Coming Soon – Pivotell Pill Boxes

We are pleased to share that the new Pivotell Pill Boxes will be available very soon.

This new type of dossette box with the innovative roller shutting system makes opening each compartment really easy. There are no irritating compartment doors protruding and the opening action is smooth for those who lack dexterity in their hands.

Available in 2 colours: red and blue, and 2 sizes: small with 8 compartments and large with 28 compartments, accommodating for 4 doses per day for 7 days a week.

Both sizes can be used with the Pivotell Pill Popper Gun for easy blister tablet removal.

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Pivotell Popper Gun

Pivotell are proud to announce the launch of the new Pivotell Popper Gun to remove tablets easily and quickly from blister packs.

The design makes it simple to pop tablets straight into a dossette, Pivotell Pill Box or Dispenser tray and is adjustable for small or large pills.

Approved by the Swedish Rheumatism Association.

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Case Studies for Pivotell & Carers UK Jointly app

Do you or someone you know care for an older person who has difficulty remembering to take the right medication?  Someone who wants to remain living at home but due to confusion or early dementia is unable to take the right pills at the right time?

Making sure that someone has taken their medication can be stressful, especially when you are supporting someone at a distance.

We are looking for carers who look after an older family member, who would be happy to share their story.  We would like to offer the free of charge use for one year of a Pivotell automatic pill dispenser with the Jointly care co-ordination app from Carers UK, and for carers to give us their experience of using this technology:

Pivotell automatic pill dispensers have been used by the NHS and local authority adult social care for vulnerable adults who have difficulty remembering to take the right medication since 2002.

Please email Nicky Green at with your name, location, contact number and a short description of your caring experience. If chosen, we will supply you with a Pivotell Advance GSM pill dispenser and Jointly app, and all messaging costs free of charge for a period of one year.  Your story will be used in a media campaign by Pivotell and Carers UK and will potentially appear in national and consumer media, please confirm if you are happy for your photo and story to be used in this way when sending your email.

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Coming Soon – the first Antibacterial automatic pill dispenser from Pivotell

From SPRING 2018 new Pivotell Advance and Mk3/11 dispensers will incorporate BioCote, a premium silver ion technology that is introduced during the manufacturing stage to provide the ultimate protection against harmful microbes such as bacteria, mould and even viruses.

BioCote technology makes the dispenser inherently more hygienic and addresses a recognised problem within carousel medication delivery: cross contamination. Crucially, the devices are now easier to keep hygienically clean for the patients, their family and visiting carers, plus pharmacists and their staff who are all regularly handling the device.

The new dispensers have demonstrated reductions of over 99.9%, and set the bar even higher for the medication management market.

Product pages will be updated when this is available to buy.

BioCote’s leading edge technology significantly decreases microbes including E.coli and MRSA in just 15 minutes, with reductions of up to 99.5% achieved in 2 hours. It works continuously for the lifetime of the dispenser, protecting against all bacteria, mould and some viruses.

What is a microbe?

A microbe is an organism so small you need a microscope to see it. They are the oldest form of life on earth and include bacteria, mould, viruses and others.

What does antimicrobial mean?

‘antimicrobial ‘

Pronunciation [an-tee-mahy-kroh-bee-uh l] Medicine/Medical, Pharmacology

 ‘Antimicrobial’ describes something that can resist the growth of microbes, including bacteria & mould.

Biocote in action

For further information please visit

New Product Launch – Pivotell Advance GSM with Jointly App

Pivotell plus Jointly for Admin page

We are pleased to be working with Carers UK on a new solution to deliver reassurance and peace of mind to families & carers.

Making sure that someone has taken their medication can be stressful, especially when you are supporting someone at a distance.

Now, using the Jointly app, families can receive and store alert messages from their Pivotell Advance GSM dispenser in one central place, and share them with everyone involved in someone’s care.

Jointly combines a number of key features in a single tool and helps keep everyone in the loop. You can create a circle of care for the person you are looking after, and you can start using Jointly to organise care.

You can use it on your own or you can invite other people to join you and share the care.

Just £75.00 deposit and £16 per month (12 month contract).



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Medication non-adherence is a significant cost to the NHS. It has been estimated that 50% of patients do not take their medicines as

Many of these patients will require additional treatment as
a direct result.

Research in 2010 by the York Health Economics Consortium and School of Pharmacy (University of London) suggests that non-adherence may cost the NHS £500m a year. Inflating this to 2015/2016 prices implies a cost today of £568m per annum across the UK.

Norfolk County Council Assistive Technology team first starting using Pivotell Automatic Pill Dispensers to improve adherence in
non-compliant patients in 2006. Shortly afterwards, Norfolk Medicines Support started the specialist assessment for the service, as it was
recognised that pharmaceutical input was required.

Since this time, Norfolk have had over 500 patients using the Pivotell dispenser, and currently have just over 200 patients using them.
The main reasons for opting for a Pivotell dispenser are dementia/worsening confusion around medication – often when a standard MDS has already been used and found to no longer be effective. They might also be placed when intentional or accidental overdose is an issue, or when patients simply forget to take their medication without the
continuous prompt – the “irritation factor”. Another common group of patients to use Pivotell dispensers are those with a mental health illness or a learning disability.

The large majority of Pivotell Careousels in Norfolk are filled by the
person’s community pharmacy or dispensing surgery, and they are paid
a filling fee for this. A handful of Pivotells are filled by the person’s
relatives with training from Norfolk Medicines Support Service.

Case Study:

Mr A from Norwich was originally assessed for the use of a Pivotell in November 2014. He was starting to exhibit signs of dementia, and was coping with some ad-hoc support but no formal package of care, which was being considered at the time. After assessment it was decided that Mr A may respond well to using a Pivotell to support his medication
compliance. The prescribed medication ranged from blood pressure, heart, dementia and gout, twice per day. Once he started to take his medication correctly, Mr A improved considerably and the care package was no longer required.

Calculations showed a potential saving of £5,900 for Social Care with the reduction of Mr A’s care package, plus the uncalculated savings to Health Care from better adherence to medication, in the period November 2014 to April 2016.

The cost savings calculated are:
£4.15 (cost of care for 15 minute call) x 2 (calls daily) x 30.4 (days in month) x 18 months = £4,543 vs unit costs of carousel + £234 paid to pharmacy for filling fees.
As one of the medications is for dementia, the improved compliance has likely increased his ability to continue to live independently.
Based on current level of patients using Pivotells, Helen Wilson estimates that Norfolk save over £600,000 annually on social care costs alone (assuming that on average 2 x 15minute care calls are saved) – which would usually be the only option should the carousel not be in place.

Helen Wilson, “Automatic Pill Dispensers are not always the solution, and we do sometimes have people who have inappropriate expectations from a Careousel, but that being said we often try them to avoid a long-term package of care, particularly since the changes to Care Act eligibility.”

Norfolk has been particularly successful with encouraging Pharmacy Filling of Pivotell dispensers as where there is no family member
available to fill, a Pharmacist is needed to fill the trays. Norfolk Adult Community Services have over 120 suppliers (pharmacies and dispensing surgeries) who have agreed to fill their Pivotells – quite an achievement.
Pivotell supply filler trays to aid filling Pivotell dispensers trays—free of charge to pharmacists.

Norfolk Medicines Support Service contacts:
Helen Wilson, MAPharmT, Medicines Support Service Manager
Teresa Bunton Medicines Support Service Co-ordinator, Norfolk Medi-cines Support Service.

For further information please contact:
Helen Wilson  @NorfolkMSS

Nicky Green  @pivotell

1 Brown, M et al, ‘Medication Adherence: WHO Cares?’, Mayo Clin Pro, 2011; 86(4): 304–314. Availa-ble at: http://www.ncbi.nlm.nih. gov/pmc/articles/PMC3068890/.
2 Clinical Pharmacology and Therapeutics The case for savings in the NHS December 2016
1 Brown, M et al, ‘Medication Adherence: WHO Cares?’, Mayo Clin Pro, 2011; 86(4): 304–314. Available at: http://www.ncbi.nlm.nih. gov/pmc/articles/PMC3068890/.
2 Clinical Pharmacology and Therapeutics The case for savings in the NHS December 2016

Copyright: Pivotell Ltd

Naidex Awards Nomination 2017

We are delighted to be nominated for the Naidex 2017 Professional Award

The accolade which celebrates a service, technology or product that directly benefits those working in the care, rehab, or independent living industries, making an immeasurable contribution towards the healthcare profession both now and into the future.

The Pivotell/Jointly product combines the latest technology in pill dispensers with the Jointly care coordination app.

It is an innovative collaboration, driven by input from professionals, users
and carers; a tailored response to real insight into the stresses arising from medication management.

Pivotell dispensers are highly effective in helping vulnerable users to remember to take their medication. Users can now link a Pivotell dispenser with Jointly to receive real time alerts including when a dose is
dispensed or missed, storing these alongside a shared calendar, task
list & medication manager to help coordinate responsibilities amongst
those who share the care. Naidex Awards



Innovative pilot in West Midlands proves the case for Pivotell medication dispensers

Medication can both prolong life and enable people to live independently in the Community. However, medication regimes for many people can become complex and overwhelming. Poor medication adherence can erode self-confidence and well-being. Health and social care agencies must intervene and help people at the right time before complex, costly and intensive interventions like hospital admission become necessary. For the individual this requires straightforward and easy to access support. This project has created new pathways between Local Authorities, PCT Clusters and Community Pharmacies.

The Pivotell automatic pill dispenser service has helped people to self-manage their medication. This report outlines both the business case and qualitative data about the experience of people in the West Midlands using the Automated Pill Dispenser service. As Local Authorities and GP’s assume more responsibilities for community based healthcare this work becomes ever more relevant.

We have not yet explored the potential for GP’s to directly prescribe this service. Equally there are areas across the rest of the country who are yet to explore the technology. We hope this report stimulates the reader to think about the art of the possible locally. Our thanks go to NHS West Midlands, and Improvement and Efficiency West Midlands for funding the Project, all of the pilot sites, Pivotell and Andy Jackson – Project Manager from Charter & Plan Ltd.

Since it started in July 2009, the pilot proved the Pivotell pill dispenser to be invaluable in helping people who failed to take their medication properly stick to their prescribed regime. From the survey and anecdotal evidence, it has been proven that the pill dispenser has had a profound effect on their lives; both people who used the dispenser and their carers report gaining more control.

Of those who supplied feedback, an overwhelming 96% agreed the device had reminded them to take their medication, and as a result improved their health and made them more independent.

Many of those local authorities in the West Midlands who took part in the project are still using and providing Pivotell dispensers to those vulnerable adults who would benefit. The cost savings to those LAs were on average£1700 per person per 6 months. An impressive £3,400 per annum per person using a Pivotell.

With the changes to the Care Act in 2016 moving medication management from social to health care – it would be a waste of valuable data if these pilot results were ignored.