Hypertension Clinical Trial
Official title:
Understanding and Appraising the New Medicine Service in England
About 25% medicines prescribed for long term conditions are not taken as directed, and
approximately 15% people receiving a new medicine take few, if any, doses. The New Medicine
Service (NMS) is a community pharmacy service that started in England in October 2011 which
involves the pharmacist providing additional support to patients starting a new medicine for
some breathing problems (asthma & COPD), high blood pressure, adult onset diabetes or
medicines which reduce blood clotting. It aims to improve the way patients take their
medicines improving outcomes and reducing costs to the National Health Service (NHS).
The investigators will assess the effectiveness and cost effectiveness of the NMS using a
research study where some people will receive the NMS, and some won't, so The investigators
can look at the effect of the NMS on problems with their medicines, medicines taking and use
of the NHS in general. Data will be collected in the East Midlands, South Yorkshire and
London areas.
The investigators will recruit 500 patients from a range of different pharmacies and follow
them up at six, ten and twenty six weeks after starting their new medicine to assess effects
on medicines taking behaviour, patients' reported problems with medicines, referrals to
their General Practitioner (GP) and use of NHS resources. The investigators will compare the
data gathered from this study with that being collected routinely by all pharmacies in
England to provide wider estimates of cost effectiveness.
The investigators will also explore how the NMS service is being implemented by pharmacies.
A sample of patients from the main study will be followed in more detail. This will involve
recording the consultations with the pharmacist and also interviewing patients about their
experience of the service. The investigators will interview the patients GP to investigate
their views of the service. The investigators will also try to understand why people decline
the invitation for the NMS
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
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