Archived on 28 February 2022 – this content has expired.

New Medicine Care and Review (MCR) Directions and Service Specification

16th February 2021

The MCR directions include the addition of care home residents as eligible, which will be rolled out locally by NHS Boards. Definitions of serial prescribers and serial prescriptions have been amended, with the requirement for a patient to be registered with the pharmacy before serial prescriptions are produced, now removed. Supply of medicines on a serial prescription require patient registration for MCR to be completed. Serial prescriptions can be written for 24, 48 or 56 weeks.

Quality Service Development payments for February and March this year have been assigned to contribute to pharmacy teams completing revised National NHS Education Scotland (NES) MCR resources

There will be no disruption of service for patients as they transfer from CMS to MCR, although a new MCR patient leaflet which includes care home residents as eligible, should be used to explain the service to patients.

The new MCR leaflet is available from Patient information and the new leaflet including translations to other languages are available at  A new Public Health poster campaign for MCR will commence 1st March, and contractors are requested to retain the poster for future reuse. Contractor payments for MCR will remain as with CMS until a new model is developed in the next financial year.