Timely Communication of Changes to Medicines to Community Pharmacists via the Discharge Medicines Service
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
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
Frequency of Data Collection in Days
Reporting Methods
Not publicly reported. Used to calculate the annual payment for NHS trusts and Foundation Trusts under the NHS Payment Scheme.