Core Delivery

High-Risk Drug Monitoring — compliance you can prove.

DOACs, methotrexate, lithium, opioids, amiodarone, DMARDs. Every high-risk medicine your PCN is responsible for, monitored to NICE and BNF standards, with audit trails ready for CQC.

What we deliver

The work, end-to-end.

High-risk drugs are the medicines most likely to harm a patient and the area most heavily scrutinised by CQC. Most PCNs we onboard have 20–40% monitoring gaps on day one.

  • Patient register validation across all high-risk drug groups
  • Monitoring recall and chase processes
  • Bloods review with prescribing action
  • MHRA alert action and patient communication
  • Documented audit trail for CQC inspection
  • Monthly compliance dashboard per drug group

Outcomes

Measurable outcomes — every month.

Tracked in the BCS Impact Dashboard. Reported to your PCN every month. QA signed-off.

  • Monitoring compliance % per drug group
  • Patients overdue brought back into range
  • Safety incidents avoided
  • CQC-ready audit evidence

DES 26/27 alignment

How this maps to the Network Contract DES.

Supports the medicines safety responsibilities defined in the Network Contract DES 26/27 and demonstrates compliance with NICE guidance on high-risk medicines monitoring.

FAQs

Common questions from PCN Clinical Directors.

Which drug groups do you cover?+

All high-risk groups defined in NICE and local ICB formularies: DOACs, methotrexate, lithium, amiodarone, opioids on long-term scripts, DMARDs, and anything your ICB flags locally.

Do you write to patients?+

Yes — patient communication is included. Letters and SMS are templated in the BCS intranet and customised per practice.

How quickly can you start?+

Typically 4–6 weeks from contract signature to first monitoring cycle.

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