Freedom of Information request - prescribing of antibiotics

The request was successful.

Dear NHS West Norfolk Clinical Commissioning Group,

We are currently researching the change in GP prescribing behaviour in urinary tract infections.

Please can you provide us with the following information:

Do you have a formulary used by primary care prescribers? If so, what is the current status of nitrofurantoin and trimethoprim with respect to urinary tract infections (e.g. first line, second line, etc)

Has the status of either nitrofurantoin or trimethoprim changed in the formulary since November 2014? If so, can you please provide the previous status(es) and details of the date(s) of change.

Have you had any work plans in place with respect to nitrofurantoin and trimethoprim prescribing since 2014? If so, can you please provide documents and start date.

Have you had any GP prescribing incentive schemes or similar which relate to trimethoprim or nitrofurantoin prescribing since November 2014? If so, can you please provide the documents.

Yours faithfully,

Ben Goldacre and Richard Croker

foi (NHS WEST NORFOLK CCG), NHS West Norfolk Clinical Commissioning Group

Please note that this email account is no longer active, so your email
will not be viewed or actioned. If you would like to make a Freedom of
Information request, please email [1][NHS West Norfolk CCG request email] and state the
CCG(s) that you would like your request to apply to.

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Sent request to NHS West Norfolk Clinical Commissioning Group again, using a new contact address.

HUMAYUN, Sana (NHS NORTH AND EAST LONDON COMMISSIONING SUPPORT UNIT), NHS West Norfolk Clinical Commissioning Group

Dear Mr Goldacre, Mr Croker

 

 

I am writing to formally acknowledge your request for information
regarding prescribing of antibiotics which will be processed under the
Freedom of Information Act 2000. I can confirm your request was received
on 15 November 2017 by NHS NEL Commissioning Support Unit (NEL CSU) on
behalf of the Clinical Commissioning Groups (CCGs) listed below. The
references for your requests are shown alongside.

 

FOI.17.COR150 NHS Corby CCG
FOI.17.NNO157 NHS North Norfolk CCG
FOI.17.NOR160 NHS Norwich CCG
FOI.17.SNO151 NHS South Norfolk CCG
FOI.17.WNO162 NHS West Norfolk CCG

 

An initial investigation is currently taking place into whether the
information you have requested is held by the CCGs and if so, whether it
can be released in accordance with the legislation.

 

Any fees applicable to this request will be detailed in writing as soon as
they can be determined. Your request will then be placed on hold and you
will have the choice of whether to proceed with your request. Should any
clarification of your request be required we will advise you accordingly.

 

If you require any assistance, or would like to discuss your request,
please do not hesitate to contact us quoting the reference number above.

 

Kind regards

 

 

Sana Humayun

Freedom of Information Officer

NEL Commissioning Support Unit

[1][NHS West Norfolk CCG request email]

 

 

3rd Floor

1 Lower Marsh

London SE1 7NT

 

[2]www.nelcsu.nhs.uk

 

@NELCSU

LinkedIn

 

 

 

 

 

 

 

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Foi (NHS NORTH AND EAST LONDON COMMISSIONING SUPPORT UNIT), NHS West Norfolk Clinical Commissioning Group

Dear Sir or Madam,

 

I am writing to you on behalf of NHS North Norfolk, NHS South Norfolk, NHS
West Norfolk and NHS Norwich Clinical Commissioning Groups with a response
to the information you have requested pursuant to the Freedom of
Information Act (2000). I have been instructed that the CCGs would like to
respond as follows:

 

1.      Do you have a formulary used by primary care prescribers?

 

Yes

 

If so, what is the current status of nitrofurantoin and trimethoprim with
respect to urinary tract infections (e.g. first line, second line, etc)

 

Nitrofuantoin 1^st line, Trimethoprim 2^nd line with criteria attached as
per Public Health England guidance.

 

2.      Has the status of either nitrofurantoin or trimethoprim changed in
the formulary since November 2014?

 

Yes, as per Public Health England guidance.

 

If so, can you please provide the previous status(es) and details of the
date(s) of change.

 

2015/16 formulary – Nitrofurantoin and Trimethoprim both first choice (if
organism susceptible Amoxicillin) as per Public Health England guidance
and local decision.

 

3.      Have you had any work plans in place with respect to
nitrofurantoin and trimethoprim prescribing since 2014?

 

No.

 

If so, can you please provide documents and start date.

 

N/A

 

4.      Have you had any GP prescribing incentive schemes or similar which
relate to trimethoprim or nitrofurantoin prescribing since November 2014?

 

No.

 

If so, can you please provide the documents.

 

N/A

 

For any future correspondence regarding this request, please quote the
reference number FOI.17.NNO157, FOI.17.SNO151, FOI.17.WNO162 &
FOI.17.NOR160

 

Please note that the information supplied in this e-mail may be subject to
copyright protection or protection by virtue of associated intellectual
property rights. This e-mail does not amount to an implied licence to
reproduce this information, or to conduct any act which might constitute
infringement

 

If for any reason you are dissatisfied with the response you have
received, you have the right to request an internal review by contacting
us within two months of this response being issued by writing to:

 

Head of FOI, Clifton House, 75-77 Worship St, London EC2A 2DU

 

Telephone: 020 3688 1000

 

In the event that you are unhappy with the way your requests have been
handled, you are entitled to make a complaint by contacting:

 

Complaints Manager (Commissioning), Lakeside 400, Old Chapel Way,
Broadland Business Park, Thorpe St. Andrew, Norwich, NR7 0WG

 

Telephone: 01603 257093 or 01603 257017

 

E-mail: [1][email address]

 

If you remain dissatisfied following the outcome of your internal review,
you have the right to appeal directly to the Information Commissioner’s
Office (ICO) for a decision. Please note that before doing so, you should
ordinarily have exhausted the internal review procedures implemented by
the CCGs. The ICO may be contacted by writing to:

 

The Information Commissioner’s Office, Wycliffe House, Walter Lane,
Wilmslow, Cheshire, SK9 5AF

 

Telephone: 0303 123 1113 or 01625 545745

 

E-mail: [2][email address]

 

There is no charge for making an appeal.

 

Regards,

 

Afjal

 

Freedom of Information Team 
NEL Commissioning Support Unit
[3][NHS West Norfolk CCG request email]

 

3^rd Floor

1 Lower Marsh

London SE1 7NT

 

[4]www.nelcsu.nhs.uk

[5]@NELCSU

[6]LinkedIn

 

 

 

 

From: HUMAYUN, Sana (NHS NORTH AND EAST LONDON COMMISSIONING SUPPORT UNIT)
Sent: 17 November 2017 11:17
To: '[FOI #444117 email]';
'[email address]';
'[email address]';
'[email address]';
'[email address]'
Subject: FOI Acknowledgement Request

 

Dear Mr Goldacre, Mr Croker

 

I am writing to formally acknowledge your request for information
regarding prescribing of antibiotics which will be processed under the
Freedom of Information Act 2000. I can confirm your request was received
on 15 November 2017 by NHS NEL Commissioning Support Unit (NEL CSU) on
behalf of the Clinical Commissioning Groups (CCGs) listed below. The
references for your requests are shown alongside.

 

FOI.17.COR150 NHS Corby CCG
FOI.17.NNO157 NHS North Norfolk CCG
FOI.17.NOR160 NHS Norwich CCG
FOI.17.SNO151 NHS South Norfolk CCG
FOI.17.WNO162 NHS West Norfolk CCG

 

An initial investigation is currently taking place into whether the
information you have requested is held by the CCGs and if so, whether it
can be released in accordance with the legislation.

 

Any fees applicable to this request will be detailed in writing as soon as
they can be determined. Your request will then be placed on hold and you
will have the choice of whether to proceed with your request. Should any
clarification of your request be required we will advise you accordingly.

 

If you require any assistance, or would like to discuss your request,
please do not hesitate to contact us quoting the reference number above.

 

Kind regards

 

 

Sana Humayun

Freedom of Information Officer

NEL Commissioning Support Unit

[7][NHS West Norfolk CCG request email]

 

 

3rd Floor

1 Lower Marsh

London SE1 7NT

 

[8]www.nelcsu.nhs.uk

 

@NELCSU

LinkedIn

 

 

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