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What is the Birthday Medical Review (BMR)?
It is a personalised review of your medications and chronic diseases.

Why are you doing this?
We hope that by using this system we can improve the safety and efficiency of our review process thereby reducing the number of visits you need to make and freeing up appointments for you to see us about other things.

How does it work?
We run searches of our records to identify patients who may need a review based on some conditions and the medication on repeat prescription. To evenly distribute the patients we need to review throughout the year we have chosen to base it on your birthday month.  We will contact you in advance to invite you to book a review in the month in which your birthday falls.  We will do this by text message so please make sure you keep your contact details up to date. The message will state which initial appointment you require and the length of that appointment. Any further appointments required will be booked at each appointment. You shouldn't require more than 3 appointments and one of these may be by phone. Most people will require 1 or 2 but sometimes we need to repeat tests and this may lead to extra appointments.

Why have I been contacted?
Our searches will have identified you require a review. If you don't think you are due it may be we believe you are overdue or there are items outstanding. It could also be that your phone number is registered to a relative’s notes and we are trying to contact them. The text message should state the forename of the person we are inviting. At busy times of the year we may call you early to help to minimise the wait for appointments.

But I don't take any regular medications?
If this is the case please contact us to find out more. It could be you have some medications on your repeat prescription list that you are not taking.
It may be that whilst you are not taking any medications there is something else that requires monitoring, e.g. blood pressure, pre-Diabetes, monitoring after cancer.
It could also be that your phone number is registered to a relative’s notes and we are trying to contact them. The text message should state the forename of the person we are inviting.

How do I book online?
If you have access to online booking through SystmOne you can book by clicking below:


Please select carefully as booking the wrong appointment could result in you needing to come back and we would lose an appointment someone else could have used.  If you can't book online you can register for this next time you are in surgery. Unfortunately we aren't able to do this over the phone. https://systmonline.tpp-uk.com/


I have been asked to book a 20 minute appointment but I can’t find one online?
We have not enabled longer appointments online as sometimes these are booked inappropriately and the time is lost that other patients could have used.  We therefore ask you to book 2 appointments within the same session to create the time for this and consider your appointment to start from the earlier time.

Do I need to bring anything with me?
A number of patients will need their blood pressure checking, if it is raised we will ask you to come back for a repeat or check it at home.  If you already check your blood pressure at home please monitor your readings over a week and bring them in to your appointment.

Home BP Diary

Some patients, including diabetics will need to bring a sample of the first urine of the day in a white top bottle.
If you use an inhaler please bring them and any associated devices (e.g. spacers) with you.
Please consider bringing your medications, or a list of the ones you are taking, to your appointment.

Why have I not been contacted?
We will only contact you when you are due or if we think you are overdue.
Some patients have prescriptions that don't need formal review and these will be reviewed as required. An example of this is moisturisers for skin conditions.
There are occasions when we are regularly prescribing medications that are not on repeat. In this case each time the medication is requested it is reviewed by a GP and we will notify you when we want you to attend for review. Please note this message may be on the white page of your prescription.

What is a PAM form?
PAM stands for patient activation measure. It is designed to give a guide to an individual’s involvement in their conditions and we hope to start using it to further tailor our reviews.
See below for a PAM document to bring with you to your appointment. Click below to learn more about PAM. Click below to read more about shared medical appointments.

PAM Questionnaire


PAM info link
https://www.england.nhs.uk/ourwork/patient-participation/self-care/patient-activation/pa-faqs/

Shared medical appointments temporary link
http://www.rcgp.org.uk/clinical-and-research/bright-ideas/shared-medical-appointments-in-the-uk-dr-rob-lawson.aspx

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