Discharge Medicines Review

This community pharmacy service is funded by NHS Wales as part of the Community Pharmacy Wales Good Health – lechyd Da initiative

What is the Discharge Medicines Review?

The discharge medicines review service is a free service, funded by the NHS Wales Good Health, provided by your pharmacist. It is designed to support you if you have recently been discharged from a care setting such as a hospital, to ensure any changes that were made to your medicine(s)  is/are followed through correctly when you return home.

Who is it for?

The service is applicable to you if you have been discharged from a care setting with a Discharge Advice Letter and one of more the following apply:

  • Your medicine(s) have been changed during your stay
  • You are taking four or more medicines
  • You need support to remember to take your medicine(s) at the right time and may benefit from a compliance aid.

If you are unable to or do not want to receive the service yourself, you can nominate a carer or representative to receive it on your behalf.

If you are unaware if you have been given a Discharge Advice Letter ask a member of the pharmacy team.

How will is help me

The Discharge Medicines Review Service can make an important contribution to your health following your discharge from a care setting. Studies show that many patients experience an error or problem with their medicine(s) after they have been discharged, particularly when patients are discharged from hospital back into the community.

The service will:

  • Help to make sure you have all the medicine(s) you need
  • Make sure you have stopped taking any medicine(s) that are no longer needed following your discharge from a care setting
  • Help to sort out any discrepancies
  • Help you to find out more about the new medicine(s) you are taking
  • Give you a chance to ask questions about your medicine(s) and discuss any concerns
  • Help you to take your medicine(s) correctly, which could lead to fewer GP and hospital visits.

How does the service work?

When you get home after your stay in the care setting, you should let your pharmacist know and they will ask you if you want to sign up for the service. The service will be provided in three steps:

  1. Joining the service
  2. First Intervention
  3. Second Intervention

Giving consent

In order to receive this service, you need to give your consent from your pharmacist to share information from your interventions with:

  • Your GP, if necessary
  • You local health board, to make sure that the service is being provided properly by your pharmacist
  • The NHS Shared Services Partnership to make sure your pharmacist is being paid the correct amount by the NHS for the service they have provided you.

If you do not give your concert you will not be able to receive the service. However, when you receive your medicine(s) your pharmacist will still be able to give you advice about them should you need it.

How can I prepare for my discussion with the pharmacist?

  • Bring the first prescription you receive after you leave the care setting and the Discharge Advice Letter given to you.
  • Make a note of questions you want to ask about your new medicine(s)
  • Make a note of any concerns about your new medicine(s) that you may want to discuss with your pharmacist.

What happens after the two interventions?

  • Everything may be okay with your medicine(s) and nothing else will need to happen
  • If you have had problems with your medicine(s), you may agree with you pharmacist to change the way you take it/them
  • Your pharmacist may recommend that in a  few months time you come back for a review of your medicine(s) to see how you are getting on.

The Discharge Medicines Review Service can help you to ensure that you are getting the most out of the medicine(s) that your GP has prescribed for you.

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