Webinar Seven

Common practice approach

The final webinar in this series shows the work of Churchill Medical Centre in Kingston upon Thames who adopted a common practice approach to improve their antibiotic prescribing. Key staff explain what this means for them and the practice.

Webinar & Speaker
Complete Evaluation

In our final webinar of this series our expert panel will discuss the benefits of a common practice approach to antibiotic prescribing, patient self-care and GP clinical work adopted at Churchill Medical Centre, Kingston-upon-Thames.

Elizabeth Beech, prescribing advisor for NHS Bath and North East Somerset CCG and Antimicrobial Resistance Lead for NHS England, interviews Dr Pete Smith senior partner at the practice, Rebecca Steven the Deputy Practice Manager and Kate Fairbairn the Practice nurse.

The webinar and live Q & A session will be led by Professor Cliodna McNulty, head of PHE Primary Care Unit and lead for the TARGET antibiotics project and the panellists will include Dr Conor Jamieson an antibiotic pharmacist since 2002 and lead Pharmacist for Antimicrobial Therapy at Sandwell and West Birmingham NHS Trust, and Dr Harry Ahmed a GP at Aberdare, South Wales and a NIHR Doctoral Research Fellow at Cardiff whose interests include improving the diagnosis and clinical management of infections in older people.

Reference materials

Documents

Webinar 7 Learning Outcomes
SYSTMONE- how to upload the Treating your patient protocol to your computer clinical system toolbar.
Read this Summary of the FeverPAIN scoring system
Read about an RCT which shows that the different methods of providing a back-up / delayed antibiotic prescription have similar collection rates, and outcomes to immediate and no antibiotics, but less strong beliefs in antibiotics. Little P, et al. BMJ 2014.
Read how an interactive booklet for parents helped to reduce antibiotic prescribing to 19.5% of consultations versus 41% in controls. Francis et al BMJ 2009.
Read how two-thirds of women with UTI given ibuprofen improved without antibiotics, however safety netting is important, as complications were higher than in those given fosfomycin. Gagyor et al BMJ 2015
Read this short summary of how STARWAVe can be used in your clinical setting to inform hospitalisation risk in children.
Read this diagnostic algorithm by Loeb et al to use in care homes in suspected UTI
Share this pictorial "How to manage your infection" step-by-step guide with patients.

Videos

Watch this short 3-minute video by Dr Pete Smith highlighting the value of antibiotic audits in primary care settings
Watch this video by Michael Moore showing how he uses FeverPAIN

External links

Visit the TARGETantibiotics website which has links to the TARGET GP staff group presentation
Visit the TARGET antibiotics website to download leaflets to share with patients covering UTI and RTI.
Look at the PHE UTI diagnostic quick reference guide for primary care
Visit the Fingertips to get information about your practice antibiotic prescribing, and areas resistance rates Fingertips,
Visit the link to use FeverPAIN scoring system for sore throat
After this webinar consider using these antibiotic audit templates to inform your prescribing practice.
After this webinar increase use of National antibiotic guidance to develop a consistent approach to management of infections in your clinical setting
After this webinar you may want to use the other RCGP TARGET infection related eLearning courses for additional CPD – there is one on RTIs, UTIs, STIs, skin infections and diarrhoea
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