Advanced Services

Transfer of Care Around Medicines (TCAM) Pilot


TCAM Summary

TCAM Letter


TCAM GP Information

PharmOutcomes Referral Pathway


Presentation & Links

TCAM Slides 22/01/20 Worcester

A Pharmacy’s Journey (video)

The aim of the TCAM service is to improve the post-discharge support for patients by facilitating early medicine reconciliation, thereby reducing re-admissions/emergency department attendances and reduce errors on medication prescribed and supplied in the community following changes instigated in hospital.

Through the national implementation of TCAM in 2018-2020, each AHSN will support their local trusts to establish a TCAM pathway. This will enable all suitable patients to be referred to their community pharmacy or GP pharmacist where appropriate.

AHSNs have high level targets to improve the number of hospitals and discharges implementing TCAM referrals. Nationally, with rapid adoption across all 15 AHSNs, TCAM has the potential to save £13.8 million, reduce length of stay by 56,704 days and achieve 1,004 fewer readmissions in 2018-19. In 2019-20, savings of £28.8 million are projected, based on a reduction in length of stay of 113,406 days and 2,007 fewer re-admissions.

Source: AHSN

Additional support and commonly asked questions.
  • What are the issues for patients about medicines on discharge?
  • What is the key objective of the TCAM, Medicines Support (Hospital to Home) project?
  • How will TCAM achieve its objectives?
  • What are the key benefits to patients?
  • What benefits do community pharmacists gain from TCAM?
  • Full list of FAQs
What are the issues for patients about medicines on discharge?

Due to the nature of admissions, patients are less likely to be able to retain all the information provided to them prior to discharge. Their medicines-related problems after discharge from hospital can be addressed by more systematic involvement of their community pharmacists supporting the discharge process.

What is the key objective of the TCAM, Medicines Support (Hospital to Home) project?

The TCAM project is intended to improve patient outcomes by enhancing communication between the hospital pharmacy team and community pharmacy colleagues. The main focus will primarily be on patients most at risk from medication changes following hospital admission and discharge. TCAM will improve patient pathways and become more integrated across different sectors of care (vs current practice of reliance on the use of telephone and fax to inform community pharmacy without any record of their continuity of care).

How will TCAM achieve its objectives?

Having identified and selected the patient following their consent, TCAM will allow hospital pharmacy team to electronically send medication discharge details directly to their community pharmacist so that they can get advice about any of the changes to their medicines.  TCAM will alert community pharmacists that their “at-risk” patients are being discharged and may need a suitable follow-up. This avoids any prescription or medication currently in the system to be intercepted and interrogated before any supply is made to the patients.

What are the key benefits to patients?

TCAM will ensure patients are supported to get the most from their medicines and remain in a better state of health through formal contact with their community pharmacist. The pathway will result in fewer hospital re- admissions or emergency department attendances as a result of medication errors in particular if their old medicines were a contributory factor to their admission to the hospital for example in drug induced AKI.

What benefits do community pharmacists gain from TCAM?

TCAM offers community pharmacists an opportunity to use their clinical skills and to be an integral part of the patient pathway. It also facilitates a greater degree of professional relationship with their patients and allows community pharmacies to plan their workload better when patients are discharged from hospital.

Full list of FAQs

You can find a full list of FAQs in the following DOCUMENT.


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