Secondary Care National Prescribing Indicators

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Presentation transcript:

Secondary Care National Prescribing Indicators Kate Jenkins & Kath Haines Welsh Analytical prescribing Support Unit Most of you will have met Kath and myself at the last Antimicrobial stewardship forum, but in case you haven’t, Kath is Head of the Welsh Analytical Prescribing Support Unit or WAPSU for short, and I work within WAPSU. WAPSU is part of the All Wales Therapeutics and Toxicology Centre. The All Wales Therapeutics and Toxicology Centre or AWTTC is responsible for providing a variety of prescribing and medicines management services to NHS Wales, mainly around advice on new medicines, and education and communication on prescribing and therapeutic initiatives. AWTTC support the All Wales Medicines Strategy Group and the All Wales Prescribing Advisory Group. WAPSU is the analytical arm of this organisation and we provide AWMSG and NHS Wales with robust data, supporting information and tools to analyse prescribing.

Prescribing indicators are tools which can be used to compare the way different prescribers and organisations use a particular medicine or group of medicines. In October 2003, AWMSG agreed that National Prescribing Indicators (NPIs) were useful tools to promote rational prescribing across NHS Wales.

What makes a good prescribing indicator? Validated Evidence-based Clear Easily understood Standardised Allow comparison Have a target Address efficiency and quality

Data should be: Easily obtainable Easy to understand Relevant Timely As robust as possible

The antibiotic NPIs for 2015-2016 are: Total antibacterial items per 1,000 STAR-PUs Cephalosporins as a percentage of total antibacterial items items per 1,000 patients Co-amoxiclav Fluoroquinolones

Future developments

What about a secondary care National Prescribing Indicator focusing on an antibiotic prescribing?

Ideas to date Surgical prophylaxis over 24 hours Treatment for respiratory tract infections over 1 week Quality of antibiotic prescribing Indication documented Stop/review date documented Prescription compliance with local guidelines

Is a secondary care NPI around antibiotic prescribing wanted? Are any of the above worth considering? Other ideas?