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This booklet describes the primary care medicines management dashboard developed by the Quality Observatory at NHS South East Coast and describes the indicators used on the dashboard
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www.QualityObservatory.nhs.uk
Helping frontline staff innovate and improve services
Medicines management is a major part of the drive to improve quality and productivity across the NHS South East Coast region, covering Kent, Surrey and Sussex. Improving medication safety will result in a measurable impact not only on the quality of patient care but in reducing admissions caused by prescribing errors, adverse reactions or poor medicines compliance. Likewise, through improvements in prescribing efficiency, addressing issues such as drug wast-age, considerable quality and productivity gains can be made. The Quality Observatory has worked closely with medicines management and other specialist colleagues to develop a comprehensive dashboard that gives an overview at PCT, county and regional level of historical and current performance on a range of quality, activity, workforce and finance indicators. Taken as a whole, the dashboard builds up a picture of medicines usage across the area and helps users identify areas for improvement and benchmark themselves against their neighbours. This leaflet describes what is in the medicines management dashboard and, on the back, how you can access it.
Medicines management dashboard
Quality and Activity
A brief description of each indicator for ease of refer-ence; full descriptions are available on a separate sheet
Antibiotic prescribing per STAR prescribing unit
% high risk antibacterials prescribed; includes Co-Amoxiclav, all Cephalosporins and all Quinolones
Newer oral glycaemics; defined as all gliptins and glita-zones. Careful consideration should be used in this pre-scribing.
Long acting insulin analogues; defined as glargin and detemir. NICE recommends careful consideration be-fore switching patients to these
Non-steroidal anti-inflammatory drugs ; % ibuprofen and naproxen prescribed:
Low dose antipsychotics prescribed to dementia pa-tients: patients over 65 has been used as a proxy.
Medicines per 10,000 episodes causing adverse effects: data taken from SUS and identified using ICD10 codes
% patients with own medication on admission; data to be collected by ambulance service from
Ezetimibe prescribing: items prescribed as a % of all Ezetimibe and statins prescribing.
SIP feeds: defined as per list from the prescription pricing division.
Gluten free food: all gluten free items
Specials prescribing - cost per ASTRO prescribing unit
All charts show monthly performance (purple bars) against the previous year (grey area) and the SHA position. The dropdown menu enables selection of PCT, county or SHA
Workforce and Finance
A brief description of each indicator for ease of refer-ence; full descriptions are available on a separate sheet
% medicines reconciled by band 5 or below: data not currently available
Inhaled corticosteroid spend. This shows costs per patients on the monthly QMAS COPD and asthma registers.
Better Care Better Value indicator - statins: items of ge-neric prava and simva statins prescribed as a percent-age of all statins.
Better Care Better Value indicator - renin-angiotensin drugs: ACE II items prescribed as % of all ACE items
Better Care Better Value indicator- proton pump inhibi-tors. Move towards prescribing more cost effective ver-sions
Potential generic savings; should be decreasing as ge-neric rate increases. % of total PCT cost.
Generic prescribing Clopidogrel, Al-endronate and Losartan: generic items of these drugs prescribed as a % of all items prescribed.
Total cost per ASTRO prescribing unit; this shows the total spend by PCT and is indication of the pressures on PCTs.
Generic drugs- Biphosphonates & strontium; Shows generic biphospohonate items as a % of all biphosphonates.
All charts show monthly performance (purple bars) against the previous year (grey area) and the SHA position. The dropdown menu enables selection of PCT, county or SHA
www.QualityObservatory.nhs.uk
Helping frontline staff innovate and improve services
Enabling Benchmarking Networking Collaboration Supporting Development of Metrics Development of Skills Development of Tools Advising Statistical Techniques Presentation & Interpretation Data Sources & Collections
Quality Observatory NHS South East Coast
York House 18-20 Massetts Road
Horley, Surrey, RH6 7DE
Phone: 01293 778899
E-mail: [email protected]
Website:
www.QualityObservatory.nhs.uk
To contact a team member: [email protected]
