midlands I usally had my weekly target of '10' mur complete by the wednesday. I got phonecalls of my area manager to say 'u need to bang out some more' as rest of the area have done crap. needless to say i started to report my murs last thing on a friday after that. Its not just boots -its pretty much all of them! Miost pharmacist have no problem with MURs - its the fact that your forced to do them to hit targets set by an accountant !

 

Barry Pharmacist, Community pharmacist

Demands? When did anyone at the top of DOH or PSNC ever listen to pharmacists?

Harry Tolly, Pharmacist

""Pharmacist Emily Bond said that companies, as well as contractors and individual pharmacists, need to be held accountable by the regulator, the General Pharmaceutical Council (GPhC).""

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Emily Bond seems not to be aware that the GPhC has been merrily striking off and reprimanding Boots Pharmacists regarding inappropriate MURs for years. YET its has taken ZERO action against Boots. I wonder why ?

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The GPhC, like South Yorkshire Police, is a discredited entity and needs to be disbanded to maintain the Professions confidence. Many of us have ZERO confidence in either the Council or the highly paid Executive.

Pill Counter, Pharmacy

After the guardian article the GPhC cheerily reminded pharmacists of their professional duties with regards to MURs. Clearly ignoring the fact many pharmacists had long since lost their professional autonomy to ex-tyre salesmen with 4 GCSES acting as 'area managers'

Leon The Apothecary, Student

One of the multiples recently hired a person to be a cluster manager whom had a degree in graphics design, and no prior knowledge of pharmacy.

Angela Channing, Community pharmacist

And therein lies the problem! 

C A, Community pharmacist

But...but... I bet he will be able to make a spiffy new MUR consent form!

Angela Channing, Community pharmacist

Pharmacists don't see the 400 as a target, the managers and BigWigs at the big chains do!! Such a good idea, 10 yrs ago, now ruined as usual by the multiples. You can trace everything wrong with community pharmacy over the last 20 yrs back to the multiples getting bigger market share. Shame on anyone who ever was an independent and sold up to the Big Boys. 

Stephen Eggleston, Community pharmacist

While I appreciate where you are coming from, at the point anybody sells anything it is for two reasons - 1. They no longer want to own it. 2. They want to realise as much as possible for that asset. Sometimes, it's the multiples who have the spending power. It would be interesting to know if you are an owner, an employee or a locum and, if at any point, you have varied your charges based on who the payer was

Pill Counter, Pharmacy

Boots seem to be quite certain 400 is a target

 

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A former Boots pharmacist has been struck off the register for falsifying an estimated 67 MURs and lying to conceal his misconduct.   Hurfan Azam, registration number 2061824, said he had exaggerated MUR claims because of "continuous" pressure to meet targets, at a General Pharmaceutical Council (GPhC) fitness-to-practise hearing on April 4.   But the GPhC rejected his claims and said Mr Azam had failed to show genuine remorse for his dishonesty, instead maintaining "nothing was his fault".   Mr Azam took his first job as a pharmacist at a Boots branch in central Birmingham in July 2008. The store had a target of completing 400 MURs every year, the GPhC heard. 

Harry Tolly, Pharmacist

I hope he is onto his lawyers to sue the GPhC for every penny and it should be the Committee members of the GPhC that should be made to pay  not the registrants by way of a fees rise. Shameful shameful conduct by the GPhC. We need to know what actions it took against Boots? Did it warn them? Send them a letter about targets ? What exactly did they do ? Spot of lunch maybe ??

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