Inhalers currently prescribed in West Suffolk Linda Lord, Chief Pharmacist WSCCG
WSCCG Prescribing Data Background Top therapeutic areas Top drugs Inhaled corticosteroids (ICS) Asthma and COPD combined WSCCG data on inhalers Practice data on inhalers
Background: Top therapeutic areas by spend Rank BNF Subparagraph 12-month spend (March 16 – Feb 17) 1 Corticosteroid (respiratory) £3,539,949 2 Control of epilepsy £2,818,893 3 Opioid analgesics £1,672,493
Background: Top drugs by spend Rank Drug 12-month spend (March 16 – Feb 17) 1 Pregabalin £962,268 2 Tiotropium (Spiriva) £820,761 3 Pregabalin (Lyrica) £753,569 4 Beclometasone/formoterol MDI (Fostair) £730,215 5 Insulin Aspart (Novorapid) £697,213 6 Budesonide/formoterol (Symbicort Turbohaler) £544,638
ICS - WSCCG vs National
ICS - spend per 1000 patients (Feb 2017) CCG spending least CCG spending most WSCCG National
ICS - Spend/10,000 patients in practices (Feb 2017)
Inhalers - WSCCG March 16 – Feb 17 Total spend on all inhalers: £4.6m Total spend on COPD inhalers: £1.4m % (by cost) of COPD inhalers ‘in formulary’ varies by practice Average = 66%
Inhalers - Practice Packs ePACT prescribing data, latest 12 months Information on COPD inhalers and all inhalers Tool to promote best practice and improve cost effective prescribing Which inhalers are prescribed at your practice? Is there excessive prescribing of ICS for COPD at your practice? Is there excessive prescribing of bronchodilators at your practice? Are your COPD inhalers in-formulary or off-formulary?