What Resources Do NHS Commissioning Organisations Use to Support Antimicrobial Stewardship in Primary Care in England?

Professional education and public engagement are fundamental components of any antimicrobial stewardship (AMS) strategy. The National Institute for Health and Care Excellence (NICE), Public Health England (PHE), Health Education England (HEE) and other professional organisations, develop and publish...

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Main Authors: Rosalie Allison, Donna M. Lecky, Elizabeth Beech, Diane Ashiru-Oredope, Céire Costelloe, Rebecca Owens, Cliodna A.M. McNulty
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/9/4/158
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author Rosalie Allison
Donna M. Lecky
Elizabeth Beech
Diane Ashiru-Oredope
Céire Costelloe
Rebecca Owens
Cliodna A.M. McNulty
author_facet Rosalie Allison
Donna M. Lecky
Elizabeth Beech
Diane Ashiru-Oredope
Céire Costelloe
Rebecca Owens
Cliodna A.M. McNulty
author_sort Rosalie Allison
collection DOAJ
description Professional education and public engagement are fundamental components of any antimicrobial stewardship (AMS) strategy. The National Institute for Health and Care Excellence (NICE), Public Health England (PHE), Health Education England (HEE) and other professional organisations, develop and publish resources to support AMS activity in primary care settings. The aim of this study was to explore the adoption and use of education/training and supporting AMS resources within NHS primary care in England. Questionnaires were sent to the medicines management teams of all 209 Clinical Commissioning Groups (CCGs) in England, in 2017. Primary care practitioners in 168/175 (96%) CCGs received AMS education in the last two years. Respondents in 184/186 (99%) CCGs reported actively promoting the TARGET Toolkit to their primary care practitioners; although 137/176 (78%) did not know what percentage of primary care practitioners used the TARGET toolkit. All respondents were aware of Antibiotic Guardian and 132/167 (79%) reported promoting the campaign. Promotion of AMS resources to general practices is currently excellent, but as evaluation of uptake or effect is poor, this should be encouraged by resource providers and through quality improvement programmes. Trainers should be encouraged to promote and highlight the importance of action planning within their AMS training. AMS resources, such as leaflets and education, should be promoted across the whole health economy, including Out of Hours and care homes. Primary care practitioners should continue to be encouraged to display a signed Antibiotic Guardian poster as well as general AMS posters and videos in practice, as patients find them useful and noticeable.
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spelling doaj.art-ee3f87f8cb4445b7954523cfb6dca4802023-11-19T20:31:42ZengMDPI AGAntibiotics2079-63822020-04-019415810.3390/antibiotics9040158What Resources Do NHS Commissioning Organisations Use to Support Antimicrobial Stewardship in Primary Care in England?Rosalie Allison0Donna M. Lecky1Elizabeth Beech2Diane Ashiru-Oredope3Céire Costelloe4Rebecca Owens5Cliodna A.M. McNulty6Public Health England, Gloucester GL1 3NN, UKPublic Health England, Gloucester GL1 3NN, UKNHS Improvement, London BA2 5RP, UKPublic Health England, Gloucester GL1 3NN, UKGlobal Digital Health Unit, Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UKPublic Health England, Gloucester GL1 3NN, UKPublic Health England, Gloucester GL1 3NN, UKProfessional education and public engagement are fundamental components of any antimicrobial stewardship (AMS) strategy. The National Institute for Health and Care Excellence (NICE), Public Health England (PHE), Health Education England (HEE) and other professional organisations, develop and publish resources to support AMS activity in primary care settings. The aim of this study was to explore the adoption and use of education/training and supporting AMS resources within NHS primary care in England. Questionnaires were sent to the medicines management teams of all 209 Clinical Commissioning Groups (CCGs) in England, in 2017. Primary care practitioners in 168/175 (96%) CCGs received AMS education in the last two years. Respondents in 184/186 (99%) CCGs reported actively promoting the TARGET Toolkit to their primary care practitioners; although 137/176 (78%) did not know what percentage of primary care practitioners used the TARGET toolkit. All respondents were aware of Antibiotic Guardian and 132/167 (79%) reported promoting the campaign. Promotion of AMS resources to general practices is currently excellent, but as evaluation of uptake or effect is poor, this should be encouraged by resource providers and through quality improvement programmes. Trainers should be encouraged to promote and highlight the importance of action planning within their AMS training. AMS resources, such as leaflets and education, should be promoted across the whole health economy, including Out of Hours and care homes. Primary care practitioners should continue to be encouraged to display a signed Antibiotic Guardian poster as well as general AMS posters and videos in practice, as patients find them useful and noticeable.https://www.mdpi.com/2079-6382/9/4/158health educationtrainingTARGETAntibiotic Guardianantimicrobial resistance
spellingShingle Rosalie Allison
Donna M. Lecky
Elizabeth Beech
Diane Ashiru-Oredope
Céire Costelloe
Rebecca Owens
Cliodna A.M. McNulty
What Resources Do NHS Commissioning Organisations Use to Support Antimicrobial Stewardship in Primary Care in England?
Antibiotics
health education
training
TARGET
Antibiotic Guardian
antimicrobial resistance
title What Resources Do NHS Commissioning Organisations Use to Support Antimicrobial Stewardship in Primary Care in England?
title_full What Resources Do NHS Commissioning Organisations Use to Support Antimicrobial Stewardship in Primary Care in England?
title_fullStr What Resources Do NHS Commissioning Organisations Use to Support Antimicrobial Stewardship in Primary Care in England?
title_full_unstemmed What Resources Do NHS Commissioning Organisations Use to Support Antimicrobial Stewardship in Primary Care in England?
title_short What Resources Do NHS Commissioning Organisations Use to Support Antimicrobial Stewardship in Primary Care in England?
title_sort what resources do nhs commissioning organisations use to support antimicrobial stewardship in primary care in england
topic health education
training
TARGET
Antibiotic Guardian
antimicrobial resistance
url https://www.mdpi.com/2079-6382/9/4/158
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