Through identification of opportunities to managing patient conditions and support achievement of QOF points, our pharmacists can:

• Conduct therapy‑specific reviews (e.g., diabetes, hypertension, asthma, COPD, heart failure) within scope
• Support personalised care planning and shared decision-making
• Implement evidence-based prescribing aligned with NICE guidance
• Support quality improvement modules through audits and action plans

MMS’ team of pharmacists work with practices to:

• Ensure accurate coding of diagnoses, reviews, and clinical measurements
• Identify missing QOF indicators and proactively recall patients
• Undertake gap-analysis searches in care (e.g., missing HbA1c, BP, asthma reviews)
• Ensure QOF achievement is fully captured through data-cleansing

By delivering key tasks linked to the QOF framework, MMS can support reducing GP workloads by delivering:

• Medication related tasks such as prescription queries, medicines reconciliation, and Rx reviews
• Structured medication reviews (SMRs) for complex patients
• Long-term condition clinics by reviewing treatment optimisation opportunities
• Monitoring requirements for high risk medicines

Partnering with GP practices and understanding the needs of their patient cohort, we can enhance patient care and outcomes by:

• Providing patient education on medicines, adherence, and lifestyle
• Improving safety through deprescribing, monitoring, and risk mitigation
• Ensuring timely follow up after hospital discharge
• Supporting vulnerable patients with complex polypharmacy

Pharmacists deliver support for enhanced access by running out-of-hours clinics, which include:

• Chronic disease management clinics for long-term conditions, such as diabetes, hypertension, and cardiovascular disease
• Respiratory review clinics, including ACT scoring and therapy optimisation
• Structured Medication Reviews for targeted patient groups, such as those with polypharmacy and high-risk medication