Box 1.

Are we making the most of medicines?

Do patients take their medicines?
  • Only 16% of patients who are prescribed a new medicine take it as prescribed, experience no problems and receive as much information as they need.9

  • Ten days after starting a medicine, almost a third of patients are already non-adherent – of these, 55% don't realise they are not taking their medicines correctly, while 45% are intentionally non-adherent.9

How well do we use medicines?
  • A study conducted in care homes found that over two thirds of residents were exposed to one or more medication errors.10

  • Over half a million medication incidents were reported to the National Patient Safety Agency between 2005 and 2010; 16% of them involved actual patient harm.11

  • In hospitals, the General Medical Council's EQUIP study demonstrates a prescribing error rate of almost 9%.12

  • In general practice, an estimated 1.7 million serious prescribing errors occurred in 2010.13

Is the NHS getting the best value from medicines?
  • In primary care, around £300 million of medicines are wasted per year (this is likely to be a conservative estimate), of which £150 million is avoidable.14

  • At least 6% of emergency re-admissions are caused by avoidable adverse reactions to medicines.15

Are patients getting the right medicines?
  • Analysis of the NHS Atlas of Variation highlights unwarranted variations in the prescribing of some medicines across England.

  • Taken from Medicines optimisation: helping patients make the most of their medicines.8