Antimicrobial

Resistance Clinical

Audit

22nd May 2017, Copthorne Hotel

Dr Devika Vadher : Clinical Fellow, Dental Public Health, HEE

Dr Javeriah Mahmood: Dental Core Trainee, Dental Public Health, HEE

Dr Anna Ireland: Consultant Dental Public Health, PHE

Introduction and Background

Want to make it easy for Thames Valley dentists to

contribute to reducing AMR

Funding obtained from HEE

Have used the funding in 3 ways:

Putting on free CPD event

Financially incentivising dentists to complete a

prescribing audit

Distribution of free resources to those completing the

audit

Resources

2 x A3 posters

20 x patient leaflets (antibiotics don’t cure toothache)

Antibiotic guardian leaflets

Laminated guidelines on pain relief

Access to web audit tool (based on simple FGDP excel

spreadsheet)

Resource Pack

Aim of the audit project:

To enable dentists to improve their

prescribing practise for acute dental

conditions by undertaking an audit cycle

The audit is not about performance monitoring. All data

submitted will be handled in accordance with data

governance rules and will not be available at an individual

performer level (except to the performer themselves)

Objectives

1. To undertake an audit for 10 patients (can be NHS or private) who have been prescribed antimicrobial drugs for acute dental conditions

2. To receive feedback from this audit on compliance with national guidelines

3. To implement changes in practice as a result of learning from the audit

4. To undertake a second audit on 10 patients

5. To receive feedback on improvement (or not) in prescribing practice as a result of the changes implemented

6. To receive feedback on practice in comparison with peers

Registration

Register your details on https://www.dental-referrals.org/dentists/amr-audit-cycle/

Will need to remember your username and password each time you login

Feedback and correspondence via email address provided by registrant

Website Homepage

Registration Form

Login

Guidance and instructions

Paper form of the audit

Once logged in

Scroll down to audit form

Inputting data

Drop

down

boxes

Tick box

options

Inputting data

As you input data further

options will appear…

Once form is complete, press

submit

Click here when

form is complete

Submissions

For the first audit each dentist should submit data (via the

online tool) for the first 10 consecutive patient for whom

antibiotics are prescribed for acute dental conditions.

Retrospective patient data can be submitted (patients

seen before commencement of the audit cycle) so long

as all relevant data required for the submission is known.

Other relevant information

Outcomes

Data from peers

Timeline Task Dates

Deadline for registration • 200 dentists have submitted data for at least 3

patients

Submission for 1st cycle • Deadline: 30th June 5pm

Feedback given • 48 hours after submission of data for 1st cycle

Submission for 2nd cycle • Can commence as soon as submission of 1st

cycle complete

• Deadline for submission for 2nd cycle: 31st July

5pm

Feedback given • 48 hours after submission of data for 2nd cycle

Comparison with peers

• After all 200 dentists have completed 2 audit

cycles

Evaluation report available • End of August

Submission of invoice for

payment

• 8th September

Completion of the audit:

Performer

You will be emailed:

an invoice to claim the £75 payment; to be emailed to HEE

CPD certificate on completion of second cycle of the audit ( 2 hours

verifiable)

Important! Accurate personal information during registration and

on invoice is essential

If you are a performer on more than one contract, we suggest

provide contract holder name and address of where you

completed most submissions (we can only accept information for

one contract holder so please be consistent and give

information for the same practice address and contract holder

on all occasions)

Performer Invoice

Completion of audit: Contract

holder

You will be emailed:

an invoice to claim the £50 payment

Important: must include name and address of performer who completed the audit

Invoice to be emailed to HEE

If you are a contract holder AND a performer who has participated in the audit – you can receive both payments for participating:

Complete both performer and contract holder invoices

Fill in your details in both sections of the form

Contract Holder Invoice

Thank you for listening

Register for the audit: https://www.dental-

referrals.org/dentists/amr-audit-cycle/

For help or queries please email:

dentalaudit.lase@hee.nhs.uk

More information and resources visit:

http://www.oxforddeanery.nhs.uk/dental_school_home.aspx