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The Task Force on Medicines Partnership, Joanne Shaw explained, was formed as a result of concern that a large proportion of patients were not taking their medication in accordance with the recommendations supplied by manufacturers. In other words, the levels of non-compliance among UK patients is high. Non-compliant patients suffer a loss of clinical benefits. For the UK's NHS, non-compliance is expensive. Patients remain sick or suffer from preventable complications and the costs of healthcare rises. Pharmaceutical companies are also adversely affected; their medicines may appear less effective to patients and to the patients' doctors ; than is really the case [see Figure 4.2]. To address the problems of non-compliance, patients need to be involved when treatment decisions are taken. A new approach to prescribing is needed, one that more fully involves patients. The Medicines Partnership approach, which was described by Ms Shaw, relies on greater "concordance", taking a shared approach between doctor and patients.

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