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Partners in improving local health
Initiatives to support primary care antibiotic
prescribing in the North East and Cumbria
Deborah Giles, Anne Henry, Alastair Monk
Medicines Optimisation Team
NHS North of England Commissioning Support
Commissioners guide to the prevention of Antimicrobial Resistance
6th March 2015
Partners in improving local health
Background
CarlisleMiddlesbrough
Durham
Newcastle
upon Tyne
Berwick upon
Tweed
Barrow-in-Furness
North of
Tyne
CumbriaDurham &
DarlingtonTees
South of Tyne
& Wear
Partners in improving local health
Antibiotic prescribing in the North East and Cumbria
The Guardian 11 Jun 2013
UK map shows areas where GPs are most, or least, likely to prescribe antibiotics to patients.
Partners in improving local health
UK 5 year AMR strategy
Key elements for primary care
� Antibiotic guideline
� Public/professional awareness campaign
� Educational resources
Partners in improving local health
NECS Medicines Optimisation Team
� Over 100 pharmacists,
technicians and specialist
support staff
� Covering 13 CCGs in North East
and Cumbria
� Commissioning support and
practice support
� Workstream groups for key
areas of medicines optimisation,
including antibiotics and
antimicrobial resistance
CarlisleDurham
Newcastle upon
Tyne
Berwick upon
Tweed
Middlesbrough
Barrow in Furness
Partners in improving local health
Creating the climate for change…engaging with key stakeholders
North East Antimicrobial
Pharmacists Group North East
Microbiologists
Group
NECS
Communications &
Engagement Team
NECS Web
Development
Team
NECS IT
Training
Team
NECS Medicines
Optimisation Team
Public Health
England
Clinical
Senate
CCG
Forum
CCG Prescribing
Leads
Area Prescribing CommitteesDurham & Darlington APC
Gateshead MMCNorth of Tyne APC
South of Tyne MMCTees MMC
Gateshead &
North of Tyne
HCAI Reduction
Partnership Group
Hospital Trusts
Partners in improving local health
The interventions – a collection of multifaceted
interventions for individual prescribers, practices and CCGs
A single, easy to follow and
easily accessible guideline for
use across primary care
settings in the North East and
Cumbria
A single, easy to follow and
easily accessible guideline for
use across primary care
settings in the North East and
Cumbria
North East & Cumbria antibiotic prescribing
guideline for primary care
North East & Cumbria antibiotic prescribing
guideline for primary careEducation and training
Education and training
Awareness campaign
Awareness campaign
Partners in improving local health
Implementing the new guideline and embedding into practice
� Continued engagement with
stakeholders
� Engaging with practice based
medicines optimisation teams
and CCG prescribing leads
� Making the guideline easily
accessible
� NECS Medicines
Optimisation website
� Microguide smartphone appMicroguide
Partners in improving local health
Education and training initiatives
eLearning
� Focus on prescribing
strategies for primary care
� Incentivised through CCG
prescribing engagement
schemes
Workshops
� CCG time outs, practice
pharmacist team meetings
� Delivered to GPs,
pharmacists, nurses
Partners in improving local health
Public communications campaign
� Coverage 1.38 million
people (53% of North East
population)
� High profile TV adverts
� Digital and online
advertising
� Self-care patient
booklets
� Distribution to all North
East & Cumbria GP
practices and
community pharmacies
Partners in improving local health
Involving the whole organisation
� Endorsement and support
from Executive Team
� Messages delivered to
700+ staff at Autumn
Conferences
� Discussion in the work
place
� Follow up staff survey
Partners in improving local health
Challenges and Successes
� Initial resistance from some stakeholders
� Wariness about a new organisation – NECS?
� Engagement with secondary care colleagues
� Collaboration
� Across geography
� Across organisational boundaries
� Buy in from key stakeholder
� Multifaceted approach
� Keep persevering and maintain momentum
Partners in improving local health
http://medicines.necsu.nhs.uk
Thank you. Questions?
