Discharge medicines service is supporting patients coming out of hospital

March 2019 saw the implementation of the Transfer of Care Around Medicines (TCAM) pathway in East Sussex – the first digital portal to connect pharmacy and key secondary care partners, enabling the safe transfer of patients’ medication discharge records and improving the safety of the transfer of care between hospital and community settings.

Since then this new and exciting digital collaboration has continued to significantly improve patient care and safety by reducing unintentional mistakes and delays that can occur when patients transfer between care providers. But more than that, it has been enormously helpful as a precursor to the relatively new discharge medicines service (DMS) which launched on the 15 February 2021.

East Sussex Healthcare NHS Trust (ESHT) were the first to pilot TCAM in April 2019, followed by Surrey-based and West Sussex-based trusts supported by Kent, Sussex and Surrey Academic Health Sciences Network (KSS AHSN).

Using the lessons learned and relationships forged with TCAM, KSS AHSN has continued to project manage the set-up of the digital pathway and help embed DMS.

We continue to work with all our acute trusts and KSS AHSN to increase the DMS referrals into community pharmacy, after receiving 630 referrals across our geography last month.

The table below shows progress across Sussex and Surrey on 30 June 2021.

Trust Status Referrals to community pharmacy Notes
Ashford and St Peters Live 60 Numbers increasing every month
ESHT Live 200
Royal Surrey Live 25 Limited numbers presently – implementing EPMA (electronic prescribing system in December), numbers will then increase due to easier referral system.
Surrey and Borders Partnership Live 45 Numbers increasing every month
Western Trust Live 300
BSUH Not live Due to go live in August
Epsom and St Helier Not live Awaiting start date, in implementation phase
Queen Victoria Not live Awaiting start date, in implementation phase
SASH Not live Implementing EPMA (electronic prescribing system) and will go live with DMS at the same time – awaiting start date

Contractors in areas where the system is live should remember to check every day for referrals and process them in line with their local procedure.

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