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We are an independent supplier to the NHS. We work with medicines optimisation teams across the UK to deliver services in line with local formularies and national priorities. Our national team of Pharmacists, Nurses and Technicians implement the agreed prescribing changes at primary care level meaning your resource won't be compromised.

Our service is provided to practices where a need has been identified to review patients to optimise their product use. The Spirit team providing the service will have the following:

  • Degree in nursing or MPHARM 
  • Registration with the Nursing & Midwifery Council (NMC) or General Pharmaceutical Council (GpHC) 
  • Minimum of 2 years post registration experience with experience of working in primary care 
  • Experience of working with GP clinical systems (Emis, SystmOne, Vision) 
  • Have undergone a DBS check 

Our national team manages all aspects of patient reviews, which include:

  • Audit and identification of appropriate patients for review
  • Inviting patients for a review
  • Patient consultations by telephone call/face-to-face/virtual
  • Prescription review and update


To learn more about our Active Implementation process step-by-step, watch the video below.

Our service boasts various benefits that your practice and your patients can take advantage of.

This includes:

  • The outcomes from our service will demonstrate and evidence your contributions aligned with the objectives and priorities of the ICB/Health Board.
  • We conduct patient reviews, audits, and clinics meaning, patient care will align with local formularies and guidelines
  • We offer free training for patients and practice teams to ensure the patient is getting the most out of their treatment

Sound good? Request your Service Authorisation document by clicking here.

We have a robust clinical training programme for our national clinical team. We also have detailed clinical protocols to ensure the standard of our service delivery is the same irrespective of which clinician is delivering our Active Implementation service.

Need more information? Click the button below to fill in our contact form and someone from our Service Delivery team will be in touch shortly.

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Review Service Process 

Stage 1 – Service set up  

  • Spirit coordination team will discuss review service and requirements of both practice, and Spirit Health with the practice manager 
  • The nominated practice lead completes and signs the Service Authorisation (via DocuSign) 

(Spirit must have received a completed Service Authorisation for the service to commence)  

The service will be delivered on the understanding that nominated practice lead authorising the service will do so on the basis that the service provided is in the best interests of their patients. Practices always retain control of this service and their patients’ medical care. 

  • Spirit coordination team will request system access for the Spirit implementer. The practice will be required to register the SMART card for access to the practice clinical system and patient records 

 Stage 2 – Service Delivery 

  • Spirit implementer accesses the practice clinical system to carry out audit and notes reviews of patients (remotely)
  • The Spirit implementer will contact the nominated practice lead (or other nominated prescribing healthcare professional (HCP) to authorise identified patients for a product change. 

You have all the information you need, and you'd like to complete the next steps to be able to take advantage of our service.

Click the button below to fill out our contact form and request a 'Service Authorisation' document.

Contact us

You've signed our 'Service Authorisation' document - the next steps are to:

  • Provide access permissions to our team via SMART card

Click the button below to get started.

Contact us

We hope you got everything you wanted out of your service. Your feedback is really valuable to us, so whether you had a fantastic or less-than-stellar experience, we’d really like to hear about it. Click the button below to take our 2-min survey.

Take our survey

Our friendly, expert team are on hand to answer any questions you may have. To contact someone from the team, please click here to book a meeting with one of the Service Delivery team or click the button below to fill out our contact form and one of the team will be in touch shortly.

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Complaints Procedure:

Spirit Health are committed to providing any user of the service with the opportunity to raise concerns, seek advice or make a complaint. All Spirit personnel are required to report any complaints as per the Spirit complaints policy.


Spirit personnel will comply with local safeguarding policies and will ensure that all staff that are in a patient facing roles have the appropriate accreditation for the awareness of safeguarding responsibilities.

All Spirit personnel will adhere to the Spirit Safeguarding policies. This is mandatory and all staff must implement this policy and follow the procedures associated with it.


If a safeguarding concern is identified, the Spirit representative should report concerns to the practice safeguarding lead. The Spirit representative may wish to discuss and take advice from the Spirit safeguarding lead prior.

Equality and Diversity:

It is Spirit’s policy to provide equality to all patients, staff and other users irrespective of gender, including gender reassignment, marital or civil partnership status, having or not having dependents, religious belief or political opinion, race (including colour, nationality, ethnic or national origins), disability, sexual orientation, age, pregnancy and maternity, any other protected characteristic.

We are pleased to advise that both Spirit Implement and Spirit Health care are both compliant with the NHS Data Security and Protection Toolkit. Both organisations meet all the criteria. You can see the details at https://www.dsptoolkit.nhs.uk/OrganisationSearch?searchValue=Spirit+implement


To view the product use review service processes and the Data Processing Agreement click the button below.

Find out more

How does our Active Implementation™️ service work?

Watch the video below to learn more about our Active Implementation™️ process.

Meet our expert Service Delivery team

Our Service Delivery team is at the forefront of our service, they handle everything from start to finish. We have a team of nationwide Pharmacists, Nurses and Technicians that are ready to deploy locally when needed. This team will be coordinated or headed up by the team below:

Mahesh Mistry

Head of Medicines Optimisation

Mahesh is an experienced senior pharmacist and creates and implements medicines optimisation programmes.

Duncan Richardson

Head of Service Delivery

Duncan heads up each review service to ensure a smooth transition of prescription changes.

Jessica Stewart

Service Delivery Coordinator

Jessica support GPs to deliver medicines optimisation programmes.

Danielle Armstrong

Service Delivery Coordinator

Danielle supports GPs and the Service Delivery team to conduct review services.

Spirit Implementers

National Clinical Team

Our national clinical team of nurses and pharmacists ensure that all required prescription changes are executed.

Let’s partner up and deliver positive change together!

Please fill out the below contact form and someone from our Service Delivery team will be in touch shortly.

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