What this study adds
Competing interests
EVENT
An intervention introducing PIPs to visit care homes weekly for approximately four hours was safe and welcomed by care home staff and general practitionersIntroducing PIPs to care homes did not reduce falls in care home residents over a six month follow-up periodPIPs reduced the Drug Burden Index, suggesting that they can successfully improve residents’ medication, which may yield health benefits to residents beyond six monthsWe thank all participating care home residents, care homes, and general practices; the pharmacist independent prescribers; our patient and public involvement group; our pharmacist trainers and assessors; Norwich Clinical Trials Unit; Comprehensive Research Network Eastern; our sponsor (Norfolk and Waveney CCG); members of our Programme Steering Committee and Data Monitoring and Ethics Committee; our funders; and all the many other people who supported the delivery of the programme of research that culminated in this trial.Extra material supplied by authorsWeb appendix: Supplementary materialsContributors: All authors reviewed the paper before submission. DW led the whole project jointly with RH. RH and CB led the main trial, on which this paper is based. RH was involved in conceptualisation, funding acquisition, methodology, project administration, writing the original draft, and reviewing and editing the manuscript. CB, DA, GB, FP, and AA were involved in conceptualisation, funding acquisition, methodology, project administration, and reviewing and editing the manuscript. CH and NN were involved in conceptualisation, funding acquisition, data curation, methodology, project administration, and reviewing and editing the manuscript. LS was involved in conceptualisation, formal analysis, funding acquisition, methodology, project administration, and reviewing and editing the manuscript. LB was involved in data curation, methodology, project administration, and reviewing and editing the manuscript. JB and SC were involved in data curation and reviewing and editing the manuscript. AB and LW were involved in data curation, project administration, resources, and reviewing and editing the manuscript. ADOR, MS, and VM were involved in data curation, project administration, and reviewing and editing the manuscript. LD, BH and JI were involved in data curation, project administration, and reviewing and editing the manuscript. JD was involved in conceptualisation, funding acquisition, methodology, and reviewing and editing the manuscript. JF was involved in project administration and reviewing and editing the manuscript. KG was involved in formal analysis and reviewing and editing the manuscript. HH was involved in conceptualisation, funding acquisition, methodology, project administration, and reviewing and editing the manuscript. PKM was involved in funding acquisition, project administration, and reviewing and editing the manuscript. DT was involved in formal analysis, project administration, and reviewing and editing the manuscript. AZ was involved in conceptualisation, funding acquisition, methodology, and reviewing and editing the manuscript. DW was involved in conceptualisation, funding acquisition, data curation, methodology, resources, writing the original draft, and reviewing and editing the manuscript. DW and RH are the guarantors. The corresponding author attests that all listed authors meet authorship criteria and that no others meeting the criteria have been omitted.Funding: This work was funded by National Institutes of Health Research (NIHR) through their Programme Grant for Applied Research (PGfAR) stream (RP-PG-0613-20007). The funder had no role in design, data collection, data analysis, data interpretation, or writing of this paper.Competing interests: All authors have completed the ICMJE uniform disclosure form at The lead authors (the manuscript’s guarantors) affirm that this manuscript is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned (and, if relevant, registered) have been explained.Dissemination to participants and related patient and public communities: We engaged with the Patients Association to support dissemination of findings and help to organise our final dissemination event. Patient and public involvement collaborators were involved in this dissemination event through a public facing conference for general practitioners, pharmacists, and care home staff.Provenance and peer review: Not commissioned; externally peer reviewed.