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We run two services for the management of patients with polypharmacy:

  • Review clinic for patients with complex polypharmacy– to see patients directly
  • Advice and Guidance service – to support healthcare professionals to manage their own patients

Review clinic for patients with complex polypharmacy

We run a weekly telephone clinic in order to review patients, their health conditions, medicines and their priorities for treatments.  We can see patients in follow up appointments to assess their progress, or give detailed recommendations for follow up in primary care.

Who to refer

We are happy to see any patient that you have concerns about.  Suggested reasons for referral include:

  • High number of medicines
  • Potentially inappropriate medicines
  • Drug interactions
  • Adverse drug reactions or side effects
  • Difficult prescribing decisions
  • Dependency or addiction to prescribed medicines
  • Frequent hospital admissions related to medicines
  • Concerns raised by the patient or their next of kin

How to refer

Internal staff

Refer via iCLIP:

  1. Open the patient’s records
  2. Click Orders
  3. Search for ‘Refer to Clinical Pharmacology / Polypharmacy
  4. The referring clinician does not need to do anything else. The patient will receive an appointment and information letter by post from the Polypharmacy team, for a telephone consultation on a Wednesday afternoon within two weeks

The Polypharmacy team will liaise with the patient and their GP about any advised medication changes. The outcome of the review is documented in iCLIP.

External staff

We welcome referrals from any healthcare professional involved in medicines management (e.g. GPs, pharmacists, nurses) within South West London ICS.  Refer via NHS e-Referral Service (e-RS)

  1. Search for ‘Clinical Pharmacology & Polypharmacy‘ in the General Medicine filter
  2. Alternatively, search for Professor Emma Baker
  3. Please send a copy of the GP summary and a short summary of your concerns
  4. The referrer needs to ensure that they (or the patient) books an appointment in the clinic
If you don’t have access to eRS

We also welcome referrals via our email address

stgh-tr.clinpharm.enquiries@nhs.net

Please send a GP summary and a brief description of the specific concerns.  Please ensure you are following information governance protocols.  We recommend that patient information is sent only via nhs.net email accounts.

 

Advice and Guidance

Any clinician in South West London can contact us to ask questions or request advice.

How to get in touch

Kinesis: Select ‘Clinical Pharmacology’ in the Specialty drop down box and send a message to the consultant of the week.