Medicine Support Referral

We are now taking referrals for Locala services. We are working hard to ensure the majority of our services will start to get back to normal from September, but some will take a little longer due to restrictions in response to COVID.  Once your referral has been received, it will be reviewed and a decision made about your possible treatment or care. You will then be contacted by the appropriate team with the relevant information.  At the moment this is taking longer than usual. We understand this has been difficult time for everyone and are grateful for your patience.

Criteria / Consideration for Referral

1. Any patient that has fallen (excluding children and patients on NO medication)

2. Any patient that has had a hospital admission (or attended A&E) within the last 2 months and is on medication.

3. Any patient that is prescribed any of the following “high risk” medicines:

  • Anticoagulants (eg warfarin /antiplatelets)
  • Diuretics
  • Digoxin
  • B-blockers
  • Opiods
  • Methtrexate
  • Lithium
  • Steroids

Has had any changes to their medication (eg new medication, stopped medication, changes to formulation of medication or complex instructions eg reducing dose of medicines, short courses not intended for ongoing use etc)

4. Any patient that is unable to manage their medicines. 

This may be due to:

  • Confusion
  • Manual dexterity issues
  • Concordance issues (eg not taking medication as prescribed)
  • Difficulties in obtaining medication
  • Lack of understanding about their medication
  • Side effects of medication

Medicine Support Referral

Patient Details
Has the patient consented to information sharing including GP records?*
If contact details are incorrectly input where mandatory, the referral cannot be processed
Referral Details
If yes, this referral will be rejected.

This service is intended for housebound patients only. If the patient is not housebound, please liaise with the patient’s GP surgery. Alternatively you can contact the medicines support line on 03030034541 to discuss further with a member of the team if you feel a referral is still appropriate.
Referral Details - Communication
Overseas visitor?*
What is the patients main spoken language?*
Referral Details - Access & Environment
Referral Details - Reason
Referrer Details
If you do not receive an email acknowledgement your referral has not been submitted. Please check that all details are correct, mandatory fields completed and re-submit.
If contact details are incorrectly input where mandatory the referral cannot be processed