Establishing a system to monitor psychotropic prescribing in primary care in people with learning disabilities, autism or both
PHE ePoster Library. Mehta H. 09/12/19; 274439; 235
Hiral Mehta
Hiral Mehta
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Abstract
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Abstract Introduction
In June 2016, NHS England launched a programme, STOMP, to reduce the extent of over-prescribing of psychotropic drugs to people with learning disabilities, autism or both. The current study was commissioned to establish a method for assessing the effectiveness of the programme using a GP research datasetMethods:This was a quantitative, descriptive study using data from The Health Improvement Network (THIN) database. Records for patients of English practices with diagnoses of learning disabilities or autism were identified. For the identified patients, diagnostic records and prescribing records for drugs in selected British National Formulary (BNF) sections were then extracted. We studied different trends and patterns of prescribing from 2010 and 2017, at quarterly intervals. Finally, using ordinary least squares regression for the quarterly data, we calculated overall trends, and trends before and after the launch of the STOMP programme, in June 2016.
Results
The conclusions from the study were limited due to the short period of time and a reducing population coverage towards the end of the time period studied. Even with the limited data points, the study showed that, following the launch of STOMP, changes to GP prescribing of psychotropic drugs were beginning to happen in the desired direction for adults with learning disabilities.
Conclusion
This study was successful in setting up a mechanism to monitor psychotropic prescribing trends. The statistical models and analyses strategies set up in this study can be used to monitor the trends in prescribing rates and patterns. External funding details Project was commissioned by NHS England
Abstract Introduction
In June 2016, NHS England launched a programme, STOMP, to reduce the extent of over-prescribing of psychotropic drugs to people with learning disabilities, autism or both. The current study was commissioned to establish a method for assessing the effectiveness of the programme using a GP research datasetMethods:This was a quantitative, descriptive study using data from The Health Improvement Network (THIN) database. Records for patients of English practices with diagnoses of learning disabilities or autism were identified. For the identified patients, diagnostic records and prescribing records for drugs in selected British National Formulary (BNF) sections were then extracted. We studied different trends and patterns of prescribing from 2010 and 2017, at quarterly intervals. Finally, using ordinary least squares regression for the quarterly data, we calculated overall trends, and trends before and after the launch of the STOMP programme, in June 2016.
Results
The conclusions from the study were limited due to the short period of time and a reducing population coverage towards the end of the time period studied. Even with the limited data points, the study showed that, following the launch of STOMP, changes to GP prescribing of psychotropic drugs were beginning to happen in the desired direction for adults with learning disabilities.
Conclusion
This study was successful in setting up a mechanism to monitor psychotropic prescribing trends. The statistical models and analyses strategies set up in this study can be used to monitor the trends in prescribing rates and patterns. External funding details Project was commissioned by NHS England
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