Over one million people in England take ten or more medicines, particularly older adults with frailty, dementia, or multiple long-term conditions. This exposes them to increased risks of falls, functional decline, hospitalisation, and premature death, with polypharmacy contributing to 16.5% of unplanned admissions and costing the NHS £2.21 billion annually. 1 in 3 people aged 65 and older take 5 or more medicines every day (polypharmacy). Some of these drugs may no longer be