BCS

Frailty & Over-75s · City of London

Frailty & Over-75s in City of London.

Frailty-focused SMRs for over-75s — falls risk, anticholinergic burden, deprescribing and care-coordinated review. Delivered to City of London PCNs and GP practices from the BCS Chiswick (West London) hub — with paired cover from our Halifax (West Yorkshire) hub. BCS is the only UK provider operating this dual-hub clinical pharmacy model.
Talk to us about City of London Medicines Optimisation

Dual-hub delivery

The only UK provider with a Yorkshire + London hub.

Every frailty and over-75s medicines optimisation placement in City of London is mobilised from one of our two clinical hubs — Chiswick (West London) as the lead and Halifax (West Yorkshire) as paired cover. The dual-hub model is unique to BCS: no other clinical pharmacy provider in the UK runs Northern and Southern hubs with shared SOPs, shared supervision and same-week cross-cover. That is what guarantees continuity of frailty and over-75s medicines optimisation for a City of London PCN through sickness, leave and turnover.

  • Lead delivery from the BCS Chiswick (West London) hub
  • Paired cover from BCS Halifax (West Yorkshire) — same SOPs, same supervision
  • Same-week sickness, leave and maternity cover guaranteed
  • ARRS-compliant, GPhC-registered, IP-qualified workforce
  • One SLA, one report, one escalation point

City of London · local context

City of London PCNs sit within the relevant London ICB (NW, NC, NE, SE or SW London).

City of London PCNs operate inside one of England's most diverse and deprivation-mixed health economies — pharmacist programmes have to sequence by practice list, not by borough.

What you get

What frailty & over-75s in City of London actually looks like.

  • Electronic Frailty Index-driven cohort selection
  • Falls and sedation review
  • Anticholinergic burden audit
  • Care home rounds where applicable
  • Family/carer involvement evidenced

City of London · what good looks like

Typical first-year markers.

4–6 wks
Mobilisation in City of London
2 hubs
Halifax + Chiswick — unique to BCS
100%
Supervision evidenced for audit
Monthly
QA-checked outcomes report

Why City of London PCNs choose BCS for frailty and over-75s medicines optimisation.

Solo recruitment for frailty and over-75s medicines optimisation in City of London leaves a network exposed to sickness, maternity and retention risk, and rarely meets the supervision standard ICBs now ask for. BCS removes all of that — pharmacists are part of a clinical team, supervision is built in, and continuity is guaranteed by the Chiswick (West London)/Halifax (West Yorkshire) dual-hub.

Whether you are a single City of London PCN starting your first frailty and over-75s medicines optimisation programme, or a federation coordinating frailty and over-75s medicines optimisation across multiple London networks, the BCS managed model scales without changing your contract.

Frequently asked questions — Frailty & Over-75s in City of London.

How is the over-75 cohort selected?+

We use eFI + care home + polypharmacy filters to prioritise the highest-risk residents first.

Does BCS already deliver frailty and over-75s medicines optimisation in City of London?+

BCS supports PCNs and GP practices across London from our Chiswick (West London) hub with paired cover from Halifax (West Yorkshire), and is actively delivering or available to mobilise frailty and over-75s medicines optimisation in City of London. Get in touch and we'll confirm current capacity.

What makes the dual-hub model different?+

BCS is the only UK clinical pharmacy provider running both a Northern (Halifax) and Southern (Chiswick) hub. That means same-week cross-cover, one SOP set across the country, and no service gap when staff are off — something single-hub or single-region providers cannot match.

How quickly can BCS mobilise frailty and over-75s medicines optimisation in City of London?+

In most cases BCS mobilises frailty and over-75s medicines optimisation for a City of London PCN within 4 to 6 weeks of contract sign-off, with remote prescribing back-up available from the hub sooner if needed.

Talk to our Service Development team

30-minute discovery call. We'll show you how BCS maps to your PCN's specific priorities.

Book a discovery call

Related medicines optimisation topics in City of London

More medicines optimisation pages for City of London.

Nearby PCN areas

Frailty & Over-75s elsewhere in London.

Medicines Optimisation pillar →All BCS in City of London →About our two hubs →