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Section 2: Current Practice in Medication Review

The Need for Medication Review
The need for medication review Medication review is now emerging as an important component of medicines management.
As well as the obvious benefits for patients, there are also a number of policy issues which are putting medication review at the top of primary care organisations' agendas:
  • The medication review milestone in the Older People's National Service Framework
  • The introduction of the single assessment process (SAP) for older people, which should include questions about medicines use that can trigger the need for full medication review
  • The annual health check for older people (14)
  • The focus on medication review within the National Collaborative Medicines Management Services Programme
  • GP requirements for qualifying for the Sustained Quality Allowance (15)
  • Recognition of inadequate drug management in many of the cases examined by the National Sentinel Clinical Audit of Epilepsy Related Death (16).
All people over 75 years should normally have their medicines reviewed at least annually and those taking four or more medicines should have a review 6-monthly.
To be reached by April 2002

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