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GPs hailed for 'good work' on cutting antibiotic prescribing by NHS England

Practices across England have managed to reduce antibiotic prescribing below target levels set by NHS chiefs for this financial year, official figures show.

Over 90% of CCGs are now meeting targets in overall antibiotic use in primary care, while over 80% are hitting their targets for cutting prescriptions for broad spectrum antibiotics.

NHS England said that these figures ’underline the good work of GPs’. 

The two targets were introduced by NHS England as part of this year’s ’Quality Premium’ and were worth around £110,000 to each CCG.

The targets were:

  • a reduction in the number of antibiotics prescribed in primary care by 1% (or greater) from each CCG’s 2013/14 value. CCGs and practices agreed the individual practice reductions.
  • the number of co-amoxiclav, cephalosporins and quinolones as a percentage of the total number of selected antibiotics prescribed in primary care to be reduced by 10% from each CCG’s 2013/14 value, or to be below the 2013/14 median proportion for English CCGs (11.3%), whichever represents the smallest reduction for the CCG in question.

Latest figures available for the Quality Premium dashboard show that for December last year, 193 - 92% - of the total of 209 CCGs had met the target for overall antibiotics prescribing, with all of them showing a reduction from last year.

A total of 169 CCGs – about 81% - met the target on reducing the amount of broad spectrum antibiotics as a proportion of total use.

In all, 154 – around three-quarters of all CCGs – met both targets in December 2015. 

An NHS England spokesperson said: ’These figures underline the good work of GPs in only issuing appropriate prescriptions to their patients. The new guidance has been a success in ensuring this happens everywhere and we will continue to monitor results.’ 

Dr Andrew Green, chair of the GPC clinical and prescribing subcommittee, whose CCG – East Riding of Yorkshire – is among those that has met both targets – said GPs deserved the credit for the reductions in antibiotic use.

He said: ‘It is true that the highlighting of the importance of this issue has been useful, but the credit for this should go to GPs.

‘It is GPs who have spent time carefully assessing patients, explaining to them the dangers of antibiotics, and yes, sometimes facing the complaints that result.’

 

The drive to cut antibiotic prescribing

antibiotic resistance testing  PPL

antibiotic resistance testing PPL

antibiotic resistance testing PPL

Official Public Health England surveillance data confirmed GP prescribing is the one area where antibiotic use is now falling year on year, with another drop observed between 2013 and 2014 such that levels are below those for 2011.

Despite this, GPs are set to face increasing scrutiny of antibiotic use, with the Department of Health and CQC working on bringing new antimicrobial stewardship measures into the practice inspection regime

And Professor Mark Baker, director of the centre for clinical practice at NICE, said ‘soft-touch’ GPs should face a GMC referral for ‘persistently’ prescribing the antibiotics inappropriately.

Readers' comments (11)

  • John Glasspool

    Meanwhile, in much of the non-Western world, one can buy them OTC.

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  • Tomorrow's headline: Patients are dying of sepsis because GPs are withholding antibiotics for their personal financial gain.

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  • ... it's way too late for a pat on the back now.

    Goodwill is gone. We all continue to practice the best medicine we can in a system that sets us up to fail for as long as we can.

    Each of us will decide individually when we have had enough and leave. Sadly the BMA will do nothing so individuals will take action when the time is right for them.

    I give myself less than 1 year in this job.

    (disillusioned partner aged 43)

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  • More pointlessness from NHSE when most of the antibiotics entering the envioroment do so via agriculture to boost yeilds and profits.

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  • NHSE praising doctors- I wonder what's cooking !!

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  • Damned if you Do and damned if you Don't. 'Callous GPs killing thousands each year by with-holding antibiotics' will be the next expected headlines in the Daily Wail

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  • Peter Swinyard

    The one thing that is guaranteed is that I will not be receiving a call from Radio 5 Live or the Daily Mail to discuss this good news.

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  • Took my dog to the vets to be castrated ...... when we collected him (?!) a few hours later the nurse informed us he had been given antibiotics "just in case" - added to the £160 bill of course...

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  • Who is doing the research on admissions for LRTI UTI etc...?
    Gut feeling is it is just unecessary use reduction.
    When we have some worthwhile targets it focusses our minds but we then moan about target driven medicine! Give me good evidence and I'll practice it but along with everything else I do need my mind focussing from time to time and like 'normal' people in and austere world my wallet focusses me well, my teenagers see it as day-glo and un-ending!

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  • Pity there is precious little to hail about the failed quango NHSE and even less about cuntastrophe himself
    They are leading the NHS to disaster

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