This is not an exhaustive list, but here are some things to consider:

• MURs €“ Discuss with the practice if it has particular groups of patients it would like you to target. Is there a way that these patients can be identified? When do patients have their annual medical and medication reviews? A number of practices are aligning the review dates around the patient's birthday. How would the practice like to be notified after an MUR is conducted?
• Medicines reconciliation/post-discharge support €“ Medication issues are a significant contributor to hospital re-admissions. Community pharmacy is well placed to support post-discharge patients. The post-discharge MUR is arguably the most valuable of all MUR consultations. However, there needs to be a robust referral pathway and process to ensure this service is used.
• New Medicines Service €“ Ensure all clinicians are aware of this service and what it involves. Is there a way in which the GP computer systems can be set to highlight €NMS required€ on new prescriptions for qualifying medicines?
• Flu vaccination €“ This can be a contentious issue because GP practices may consider that their community pharmacy is competing with them for patients. However, it would be wise to highlight that although there is some overlap, pharmacies are unable to vaccinate children. Parents with children aged between two and three years of age and those at risk can be referred to the general practice (children aged four to eight will be vaccinated by the school nursing team). Conversely, adult patients who do not qualify for a free flu vaccination can be directed by their GP to their local community pharmacy for a private (fee-based) vaccination.
• Patient group directions €“ Are there other services the pharmacy provides that could take pressure off the practice (EHC, travel clinic, erectile dysfunction, anticoagulation clinics?).
• NHS health checks and diagnostic screening (BP, blood glucose, etc) €“ Any initiatives to identify at-risk groups or previously undiagnosed groups will help improve patient outcomes and may be financially rewarding for the practice.
• Records €“ Access to summary care records and detailing the NHS urgent medication supply advanced service are all worth discussing.
• Independent prescribing €“ If you are an independent prescriber, discuss how you can support the practice. Work with the surgery to identify areas of potential need. It may mean broadening your scope of prescribing.