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Independent Medication Review · Polypharmacy · Written Clinical Report

Your relative is on multiple medications. When did anyone last look at all of it properly?

A comprehensive, independent clinical assessment of your relative's full medication history — every drug reviewed, every interaction mapped, every question answered in writing.

This review can be initiated by a family member. The patient gives their own consent before anything proceeds. The clinical relationship is with the patient.

Enquire about a Review

Clinical appointments via CQC-registered Sutton Medical Consulting · Sutton Coldfield

Independent Medication Review
£1,200
Two appointments · Written report
  • Full medication history reviewed in advance
  • 60-minute initial clinical assessment
  • Structured written clinical report produced
  • Report delivery appointment
  • Clinical recommendations in writing
  • GP communication where appropriate
  • Patient consent confirmed before proceeding
Enquire about a Review Or message on WhatsApp →

Enquiries welcome from family members.
Patient consent confirmed before booking.

You are in the right place if any of these are true.

Most of the families who book this review are not in crisis. They are paying close attention to a parent or relative's health and they have noticed something that doesn't feel right — a medication list that has grown over the years without anyone reviewing the whole picture, a GP who doesn't have the time, or findings from a recent hospital visit that raised more questions than they answered.

They want one clinician to look at everything properly and put it in writing.

  • Your parent or relative is on six or more medications and no one has reviewed the full list in years
  • You are not confident the current combination is being monitored correctly
  • A hospital visit raised concerns about medication interactions that were never properly followed up
  • Your relative has seen multiple specialists and no one is coordinating the full picture
  • You want an independent clinical opinion before agreeing to a new prescription or procedure
  • You want a written document — not a verbal opinion — that can be shared, acted on, and referred back to

Medications accumulate. Reviews don't.

Each prescription made sense at the time it was written. The problem is that clinical circumstances change — diagnoses evolve, comorbidities develop, and the original indication for a medication may no longer apply. But the prescription remains.

GPs are under significant time pressure. A standard appointment is ten minutes. A comprehensive medication review — covering the full history, current clinical picture, interactions, appropriateness, and monitoring requirements — takes far longer than the system allows.

The result: patients in their 60s and 70s accumulate medication loads that haven't been reviewed as a whole by a single clinician in years. Sometimes decades.

This is not negligence. It is a structural problem. And it has a practical solution.

"I see this regularly in A&E — patients whose medication burden has grown over time without anyone stepping back to look at the whole picture. The individual decisions were reasonable. The cumulative result often isn't."

— Dr Dan Reardon · NHS A&E Doctor · GMC 6098984
6+
medications is the clinical threshold for polypharmacy — a point at which interaction risk increases significantly
NHS England polypharmacy guidance
36%
of adults over 75 in the UK are prescribed 10 or more medications
King's Fund, Polypharmacy and medicines optimisation, 2023
~50%
of older patients taking multiple medications have at least one potentially inappropriate prescription
BMJ, 2018 — Prevalence of inappropriate prescribing

Two appointments. One written report. Complete clinical picture.

The review is structured as two appointments with a written report produced between them. This is deliberate — the initial assessment gathers information, the report is produced with proper clinical rigour, and the second appointment presents the findings and agrees next steps.

01

Initial enquiry

A family member or the patient makes contact. We gather basic background — who the patient is, what medications they are on, and what the specific concerns are.

02

Patient consent confirmed

Before any appointment is booked, we contact the patient directly to explain the review and confirm they wish to proceed. The patient must give their own consent. Nothing moves forward without it.

03

Initial review appointment

60-minute clinical assessment with the patient. Full medication history taken, clinical context reviewed, relevant documents and blood results examined. Family members may attend at the patient's discretion.

04

Written report produced

A structured clinical document covering every medication, the clinical assessment, identified concerns, and clear recommendations. Typically produced within one to two weeks of the initial appointment.

A clinical document, not a consultation summary.

The written report is a formal clinical document with Dr Reardon's name, credentials, and GMC number. It is designed to be shared, acted on, and referred back to. It is not a letter — it is a structured clinical assessment.

Full medication inventory

Every medication listed with its current indication, dose, duration, and whether the original clinical need is still present.

Appropriateness review

Each drug assessed against current clinical picture, age, comorbidities, and whether continued prescription remains clinically justified.

Interaction mapping

Known drug-drug and drug-condition interactions identified and assessed for clinical significance in this patient's specific context.

Monitoring gaps

Where monitoring requirements for existing medications are not being met — blood tests, blood pressure checks, or other oversight — this is documented.

Prioritised recommendations

Clear, ranked recommendations — what should be reviewed urgently, what warrants discussion with the prescribing GP, and what appears appropriate to continue.

GP communication

Where appropriate and with the patient's consent, a formal letter to the patient's GP summarising key findings and recommended actions.

An independent clinician. No commercial relationship with your relative's prescribers.

Dr Reardon has no commercial interest in the medications your relative is taking and no relationship with the prescribers involved in their care. The review is genuinely independent — the goal is the most accurate clinical picture, not a predetermined outcome.

NHS A&E experience matters here. Frontline emergency medicine means seeing, regularly, what happens when medication management is inadequate — polypharmacy complications, adverse drug reactions, and the downstream consequences of prescriptions that were never reviewed. That clinical context shapes how these reviews are conducted.

This is also a service that operates within full CQC-registered clinical infrastructure — not an informal second opinion, but a properly governed clinical review with a documented output.

NHS A&E DoctorFrontline emergency medicine — active
MB ChB · BSc · MScUniversity of Wales · Cardiff · Birmingham
GMC 6098984Fully registered — verifiable at gmc-uk.org
Deprescribing SpecialistGLP-1, SSRIs, PPIs, statins, antihypertensives, polypharmacy
MSc Mental HealthUniversity of Birmingham — directly relevant to SSRI and psychiatric medication review
CQC-Registered PracticeVia Sutton Medical Consulting · Ashfurlong Medical Centre · Sutton Coldfield

Independent Medication Review

A fixed fee for a defined product. Two appointments and a written clinical report. No hidden costs, no follow-up charges included in this fee unless further consultations are agreed.

Independent Medication Review

  • Pre-review of available medical history and medication list
  • 60-minute initial clinical assessment appointment
  • Structured written clinical report (typically 1–2 weeks)
  • Report delivery appointment — findings presented and questions answered
  • GP communication letter where clinically appropriate and consented
£1,200
Fixed fee · Two appointments Enquire about a Review

Further consultations, deprescribing support, or follow-up reviews are available separately if the patient wishes to proceed with any of the report's recommendations. See full fee schedule →

Investigation costs are separate. Where further testing is indicated, the review will identify exactly which tests are needed and the most appropriate route — NHS, GP referral, or private lab.

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Not a criticism of existing care. An independent assessment of the current picture — not an adversarial opinion on previous prescribers.

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Not a guarantee of change. Some medications are entirely appropriate. The report will say so. Clarity is the product, not a predetermined reduction.

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Not a substitute for ongoing care. The review produces a clinical picture and recommendations. Implementation is through the patient's existing clinicians or agreed follow-up.

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Not conducted without the patient. The patient must consent and attend. This is a clinical consultation — not a desk review of records alone.

FAQ

Can a family member initiate the review on behalf of a patient?
Yes. A family member can make the initial contact and provide background. Before any appointment is confirmed, Dr Reardon's team will contact the patient directly to explain what the review involves and confirm they wish to proceed. The patient must give their own consent. Nothing moves forward without it.
Does the patient need to attend in person?
Yes, for the initial review appointment. The patient needs to be present — this is a clinical consultation, not a desk review of records. Family members may attend at the patient's discretion. The report delivery appointment can be conducted with the patient, the family, or both together, depending on preference.
What do you need from us before the first appointment?
A current medication list if available, any recent blood tests or clinic letters, and a brief summary of the patient's medical history and current concerns. If you don't have all of this, that is fine — the appointment will gather what is needed. More information in advance simply means more of the consultation time can be spent on clinical discussion rather than history-taking.
Will you contact my relative's GP?
Where clinically appropriate and with the patient's explicit consent, yes. The written report can be shared with the patient's GP, and in some cases a formal clinical letter is appropriate. This is discussed and agreed with the patient as part of the process — it is their decision, not ours.
Is this a criticism of the GP or existing care?
No. This is an independent assessment — not an adversarial one. GPs operate under significant time constraints and are rarely able to conduct the kind of comprehensive medication review that this service provides. The goal is to give the patient and family a complete clinical picture and clear recommendations. Not to assign blame for how the current situation developed.
What if some of the medications cannot be safely changed?
The report will say so clearly. Not every medication review results in changes. Some medications are entirely appropriate and should continue. The value of the review is the complete clinical picture — knowing what is appropriate, what may warrant revisiting, and what the priorities are. That clarity has value regardless of how many changes follow.
How long does the written report take to produce?
Typically one to two weeks between the initial appointment and the report delivery appointment. The exact timeline depends on the complexity of the case and whether any additional information is required. You will be given an estimated timeframe at the initial appointment.

Someone should have looked at all of it. Here is how that happens.

Enquire about an Independent Medication Review. A family member can initiate contact — the patient gives their own consent before anything proceeds.

Clinical appointments via CQC-registered Sutton Medical Consulting · Ashfurlong Medical Centre · Sutton Coldfield · B75 6DX