The Out-of-Hours Review identified a particular problem in respect of patients' access to medicines in the out-of-hours period. Many patients' needs are such that they can be properly and appropriately met without the need for any immediate treatment but, for a small but important minority of patients, there are compelling clinical reasons why the start of their treatment should not be delayed until the next 'normal' working day. It was with those patients in mind that the Review recommended that:

Other than in exceptional circumstances, patients should be able to receive the medication they need at the same time and in the same place as the out-of-hours consultation

Under the leadership of Helen Allanson (Head of Medicines Management, Cumbria and Lancashire Strategic Health Authority, formerly Regional Pharmaceutical Adviser NHSE North West), a sub-group set out to identify ways of achieving that objective. The outcome of their work was the publication in December 2004 of new Department of Health Guidance, Securing Proper Access to Medicines in the Out-of-Hours Period. At the same time, a Practical Guide for PCTs and Organised Providers was also published and both documents can be accessed by clicking the links below. The documents explain how PCTs and Organised Providers can work together to develop and implement effective solutions to the provision of medicines in the out-of-hours period.

Securing proper access to medicines in the out-of-hours period (December 2004)

• Guidance to support the implementation of recommendation 19 of the out-of-hours (Carson) Review

A Practical Guide for PCTs and Organised Providers (December 2004)

• Practical information to support the implementation of the recommendations of the out-of-hours (Carson) review in relation to medicine supply