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

Structured Medication Reviews (SMRs) — across every city and town in England.

BCS delivers structured medication reviews (smrs) to Primary Care Networks and GP practices across England, mobilised from our London and Halifax hubs. Find your area below — every link goes to 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