NHS Ayrshire & Arran

Acute Care Specialty Effective Prescribing Reviews


NHS Ayrshire & Arran has established an Acute Care Effective Prescribing Group (ACEPG). The group has been tasked with reviewing quality and effectiveness of all areas of prescribing within Acute Care in NHS Ayrshire & Arran.

To support this work the ACEPG has carried out a number of Acute Care Specialty Effective Prescribing Reviews inviting specialty Clinical Directors to meet with the ACEPG to discuss the use of medicines within their area.

A proforma has been developed that Clinical Directors are asked to complete and return prior to the review meeting. The format of the review is a structured discussion around the completed proforma.

The specialty prescribing review comprises several elements:

a.   Drug budget information

Gathers information on whether the specialty receives and regularly discusses their drug budget information.

b.   High cost prescribing

Gathers information on whether:

c.   High volume prescribing:

Gathers information on whether any high volume prescribing occurs within the specialty and whether the team is aware of the impacts of such prescribing.

d.   Quality of prescribing

Gathers information on whether the specialty team:

e.   Patient Information

Gathers information on whether the specialty clinical team provide patients with information to support their clinical treatment and the type of information provided.

f.   Outcomes database/recording

Gathers information on whether:

If the specialty has an outcomes database information is gathered on how the database is used: how data is input, managed and whether reports can be provided from the database to help treatment decision making.

g.   Audits

Gathers information on whether regular clinical audits are carried out.

h.   Horizon scanning

Gathers information on the specialty’s awareness of any new medicines/ treatments which will have a financial impact on the organisation in the next 2 – 5 years.

At the end of the review meeting actions to improve clinical and cost effective prescribing are discussed and agreed. The ACEP group follows up to ensure all noted actions are progressed and completed.

NHS Ayrshire & Arran specialty prescribing reviews have highlighted:

NHS Ayrshire & Arran Specialty prescribing reviews are helping the Board to:

Please find attached link to: Clinical prescribing review template