Please use this form to carry out a review of your medicines reconciliation bundle data and improvement work.

You should submit this completed form every four months in addition to your bundle data to claim payment for the work.

Pharmacy Name / Sample
Work stream / Medicines Reconciliation NSAID
Dates of period under review / 01-04-16 to 01-07-16
Roles of pharmacy staff taking part in reflection discussions / Sample pharmacist, dispenser, counter staff
Please explain any improvement work you have carried out in this period to improve processes and improve the reliability of the service
During the previous period there had been issues with locums not coming with their passwords to allow them to check the PCR. This was addressed by including the requirement when the booking was made and by the dispenser taking responsibility for asking the locum to check the computer.
What did your bundle data show?
The data showed the records were being checked regularly even during holiday time. The shelves are also checked regularly but we are not always catching patients when they collect their medicines to check their understanding.
What challenges have you faced and how have you addressed these?
When we tried to speak to the patients we discovered that they didn’t always pick up their own medicines. We have discussed as a team when it would be appropriate to discuss medicines with a carer.
How might you further improve pharmacy systems? What else might you change?
If we still don’t get enough opportunities for counselling we will try alternatives – written messages or telephone calls
Has the bundle data been submitted electronically?
Yes No
In each period at least one PDSA cycle should be undertaken. Have copies of these been submitted with this reflection form?
Yes No
Would you like any support or guidance to make changes in your pharmacy? If so, what would be useful?
Due to an upcoming change in staff, the person who usually submits the data will not be working in the pharmacy. Some help will be needed training their replacement in spreadsheet submissions.

I confirm that I have complied with all the requirements in the service specification and claim the fee for the provision of the service for the four month period detailed overleaf.

Name:

Signature:

Date:Contractor Code:

Please submit your completed form,a copy of your bundle data collection spreadsheet and your PDSA/SEA formsto the Pharmacy Office

Preferably by e-mail to:

or via

Post to: Pharmacy Services, Falkirk Community Hospital, Westburn Road, Falkirk, FK1 5QE

Carole SmithQI reflection form March 2016