TCAM – Greater Manchester


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: Tcam.support@healthinnovationmanchester.com

For instructions on how to complete a referral, see below

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.

Tameside and Glossop update 

From Tuesday 25/5/20 Tameside and Glossop Integrated Care NHS Foundation Trust will be sending discharge medication information to community pharmacies for all Care Home Residents, in addition to what is already being sent for patients requiring monitored dosage systems. The discharge medication lists are for information only, to aid accurate and timely resupplies of medication.

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 GMLPC, 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 live in Salford and Tameside. Stockport is going live on the 4th may 2020. Look out for upcoming Training dates.

TCAM sites to go live on the 15th June are as follows:

  • Pennine Acute – Royal Oldham hospital
  • Bolton Foundation Trust

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). Print the discharge letter provided as a PDF where you will find all the information to support your patient to manage their medicines.

How do I complete a referral?

To complete the referral, once the Rx has been filled, select the referral from your services dashboard and click on COMPLETE NOW.  You will be required to fill in the yellow card reporting with some additional information regarding the service you have provided to your patient. Then simply click on SAVE. Your referral is now completed.

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

https://healthinnovationmanchester.com/wp-content/uploads/2018/11/PharmOutcomes-Referral-Service-TCAM-Pharmacy-Follow-up.pdf

https://media.pharmoutcomes.org/video.php?name=tocPharmacyNew

Health Innovation Manchester – TCAM

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

An update (13th May 2020) from Health Innovation Manchester can be viewed here.

An update (18th May 2020) from Health Innovation Manchester can be viewed here.

TCAM Hints and Tips (3rd June 2020) can be viewed here.

Health innovation Manchester has developed a flowchart to illustrate the lifecycle of a referral on PharmOutcomes for easy reference as per the feedback provided by Community Pharmacies and teams delivering the service.

The easy to follow one page flowchart for TCAM PharmOutcomes is available here

Resources and Video links

TCAM FAQs April 20

Transfers of Care Around Medicines (TCAM) Training Video

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:

Tcam.support@healthinnovationmanchester.com