Transfer of care around medicines

Community pharmacists supporting patients leaving hospital  

When some patients leave hospital they can need extra support taking their prescribed medicines. This may be because their medicines have changed or they need a bit of help taking their medicines safely and effectively.

If patients are identified by the hospital as needing extra support, they are referred through a safe and secure digital platform for advice from their local community pharmacist. This referral creates an important link with the Community Pharmacist who will discuss medicines with patients, answer any questions they may have and give individual information and support that patients need

Original work in the North East showed that patients who see their community pharmacist after they’ve been in hospital are less likely to be readmitted and, if they are will experience a shorter stay.

We are working with a number of NHS Trusts across Surrey and Sussex and KSS AHSN to help set up a secure electronic interface between the hospital IT systems and PharmOutcomes, the community pharmacy system used in this area.  This will provide patient data quickly and seamlessly to their community pharmacist.

The transfer of care process is associated with an increased risk of adverse effects. 30 – 70% of patients experience unintentional changes to their treatment or an error is made because of miscommunication.  This is what the transfer of care project aims to address.

TCAM went live from ESHT hospitals in East Sussex in April 2019. This project was the result of partnership working.

KSS AHSN have  project managed the implementation across Surrey with several sites going-live in the week of 14 October 2019. Plans are being put-in-place for the roll-out of TCAM in 2020 across the remainder of Kent, Surrey and Sussex. Contact Rebecca Sharp, Programme Manager


Update June 2019: Sussex and Surrey LPCs  commit to continue their support for, and will continue to champion, the on-going work of the Kent, Surrey, Sussex Academic Health Science Network (KSS AHSN) to co-ordinate TCAM across Surrey and Sussex.


Background information

Video – Mo’s Medicines: from Hospital to Home

Video – Hospital Referral – Electronic Dispensing Methods

KSS AHSN are project managing the future roll-out of TCAM across Kent, Surrey and Sussex. Contact Rebecca Sharp, Programme Manager