The impact of a Quality Premium on Antibiotic Prescribing in Primary Care
PHE ePoster Library. Hopkins S. Sep 13, 2016; 138155; 248
Susan Hopkins
Susan Hopkins
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Abstract
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Abstract BackgroundPHE worked with NHS-England to develop a quality premium (QP) for antibiotic prescribing in 2015/16. This was the first incentive to reduce prescribing in primary care. Full details are available at http://www.england.nhs.uk/ccg-ois/qual-prem/. MethodsNHS Business Services Authority (NHS BSA) provided quarterly data on antibiotic prescribing in the community.An item is defined as a single item prescribed. STAR-PU (Specific Therapeutic group Age-sex weightings Related Prescribing Units) weighted units allow comparisons adjusting for the age and sex of patients distribution of each practice.For all antibiotics, a reduction by 1% in the number of antibiotic items per STAR-PU was the target. For broad-spectrum antibiotics, the proportion of broad-spectrum antibiotic items per total antibiotic item was to be reduced to less than 10%.ResultsIn 2015 antibiotic prescribing reduced by 5.3% compared to 2014. Comparing quarters 2-4, 2015 (i.e. post introduction of the primary care QP) there was a 7.9% reduction in antibiotic prescribing compared to the same quarters in 2014, equating to more than 2.1 million less antibiotic prescriptions. Broad spectrum prescribing has reduced consistently over the year. By February 2016, 96% of CCGs had met the target in total prescribing and 86% had met the target for reduction of broad-spectrum prescribing.ConclusionThe QP had a huge impact in reducing primary care antibiotic prescribing in England. PHE has now displayed this data on the Fingertips site on both the GP profiles and the new AMR indicators profile, accessible to all healthcare professionals and public both in England and globally.
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