Social media watch: Pharmacists push for NMS to cover mental health drugs

The sector has agreed with the Royal Pharmaceutical Society (RPS) that the New Medicine Service (NMS) should be extended to include long-term conditions such as mental health.

RPS English board chair Sandra Gidley argued on Tuesday (29 May) that the NMS should cover mental health drugs so that more patients can benefit from pharmacists’ support.

Her comments followed a report by NHS Improvement board member Lord Carter of Coles', which was published on 24 May and looked at how pharmacy services are underused in the community and mental health sectors,

The NMS – an advanced service that forms part of the community pharmacy contract – currently covers four conditions including asthma, chronic obstructive pulmonary disease (COPD), type 2 diabetes and high blood pressure.

'Follow-up critical'

Many pharmacists agreed that the NMS should include mental health medications, as it is critical to follow up patients after they start taking anti-depressants.

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That’s a yes from me! Alternative therapy like wilderness therapy is required first before drugs. Follow up after rx of antidepressant is critical for 1st few months. Suicidal thoughts , self harm r so high aftr anti-D’s. WE NEED MASSIVE TRAINING DRIVE across all pharmacists. pic.twitter.com/7at8VYZ6WY

— Aisha (@VocalPharmacist) May 31, 2018

YES YES YES YES YES YES YRS YES YES YES YES!!!!!

Said this for many many many years now!!!

Would love to follow up with my patients after two weeks.

— Iqbal Mohammed (@iQFilmmaker) May 30, 2018

Time of the essence

Others argued that extending the remit of NMS consultations would offer patients bing treated for mental health conditions the time and support they need.

Absolutely agree. Pharmacists routinely provide support and advice to patients receiving mental health-related medicines, opportunity to give the length of time needed and when convenient to patient. Benefit would be improved structure to these consultations https://t.co/cSAsNbfYQn

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— Chris Bonsell (@ChrisBpharmacy) May 30, 2018

@BrineMinister Yes but that is not enough. Need 2understand IAPT & need to make referrals and vice versa. And, why not MURs? No need to wait for a new contract. Minister can make changes to existing one today, if he wished. Personalising Care & compliance important in MH patients

— Hemant Patel (@hemant_lpc) May 31, 2018

'Valuable group of medicines'

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A 2015 study led by University of Nottingham's division of pharmacy practice and policy head Claire Anderson showed that antidepressants would be a 'valuable additional group of medicines to add to the NMS, as people who get antidepressants from the pharmacy 'often struggle with actually taking the first dose.'

It said: 'Studies have shown that around 40% of patients who start treatment with antidepressants fill only a single prescription at the pharmacy, apparently not accepting treatment and, as with other new medicines stop taking them after two weeks.

'Importantly, there was a significant silence in the narratives around experiences at pharmacies, with little mention of support when first or subsequent prescriptions were dispensed.'