Suggested L1 Medication Review Tasks This is not an exhaustive list but a best practice guide on the tasks that could be included for L1 review. The table below should be reviewed, adapted to suit individual process and systems, and adjusted depending on staff skill mix and capacity. Further information on the tasks can be found by opening the associated Word document. General Resources Form to help define the L1 Medication Review L1 Medication Review Form – Individual Patients L1 Medication Review Form – Multiple Patients Task Description Action Rationale Removal of A review of the patient’s repeat drugs Any items which are unnecessarily Having duplicate items on repeat increases Duplicate or Similar list to identify if there are unnecessary duplicated should be removed from repeat. the risk of the patient taking medication at a Repeat Prescription duplicate items (identical or higher dose than prescribed, potentially Items leading to harm. Issuing prescriptions for duplicate or similar items increases potential for wastage. Supporting Resources Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Review of Duplicate A review of repeat drugs which have Highlight instances of this and consider ways A patient may be taking too much medicine, Repeat Prescription been re-issued (not re-printed) within 3 to reduce or prevent future occurrences. potentially leading to harm. There is also Issues days of original issue. increased potential for wastage. Supporting Resources Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Removal of Obsolete A review of the patient’s repeat drugs Removal of items not ordered for a practice A patient may restart medication from which Repeat Prescribing list to identify if there are items which specified time period. Practice may wish to they have had a lengthy break, potentially Items have not been ordered for a period of specify items acceptable for removal to help leading to harm e.g. blood pressure tablet time (e.g. one year). guide staff. may cause BP to drop dramatically. Supporting Resources
Suggested L1 Medication Review Tasks This is not an exhaustive list but a best practice guide on the tasks that could be included for L1 review. The table below should be reviewed, adapted to suit individual process and systems, and adjusted depending on staff skill mix and capacity. Further information on the tasks can be found by opening the associated Word document. General Resources Form to help define the L1 Medication Review L1 Medication Review Form – Individual Patients L1 Medication Review Form – Multiple Patients Task Description Action Rationale Removal of Duplicate or Similar Repeat Prescription Items A review of the patient’s repeat drugs list to identify if there are unnecessary duplicate items (identical or Any items which are unnecessarily duplicated should be removed from repeat. Having duplicate items on repeat increases the risk of the patient taking medication at a higher dose than prescribed, potentially leading to harm. Issuing prescriptions for duplicate or similar items increases potential for wastage. Supporting Resources Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Review of Duplicate Repeat Prescription Issues A review of repeat drugs which have been re-issued (not re-printed) within 3 days of original issue. Highlight instances of this and consider ways to reduce or prevent future occurrences. A patient may be taking too much medicine, potentially leading to harm. There is also increased potential for wastage. Supporting Resources Detailed Guidance Additional Forms / Guidance / Audit Drug Lists Removal of Obsolete Repeat Prescribing Items A review of the patient’s repeat drugs list to identify if there are items which have not been ordered for a period of time (e.g. one year). Removal of items not ordered for a practice specified time period. Practice may wish to specify items acceptable for removal to help guide staff. A patient may restart medication from which they have had a lengthy break, potentially leading to harm e.g. blood pressure tablet may cause BP to drop dramatically. Supporting Resources