Report of the collaborative audit on the quality of medication related information provided when transferring patients from secondary care to primary care and the subsequent medicines reconciliation in primary care

· Medicines Use and Safety Team

The aims of this collaborative audit were to assess the quality of information regarding medicines within discharge summaries/prescriptions provided by secondary care, and to determine whether GPs have correctly acted upon the information provided within seven days of receiving it.

Example results include less than 50% of medicines started, changed or stopped in hospital had a reason for doing so documented in the discharge summary/prescription.  5.5% of the actions required in the GP practice were completed incorrectly.

Communication around medication changes from secondary to primary care requires improvement.  Discharge templates should be reviewed to ensure they meet the standards of the RPS and The Academy of Royal Colleges.  GP practices should have an SOP on whose responsibility it is to review medicines on discharge summaries.  This is a potential role for GP practice pharmacists.

For further information contact

Medicines reconciliationNewsPolicy, Guidance, and StandardsSystem SafetyTransfer of care