Transfers of Care Around Medicine (TCAM)

Over 12,000 at-risk patients received additional support with their medications when leaving hospital

With the use of specialist software, over 12,000 patients have received support from their community pharmacist thanks to a national AHSN programme rolled out to six trusts so far in the East Midlands.

When people are discharged from hospital, they may need extra support in taking their prescribed medicines; especially if their medication or dosage has changed. TCAM ensures patients receive ongoing support from their local, community pharmacist so they have the correct medicines and are confident in taking them safely and appropriately after hospital discharge. The results are reduced readmission rates – during 2019-20 it is estimated that TCAM enabled over £9m of savings for the region’s health and care system from reduced readmissions to hospital.

The project aims to address the increased risk associated with medicines and transfers of care. Between 30 and 70% of patients experience unintentional changes to their treatment or medication errors because of miscommunication between care providers.

We have been working closely with trusts in the region to support the implementation and use of TCAM which has resulted in an increase in referrals in 2019-20, with over 12,000 at-risk patients now benefiting from additional support with their medication from their community pharmacist when leaving hospital.

Learn more about TCAM

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Impacts

12,212 referrals were made from our trusts to community pharmacies, supporting patients with their medicine at discharge from hospital

142% year-on-year increase in referrals as a result of the programme

Estimated saving of £9,624,997 for the region’s health and care system from reduced readmissions to hospital

Next Steps

We will continue to support with the implementation of TCAM and work to increase referrals so that more patients benefit, as well as the health and care system.

TCAM was identified as a response programme for COVID-19, to prevent avoidable re-admissions based on medication errors, to help with bed capacity within trusts during the pandemic.