DHBNZ Home > Service Improvement Group > National Pharmacist Services Framework > Overview
NEW ZEALAND NATIONAL PHARMACIST SERVICES FRAMEWORK
This Framework has been developed over the past eighteen months and has involved comprehensive consultation across the health sector.
It describes existing dispensing services and the five newly developed services.
The new services are divided into two main themes:
1. Information services
comprised of:
- Health Education to patients.
- Medicines and Clinical Information Support to practitioners (this includes Clinical Advisory Pharmacist and Pharmacist Facilitation roles).
2. Medicines review services
- Medicines Use Review and Adherence Support (MUR), a four part review assessing the patient’s use, understanding and adherence to their medication regimen. This service has been aligned with the NZ Pharmacy Council competency standards and titles.
- Medicines Therapy Assessment (MTA), a comprehensive clinical review of an individual patient’s medication as part of a multidisciplinary team.
- Comprehensive Medicines Management (CMM), case based active management of changes and (future) pharmacist prescribing activities, as part of a multidisciplinary team.
These new services aim to:
- Enable flexible implementation, e.g. via District Health Boards (DHBs), or Primary Health Organisations (PHOs), in line with available resources
- Promote optimal medicine related outcomes from medicines.
- Encourage multidisciplinary work practices, primary-primary and primary-secondary integration.
- Provide the prime tools in managing and ensuring value from pharmaceutical expenditure apart from PHARMAC supply and demand initiatives.
- Utilise the opportunity for enhanced access that community pharmacy offers for the promotion of public health and well-being and the encouragement of self-care.
- Enable the optimisation of health by evaluating and addressing where possible, the medication management needs of local populations and individual patients.
- Enable the development of medication management services that enhance patient choice, access and convenience and provide a positive experience for patients and other providers of healthcare.
- Enable the provision of a range of clinically effective and cost-effective medication management services that build on the strengths of community pharmacy teams and that are provided within a multidisciplinary environment.
- Enable the development of an integrated approach to planning and commissioning of innovative medication management services that contribute to the development of primary health care and the optimisation of health outcomes regionally and nationally.