INFORMATION TECHNOLOGY MEDICINES MANAGEMENT
Making a PACT
Using diabetes as a case study, POLLY ELLISON looks at prescriptions and what you can proactively do with the information to ensure your commissioning group has the right tools to make better medicine optimisation decisions
to have to look carefully at how they can support GPs with their prescribing in order to deliver savings. Robust information management of prescribing data is essential particularly as recent figures have shown that the number of prescriptions for treating diabetes in England has topped 40 million. This represents a 50% rise in six years and a 6.1% (2.3 million) rise on the number of
W
ith an annual NHS spend of over £8bn a year on prescribing, clinical commissioning groups are going
items prescribed in 2010-11, according to data from the Health and Social Care Information Centre. Barbara Young, chief executive of Diabetes UK, has described it as a “wake up call” to all concerned, saying: “We face the real possibility of diabetes bankrupting the NHS within a generation.” Traditionally, PACT (prescribing analyses and cost) data has been used as it is derived from prescriptions issued by general practitioners. Health authorities, health services researchers and GPs all use PACT to audit and help improve their prescribing. In addition to PACT data, medicines management has been further assisted
by drug knowledge-bases, now widely used throughout the UK having been integrated in many clinical systems across the whole healthcare community. A good system of this kind will hold clinical and commercial information on thousands of pharmaceutical products and provide up-to-date clinical decision support and referential medicines information for all healthcare professionals. PACT data and drug knowledge bases have assisted GPs greatly, providing a better understanding of prescribing data and more efficient medicines management. As CCGs become established in 2013, GP practices will need to be more responsible
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