Local CCG teams shortlisted for BMJ Award

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IMG 20190424 WA0018The prescribing teams at the three CCGs covering Leicester, Leicestershire and Rutland (LLR) - pictured right - recently attended the British Medical Journal (BMJ) Awards 2019 as finalists in the 'Care of the older person team of the year' category. 

This award recognises teams that show clinical leadership, and demonstrate new ideas and enthusiasm for doing things differently.

The LLR prescribing teams worked together to reduce the prescribing of the antiobiotic trimethoprim for urinary tract infections (UTIs) in the over 75s.

Due to the use of dipsticks to diagnose UTIs in the elderly - despite Public Health England not recommending their use for this age group - many elderly people are being given antibiotics unnecessarily. Over use, and unneccasry use of antibiotcs is causing bacteria to become resistant to them, which is a huge problem for the NHS and everyone's health.

As a result of their work, in September 2018 prescription of trimethoprim for these patients was nearly half what it was in April 2017.


The prescribing teams from the three CCGs in our region worked together to produce a simple template for care homes with a tick box of symptoms that could be given to a GP. They also developed a diagnostic algorithm which was incorporated into the computer systems used in all LLR GP practices. This helps GPs make an accurate diagnosis and gives advice on which drugs to prescribe, taking into account any allergies. Computer codes are recorded at the same time for all the symptoms that the GP ticks, along with the final diagnosis, which saves time during the consultation with the patient.NHS England has set targets for reducing the number of prescriptions for trimethoprim, an antiobiotic that is often given to patients aged over 75 with suspected UTIs.

Although the CCG prescribing teams were pipped to the post for the award, it was a huge achievement to be shorlisted for such a prestigious national award. Congratulations to the teams!