Unpaid carers, such as relatives, friends and neighbours, should be involved in goal setting and decision making when possible. It's important to recognise their role in order to avoid medicines duplication and confusion. They can also provide insight into what are achievable treatment goals. However, note that the wishes of the older person may not match those of the carer.

Unpaid carers often have regular contact with local pharmacies and may require information about side effects, 'as required' medicines and the consequences of adjusting dosage or frequency. Pharmacy teams have a significant role to play in identifying and supporting carers. Nearly 1.4 million people aged over 65 in England and Wales provide unpaid care, yet only around five per cent receive any carer-specific support.

Asking €do you look after anyone?€ can initiate discussion and identify those who may need support. Charities such as the Carers Trust and Carers UK can also provide advice and support.