A dedicated team of ward pharmacy technicians and ward pharmacists work with the multi-disciplinary teams to deliver safe and effective medicines to inpatients at the Centre. As part of the ward pharmacy team service we provided medicine reconciliation at the bedside. The objective is that a member of the ward pharmacy team visits our patients within 24 hours of their admission onto the wards (not including out of hours/weekends) and assess and discuss the medicines they have brought in with them, in this way we hope to obtain the most current and robust medication history to ensure the health and wellbeing of our in-patients. This information will then be transferred to the patients GP on discharge from the ward to help provide a seamless transferral of vital current medication information for a safe patient journey from secondary to primary care. Patients’ medication is reviewed on admission to the wards to ensure continuity of medication supply in the secondary care setting and patients’ own medication is never discarded unless it has been assessed as unsafe for use on the wards. Patients are actively encouraged in making decisions by the ward pharmacy team regarding their medication and how and when it is taken.