Bulletin 268: Improving Medicines and Polypharmacy Appropriateness Clinical Tool (IMPACT)

This resource is an update to the Improving Medicines and Polypharmacy Appropriateness Clinical Tool (IMPACT). It identifies clinical and deprescribing priority with recommendations and considerations for appropriately continuing or stopping medicines.

Links to PrescQIPP and other deprescribing algorithms are included where available and the tool will be regularly updated as new algorithms become available.

A data visualisation is also available which shows prescribing spend for each section. The tool can be filtered to produce a list of meds for individual patients that highlights deprescribing priority. This can be used to support clinical decision making as part of a structured medication review and will help inform shared decision making.

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