Good quality medication reviews are the foundation of good medicines management ensuring patients get the most out of their medication whilst minimising risks and reducing waste. Involving patients in decisions about their treatment is the key to improving patients understanding, treatment compliance, effectiveness and safety of treatment. A review of medicines will often lead to deprescribing: the complex process of safely discontinuing inappropriate medicines.
Through SMRs it is expected that patients and the NHS will get better outcomes and optimum value from medicines use. SMRs are one of the five NHS England and NHS Improvement Network Contract Direct Enhanced Service since October 2020. The SMR specification sets out expectations for enabling primary care-based clinical pharmacists to undertake SMRs and lead their implementation by collaborating with specialist hospital, community and CCG pharmacy colleagues, as well as other members of the health and social care multidisciplinary teams.
The Medicines Optimisation Team at West Lancashire CCG has written guidance to support Primary care-based staff who undertake SMRs. This resource will highlight principles to consider when carrying out and recording SMRs.