Medication Reconciliation
Accurate, timely updates to patient medication records following care transitions—reducing risk and improving safety.
Seamless Transitions, Safer Prescribing
When patients move between care settings—such as from hospital to home—there’s a high risk of medication errors due to changes in prescriptions. Our Medication Reconciliation service ensures that your patients’ medication records are accurate, up-to-date, and aligned with discharge summaries, secondary care communications, and GP prescribing protocols.
Led by experienced clinical pharmacists, we identify discrepancies, resolve conflicts, and ensure your patients continue the right treatments safely.
Key Features of Our Medication Reconciliation Service
Post-Discharge Reconciliation: Rapid review and update of medicines following hospital discharge, reducing the risk of missed or duplicated prescriptions.
Secondary Care Correspondence Management: Careful review of letters from specialists or hospitals to reconcile any changes with current GP medication records.
Patient Follow-Up: When needed, we contact patients directly to confirm understanding, assess adherence, and provide clarification on medication changes.
Clear Documentation: All reconciliations are properly coded and documented in the patient record, with escalation to GPs if concerns arise.
Benefits to Healthcare Providers
Improved Patient Safety: Prevents adverse drug events caused by duplications, omissions, or dosing errors after care transitions.
Reduced GP Workload: Pharmacists handle reconciliation tasks, freeing GPs to focus on diagnosis and complex care.
Stronger Clinical Governance: Ensures all medication changes are accounted for and appropriately actioned, with no loose ends.
Better Continuity of Care: Patients remain on the correct treatment plan, even after transitioning between hospitals, clinics, and primary care.
Why Choose Our Medication Reconciliation Service?
Reconciliation isn’t just admin—it’s clinical risk management. Our pharmacists combine deep knowledge of prescribing with meticulous attention to detail to ensure no medication change goes unverified. We partner with your team to deliver a safer, smarter approach to care continuity.
Frequently Asked Questions
Medication reconciliation should ideally occur within 48–72 hours after a patient is discharged from hospital or receives communication from secondary care. This reduces the chance of medication errors or omissions.
Yes. Our pharmacists can carry out reconciliation remotely using your practice’s clinical systems, and follow up with patients by phone where necessary to clarify any issues or confirm understanding.