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The Medicines Use Review (MUR) and Prescription Intervention (PI) Service

This is an Advanced Service within the community pharmacy contractual framework. It includes medicines use reviews (MURs) undertaken periodically, as well as those arising in response to the need to make a significant prescription intervention during the dispensing process.


The regulatory framework for MUR service provision is set out in the Secretary of State Directions. The Directions require any pharmacist providing the MUR service to have satisfactorily completed an assessment set by a Higher Education Institution (HEI) based on the national competency framework. You must be able to provide evidence of this in the form of an MUR certificate, which is a statement of satisfactory performance awarded or endorsed by an HEI.

MUR service

The MUR service was introduced by the government as a way of helping patients use their medicines more effectively. The aim of the service is to improve patient knowledge, concordance and use of medicines by:


  • establishing the patient’s actual use, understanding and experience of taking their medicines
  • identifying, discussing and resolving poor or ineffective use of their medicines
  • identifying side-effects and drug interactions that may affect patient compliance
  • improving the clinical and cost effectiveness of prescribed medicines and reducing medicine wastage.


Benefits of the MUR service include more effective medicines use, reduced medicines waste and improved medicines compliance, which in turn should lead to better health outcomes for the patient.


Pharmacies are able to claim a fee for completing MURs; your employer may request that you are accredited, and you may find it advantageous if you wish to work as a locum pharmacist in community pharmacy.




Legal requirements

If you offer an MUR service then there are legal requirements to which you must adhere. These requirements, called Directions, can be found in Part VIC of the Drug Tariff, under Medicines Use Review (MUR) and Prescription Intervention (PI) Service. Your pharmacy premises must also meet certain requirements before you can offer an MUR service. The Directions will give you full details should you need them.


Guidance documents

Before you attempt any form of MUR assessment, it is important that you are familiar with the guidance documents on MUR. These will outline the guidelines and ethical points which you need to consider.

A good place to start is on the PSNC website, where you will be able to access the service specification for the NHS Community Pharmacy Contractual Framework Advanced Service – Medicines Use Review & Prescription.


For further information visit the MUR information page on the PSNC website.


You can also read our guide to MUR accreditation for advice on the service and how to become accredited.