1. 3rd May 2012
Antimicrobial Stewardship Forum Wallis Suite, All Nations Centre, Cardiff
Robin A Howe
Antimicrobial use in Primary Care

2. 20th August 2010, Paul Williams, Director General of Health & Social Services
To reduce the incidence of Clostridium difficile infection and the risk of increasing antimicrobial resistance in existing and emerging pathogens Medical Directors agreed that an all Wales approach to antimicrobial prescribing should be adopted. Public Health Wales has been tasked with developing an evidence based policy and protocols to facilitate this approach. Effective implementation will be dependent on the full engagement of medical directors, prescribing clinicians, local antimicrobial pharmacists, primary care colleagues and support from Public Health Wales”.

4. Progress Agreement from Joint Medical Directors Group
Endorsement from DARHAI (Decontamination, Antimicrobial Resistance, and Healthcare-Associated Infection Group) for establishment of an Antimicrobial Guideline Development Group
Partnership between Public Health Wales & Welsh Medicines Partnership

5. Proposed membership for AGDG)
4 consultant microbiologists (with representation across Wales)
4 antimicrobial pharmacists (with representation across Wales)
GPC Wales representative (with prescribing interest in antimicrobials)
Chair of the All Wales Prescribing Advisory Group
3 representatives of the PHW Antimicrobial Resistance Programme
1 representative of the Welsh Medicines Partnership
Likely support agreed
0.2 wte WMP
0.2 wte PHW

6. Initial Outline Workplan

7. Session 1: Formularies & Guidance (10.20 - 13:00)
Chairperson: Karen Fitzgerald
Guest Speaker
Developing HPA guidance for the management of infection in Primary Care
Cliodna McNulty (HPAPrimary Care Unit)
Primary Care guidance in Wales
Lorna McFarlane (Public Health Wales)
11:00 Discussion and coffee break
Supporting good prescribing practice in Primary Care
Cliodna McNulty
ATTRACT – a system that provides rapid evidence based summaries to
clinical questions
Jon Brassey (TRIP, Public Health Wales)
Injectable Medicines Guide and formularies update
Robin Burfield (NWIS)
12:40 An update on the standard prescription chart for Wales
Bob McArtney (Pharmacy, UHW)
LUNCH

8. Session 2: ECDC Point Prevalence Survey (13.40 - 15.45)
Chairperson: Dafydd Williams
13:40 E-learning programme: HCAI update and antibiotic prescribing option
Neil Wigglesworth (WHAIP, Public Health Wales)
14: PPS of HAI and Medical Device Usage 2011
Eleri Davies (WHAIP, Public Health Wales)
PPS of Antimicrobial Usage 2011
Robin Howe (ARP, Public Health Wales)
15.20 Discussion and Closing remarks