Medicine Support Referral

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:

  • NSAIDS
  • 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?*
Overseas visitor?
If contact details are incorrectly input where mandatory, the referral cannot be processed
Referral Details - Communication
What is the patients main spoken language?*
Referral Details - Access & Environment
Priority:
The timescale for initial contact is two working days with a view to assessment and action within seven working days. The referral will be triaged according to the information provided below. If you feel more prompt action is required please provide details below.
Referral Details - Reason
The timescale for initial contact is two working days with a view to assessment and action within seven working days. The referral will be triaged according to the information provided below. If you feel more prompt action is required please provide details below.
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
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.