When a person comes into hospital,
taking medicines is not going to be
the most important thing on their mind.
We know from some recent work
that every patient admitted
is likely to have at least one issue
with medicines reconciliation,
which is matching up
the medicines they're taking
with the medicines
they've been prescribed
when they enter
the second care setting.
This can be an important problem.
On many occasions, patients,
if we get the drugs slightly wrong,
it won't make much difference.
But possibly, in about 10% of cases,
there could be major ramifications.
The first step is that
when they're admitted to hospital,
we have to find out
what medicines they were taking.
Often, the person
won't be able to share that information
with the health professionals
In my experience, commonly,
there are major variations
between what's written
on the referral letter
and what the patient is actually
In an ideal world,
we'd like to see the tablets
and talk to the patients.
They're not always well enough
to do that.
They usually haven't brought
their medication with them.
(new speaker) When I had the
at home, I thought,
I must take my blood pressure
with me if nothing else.
The rest, they'll sort out for me
when I get there,
not knowing that I was going
to stay in hospital.
When patients come in hospital,
the problem with no knowing everything
is that it could lead to issues of
patient getting the right therapy.
For example, a patient went to hospital.
They were on chemo medicine
which we needed to monitor them for
and other problems
and possibly give them some antibiotics,
but because we didn't have that
information, we didn't know what to do.
It's extremely useful that usually
within 24 hours of admission,
a pharmacist will investigate the
that a patient is taking
and usually, the following day,
will receive information.
At the point of admission,
it's very, very useful to have
a pharmacist investigate the medication
and iron out any problems.
If you are a patient,
what I would say to you
is bring a list of medicines
into the hospital with you,
or whenever you're going to see
a health professional,
take your medicines with you and
a list of your medicines with you.
Ask for the opportunity
to speak to a pharmacist
about your medicines
when you're in hospital.
Make sure that when you leave hospital,
the information is transferred with
as well as with the health professionals
about what changes have been made
so you are aware of what you're
and why you're taking it
and you're able to pass that on
to the next health professional.
You must know what you're taking
and you must be able to get it
at the right time.
(Nina) If as a patient,
you want more information
about how you can help to support
professionals looking after you,
go to www.ipharmacist.me
which will give you more information
about transfer of care with medicines.