Freedom of Information request - prescribing of antibiotics

Emma-Jane made this Freedom of Information request to NHS Solihull Clinical Commissioning Group as part of a batch sent to 127 authorities

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Dear NHS Solihull 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

CCG FOI, Solihull (NHS SOLIHULL CCG), NHS Solihull Clinical Commissioning Group

Dear  Mr Goldacre and Mr Croker

Thank you for your email dated 7 November 2017 requesting information
about the change in GP prescribing behaviour in urinary tract infections. 
 Your request is being managed under the terms of the Freedom of
Information Act 2000.

We aim to provide you with a response within 20 working days as per the
statutory time limit, therefore you should receive a response by 5
December 2017.   However, this may take longer where certain exemptions
apply or depending on the nature of your request.   We will let you know
in advance if we need more time to complete your request.

In some circumstances a fee may be payable, however if this is the case,
we will let you know in advance.

If you have any queries or concerns or are dissatisfied with the service
you have received in relation to your request, please do not hesitate to
contact me. If you wish to request a review of the handling of your
request, you should write to the: Head of Governance via email at
[1][NHS Solihull CCG request email] in the first instance.   Please remember to
quote the reference number above in any future communications.

If you remain dissatisfied with the outcome of your review and wish to
make a formal compliant please address this to the Complaints Team at
Friars Gate using the above address - Email:
[2][email address]

In addition if you are not satisfied with the outcome of your complaint or
review, you may apply directly to the Information Commissioner for a
decision. Generally, the ICO cannot make a decision unless you have
exhausted the complaints procedure provided by the CCG. 

The Information Commissioner can be contacted at: 

 

Information Commissioner's Office, 

Wycliffe House, 

Water Lane, 

Wilmslow, 

Cheshire, 

SK9 5AF  Telephone: 08456 30 60 60 or 01625 54 57 45 - [3]www.ico.gov.uk

Yours sincerely

 

FOI Team

NHS Solihull CCG

 

Email: [4][NHS Solihull CCG request email]

Tel: 0121 713 8940

NHS Solihull Clinical Commissioning Group • Friars Gate • 1011 Stratford
Road • Shirley • Solihull • B90 4BN
[5]www.solihullccg.nhs.uk

 

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DEWSBURY, Michael (NHS BIRMINGHAM SOUTH AND CENTRAL CCG), NHS Solihull Clinical Commissioning Group

1 Attachment

Dear Emma-Jane,  

FREEDOM OF INFORMATION ACT 2000 – SECTION 8 REQUEST 

Thank you for your request for information dated 7 November. Your request
has been managed under the terms of the Freedom of Information Act 2000. 

You requested the following information under section 8 of the Act:

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.

Our response to your request is:

+------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+
|Question 1 |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Do you have a formulary used by primary care prescribers? |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Answer |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Our formulary is produced by the local Area Prescribing Committee and a copy is available online: |
|[1]http://www.birminghamandsurroundsformula...
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Question 2 |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|If so, what is the current status of nitrofurantoin and trimethoprim with respect to urinary tract infections (e.g. first line, second line, etc) |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Answer |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|  |
| |
|Please see the formulary. |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Question 3 |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Has the status of either nitrofurantoin or trimethoprim changed in the formulary since November 2014? |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Answer |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|  |
| |
|Details of the local guidance (that has determined formulary status since 2013) are attached. |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Question 4 |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|If so, can you please provide the previous status(es) and details of the date(s) of change. |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Answer |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|  |
| |
|Please see question three. |
| |
|  |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Question 5 |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Have you had any work plans in place with respect to nitrofurantoin and trimethoprim prescribing since 2014?  |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Answer |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|  |
| |
|Nothing specific, but we have an action in our local DEIS for practices to comply with antibiotic guardianship in line with NHSE requirements for both 16/17 and 17/18: |
| |
|•             [2]https://www.england.nhs.uk/publication/p... |
| |
|•             [3]https://www.england.nhs.uk/resources/res... |
| |
|  |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Question 6 |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|If so, can you please provide documents and start date. |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Answer |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|  |
| |
|Not applicable. |
| |
|  |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Question 7 |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Have you had any GP prescribing incentive schemes or similar which relate to trimethoprim or nitrofurantoin prescribing since November 2014? |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Answer |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|  |
| |
|Please see question five. |
| |
|  |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Question 8 |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|If so, can you please provide the documents. |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|Answer |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|  |
| |
|Please see question five. |
| |
|  |
+------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------+

If you have any queries or concerns or are dissatisfied with the service
you have received in relation to your request, please do not hesitate to
contact me. If you wish to make request a review of the decision, you
should write to the: Governance Manager via email at
[NHS Solihull CCG request email] in the first instance. 

If you remain unsatisfied with the outcome of your review and wish to make
a formal compliant please address this to the Complaints Team at Friars
Gate using the above address - Email: [email address]

In addition if you are not satisfied with the outcome of your complaint or
review, you may apply directly to the Information Commissioner for a
decision. Generally, the ICO cannot make a decision unless you have
exhausted the complaints procedure provided by the CCG. 

The Information Commissioner can be contacted at: 

Information Commissioner's Office, 

Wycliffe House, 

Water Lane, 

Wilmslow, 

Cheshire, 

SK9 5AF  Telephone: 08456 30 60 60 or 01625 54 57 45 - www.ico.gov.uk    

Kind regards,

FOI Team

NHS Solihull CCG Email: [NHS Solihull CCG request email]

Tel: 0121 713 8940

NHS Solihull Clinical Commissioning Group • Friars Gate • 1011 Stratford
Road • Shirley • Solihull • B90 4BN www.solihullccg.nhs.uk

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