Long-Term Conditions
Frailty and Polypharmacy
Medicines reviews tailored to frail patients.
What does a frailty and polypharmacy service do?
Medicines reviews tailored to frail patients. BCS supports gp practices, primary care networks, gp federations across the UK from hubs in Halifax and London, covering frailty searches, falls-risk medicines, deprescribing.
Reviewed October 2026 by the BCS clinical services team.
What is this service?
Frailty and Polypharmacy from Bespoke Clinical Services: medicines reviews tailored to frail patients. Every arrangement is built around your organisation — truly bespoke, never off-the-shelf.
What can BCS support?
- Frailty searches
- Falls-risk medicines
- Deprescribing
- Carer communication
How can it be delivered?
- Clinics (remote or face-to-face)
- Searches and recalls
- Project or ongoing
- As a defined project — no permanent contract needed
Who makes clinical decisions?
Pharmacists and technicians complete tasks within their competence and agreed scope. Medical decisions, complex cases and prescription authorisation sit with the GP. All clinicians follow your organisation's clinical governance and procedures.
How clinical governance works →How does delivery start?
We agree the workload, scope, system access, escalation routes and reporting with you, complete clinician checks and induction, then start delivery. Progress is reviewed with you regularly.
Ways to commission →Why choose BCS?
BCS is a truly bespoke clinical services partner. We support 50+ PCNs and 300+ GP practices with 150+ clinical pharmacists, delivered from two hubs in Halifax and London. Every clinician is backed by our management layer, structured training, clinical supervision and quality assurance, and activity is reported clearly through the BCS Impact Dashboard.
How is it funded?
Where the arrangement uses an eligible ARRS role, meets the Network Contract DES requirements and (for remote delivery) is intended to last at least six months, it may be supported through ARRS funding. Otherwise it can be funded from PCN, practice or commissioned budgets. Eligibility is always confirmed against the current NHS guidance — we never promise reimbursement.
Read our funding and ARRS guide →Common questions
What does a frailty and polypharmacy service do?
Medicines reviews tailored to frail patients. BCS supports gp practices, primary care networks, gp federations across the UK from hubs in Halifax and London, covering frailty searches, falls-risk medicines, deprescribing.
Who is Frailty and Polypharmacy for?
It's designed for gp practices, primary care networks, gp federations, icbs. Every arrangement is tailored to your organisation.
Can frailty and polypharmacy be delivered remotely?
Yes. It can be delivered remotely, on-site, or a mix of both, from our hubs in Halifax and London.
Is frailty and polypharmacy ARRS funded?
Where the arrangement uses an eligible ARRS role, meets the Network Contract DES requirements and (for remote delivery) is intended to last at least six months, it may be supported through ARRS funding. Otherwise it can be funded from PCN, practice or commissioned budgets. Eligibility is always confirmed against the current NHS guidance — we never promise reimbursement.
Who makes clinical decisions in frailty and polypharmacy?
Pharmacists and technicians complete tasks within their competence and agreed scope. Medical decisions, complex cases and prescription authorisation sit with the GP. All clinicians follow your organisation's clinical governance and procedures.
How does frailty and polypharmacy start?
We agree the workload, scope, system access, escalation routes and reporting with you, complete clinician checks and induction, then start delivery. Progress is reviewed with you regularly.
Do I need a full-time contract?
No. You can commission a defined project with an agreed scope and timeline, without a permanent staffing agreement.
Request Frailty and Polypharmacy
Tell us a little about your organisation and we'll come back within one working day with a bespoke proposal.