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NICE has issued a report on antibiotic prescribing and Devon LDC recommends auditing your prescribing patterns as a first step.
You may wish to use the audit toolkits from Devon LDC.
NHS England and Public Health England have issued a patient safety alert, warning of the dangers of antimicrobial resistance.
The consequences of antimicrobial resistance (AMR) include increased treatment failure for common infections and decreased treatment options where antibiotics are vital, such as during certain cancer treatments. Antimicrobial stewardship is key to combating AMR and is an important element of the UK Five Year Antimicrobial Resistance Strategy.
Antimicrobial stewardship embodies an organisational and system-wide approach to promoting and monitoring the judicious use of antimicrobials by:
- optimising therapy for individual patients;
- preventing overuse and misuse; and
- minimising the development of resistance at patient and community levels.
Clinical Audits are a contractual requirement for clinicians with performer numbers, working in the NHS. The requirement is for 5 hours of Audit to be undertaken annually. The audits were submitted to the Local Assessment Panel (LAP) who checked that they were of sufficient quality to be recognised for the required 5 hours. The South West LAP team developed a number of “cookbook” audits for practitioners to use as templates.
When PCTs were abolished the LAPs ceased to exist. NHS England did not feel it necessary to support these clinical audits. Therefore, the Area Teams (AT) show no interest in audit, despite it still be in the contract. The Care Quality Commission (CQC) are relied upon to check this when they carry out inspections.