NHS England is asking GPs to review antibiotic prescriptions | Wbactive

NHS England has asked GPs to consider reviewing their antibiotic prescriptions as part of a new initiative to tackle Antimicrobial Resistance (AMR).

It was suggested in an email bulletin sent to practices today that this is aimed at reducing the workload of GPs.

The bulletin said infections caused by antibiotic-resistant pathogens “are associated with repeated primary care consultations, as well as poorer health outcomes for patients.”

It added: “As World Antimicrobial Awareness Week (November 18-24) celebrates, we encourage those working in primary care, including general practitioners, dentists and pharmacists, to take specific actions to improve infection prevention, diagnosis and treatment in the community to consider total basic services and ways of community care.’

This includes “reviewing current prescribing performance and prescribing the shortest effective course of antibiotics,” it said.

NHS England was also urging organizations and local commissioners to put in place “strategic plans” for AMR across “all pathways of care”, he added.

A letter from NHS England, also sent out today to GP surgeries, PCNs and ICB heads of primary care, urged them to “take time this week to think about” reviewing their prescriptions to “continue to increase AMR.” fight”.

It states: “Prescribers should be supported in prescribing antibiotics with the shortest effective duration of treatment, in accordance with NICE guidelines.

“Patients should be instructed to take antibiotics as directed, not save for later or share with others, and return unused antibiotics to community pharmacies for safe disposal.”

It added that the NHS 2022/23 “oversight framework” for ICBs includes measures on “appropriate prescribing of antibiotics and broad spectrum antibiotics in primary care”.

And “all ICBs should review their current performance against data published on NHS England’s internal FutureNHS website,” it said.

An AMR page on the internal website states: “It is estimated that up to half of all patients who see their GP with a cough or cold abandon a prescription for antibiotics. Viruses cause many of these infections, which means antibiotics are of little use.”

Meanwhile, the letter from NHS England also said GPs and secondary care colleagues should “reconsider”:

Meanwhile, the letter from NHS England also said GPs and secondary care colleagues should “reconsider”:

  • Implementation of the National Infection Prevention and Control (IPC) Manual for England
  • Reviewing the Findings of a Recent Report on “Improving the Blood Culture Pathway”
  • Ensuring a “timely switch from intravenous to oral antibiotics when appropriate”
  • Reducing inpatient exposure to certain antibiotics and following Academy of Medical Royal College (AoMRC) guidelines for initial antimicrobial treatment for sepsis
  • “Encourage employees” to engage with infection-related training resources
  • Choose an “antibiotic guardian promise” and share it on social media platforms
  • Promote key AMR messages throughout the winter season to diverse communities across social media and community networks
  • Register their AMR “Reconnaissance Activities” via an online form to receive a certificate for them to view

ICBs should have “governance arrangements” in place to combat AMR and identify an AMR indicator, she added.

The letter says this is because antibiotic resistance is a “potentially much bigger” problem globally than bigger diseases like HIV and malaria.

It states: “The global burden of bacterial AMR was recently estimated at nearly 5 million deaths associated with AMR and 1.27 million deaths directly attributable to AMR each year.

“This puts the global scale of the problem at least as large as, and possibly much larger than, serious diseases such as HIV and malaria.”

Last month, the BMA warned that making antibiotics easier to access is not good for patients, nor is it the way to ease pressure on GPs, after reports that patients can get antibiotics from pharmacies without visiting a doctor.

It followed a government pledge in June to curb the “just in case” prescription of antibiotics in general medicine as part of its strategy to tackle antibiotic resistance.

Public health officials earlier this year warned of a rise in extremely antibiotic-resistant Shigella sonnei infections, while a separate study showed that GPs who practice under pressure are more likely to prescribe broad-spectrum antibiotics.

The Primary Care Respiratory Society released pragmatic guidance in May to support point-of-care testing for C-reactive protein as part of efforts to reduce antibiotic prescribing.

Leave a Comment