What is TCAM?

The Transfer of Care Around Medicines project.

Why is TCAM important?

Medication errors contribute to admissions to hospital. There is evidence that transferring discharge information to community pharmacists when patients leave hospital can reduce re-admissions. If the community pharmacist is aware of any discrepancies, they can utilise the information to deliver care for their patients.

Where is it happening?

The TCAM project is being rolled out nationally through Academic Health Science Networks (AHSNs). In Greater Manchester, the project is being led by Health Innovation Manchester in collaboration with Bolton LPC, GMLPC, The Acute Hospitals, Local Professional Network and the CCGs.

As the project relies on communication from the hospital, the roll out is taking place by locality when the hospital is ready to transfer referrals.

TCAM is due to go live in Bolton on June 15th 2020.

Who does the information transfer between?

Information about the medication a patient is taking is transferred from the hospital to the community pharmacist at the point of discharge.

How is the information transferred?

The information is transferred from the hospital to community pharmacy electronically using the PharmOutcomes system. You will be sent an email to advise that you have a referral, or if you have a PharmAlarm (fig. 1), this will flash so that you know you have a referral waiting.

What types of patients will I get information about?

Most hospitals have chosen to transfer information about their blister pack patients so that community pharmacies can have this as soon as the patient is discharged.

This ensures the pharmacist has the information in a timely manner, rather than having to wait for the prescription to be processed at the GP surgery.

What will I need to do when I get a referral?

When you receive a referral, you can choose to either ACCEPT or REJECT it (only reject referral if the patient does not use your pharmacy). Once you have accepted the referral, click on complete now and use the information the hospital has provided you with, to help support your patient to manage their medicines.  IMPORTANT: Please remember to then save the referral once you have completed this.

During the COVID 19 pandemic, you may be limited for time and resources so undertaking a MUR or NMS review might not be possible.  However, in the future, there is the potential for TCAM to support new services e.g. medicines reconciliation.

How can I find out more about TCAM?

Please find links below to Health Innovation Manchester and Pharmoutcomes. These will give you a demonstration of the referral process

Health Innovation Manchester – TCAM

Transfer of Care Around Medicines (TCAM) – Community pharmacist support for patients leaving hospital 

An update from Health Innovation Manchester can be viewed here: TCAM Bolton

Resources and Video links

TCAM FAQs April 20

For NHS Staff

TCAM Hospital Guide – PharmOutcomes Referral Service

Video: Referral from Hospital – PharmOutcomes

TCAM Pharmacy Follow-up – PharmOutcomes Referral Service

Video: Referral to Community Pharmacy – PharmOutcomes

For Patients

TCAM Patient Leaflet

What do I need to do next if I need additional support?

Please contact Health Innovation Manchester support team via this email with your query including your telephone number and preferred time of call back: