Templates for recording review and coding for review

A polypharmacy review is a medication review following the principles of the 7-Steps, that considers all the clinical information and where outcomes from the review are discussed with the individual and/or carer; either face to face or remotely.

An electronic template is available for both Vision and EMIS that can be used in the consulting system and will automatically read code the reviews and the interventions made. The templates, along with instructions for implementation are available within the Polypharmacy Guidance implementation toolkit on the Right Decision Service. 

When reviews are undertaken without the above template, to facilitate evaluation on the impact of polypharmacy reviews and outcomes, the reviews should be digitally recorded, adding read code 8B31B for primary care records. The key information summary (KIS) should also be updated. This will ensure that as individuals move across transitions of care, there is continuity in the management of their medicines.