Medicines Optimisation in Care Homes

What is medicines optimisation?

Medicines Optimisation is the process by which inappropriate or unsafe medicines are stopped so that people are only taking medicines they need to add value to their health and wellbeing. 

Why in care homes?

A recent NHS report showed that if you live in a care home you’re likely to take multiple medicines, have little say in what medicines you are given and not have a regular, detailed review of your medicines.  Since publication of this report, there has been growing evidence to show that pharmacists and pharmacy technicians are ideally placed to support care homes and GPs to improve the quality of care provided to residents and reduce harm from medicines.Optimising medication and supporting care home staff to create better medicines systems reduces waste and inefficiency. 

The role of pharmacy teams has also been shown to reduce time spent on administering medications allowing carers more time to focus on caring for residents.

About Us

The Medicines Optimisation Care Homes Team is part of Trafford CCG’s Medicines Optimisation Team.

The team’s focus will be to improve the quality of care for care home residents by ensuring the safe and effective use of medicines to enable the best possible outcomes. Our role is to work in conjunction with care homes, GPs and commissioners.

Our team consists of three pharmacists and two pharmacy technicians. Collectively the team will optimise use of medication at every opportunity by providing:

  • Clinical medication reviews for residents
  • Education, training and support
  • Assessment of medicines management systems and process within care homes

Contact information:


COVID 19:  Information for Care Homes on Coronavirus 

  • Flu (Influenza):  Information for Care Homes on Managing Flu

Care Home Flu (Influenza) Pack

This document is produced by Public Health England North West (PHE NW).  It details all aspects of preparing for the flu season and managing flu in the care home setting. 

Flu (Influenza) Poster

A poster is also provided by PHE NW summarising the main symptoms of flu and appropriate infection prevention & control measures.

Flu (Influenza) Vaccine Log

Care Home Staff Care Homes are requested to keep a log of staff who are vaccinated against flu. 

Antiviral Prescribing Guide for GPs

This is included for information only.  

Acute Respiratory Illness (ARI) Guidance Summary for Care Home Settings Across Trafford 


Useful resources

Medication Alerts for Care Homes

Medication Administration Templates

When required protocols


Hypromellose eye drops




Medication storage in care homes

Controlled Drugs

Homely Remedy Policy

To support care homes in providing residents with timely access to treatments for common, self-limiting minor health problems, Trafford CCG have provided a policy framework for use of homely remedies.  Care homes who do not currently provide homely remedies may wish to adopt this policy. 

Useful links

Greater Manchester Medicines Management Group

Guidance for the Covert Administration of Medicines in Care Home Settings



Medicines management in care homes (Quality Standard 85)


Care Quality Commission (CQC)