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module menu icon The pharmacy team and transfer of care

The pharmacy team is an important part of the mental health picture. The role encompasses a range of factors including keeping track of medicines through transfer of care, raising awareness of mental health in the community – by myth busting and tackling stigma – and normalising mental health in the eyes of people with mental health problems and the wider public.

Transfer of care

Between 30 and 70 per cent of patients have either an error or an unintentional change to their medicines when their care is transferred between healthcare settings. It is also possible that messages between healthcare professionals are not received or are badly communicated and issues may not be followed up.

Sometimes a simple conversation is enough to understand a patient’s medicine changes, but other times a patient may not want to talk about their medicines, or is unable to give specific information due to the clinical presentation or mental health condition. In these situations pharmacies will need to work with the wider healthcare team. In particular, note:

  • Communication between healthcare teams is essential to make sure that changes to medicines are actioned when a patient is transferred. This could include dose changes, for example to antipsychotics or antidepressant medicines, and short-term additions of anxiolytics or sleeping tablets
  • Obtaining discharge information from the acute hospital is essential for good medicines reconciliation, as on occasions medicines are stopped or changed during acute or short hospital stays
  • Clozapine patients: it is essential to check for serious interactions with common medicines, nicotine replacement therapy and lifestyle changes
  • Depot antipsychotics: may not appear on summary care records (SCRs) or GP summaries.
  • NICE gives information on managing risks around the transfer of care for people with mental health conditions in its Transition between community or care home and inpatient mental health settings pathway.

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