Helping frontline staff innovate and improve services
Medicines management dashboard 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 wastage, 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.
www.QualityObservatory.nhs.uk
Quality and Activity A brief description of each indicator for ease of reference; full descriptions are available on a separate sheet
Medicines per 10,000 episodes causing adverse effects: data taken from SUS and identified using ICD10 codes
Antibiotic prescribing per STAR prescribing unit
% patients with own medication on admission; data to be collected by ambulance service from
% high risk antibacterials prescribed; includes CoAmoxiclav, all Cephalosporins and all Quinolones
Ezetimibe prescribing: items prescribed as a % of all Ezetimibe and statins prescribing.
Newer oral glycaemics; defined as all gliptins and glitazones. Careful consideration should be used in this prescribing.
Gluten free food: all gluten free items
Long acting insulin analogues; defined as glargin and detemir. NICE recommends careful consideration before switching patients to these Non-steroidal anti-inflammatory drugs ; % ibuprofen and naproxen prescribed: Low dose antipsychotics prescribed to dementia patients: patients over 65 has been used as a proxy.
SIP feeds: defined as per list from the prescription pricing division. 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 reference; 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 generic prava and simva statins prescribed as a percentage of all statins.
Generic prescribing Clopidogrel, Alendronate and Losartan: generic items of these drugs prescribed as a % of all items prescribed. Generic drugs- Biphosphonates & strontium; Shows generic biphospohonate items as a % of all biphosphonates. Total cost per ASTRO prescribing unit; this shows the total spend by PCT and is indication of the pressures on PCTs.
Better Care Better Value indicator - renin-angiotensin drugs: ACE II items prescribed as % of all ACE items Better Care Better Value indicator- proton pump inhibitors. Move towards prescribing more cost effective versions Potential generic savings; should be decreasing as generic rate increases. % of total PCT cost.
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
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: Quality.Observatory@SouthEastCoast.nhs.uk Website: www.QualityObservatory.nhs.uk To contact a team member: firstname.surname@southeastcoast.nhs.uk
www.QualityObservatory.nhs.uk