Expert Input QA and discussion Linda Lord Chief

Expert Input: Q&A and discussion Linda Lord: Chief Pharmacist 1

Before we start, some data… 2

Quality Premium (1 - Eo. E) • • Total antibiotic prescribing to be <1. 161 items/STAR-PU per 12 months to Dec 2017: 3 CCGs not meeting the target (West Norfolk, North East Essex and Basildon & Brentwood) WSCCG (but not all practices) meeting target 3 | Presentation title

Quality Premium (2 - Eo. E) • • Number of broad spectrum prescription items to be <10% of total 12 months to Dec 2017: 11 CCGs not meeting the target (West Suffolk, Ipswich and East Suffolk, North East Essex, Cambridgeshire and Peterborough, Castle Point and Rochford, Mid Essex, North Norfolk, Norwich, South Norfolk, Southend and West Norfolk) WSCCG not meeting target 4 | Presentation title

Quality Premium (1 - England) Midlands and East (East) WSCCG meeting target 5 |

Quality Premium (2 - England) Midlands and East (East) WSCCG not meeting target 6 |

Quality Premium (3 - England) Midlands and East (East) WSCCG meeting target 7 |

Quality Premium (4 - England) Midlands and East (East) WSCCG not meeting target 8 |

All antibiotic items per STARPU Broad spectrum antibiotics per STARPU 9

Cephalosporins, Co-amoxiclav, quinolones as % of all Broad Spectrum 10

Please review data for your own practice • Data is in your delegate pack Please also review antibiotic prescribing trends for your practice • Pick up your practice pack at the back of the room 11

Discussion Groups Expert advice Tips? 12 Problems? Ideas?

Discussion Groups • Appropriate prescribing of antibiotics for: ØUrology: Dr Georgina Wilson ØDermatology: Dr Rachel Jenkins ØGastroenterology: Dr Simon Whalley ØENT: Dr Fahmy • Delegates seated in 4 groups • Consultants move from group to group (including Dr Sue Partridge) • 15 minutes per group – buzzer sounds! 13