Reducing Medicine Wastage Highlight over and under ordering of repeat medicines to the appropriate clinician or staff member as per SOPs. Synchronise medication quantities to reduce footfall in the practice. Remove from patients repeat list any unnecessary repeat prescriptions that have not been ordered for an agreed length of time, as per SOP. Check each individual item is needed when a patient asks for all their repeat medication. Check that medicines that patients take when required are needed e.g. painkillers, inhalers, creams are moved to the variable repeat part of the patients medical record, as per the practice SOPs. To promote patient education and awareness regarding the issues of prescribing waste, self-care. To work to all SOPs in relation to the repeat prescribing systems and refer to them as necessary. Highlight areas of prescribing waste and suggest methods for reduction. Identify areas of care home waste and work with the care homes to reduce unnecessary prescribing. Improve patient and staff satisfaction Implement ways to promote patients to take responsibility for their repeat prescription ordering and to highlight any problems associated with taking their medicines. Offer medication reviews with PCN clinical pharmacists or Medicines Use reviews with the community pharmacist, if a patient is experiencing problems with their medicines. Provide guidance to practice staff, and promote communication throughout the practice team. To implement a process within the Hub for signposting patients to relevant services as part of a care-navigation programme for reducing prescriptions for over the counter medication. Ensure that when queries are generated that they are highlighted through the appropriate channels, to ensure they are resolved in a timely manner and before the next repeat prescription is due. Ensure clear dosing instructions appear on all repeat prescriptions.