Medicines: Care and Review
The Chronic Medication Service (CMS) has been renamed Medicines: Care and Review (MCR).
MCR allows patients with long-term conditions to register with a community pharmacy of their choice for the provision of pharmaceutical care as part of a shared agreement between the patient, Community Pharmacist and General Practitioner (GP). It introduces a more systematic way of working and formalises the role of community pharmacists in the management of individual patients with long term conditions. MCR aims to improve the patient’s understanding of their medicines and optimise the clinical benefits from their therapy.
Patients can be issued with long term (56 week) Serial Prescriptions (SRx) by their GP Practice before or after registering for the MCR service.
Community Pharmacy Guidance
- Community Pharmacy Serial Prescribing Quick Guide (2025)
- Serial Prescribing FAQs for Community Pharmacy (2025)
General Practice Guidance
- Good Practice Guidance for Prescribing Quantities (2023)
- Serial Prescribing FAQs for General Practice (2025)
Additional Resources
- Serial Prescribing (MCR) Implementation Pack (2025)
- NHS FV – Shared Care Agreement Template (2024)
- NHS Scotland – Serial Prescriptions Video (2020)
- NHS FV – SRx Patient Information Leaflet (2020)
- The Yellow Card Scheme
- Medicines Care and Review | Community Pharmacy Scotland
Contacts
- IM&T Facilitator, Victoria Young – victoria.young@nhs.scot
- Community Pharmacy Support – fv.communitypharmacysupport@nhs.scot


