The aim of medicines reconciliation when patients are admitted to hospital is to ensure that important medicines aren’t stopped and that new medicines are prescribed, with a complete knowledge of what a patient is already taking.(NPSA, Dec 2007). It is recognised both nationally and locally that reconciling a patients medications on admission is both a complex and time consuming process with inaccurate medication charts resulting in prescribing errors, missed doses and ultimately harm to patients. In 2017 The Medicines Safety & Quality Group in NHS Tayside agreed to refocus improvement efforts upon one pilot site within NHS Tayside and to test improvement work across both Primary and Secondary Care.