The Medicines Support at Home service provides structured medication review and medicines optimisation which is both reducing medicines related risk and medicines waste and also impacts in the following ways:

  • Helps towards ensuring medicines adherence and shared decision making in a person centred way
  • Reduces inappropriate prescribing of medication
  • Medication review continuity is provided as the same MeSH pharmacists’ form part of our Enhanced Health in Care Homes approach and we are also reviewing hard to reach populations too
  • Reductions in avoidable hospital admissions and hospital activity due to increased medication monitoring carried out and support for patients to gain an increased understanding of the medications they take
  • Healthcare closer to home – medicine reviews take place in the person’s own home

From April 2018 to March 2019 that is to say in the past 12 months MeSH have exceeded its projected outcomes:

  • 6,845 patients have undergone a medication review
  • 11,338 medication interventions have taken place
  • £73,052 net savings (prescribing savings taking away total MeSH service costs)
  • Reductions in prescribing of medicines: 2,594 medicines are no longer prescribed to patients following review by MeSH
  • The likelihood of risk of harm from medicines has been reduced by ensuring recommended monitoring has been undertaken with 408 errors having been identified and corrected
  • 1,144 tests have been ordered to ensure medication regimens are safe, tolerated and effective and
  • MeSH have been working with patients, carers, and prescribers to reduce, and stop medications associated with harm in the frail elderly population
  • In total 342 people received input with their inhalers, be this inhaler technique being corrected or an alternative inhaler being recommended
  • Patient and stakeholder satisfaction levels, as recorded through feedback and the Friends and Family Test, are in excess of 98% very positive

Changes in specific medications are as follows:

Drug Number with reduced dose Number stopped
Opiates – associated with addiction and dependence 84 62
Anticholinergics – associated with falls and confusion 84 121
NSAIDs – associated with kidney damage and GI bleeds 30 26
Sedatives – associated with falls and confusion 49 46

More information

For more details on the Medicine Support at Home programme or to get involved in the programme please see our contacts page.