A prescriber in the pharmacy

Emeka Adeyemo’s dose adjustment used to take three weeks and involve four people. It now takes an afternoon and involves one.

The pharmacist has prescribing rights in this service, which removes a referral step that used to add three weeks to every change.

The annual review

Reviews are booked annually and attended jointly with whoever manages the person’s medicines at home, which is frequently not the person themselves.

We were adding a queue to a decision the pharmacist had already made. That was the whole delay.

Ayesha Kalim, community pharmacy

Eleven medicines, seven of them intended

The call happens at day three and lasts as long as it needs to. The median is nineteen minutes; the longest recorded on this service is fifty-two.

Median time from identifying a needed change to making it fell from nineteen days to two.