Nursing · Referral letter · Task 8

Medication organisation after a near omission

You are a practice nurse at Hillview Surgery. Today is 24 September 2026. Using the case notes, write a referral letter to Ms Leah Stone, Community Medicines Support Nurse, Hillview Health Centre, 3 Summit Road, Fairford. Request a support visit that preserves the patient’s independence while checking the current medicine list. Write approximately 180-200 words in the body of your letter.

Patient: Victor Lane, born 30 December 1949

Case notes

• N01Patient: Victor Lane; lives alone; daughter visits twice weekly; GP reviewed today after patient nearly missed evening medicines.
• N02Account: uncertain whether evening dose taken; called daughter before taking any further tablets; GP reconciled medicines today; no regimen change.
• N03Observed: two copies of medicine list at home, one superseded; patient uses old list for timing; large print preferred.
• N04Plan: support visit within three working days; reconcile available medicines against GP’s current list; remove superseded display copy with consent; assess practical organisation needs.
• N05Consent: patient agrees to daughter joining teaching but wants to retain control of medicines; daughter must be contacted to arrange suitable time.
• N06Communication: understands discussion when one step presented at a time; cannot reliably use phone reminder app.
• N07Follow-up: GP review 7 October; contact GP for discrepancies; no independent prescription changes.
• N08Other: keeps a wall calendar of football fixtures; retired electrician; bought new curtains last month.