People in the UK are living longer, and many are living with more than one long-term condition, which can lead to vulnerability and frailty. Polypharmacy is common in those with complex or multiple conditions. When moving between care settings, risk of frailty and medication related problems increase due to poor communication.
Mindful of this, NIHR CLAHRC NWL developed and supported a ReMAC (Review of Medicines in Acute Care Settings) project that aimed to sustainably increase the number of medication reviews that are conducted with older patients in acute care to optimise current medication and involve the patients in the decision-making process. Linked initially to ReMAC, the My Medication Passport (MMP) was designed by patients for patients, to influence knowledge, confidence and communication between patients, carers pharmacists and other health professionals.
ReMAC increased recording of medicines review on patients’ discharge summaries from hospital allowing better communication to GPs. 14% of medications on admission to hospital were stopped after being identified as inappropriate. ReMAC shaped a community pharmacy referral project aimed at improving medication safety at the transfer of care from hospital to community setting. 349 patients gave permission for their medicines information on discharge from hospital to be shared with 124 community pharmacies. 80% pharmacists found this useful and time-saving. 83% said that it prevented or reduced medicines waste and 91% said that it improved information they provided to patients.
180,300 MMP booklets are in circulation, pharmacists being the largest group ordering them. Patients champion MMP as a patient-centred solution to understanding and tracking medications. 5 publications have been linked to MMP’s success and an MMP app was developed.
A proof of principle economic evaluation suggests that on average, £20 is saved per patient if a review takes less than 20 minutes.
MMP booklets can be ordered via the CLAHRC NWL website.
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