The Medicines, Care and Review Service is a voluntary service for people with long-term conditions. It’s available at all community pharmacies across Scotland.
You can only use this service if you’ve registered with a community pharmacy.
Who can use this service
You can use this service if you:
- get regular prescriptions to treat a long-term condition
- are registered with a GP practice in Scotland
You can’t use this service if you’re a temporary resident in Scotland.
How it works
The Medicines, Care and Review Service can help you manage your medicine through your local pharmacist whilst your doctor continues to provide your medical care.
You can choose which pharmacy to register with. But, you can only register with one pharmacy at a time. Once registered, you’ll only be able to access this service from your chosen pharmacy.
There are 3 parts to the Medicines, Care and Review Service:
- Medication review
- Care plan
- Serial prescriptions
Reviewing your medication
When you’ve registered for the service, your pharmacist will:
- look at how you use your medicines
- ask you about the medicines you’re prescribed for your condition
- ask about any problems you have with them
Following this review, your pharmacist will decide if a care plan would be helpful.
A care plan helps your pharmacist give you more regular care and advice about your medicines.
Your care plan will include:
- information about any problems or side-effects with your medicines
- what your pharmacist would like to do to help you
- what you and your pharmacist both need to do to help
- a record of when problems have been solved or something else needs to happen
Managing your care plan
If you need a care plan, your pharmacist will work with you to develop the right outcome. They may share some information with your doctor who will decide, with you, about any changes to your medicines.
Your pharmacist will review your plan with you regularly. This makes sure it’s helping to deal with any problems with your medicines. They’ll also update your care plan when your health care needs change.
You pharmacist will also look at your plan when you collect a prescription. They may ask to speak with you in private about your plan.
A serial prescription is a prescription for medicines to treat long-term conditions. These prescriptions last for 24, 48 or 56 weeks.
With a serial prescription, you can get medicines directly from your pharmacist. This means you don’t need to ask your doctor for a prescription. A serial prescription can only be dispensed from the pharmacy where you’re registered.
Collecting a serial prescription
Your doctor will decide how often you should collect your prescription. For example, every 4 or 8 weeks.
Your pharmacist will know when your supply is low. They should have your prescription ready for you when you need it. Your pharmacist will also use this to have a short discussion with you in relation to your care plan.
Ordering a serial prescription
At the end of your prescription, your pharmacist will ask you to sign the serial prescription form. They’ll tell your doctor you need a new prescription.
Your pharmacist may ask your doctor for a new serial prescription, or give you a re-order form to take to your doctor’s surgery. Your doctor may request that you go to the surgery for a review before they issue the next prescription. This’ll be part of your ongoing medical care.
Changes to medication
Your doctor can stop or change your serial prescription at any time. If this happens:
- your doctor will tell you and your pharmacist
- you’ll no longer be able to get these medicines from your pharmacist as part of your serial prescription
- the doctor may change your medication back to a normal repeat until he’s happy that the medication is best for you
How to register
You must register before you can use the NHS Medicines, Care and Review Service. You can do this at any time. There’s no need to book an appointment.
To register, your pharmacist will complete a form and will need to know:
- your name
- date of birth
- address including postcode
- your gender
- your Community Health Index (CHI) number
You’ll also be asked to confirm that you:
- want to register for the service
- have registered with a doctor’s surgery in Scotland
- have a long-term condition
- agree for your doctor and pharmacist to share some information about your medicines
Once complete, your pharmacist will ask you to sign the form. They’ll also notify your doctor that you’ve registered for the service at their pharmacy.
Cancelling your registration
You can cancel at any time by letting your pharmacist know you want to cancel.
They’ll ask you to sign a withdrawal form and tell your doctor that you’re no longer registered at their pharmacy.