Read thread for key points on #EvidencetoImpact story, Turing the tide on ineffective prescribing for people with Type 2 #Diabetes in East Sussex, as we lead up to #WorldEBHCDay
@syed_hannah
@syed_hannah
In the National Health Service (NHS) in England, Clinical Commissioning Groups (CCGs) decide what services are required for diverse populations and ensure their provision.
Hannah Syed is a medicines management adviser for Eastbourne, Hailsham & Seaford CCG, and Hastings & Rother CCGs. She observed that prescribing levels for diabetes, in particular, GLP-1 mimetics, were much higher than the national average in both these CCGs.
There was also substantial variation in prescribing costs between GP practices.
There was a need for medicines optimisation, based on the approach set out in @NICEComms guideline for management of type 2 diabetes in adults (NG28), inc the recommendations from 1.6.17 for appropriate drug treatment.
The evidence implementation project focused primarily on GLP-1 and aimed to ensure prescribing was more effective and cost effective, reduced prescribing costs and reduced variation between GPs.
The project was included as a key part of the Groups’ GP prescribing support scheme, which provides a financial incentive to reduce variation in prescribing practice.
The prescribing reviews team focused on diabetes medication optimisation; identified other medication issues (making the reviews more holistic); updated the formulary; and developed key resources, inc a protocol for starting GLP-1 mimetics and a patient contract.
The project highlighted that local prescribers were less aware than expected of NICE’s recommendations on when to start and how to monitor the use of GLP-1 mimetics.
Evidence-based recommendations were implemented for 93% patients, leading to significant financial savings. GLP-1 mimetics prescribing grew less than the national average in both CCGs.
Read the #EvidencetoImpact story by Hannah Syed and find links to resources at worldebhcday.org/stories/story?…
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