Conclusion
Independent prescribing pharmacists can successfully take responsibility for medicine management and SMR for older people in CHs. When pharmacists develop professional trustful relationships with GP colleagues and CH staff, they can independently make changes to medicines which benefit resident well-being. Their expertise in medicine systems including stock control and ordering enabled them to streamline CH systems with the potential benefit of reducing waste and likelihood of administration errors. The changing landscape of global primary care provision indicates that pharmacists will continue to have a key role in leading management of medicines but that how this happens may require monitoring to enable refinement of the delivery model.