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Brief Report

Conceptualising the Integration of Strategies by Clinical Commissioning Groups in England towards the Antibiotic Prescribing Targets for the Quality Premium Financial Incentive Scheme: A Short Report

1
Global Digital Health Unit, Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK
2
Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford OX2 6GG, UK
3
NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, University of Oxford, Oxford OX2 6GG, UK
4
NHS Bath and North East Somerset Clinical Commissioning Group, NHS Improvements London, London BA2 5RP, UK
*
Author to whom correspondence should be addressed.
Antibiotics 2020, 9(2), 44; https://doi.org/10.3390/antibiotics9020044
Received: 18 December 2019 / Revised: 6 January 2020 / Accepted: 21 January 2020 / Published: 23 January 2020
(This article belongs to the Special Issue Antimicrobial Stewardship in Primary Care)
Background: In order to tackle the public health threat of antimicrobial resistance, improvement in antibiotic prescribing in primary care was included as one of the priorities of the Quality Premium (QP) financial incentive scheme for Clinical Commissioning Groups (CCGs) in England. This paper briefly reports the outcome of a workshop exploring the experiences of antimicrobial stewardship (AMS) leads within CCGs in selecting and adopting strategies to help achieve the QP antibiotic targets. Methods: We conducted a thematic analysis of the notes on discussions and observations from the workshop to identify key themes. Results: Practice visits, needs assessment, peer feedback and audits were identified as strategies integrated in increasing engagement with practices towards the QP antibiotic targets. The conceptual model developed by AMS leads demonstrated possible pathways for the impact of the QP on antibiotic prescribing. Participants raised a concern that the constant targeting of high prescribing practices for AMS interventions might lead to disengagement by these practices. Most of the participants suggested that the effect of the QP might be less about the financial incentive and more about having national targets and guidelines that promote antibiotic prudency. Conclusions: Our results suggest that national targets, rather than financial incentives are key for engaging stakeholders in quality improvement in antibiotic prescribing. View Full-Text
Keywords: primary care; stewardship; antibiotic resistance; AMS campaign; clinical commissioning groups; quality premium primary care; stewardship; antibiotic resistance; AMS campaign; clinical commissioning groups; quality premium
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MDPI and ACS Style

Anyanwu, P.E.; Borek, A.J.; Tonkin-Crine, S.; Beech, E.; Costelloe, C. Conceptualising the Integration of Strategies by Clinical Commissioning Groups in England towards the Antibiotic Prescribing Targets for the Quality Premium Financial Incentive Scheme: A Short Report. Antibiotics 2020, 9, 44. https://doi.org/10.3390/antibiotics9020044

AMA Style

Anyanwu PE, Borek AJ, Tonkin-Crine S, Beech E, Costelloe C. Conceptualising the Integration of Strategies by Clinical Commissioning Groups in England towards the Antibiotic Prescribing Targets for the Quality Premium Financial Incentive Scheme: A Short Report. Antibiotics. 2020; 9(2):44. https://doi.org/10.3390/antibiotics9020044

Chicago/Turabian Style

Anyanwu, Philip Emeka, Aleksandra J. Borek, Sarah Tonkin-Crine, Elizabeth Beech, and Céire Costelloe. 2020. "Conceptualising the Integration of Strategies by Clinical Commissioning Groups in England towards the Antibiotic Prescribing Targets for the Quality Premium Financial Incentive Scheme: A Short Report" Antibiotics 9, no. 2: 44. https://doi.org/10.3390/antibiotics9020044

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