Table 2: Current roles—process of the home medication reviews (HMRs).

Process	Quote(s)
Identification of eligible patients generally by the GP, but also by the nurses.	“…so we recognise that a patient's on a complex medication regime, then they… quite possibly could benefit from the home medicines review to try and, you know, minimise medication, if possible, and just to ensure that what they're on is appropriate.” (6) “ What normally happens is that the patient would come in, or the doctor might think of a patient who they haven’t seen for awhile who’s eligible. So they would have a consultation with the GP. The GP would make the referral. They would then have an appointment with [the pharmacist]… followed by an appointment with the GP” (2) “I identify patients that are eligible for home medicines or would benefit mainly from a home medicines review through some of the health assessments that we do here.” (Nurse)
Reception staff contact the patient and arrange an appointment time.	“We book an appointment with [the pharmacist] and then we follow that with an appointment with a GP.” (2) “When we make the appointment…[the pharmacist] can come to you if you like.” (3)
The pharmacist conducts the HMR at the patient’s home.	“She will … go and visit the patient at home … obviously with a referral from the GP. She sits down with them, and talks about everything that they’re taking.” (2) “It’s easier if they’re at home…they do like the idea that they don’t have to go out and they’ll come to them.” (3) “I start talking to them about every medication. And I tell them ‘I’m here basically to make sure everything is OK.’” (Pharmacist) “Sometimes patients don’t know what their medications are for. They just say,’We just take it because the doctor wants us to take it.’ And so it’s my role to explain to them. I tell them, ‘You have the right to know. You need to know, because noone is going to look after you but yourself.’” (Pharmacist)
The pharmacist’s recommendations are recorded in the telectronic patient notes.	“[the pharmacist] writes her recommendations directly into our software system and then the GP can access those.” (6) “[the pharmacist] does it by notes and then it comes up in a consultation and it's marked as her name so the doctors know that's her [comment].” (3)
If appropriate, the pharmacist and GP have a conference about the patient, it may be short and informal or a formal case conference.	”Well, I guess it is done sometimes where the pharmacist will go into the GP’s room and have a consultation with the GP and the patient… the actual recommendations and prescriptions afterwards is between the pharmacist and the GP.” (6) “[the pharmacist] goes out and visits them, she comes back here and speaks to the referring GP.” (2) “The pharmacist comes to see us after they’ve done the review… I found that quite useful, because a lot of—we have such a large patient base that you can’t carry it all in your head, every patient.” (9)
A follow-up appointment is made with the GP.	“… as long as the GP's available what we try to do is get them, if they're coming up here for an appointment, they see the pharmacist first and then we try and get them to see the GP after, to go through the recommendations straightaway so they're not going away and getting forgotten, or they just don't come back for another appointment.” (3)