Freedom of Information request - prescribing of antibiotics
Dear NHS West Suffolk 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
Thank you for your request for information under the Freedom of
Information Act 2000.
We will respond to you as soon as possible and within 20 working days.
We will contact you if we require further information or if there is a
delay in responding.
Freedom of Information Act
I write further to your e-mail of 7 November 2017 regarding information
held by Ipswich and East Suffolk Clinical Commissioning Group and West
Suffolk Clinical Commissioning Group. Your request has been dealt with in
accordance with the Freedom of Information Act 2000.
In response to your request,
We are currently researching the change in GP prescribing behaviour in
urinary tract infections.
Please can you provide us with the following information:
All the responses below are the same for
both CCGs apart from the last question.
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)
Yes, we do
([1]http://www.westsuffolkccg.nhs.uk/wp-cont...)
o UTI, simple (female [not pregnant] and male patients), No fever or
flank pain: First line - Nitrofurantoin; Second line - Trimethoprim
o UTI, in PREGNANCY: First line - Nitrofurantoin (to be avoided in 3rd
trimester of pregnancy); Second line - Trimethoprim; Third line -
Cefalexin
o UTI, lower in CHILDREN: First line - Trimethoprim; Second line -
Cefalexin
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.
o UTI, simple (female patient), No fever or flank pain, Not pregnant:
1st episode only – Trimethoprim; Recurrent episodes: Nitrofurantoin
(changed autumn 2017)
o UTI, simple (male patient), No fever or flank pain: 1st episode only –
Trimethoprim; Recurrent episodes: Nitrofurantoin (changed autumn 2017)
o UTI in PREGNANCY: Nitrofurantoin, Trimethoprim, Cefalexin (not changed
but now stated as first line, second line and third line since autumn
2017)
o UTI, lower in CHILDREN: Trimethoprim, Nitrofurantoin (changed autumn
2017)
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.
Yes - promoting the Suffolk Antibiotic Formulary and
strongly encouraging primary care prescribers to prescribe in line with
the formulary. Suffolk Antibiotic Formulary published in 2014 attached.
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.
West Suffolk CCG
No
Ipswich & East Suffolk CCG
Yes – part of the Prescribing Incentive
Scheme 2017/18
Relevant section from contract copied
below:
Antibiotics
· Achieve a 10% reduction (or greater) in the Trimethoprim:
Nitrofurantoin prescribing ratio
· Achieve a 10% reduction (or greater) in the number of
trimethoprim items prescribed to patients aged 70 years or greater
· Reduce the number of antibiotic items per Specific Therapeutic
group Age Sex Related Prescribing Unit (STAR-PU) prescribed in general
practice to <1.161 items per STAR-PU
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Yours sincerely
Tony Buckle
Risk Manager
Ipswich & East Suffolk and West Suffolk Clinical Commissioning Groups
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[5][email address]
[6]www.westsuffolkccg.nhs.uk
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References
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