Medicines reconciliation in transfer of care

Aim

The purpose of this programme is to support pharmacy professionals in delivery of medicines reconciliation as part of an integrated care system with a focus on safe transfer of care.

Background learning

The CPPE Medicines reconciliation in transfer of care Optimise programme assumes you have some prior knowledge of the topic area. You may wish to complete our Medicines reconciliation e-learning to revise your knowledge before you start the Optimise programme.

Small group learning

This workshop involves 20 minutes of preparation for each participant and a 40-minute group session. During the small group learning session, activities will allow learners to test their knowledge, debate controversial topics, make justified clinical decisions and practise communicating with patients and/or other healthcare professionals.

Learner resources

You must be logged in to download these resources.

Facilitator's resources

You must be logged in to download these resources.

Next steps

• Review the suggested answers, your facilitator will provide these to you.
• Reflect on what you have learnt and how you can put it into practice within your role. You may also find it useful to arrange a peer discussion.
• Create an action plan including specific, measurable, realistic, actionable and timebound (SMART) details.

  View acknowledgments, references and brand names

  CPPE programme developer
  Rachel Murray

  Content contributors
  Fez Awan, Chair of Renal Patient Led Advisory Network (RPLAN) and lived experience representative
  Christopher Bonsell, CPPE tutor, education supervisor and primary care pharmacist
  Maxine Brown, CPPE tutor and intermediate care pharmacy technician
  Rebecca Buckner, Practice manager and pharmacy technician
  Minna Eii, Vice chair of sustainability for the Guild of Healthcare Pharmacists
  Susan Marshall, Primary care specialist pharmacy technician
  Kate Postle, PWDS pharmacy medicines optimisation training programme director
  Jennie Shields, Community pharmacist
  Clare Smith, CPPE lead pharmacist, learning development

  CPPE reviewers
  Clara Alonso Malpartida, Education supervisor
  Joanne Nevinson, Education supervisor, Learning development team and ACPT Programme lead
  Sneha Varia, Regional manager, East of England

  External reviewers
  Christopher Bonsell, CPPE tutor, education supervisor and primary care pharmacist
  Minna Eii, Vice chair of sustainability for the Guild of Healthcare Pharmacists

  CPPE editor
  Ava Innes, Editorial assistant intern

  Piloted by
  Trudi Ward, CPPE education supervisor
  Tracy Hedley, CPPE education supervisor, MAPharmT, FdSC
  

  References
  1. National Institute for Health and Care Excellence (NICE). NICE guideline [NG5]: Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes – Recommendations 1.3 Medicines reconciliation. March 2015. www.nice.org.uk/guidance/ng5
  2. NHS England and NHS Improvement. NHS Discharge Medicines Service – Essential Service Toolkit for pharmacy staff in community, primary and secondary care. January 2021.
  www.england.nhs.uk/wp-content/uploads/2021/01/B0366-discharge-medicines-toolkit.pdf
  3. Royal Pharmaceutical Society. Keeping patients safe when they transfer between care providers – getting the medicines right. June 2012.
  www.rpharms.com/Portals/0/RPS%20document%20library/Open%20access/Publications/Keeping%20patients%20safe%20transfer%20of%20care%20report.pdf
  4. World Health Organization. Medication Safety in Transitions of Care: Technical Report. 2019.
  www.who.int/publications/i/item/WHO-UHC-SDS-2019.9