Medication Optimisation Clinics
Medication Optimisation Clinics
Care Clinical Governance delivers structured, evidence-based medication optimisation clinics within adult social care settings. These clinics are designed to reduce medication-related risk, improve prescribing quality, and strengthen clinical documentation.
Each clinic is led by an Independent Prescriber and focuses on resident-specific clinical review within defined scope of competence, working collaboratively with GPs and specialist services where required.
Medicines optimisation is not just about cost reduction — it is about ensuring that every resident receives the right medicine, at the right dose, at the right time, with appropriate monitoring and clear clinical rationale documented throughout.
What the Clinic Covers
Polypharmacy Review
Comprehensive review of residents prescribed multiple medicines to:
- Identify unnecessary or duplicative therapy
- Reduce inappropriate polypharmacy
- Optimise dosing and therapeutic effectiveness
- Review monitoring requirements
- Improve clarity of indication documentation
Aim: Reduce medication burden while maintaining therapeutic benefit.
STOMP Review
Structured psychotropic medication review aligned with the national STOMP programme.
- Review of indication and duration
- Behaviour vs medication assessment
- PRN psychotropic evaluation
- Monitoring compliance check
- Deprescribing recommendations (where appropriate)
Aim: Promote safe, justified and proportionate psychotropic prescribing.
Falls-Risk Medication Review
Targeted review of medications associated with falls risk, including sedatives, antipsychotics, and antihypertensives.
- Risk stratification
- Recommendations to reduce fall-related harm
- Support safer prescribing in elderly and frail populations
Aim: Support safer prescribing in elderly and frail populations.
PRN Rationalisation
Review of “as required” medications to ensure safety and documentation accuracy.
- Clear indication
- Defined maximum dose
- Appropriate monitoring
- Accurate documentation
- Reduced over-reliance
Aim: Strengthen governance and reduce inappropriate PRN use.
Anticholinergic Burden Review
Structured review of cumulative anticholinergic load, particularly in older adults.
- Burden scoring
- Cognitive risk identification
- Optimisation recommendations
Aim: Reduce delirium, falls, and cognitive decline risk.
Deliverables
- Resident-specific clinical summary
- Recommendations for GP liaison
- Monitoring guidance
- Governance documentation
Minimum 5 residents per session
