Clinical Services
Structured Medication Reviews
We deliver Structured Medication Reviews for priority cohorts. Pharmacist independent prescribers review each patient's medicines with them, record shared decisions, action and communicate changes, and complete coding in your clinical system.
At a glance
- Delivery mode
- Remote, in person or hybrid
- Availability
- 7 days, 6am to 10pm
- Funding routes
- PCN ARRS · Session-based retainer
- Staffing
- Pharmacist independent prescribers
Who this is for
PCNs delivering SMRs under the Network Contract DES and practices with complex polypharmacy cohorts.
What's included
- Cohort identification (care homes, polypharmacy, frailty, high-risk medicines, addictive medicines)
- Full SMRs delivered face to face, by video or by telephone
- Shared decision making documented
- Changes actioned and communicated to patient and prescriber
- Coding completed in the clinical system
- Monthly SMR numbers and outcome summary
How it works for this service
- 01
Identify cohorts
We run searches to identify the patients who will benefit most.
- 02
Invite and review
Patients are invited and reviewed face to face, by video or by telephone.
- 03
Action and code
Changes are actioned, communicated and coded.
- 04
Report
You receive monthly SMR numbers and an outcome summary.
Outcomes we work towards
DES requirements met
Reduced inappropriate polypharmacy
Patients who understand their medicines
Governance
SMRs are delivered by pharmacist independent prescribers with appropriate training, in line with the Network Contract DES specification and national guidance on shared decision making.