BCS

Structured medication review service

Structured Medication Reviews (SMRs) — targeted, structured, outcomes-driven.

BCS delivers a structured medication review service to Primary Care Networks — SMRs targeted at defined cohorts: polypharmacy in over-75s, frailty, high-risk medicines, and long-term conditions out of target. Not generic reviews. Each structured medication review is run by a pharmacist independent prescriber, documented to a BCS template, and tied to a measurable IIF or QOF outcome.
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What we deliver

The work, end-to-end.

Most SMRs delivered in primary care today are activity, not outcomes. BCS runs SMRs as part of a structured programme: defined cohort, defined intervention, measurable impact.

  • Cohort identification using SystmOne/EMIS searches
  • Pre-review preparation and risk stratification
  • Patient-facing SMR consultations (face-to-face, telephone or video)
  • Prescribing changes documented and actioned
  • Outcomes coded against IIF and QOF indicators
  • Outputs fed into the BCS Impact Dashboard

Outcomes

Measurable outcomes — every month.

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

  • Number of SMRs completed by cohort
  • Average number of medicines stopped per review
  • High-risk monitoring gaps closed
  • IIF/QOF indicator improvements
  • GP appointments avoided through SMR follow-up

DES 26/27 alignment

How this maps to the Network Contract DES.

Directly delivers PCN responsibilities under the Network Contract DES 26/27 Service Requirements for medication reviews and medicines optimisation, with outputs that support IIF achievement.

FAQs

Common questions from PCN Clinical Directors.

Do you use our clinical system?+

Yes — we work in your SystmOne, EMIS or Vision instance with full audit trails. No third-party systems required.

How are cohorts selected?+

We agree priority cohorts with your Clinical Director at onboarding — typically polypharmacy 65+, high-risk medicines, and LTC patients out of target. Cohorts are refreshed quarterly.

How is quality assured?+

Every SMR is documented to a BCS template; a sample of reviews is audited monthly by the QA function independent of delivery.

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

Where we cover

See all areas we cover — Structured Medication Reviews (SMRs) across England▾

BCS delivers structured medication reviews (smrs) to Primary Care Networks and GP practices across England, mobilised from our London and Halifax hubs. Every link below is a dedicated local page for that town or city.

London

South East

South West

East of England

East Midlands

West Midlands

Yorkshire & Humber

North West

North East