Dear Dr Barlow, Philip Allen DQB; 28 /02/1942 am sorry for the in responding to your letter regarding the not directly involved with this gentleman above named gentleman was identified the following: S care but from reviewing his computer notes have 1, Ireceived & call on the 7 September 2012 advised me that the manager at the She some reason had had apparently stopped his Quietiapine on the 19 June 2012 but that fot carers continued to give it until that dayl advised her to log that event as there was no record/notification to the as a significant know the outcome of her surgery that it had been discontinued, and to let me investigation. 2 Ireviewed Mr Allen on the 20 June 2012. The letter to 2012 The letter was not sent to uS and was dated 3 July started to make inquiries were only received by the practice on the 25 11 2014, When into the case_ There is no record that any clinician or member of staff at the change in medication: practice was informed about the Unfortunately, am to receive the notes to the alteration of medication for or paper notes which may have an related Mr Allen. Questions to ask Was linformed of the and this was not actioned? Had the carers at the time also failed to inform Eltham Palace Surgerv? Why was the letter from never sent/received by the practice? EP/jw Crown delay from nursing time, yet nursing entry change

As a practice we have made several to the Oaks Home:- our policy in with the care of clients at Twice weekly ward rounds conducted by myself and Medication reviews are done 3 months by our Prescribing Advisor head of Medicines Management at the CCG. who is Medication reviews are done twice a year by the attending clinician were we have the ability to update the at the practice into electronic computer records which can then be translated prescriptions which are sent directly to the pharmacist No handwritten prescriptions are done at the home proper audit trail of all prescribed any and this is to ensure a medication_ de have continually asked for &n N3 line to be installed at the direct access to up to date home so that we have moment we have to hand computer records concerning patients at the home. At the and then write the notes which have to be photocopied translated into the computer records when the the practice_ clinician returns to We have bought laptops which allow us to access some records but access all our request forms and referral we are unable to consuming and doubles letters this method. It is also time the home our workload as all notes have to be made twice as thesstaffae have no access to patients computer records.