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In Room for Review in 2002 they suggested four levels of medicine review level 0 which is an ad-hoc opportunistic review; level 1 a prescription review which is a technical review of a patients list of medicines; level 2 is a treatment review which is a review of medicines with the patients full notes and level 3
The medication review standards aim to ensure a consistent approach, resulting in high-quality medication reviews by: involving patients and carers; considering medicines safety; reviewing all prescribed and non-prescribed medicines; reducing waste; updating patient records and completing documentation.
how safe the medicines are, how well they work, how appropriate they are, and whether their use is in line with national guidance. any monitoring tests that are needed.
A medication review is a private, confidential meeting between you and a GP or another suitably qualified health professional to discuss your medicines. The aim of the medication review is to check that you are prescribed the most appropriate medicines and that you get the best out of those medicines.
In Room for Review in 2002 they suggested four levels of medicine review level 0 which is an ad-hoc opportunistic review; level 1 a prescription review which is a technical review of a patients list of medicines; level 2 is a treatment review which is a review of medicines with the patients full notes and level 3

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A medication review is a meeting about on your medicines, with an expert a pharmacist, doctor or nurse. There may be changes you want to suggest, worries that are bothering you or questions that you want answered. And the person you meet with may also have changes or questions to raise with you.
Step 1: (Aim) What matters to the patient. Step 2: (Need) Identify essential drug therapy. Step 3: (Need) Does the patient take unnecessary drug therapy? Step 4: (Effectiveness) Are therapeutic objectives being achieved? Step 5: (Safety) Is the patient at risk of ADRs or suffers actual ADRs?
What does a CMR workflow look like? Assess the timeline for review. Enhance referral information (dispensing history etc.) Arrange consultation. Prepare additional information such as handouts, web links, etc. Identify potential medication issues.

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