Choice of Topic

Scottish Medical Appraisal Toolkit Domain 2 QIA Prescribing

The below provides suggestions for the type of stimuli that might prompt you to review an area of prescribing.

Prescribing Data

Self-collected Data

I do not have access to personalised prescribing data, so have surveyed the use of analgesics / antibiotics within my organisation.
As a sessional GP I do not have access to personalised prescribing data, so have kept a list of the last 50 prescriptions for antibiotics / analgesics that I have issued. This indicates that I need to review this area.

Prescribing Information System for Scotland (PRISMS)

My prescribing adviser has produced a report that suggests myself/ my team is deviating from average prescribing in this field.
My PRISMS suggests that my prescribing differs from the average GP in cost / cost per patient / number of prescriptions in prescribing in one or more BNF sections.

Audit

I have audited the management of condition X in my team/practice/organisation, and found that prescribing in this area could be improved.

Significant Event Analysis

An event occurred which highlighted the fact that prescribing in condition Y could be improved.

Stimulus Event

A new guideline has been published which suggests that prescribing in area XYZ needs to be reviewed.
An MHRA report arrived which suggests that prescribing in area ABC needs to be reviewed.
Unusual Request - I received a letter asking me to prescribe a drug which is not recommended in our formulary / is unlicensed in this indication.

It is entirely appropriate in some circumstances to use organisational data rather than personal data as evidence for the value of a prescribing review, for instance practice data, regional data, out-of-hours service information. However, some individual impact needs to be demonstrated, although the impact need not be solely personal. For instance, a survey of out-of-hours antibiotic prescribing might suggest a need that the organisation develops a policy in this area, the development of which you lead, or contribute to.

This page was last updated on: 07/03/2022