Timely Communication of Changes to Medicines to Community Pharmacists via the Discharge Medicines Service

Identifying Attributes

Care Settings
Care Transitions
Country
England
Publishing Organisation
National Health Service (NHS) England: Commissioning for Quality and Innovation (CQUIN) Framework for 2023/24
Type of Quality Indicator
Process
IOM Quality Dimension
Timeliness
Domain
Communication

Defining Attributes

Definition

Percentage of acute trust inpatients having changes to medicines communicated with the patient's chosen community pharmacy within 48 hours following discharge, via secure electronic message.

Numerator

Of the denominator, the number of patients, where a referral was made within 48 hours following a patient discharge via secure electronic message which included: Patient's demographic details (including their hospital medical record number); The medicines being used by the patient at discharge (including prescribed, over-the-counter and specialist medicines); Any changes to medicines (including medicines started or stopped, or dosage changes) and documented reason for the change; Contact details for the referring clinician or hospital department; Hospital's Organisation Data Service (ODS) code or trust name.

Denominator

Total number of patients who are discharged from hospital on clinical advice or with clinical consent.

Exclusions

Maternity patients; Patients with a length of stay <24 hours (including day cases).

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Monthly report from NHS Business Services Authority (NHSBSA) dataset. Data is submitted to NHSBSA by pharmacies on completion of the service, therefore the denominator is restricted to discharges taking place more than six weeks before the end of the 2023/24 financial year. This supports 'whole period', rather than 'quarterly' performance assessment.

Frequency of Data Collection
Monthly
Frequency of Data Collection in Days
30
Reporting Methods

Not publicly reported. Used to calculate the annual payment for NHS trusts and Foundation Trusts under the NHS Payment Scheme.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025