Care homes should be able to expect the following service standards, says the RPS:
- Pharmacists in care homes provide medication reviews regularly, where possible, within a multidisciplinary team and with the input of people using medicines, as well as carers if the situation allows
- Particular attention is paid to medicines or combinations of medicines that are known to have higher risks for older people or those with mental health problems or learning difficulties
- Pharmacists in care homes screen for potential adverse drug reactions (ADRs) and take steps to reduce the risk of harm, this should include the identification and reporting of suspected ADRs using the Yellow Card Scheme
- Pharmacists in care homes ensure they have undertaken training to carry out holistic, structured medication reviews and use evidence-based tools to support high quality medication reviews
- Pharmacists in care homes have undertaken ongoing training to ensure that their consultation skills are such that they enable high quality person-centred discussions about medicines
- Community pharmacists supporting care homes work in collaboration with pharmacists working in the care home (where they are in place) to ensure that these recommendations are addressed and agree roles and responsibilities.
LloydsPharmacy has confirmed reports that it is to phase out dosette (monitored dosage system) boxes in favour of original pack dispensing (OPD) for care homes as the default service option. LloydsPharmacy customer relationship manager (care services) Mohammed Umar says new home contracts will only be offered original pack dispensing, in which whole packs are supplied, while existing care home customers will be supported to make the change, as appropriate. Boots is also reported to be phasing in OPD in care homes from 1 March 2019.