Effectiveness of Pharmacist Interventions in Difficult Asthma

You may be eligible if

• Clinical diagnosis of asthma
• Fulfil the criteria for difficult asthma (defined as persistent symptoms and/or frequent exacerbations despite treatment at step 4 or step 5 of the British TYhoracic Society / SIGN asthma guidelines 2011)
• Adult patients age between 18 and 70 years
• Able to speak, read and write in English
• All patients must have received their regular medication from the same Community Pharmacy for at least 3 months prior to their baseline visit
• Their community pharmacy must be registered with Leeds Primary Care Trust(PCT) to undertake targeted Medicines Use Reviews (tMURs).
• Patient is not responsible for administering their own medications
• Patient is unlikely to be available for the 6-month follow-up period
• Failure to provide written informed consent
• Patient has had an MUR within the 12 months preceding the study period.