The Transfers of Care Around Medicine (TCAM) project helped to identify patients that need extra support with their medicines when discharged from hospital. Referring them through a safe and secure digital platform for advice from their local community pharmacist.


We are proud of the role the Network has had in leading the spread and adoption of this practice, which reduces patients being readmitted to hospital and the foundation this created for the national DMS service.


Bill Gillespie, lead officer for medicines optimisation for the AHSN Network

What the project involved

When some patients leave hospital they can need extra support taking their prescribed medicines. This may be because their medicines have changed or they need a bit of help taking their medicines safely and effectively. The transfer of care process is associated with an increased risk of adverse effects. 30-70% of patients experience unintentional changes to their treatment or an error is made because of a miscommunication.

Original work in the North East showed that patients who see their community pharmacist after they’ve been in hospital are less likely to be readmitted and, if they are, will experience a shorter stay.

The AHSNs delivered the Transfers of Care Around Medicine (TCAM) project between 2018-2020 initially working with trusts and Local Pharmaceutical Committees to help set up a secure electronic interface between the hospital IT systems and PharmOutcomes.

Through our national implementation each AHSN supported their local trusts to establish a TCAM pathway. This enabled all suitable patients to be referred to their community pharmacy or GP pharmacist where appropriate.


At the end of the AHSN Network national programme in 2021, 61% of all NHS acute trusts had adopted TCAM. From April 2020-end of March 2021, 78,000 patient referrals had been completed through the TCAM programme.

Next steps

In February 2021, the NHS Discharge Medicines Service (DMS) was introduced as a national, essential service for community pharmacies in England. TCAM was recognised as supporting DMS by providing the learning around how to set up these services as well as providing a digital platform for trusts to communicate with a patient’s usual community pharmacy about changes to their medication when they leave hospital. Through our successful roll out of TCAM, the AHSNs have created a foundation for embedding the national DMS service.

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