Building on work undertaken on the Isle of Wight between 2011 and 2014, and in Newcastle from 2014, Transfers of Care Around Medicine is an initiative where patients who are assessed in hospital as needing some additional support with their medicines are referred to their local pharmacist on discharge from hospital.
This may be because they have had changes to their medicines, started something new, or just need further discussions to help them take their medicines safely and effectively. Patients have told us that they don't always remember everything they are told in hospital, so having their pharmacist go through it with them again, discussing side effects and checking that they understand is very helpful.
TCAM has also shown that patients who see their pharmacist after an admission to hospital are less likely to be readmitted, and if they are will have shorter length of stay.
Dorset County Hospital started referrals in October 2015, and in July 2016, working with Pinnacle Healthcare, provided a secure electronic interface between the hospital's IT system and PharmOutcomes, the community pharmacy system used in our area. This has enabled seamless and fast population of patient data to refer to their community pharmacist.
MOTIVE: this project on the Isle of Wight is building on the success of the Pharmacy Reablement project which showed that patients who received a community pharmacy medicines review in their own home had fewer and shorter admissions. MOTIVE provides a hospital pharmacist assessment for every patient and referral to a variety of services as required. Every patient in hospital has a discussion with a pharmacy technician and is offered a level of support according to their needs. This varies from level 1 - no intervention needed, to level 4 - patient has complex medicines and is housebound so needs a domiciliary visit.
Increased use of New Medicines Service and Medicines Use Review: these services from community pharmacy are free for patients. The New Medicines Service has been shown to increase adherence by 10% by supporting patients within the first 10 days of starting a new medicine. Our film "Taking control of your Medicines" shows Mo's medicines journey, highlight why medicines can take over your life and where MO can go for support if medicines are becoming a problem.
Me and my medicines is a campaign to support and encourage people to ask about their medicines issues and concerns. It uses an approach to medicines that encourages people to take some responsibility for their medicines and encourages all health professionals to help people use their medicines properly.
For further information: https://www.leedssouthandeastccg.nhs.uk/me-and-my-medicines/