Electronic repeat dispensing: Understanding the prescribing population & initial barriers to uptake

Strategic Insight reports are designed to support strategic objectives and planning by Integrated Care System (ICS) leaders. Through the analysis of data and communication with key stakeholders across the ICS, interventions to be undertaken by the ICS are proposed to Integrated Care Boards or associated committees.

This report highlights the benefits of electronic repeat dispensing (eRD) and examines its use at ICS level in the North of England, in order to support systems in identifying where prescribing processes may be further streamlined.

Prescribing Update Newsletter – March 2022

Prescribing support newsletters aim to inform readers of work done by the unit and work in progress, to help tailor local work plans and highlight any ‘topical’ issues in prescribing or medicines management.

If you have any suggestions for future topics for the newsletter, then please contact nuth.nyrdtc.rxsupp@nhs.net

This month’s edition covers the RDTC’s Climate Emergency declaration, Pill Swallowing – a skill for life, Metolazone preparations and safety considerations, and the second in the series of “Meet the Team” where you can get to know the people behind the work we do. We also cover the Price concessions and the Discount Deduction scheme, World Antimicrobial Awareness Week, and a guide to the COVID-19 autumn booster. There is also information on the changes to the Medicines Information Service, and some key medicines availability issues.

This month’s edition covers RDTC publications produced in the last financial year, specials added to new Part VIIID section of the Drug Tariff, a spotlight on Hidradenitis suppurativa, the potential contamination of infant formula food products, unintentional paracetamol overdose in adult inpatients with low bodyweight, updates to the routine immunisation schedule, and resources relating to Ramadan.

Prescribing Update Newsletter – January 2022

Prescribing support newsletters aim to inform readers of work done by the unit and work in progress, to help tailor local work plans and highlight any ‘topical’ issues in prescribing or medicines management.

If you have any suggestions for future topics for the newsletter, then please contact nuth.nyrdtc.rxsupp@nhs.net

This month’s edition covers the RDTC’s Climate Emergency declaration, Pill Swallowing – a skill for life, Metolazone preparations and safety considerations, and the second in the series of “Meet the Team” where you can get to know the people behind the work we do. We also cover the Price concessions and the Discount Deduction scheme, World Antimicrobial Awareness Week, and a guide to the COVID-19 autumn booster. There is also information on the changes to the Medicines Information Service, and some key medicines availability issues.

This month’s edition covers the use of steroid medication warning cards for children and young people, National Detect, Protect and Perfect programme and choice of DOACs, Primary Care Discussions: Focus on Diabetes, and SPS: New guides for providing medicines advice and/or prescribing in pregnancy. It also continues a series of spotlight articles on one of the types of RDTC stakeholder level report; this month looks at the new Monthly Formulary Amendments report.

Prescribing Update Newsletter – November 2021

Prescribing support newsletters aim to inform readers of work done by the unit and work in progress, to help tailor local work plans and highlight any ‘topical’ issues in prescribing or medicines management.

If you have any suggestions for future topics for the newsletter, then please contact nuth.nyrdtc.rxsupp@nhs.net

This month’s edition covers the RDTC’s Climate Emergency declaration, Pill Swallowing – a skill for life, Metolazone preparations and safety considerations, and the second in the series of “Meet the Team” where you can get to know the people behind the work we do. We also cover the Price concessions and the Discount Deduction scheme, World Antimicrobial Awareness Week, and a guide to the COVID-19 autumn booster. There is also information on the changes to the Medicines Information Service, and some key medicines availability issues.

This month’s edition covers the transformation of the SPS, the new SPS Medicines Availability Tool, and SPS publications, discontinuation of the Intal asthma inhaler, and the new NTAG Website. It also continues a series of spotlight articles on one of the types of RDTC stakeholder level report; this month takes a look at Monthly Horizon Scanning Document.

Top 50 BNF sections and drugs

Overview

This report looks at the top 50 BNF sections and drugs in terms of spend at SICBL level for the financial year to date with a focus on cost growth and item growth.

Frequency

Quarterly

Data period

April 2022 to September 2022

Cost Comparison Charts

Overview

The charts included within this report are organised by BNF classification (legacy) and show comparative costs at the NHS basic price1,2 (as of October 2022) for selected agents. Except where indicated otherwise, each chart shows the cost of 1 year3 of treatment at a commonly prescribed daily dose (shown in brackets). The doses given are not intended to imply therapeutic equivalence and for some BNF sub-classifications, such as angiotensin converting enzyme inhibitors (ACE inhibitors), the doses may vary according to indication. Additionally, in some therapeutic areas, for instance antibacterial drugs, the duration of treatment may differ from that shown. Primarily, this report focuses on costs related to prescribing in adults. There are however a few exceptions where products specifically for use in children are represented, such as in the emollient and Infant formulas sections.  Additional notes to highlight any relevant cost related information are also added where appropriate, to improve the clarity of the information presented.

Rationale for inclusion: the cost comparison charts (CCCs) aim to represent the diversity of products available; including the least expensive, most prescribed, higher cost products being prescribed and products with additional features.  The products included are furthermore considered in the context of national and local guidance and stakeholder formulary decisions. It is not possible to represent all pharmaceuticals within these charts.

Stakeholders (under password protection) can access the current version of the CCCs via our website in three formats: PDF, Word and Excel. The Excel version incorporates a more detailed comparison of contraceptives and allows charts to be split by BNF subsections in some instances.

References


1. NHS Business Services Authority (NHS BSA). Drug tariff.

2. NHS BSA. Dictionary of medicines and devices (dM+d).

3. 1 year in this instance is equal to 364 days (rather than 365) standardising 1 month as equal to 28 days.

Time Period

October 2022

Frequency

Quarterly

Prescribing Update Newsletter – September 2021

Prescribing support newsletters aim to inform readers of work done by the unit and work in progress, to help tailor local work plans and highlight any ‘topical’ issues in prescribing or medicines management.

If you have any suggestions for future topics for the newsletter, then please contact nuth.nyrdtc.rxsupp@nhs.net

This month’s edition covers the RDTC’s Climate Emergency declaration, Pill Swallowing – a skill for life, Metolazone preparations and safety considerations, and the second in the series of “Meet the Team” where you can get to know the people behind the work we do. We also cover the Price concessions and the Discount Deduction scheme, World Antimicrobial Awareness Week, and a guide to the COVID-19 autumn booster. There is also information on the changes to the Medicines Information Service, and some key medicines availability issues.

This month’s edition covers new labelling requirements for sennosides, changes to the NHS community pharmacy contract, National guidance on blood testing following shortages, and inclisiran in primary care. It also continues a series of spotlight articles on our prescribing data reports; this month takes a look at our prescribing bulletins.

North of England Integrated Care Systems; Overprescribing

This bulletin provides an update on key primary care prescribing trends in the North of England, which relate to ‘Overprescribing’; incorporating ‘Polypharmacy’. It provides a snapshot of overprescribing in the North of England Integrated Care Systems, including the percentage of patients receiving five or more unique analgesic medicines, and those receiving three unique medicines (not licensed for hypertension) with a hypotensive side effect.

A supplementary appendices containing the respective CCG level data is also available to download

Monthly Horizon Scanning Report – August 2021

Monthly horizon scanning reports are designed to inform the NHS about new products, significant changes to product licenses, significant new guidance, and decisions that have been made by recognised bodies

This information is produced for use by NHS healthcare professionals. 

Prescribing Update Newsletter – July 2021

Prescribing support newsletters aim to inform readers of work done by the unit and work in progress, to help tailor local work plans and highlight any ‘topical’ issues in prescribing or medicines management.

If you have any suggestions for future topics for the newsletter, then please contact nuth.nyrdtc.rxsupp@nhs.net

This month’s edition covers the RDTC’s Climate Emergency declaration, Pill Swallowing – a skill for life, Metolazone preparations and safety considerations, and the second in the series of “Meet the Team” where you can get to know the people behind the work we do. We also cover the Price concessions and the Discount Deduction scheme, World Antimicrobial Awareness Week, and a guide to the COVID-19 autumn booster. There is also information on the changes to the Medicines Information Service, and some key medicines availability issues.

This month’s newsletter covers our new website, the latest healthcare professional letter on sodium valproate, and an update on the use of chloramphenicol eyedrops in children. It also continues a series of spotlight articles on our prescribing data reports; this month take a look at our Financial Headlines.