Prescribing data for non medical prescribers Shailesh Panchmatia

Prescribing data for non medical prescribers Shailesh Panchmatia Head of Medicines Management Governance

Learning Outcomes • To understand the format of the prescribing reports • To understand the implications of the information available from the prescribing report • To understand the major issues being scrutinised in a prescribing report • To use prescribing data to help your CPD

POINTS TO COVER • • CPD and the data Format of the report Aspects of the report Comparisons with others Zero Prescribing Aspects of the feedback report Scrutiny quiz

CPD AND PRESCRIBING DATA • Aim of CPD is to identify gaps • Prescribing data feedback enable to compare own to local and national best practice and standards • View as part of an overall picture

FORMAT OF THE REPORT NAME ITEMS COST/ITEM AMLODIPINE 10 mg 2 £ 2. 04 £ 1. 02 AMLODIPINE 10 mg 2 £ 12. 06 £ 6. 03

RANGE OF DRUGS • Health Visitor • Continence Nurse • Matrons

HEALTH VISITOR • • • Arjun Ear Dps 10 ml Cetraben_Emollient Crm Clotrimazole_Crm 1% E 45_Crm Nystatin_Oral Susp 100, 000 u/ml Paracet_Oral Susp Paed 120 mg/5 ml

Continence Nurse • Coloplast Speedi. Cath Compact Fle Size 814 (30 -Pack) Cath • Coloplast_G-Strap Abdomen • Ispag Husk_Gran Sach 3. 5 g Orange G/F • M. Sauer_URIbag 1. 1 L

MATRON • Prednisolone • • • Amoxicillin_Cap 500 m Bendroflumethiazide_Tab 2. 5 m Betnovate_Crm 0. 1% Bisacodyl_Tab E/C 5 mg Carbocisteine_Cap 375 mg Fortisip

Strengths of Drugs • • • Amoxicillin_Cap 500 mg Amoxicillin_Oral Susp 250 mg/5 ml Co-Codamol_Cap 8 mg/500 mg Cefalexin_Cap 250 mg Mst Continus_Tab 15 mg

Quantity of Drugs • 56 items of doxycycline • 41 items of prednisolone • 28 items of Fortisip

Costs of Drugs NAME ITEMS COST Flaminal forte wound dressing 3 £ 659 Prednisolone EC 5 mg 41 £ 500 Fortisips 28 £ 480 Enoxaparin 28 £ 250

COMPARISONS • Total Cost • Range of drugs • Within groups

ZERO PRESCRIBING • • 144 prescribers = zero last year = 55% Risk OPTIONS _ return to prescribing programme Give up!

SCRUTINY ASPECTS • Local guidelines e. g. asthma, antibiotic • National guidelines e. g. NICE • Local formularies e. g. Nottingham Preferred Prescribing List • Controlled drugs

CONTROLLED DRUGS • • Schedule 2 e. g. morphine, oxycodone Schedule 3 e. g. buprenorphine, temazepam Schedule 4 e. g. diazepam, clonazepam Schedule 5 e. g. dihydrocodeine, co-codamol

DIAZEPAM • palliative care • treatment of initial or acute withdrawal symptoms caused by the withdrawal of alcohol from persons habituated to it, • tonic-clonic seizures • Oral, parenteral, rectal

MORPHINE/DIAMORPHINE • • Palliative care MI Trauma Post op

SCRUTINY- QUIZ • • Amoxicillin 250 mg Cefalexin 250 mg Ciprofloxacin 500 mg Citalopram 10 mg Co-amoxiclav 250/125 Codeine phos 30 mg x 30 items Canesten Combi 12 items - £ 250 Citalopram

SCRUTINY- QUIZ • • • Epilim chrono 200 mg Fortisip Gabapentin Glucosamine Fucidin cream • Dihydrocodeine

SUMMARY • format of the prescribing reports • implications of the information • major issues being scrutinised in a prescribing report • Ideas on to use prescribing data to help your CPD