Antimicrobial stewardship

Welcome to the Antimicrobial Stewardship (AMS) Hub hosted as part of a collaboration with NHS England. It aims to support antimicrobial stewardship activity within Integrated Care Systems, and delivery of the NHS Antimicrobial Resistance Programme and associated ambitions within the UK 5-year action plan 2019 to 2024, and 5-year action plan 2024-2029. Access to the AMS Hub content is open and registration is not required.

In addition to hosting the Hub, PrescQIPP collaborates with the NHS England Antimicrobial Resistance Programme workstreams by co-producing open data dashboards and hosting the Antimicrobial stewardship virtual professional group.

Content for the Hub is co-ordinated by Elizabeth Beech, Regional Antimicrobial Stewardship Lead South West Region, NHS England.

Implementation of the UK 5-year action plans for antimicrobial resistance are supported via an NHS AMR Programme Board. More information on this programme can be accessed in the FutureNHS workspace.

The NHS England Antimicrobial Prescribing and Medicines Optimisation workstream is led by:

Each NHS Region has a dedicated lead who supports the NHS AMR Programme workstream content and leads on implementation.

  • Elizabeth Beech MBE - Regional Antimicrobial Stewardship Lead for the South West Elizabeth.beech@nhs.net
  • Gillian Damant - Regional Antimicrobial Stewardship Lead for the North West gill.damant@nhs.net
  • Dr Naomi Fleming - Regional Antimicrobial Stewardship Lead for the East of England naomifleming@nhs.net
  • Prof Philip Howard OBE - Regional Antimicrobial Stewardship Lead for the North East and Yorkshire philip.howard2@nhs.net
  • Dr Conor Jamieson - Regional Antimicrobial Stewardship Lead for the Midlands conor.jamieson@nhs.net
  • Preety (Emlata) Ramdut - Regional Antimicrobial Stewardship Lead for the South East p.ramdut@nhs.net
  • Laura Whitney - Regional Antimicrobial Stewardship Lead for London l.whitney@nhs.net

The antimicrobial stewardship virtual professional group is chaired by Sajida Khatri and Elizabeth Beech. Sign up for the group and view previous recordings here and then link to https://www.prescqipp.info/community-resources/virtual-professional-groups/antimicrobial-stewardship/

The next AMS VPG and Continence and stoma VPG webinar will take place on Wednesday 11th March,  1-2pm.

Urinary Tract Infection and urinary catheter prescribing in primary and community care – introducing 3 new data dashboards to support population health

We will be demonstrating the new UTI and catheter device prescribing dashboard. Therefore, we are combining the AMS VPG and Continence and stoma VPG into one meeting so we can demonstrate this to everyone together.

The 3 Urinary Tract Infection Dashboards report population exposure via FP10 prescription to urinary catheter devices, methenamine and specific antibiotics included in NICE guidance for the treatment of urinary tract infections - uncomplicated, complicated, and recurrent infection. These dashboards use routine FP10 prescribing data accessed from NHSBSA ePACT2 analysis and use metrics reporting the count of unique patients, linking patient data over time.

Combatting antimicrobial resistance – the UK second five-year national action plan https://www.gov.uk/government/publications/uk-5-year-action-plan-for-antimicrobial-resistance-2024-to-2029 continues to promote optimal use of antimicrobials in humans to ensure safe and effective patient care by strengthening antimicrobial stewardship programmes which should include the review of choice and duration of antimicrobial prescriptions.

It includes an ambition to reduce UK antimicrobial use in humans by 5% by 2029, and to prevent any increase in Gram-negative bloodstream infections. These infections are commonly associated with urinary tract infection and use of urinary catheter devices. Optimising the management of urinary tract infection and the use of urinary catheter devices can reduce unnecessary antibiotic treatment and associated risk of development of antimicrobial resistance. Optimising the choice and duration of antibiotic use supports delivery of  these key requirements, and NICE publish antimicrobial stewardship guidance https://www.nice.org.uk/guidance/health-protection/communicable-diseases/antimicrobial-stewardship that provides evidence based recommendations for choice and duration of antibiotic use to treat urinary tract infections, including catheter associated urinary tract infection.

The 3 Urinary Tract Infection Dashboards report population exposure via FP10 prescription to urinary catheter devices, methenamine and specific antibiotics included in NICE guidance for the treatment of urinary tract infections - uncomplicated, complicated, and recurrent infection. These dashboards use routine FP10 prescribing data accessed from NHSBSA ePACT2 analysis and use metrics reporting the count of unique patients, linking patient data over time.

Data to support Antimicrobial stewardship improvement and assurance in collaboration with NHS England.

In the visualisations linked below, you'll find our interpretation of the reports that we have been producing over the last two years as part of our collaboration with NHS E around Antimicrobial Stewardship. Please note that this is fully public domain data, from the NHS BSA Information Services Portal, and that is commonly used within the public domain - future visualisations will be restricted at the usual levels.

Antibacterial data monthly commissioner, PCN and practice level reporting against NHS improvement and assurance schemes. Also provides specific antibacterial prescribing trend analysis.