Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, by what process his Department plans to evaluate and continue to develop national antibiotic prescribing targets for primary and secondary care.

The Department takes advice on the measurement of prescribing levels and the development of objectives for levels of prescribing of antibiotics from the Department’s Health’s Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections as well as the English Surveillance Programme for Antimicrobial Utilisation and Resistance.

The English Surveillance Programme on Antimicrobial Use and Resistance, (ESPAUR), was established by Public Health England (PHE) in 2013 in response to the publication of the UK 5 year Strategy on Antimicrobial Resistance (AMR). ESPAUR provides the data on prescribing of antibiotics and levels of resistance to antibiotics in both primary and secondary care that allows the Department to evaluate progress.

PHE uses the ESPAUR data to provide ongoing expert advice to NHS England to enable ongoing development of commissioning incentives to encourage healthcare providers to achieve the antibiotic prescribing quality measures recommended by the national expert Advisory Group on AMR and Healthcare Associated Infections for primary and secondary care.

The Department’s Policy Research Programme has also commissioned the Imperial National Institute for Health Research Health Protection Research Unit to evaluate and research the impact of reduced antibiotic prescribing on hospital admissions and mortality.