The activity aims to:

• Summarise the core factors in medication review in older adults using a 7 Step Polypharmacy review process
• Outline how to assess level of frailty to assist decision making
• Use worked examples to show common medication review challenges in practice
• Outline the potential positive impact of medication review

Dr Martin Wilson is a consultant in care of the Elderly and acute medicine working in Inverness. Work in Highland and cover a large remote area and work with primary care to try and develop ways of providing specialist support outside main population centres. Specific interest in prescribing in adults complex due to frailty or multimorbidity and am involved in development of Polypharmacy Guidelines locally and nationally. Recently involved with iSimpathy project which evaluated the effect of targeted polypharmacy medication reviews on a range of safety and economic measures alongside patient reported outcomes. Commissioner on the Committee of Human Medicines for Medicines and Healthcare Products Regulatory Agency.

Dr. Alpana Mair is an internationally renowned academic and expert policy adviser in the field of medication optimisation and patient safety with a particular focus on polypharmacy and safety and effective use of medicines in the context multimorbidity and health inequalities. She has led EU projects with over 10 countries as the PI and project coordinator, totalling over £4.5M, SIMPATHY and iSIMPATHY. Outputs from these EU projects resulted in adoption of recommendations as DG Sante, European Commission level. and also invitation by WHO to be an expert adviser on medication safety for and commissioned to lead and action group on European Innovation Partnership on Active and Healthy Ageing (EIP AHA) for the European Commission on Polypharmacy and Adherence as part of the European commission’s aims to improve the healthy life years of the older person by two years.

Alpana has had a portfolio career working across multiple sectors in pharmacy including academia at Sunderland, Nottingham and Aberdeen Universities. She holds a masters in Clinical pharmacy practice from Kings College London and Advanced Leadership Masters from Harvard and ENU. She has a PhD from University of Dundee Medical School and Diplomas in advanced practice in Diabetes, Substance misuse and respiratory. She qualified as an independent prescriber over 15 years ago and continues to work as a prescriber in the Homeless Practice, supporting safety and effective use of medicines for a vulnerable population. Alpana was previously the Deputy Chief Pharmaceutical Officer for Scotland