1,2 The extent of hospital pharmacists’ knowledge and perceptions of these services have not been explored. The aim of this study was to explore the perceptions of, and practicability of initiating the MUR/NMS in the older patient population from hospital pharmacists’ perspective. Patients to be discharged from the four elderly care and BIBW2992 ic50 two medical wards at the Luton and Dunstable University Hospital are routinely signposted (provided

with a patient information sheet) by hospital pharmacists and pharmacy technicians or referred by hospital pharmacists (completing a referral form) to undertake the MUR/NMS in the community post discharge. All pharmacist providing ward services to the elderly care and medical Crizotinib wards were approached to participate in this study. In-depth semi-structured interviews were undertaken with hospital pharmacists to seek their views on the practicability of patient signposting and referral. Conceptual content analysis was used to analyse interview data collated. Ethics

approval was obtained from the NHS Newcastle and North Tyneside 2 REC. Informed consent for participation in interviews was sought and obtained. All (seven) hospital pharmacists working across the care of the elderly and medical wards took part in the interviews. All were female with post registration experience ranging from 1 to 30 years. Five main themes emerged from the interview data analysed including: (1) pharmacists’ ambiguity about service specification, (2) lack of service awareness Tryptophan synthase by patients, (3) barriers to patient engagement, (4) limitations to service provision and (5) suggestions for service improvement. From the emerging themes, hospital pharmacists introduced the MUR/NMS as time and judgement permitted often limited by other work commitments. Hospital pharmacists failed to identify opportunities for integrating medicines management between the hospital

and community pharmacy sectors. A hospital environment was not considered to be conducive to introduce the MUR/NMS as patients admitted into hospital are often very ill and other priorities such as processing discharge medication took precedence to this service initiation. Limitations to initiating the MUR/NMS by hospital pharmacists included patients’ disability and lack of independence. Other limitations reported included hospital pharmacists’ lack of knowledge about MUR/NMS delivery and processes and limited prioritisation of initiating these services. Hospital pharmacists would benefit from focused education on the MUR/NMS provided to patients in the community in order to knowledgeably promote signposting and referrals to these services.2 Policies to guide the referral and signposting of suitable patients should also be developed and implemented.