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A CQC-ready medication monitoring model

Kingston Health Centre 28,000 patients Joined August 2024
The Abtrace team
One year of impact
1000+
blood pressure targets met
400+
core blood tests completed
120+
QOF HbA1c targets met

The challenge

Medication monitoring at Kingston Health Centre had developed through a combination of manual searches and established team knowledge. The practice wanted to build on this with a model that made safety checks more consistent, standardised follow-up and escalation, and created an inspection-ready audit trail aligned with CQC expectations for appropriate monitoring, follow-up, and robust governance.

The solution

Kingston Health Centre used Abtrace's Proactive Monitoring Tool to support medicines monitoring and recall through an end-to-end pharmacy team workflow. Abtrace maintained live overdue lists and automated SMS reminders, enabling pharmacy technicians to focus on non-responders and more complex cases, rather than rerunning searches manually.

The workflow was refined so that prescriptions could be safety checked earlier in the process. Using Abtrace's patient dashboards, pharmacy technicians confirmed that required monitoring was up to date, or that a clear clinical exception had been recorded, before requests were sent to a GP for sign-off. This created a more consistent process and a clear, inspection-ready audit trail.

The results

Kingston Health Centre received very positive CQC feedback, with exceptionally low numbers of missed medication safety requirements, reflecting a monitoring model that was visible, repeatable, and auditable. Clinicians also reported greater confidence when prescribing, because prompts and pharmacy checks take place before prescriptions are signed. Overall, inspection readiness has strengthened, with clearer evidence of the system in use, how it is monitored, and what has changed as a result.

What changed

Audit-ready monitoring

Abtrace made medicines monitoring visible, traceable, and easy to evidence, with live lists of patients who are due, and overdue.

Pharmacy-led recall

Abtrace automated reminders and maintained an auditable workflow, so pharmacy technicians could manage recalls and escalate non-responders appropriately.

Safer prescribing

Abtrace supported pharmacy technicians checking monitoring requirements before prescription requests reached a GP, reducing risk and workload.

Next steps

Kingston Health Centre wants to build on this model by improving how alerts are routed to the right team members, and using utilisation data to support oversight, coaching, and capacity planning.

Richard Hughes, GP Partner at Kingston Health Centre
"Abtrace is an absolutely essential tool for us. It makes our processes better, more reliable and more efficient."

Richard Hughes · GP Partner, Kingston Health Centre

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