Frail Older People with Multi‑morbidities in Primary Care: A New Integrated Care Clinical Pharmacy Service

Lelly Oboh
Catherine Leon
Sulman Qadir
Felicity Smith
Sally‑Anne Francis
Journal Article
December 2017

This resource describes and evaluates a new specialist pharmacy service, called the integrated care clinical pharmacist.

  • Older people confined to their own homes due to are known to be at risk of medication-related problems.
  • For this study, 143 patients were referred to the service over a 15-month period. Medication-related problems were identified and divided into three categories: supply issues (7%), compliance issues (29%), and clinical issues (64%).
  • Participating pharmacists initiated a range of interventions, which required coordinating with other health and social services. Examples include setting up repeat ordering systems, arranging large font labels, and resolving medication errors.
  • Through this service, a wide range of medication-related problems were identified and addressed for a patient group with complex pharmaceutical needs.

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Population Addressed
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • What kinds of medication-related problems arise for older people confined to their homes?
  • How can pharmacists contribute to addressing these problems?
Level of Evidence
What does this mean?