We previously expressed concern that many patients do
not have an annual recorded medication review [6]. Our
pre-baseline annual review rate was 24%, which is lower
than in our previous study in older people living in their
own homes (44%) [6]. Three-quarters of this vulnerable
group are not having their medication reviewed. In 8 years
since Zermansky’s description of the low level of medication
review in general practice [5], nothing seems to have
changed. The fact that patients are seen six times a year by
their GP does not reduce our concern. It highlights six
missed opportunities.