Prescribing Audit Report

Transcription

1 Medical - In Confidence National Report Prescribing Audit Report Prescribing Services NHS W ales Shared Services Partnership 3rd Floor, Companies House Crown W ay Cardiff CF14 3UB NW SSP Page 1 of 16

2 PRESCRIBING AUDIT REPORT EXPLANATORY NOTES This report summarises the costs incurred by your HB in the current month. At the end of each quarter a more detailed analysis is provided giving an indication of both cost and frequency of prescribing. W herever possible, comparisons are made with: A - The averages for the HBs in W ales. B - Information in the same period last year. Actual Annual Projected Annual Out-turn For practice reports the Actual excludes Community Nurse Prescribing. The amalgamated practices budget to spend on the cost of drugs and appliances in a year.. This is a prediction of a HBs total spending by the end of the year, and uses the formula: Final expenditure last year X Current month cumulative spend this year Current month cumulative spend last year If no data is available for last year the prediction is based on the prescribing in the formula: Cumulative spend this year X Possible number of months prescribed in total Number of months prescribed this year to date NB - All expenditure in the calculation of Out-turn is based on Actual cost (ie Net Ingredient Cost - Discount + Container Allowance). Monthly Summary Annual Profile of Last Year (Equivalent) Welsh Equivalent This is a breakdown of costs for the current period and the cumulative for the current financial year. This is the percentage of the budget that has been spent so far in the year. This is the percentage of the total expenditure that had been incurred at the same time last year. This is the W elsh average cost or frequency per prescribing unit multiplied by the number of prescribing units registered to your HB. Prescribing Unit (PU) No of PUs = (No of patients under 65) + (No of patients 65 and over X 3) + (No of temporary residents) Ratios All ratios compare HB data with equivalent figures for W ales. For current month ratios on the Prescribing Summary comparisons are made with the practice cost and items to the HB equivalent details. % Change from last year Indicates the % change in prescribing for the same period last year. Cost WeMeReC Charts The cost value throughout is expressed as the Net Ingredient Cost (NIC), unless otherwise stated. The charts in sections 10 to 13 are selected each quarter by the W elsh Medicines Resource Centre. They illustrate drug usage in the therapeutic topic covered by the current W emerec bulletin. Page 2 of 16

3 Overview PRESCRIBING STATEMENT OVERVIEW This Year (Projected) Last Year (Actual) Annual Budget for 2018/19: 493,441, ,476,970 Annual Out-turn: 514,224, ,158,180 Over/under spend: 4.2 % 9.1 % Monthly Summary Current Month Cumulative Basic Cost ( ) 45,833,060 (110,622) 375,322,052 (847,288) Less Discount (7.59 %) Cost ( ) -3,478,420 (-8,396) -28,551,875 (-64,451) Plus Container Allowance Cost ( ) 216,987 (43) 1,702,508 (376) Actual Cost ( ) 42,571,627 (102,269) 348,472,685 (783,213) *Current Discount 6,860,751 (3,325) 53,706,914 (28,431) NB. The figures shown in brackets relate to prescribing by Community Nurses, and are included in the main figures shown above Dispensed outside HB/Wales Cost ( ) 0 19,059, ,242 Page 3 of 16

4 Prescribing Days Period Cumulative Spend Prescribing Days Cumulative Days Budget Forecast Outturn Pct Difference Apr ,330, ,441, ,149, % May ,528, ,441, ,370, % Jun ,266, ,441, ,190, % Jul ,261, ,441, ,799, % Aug ,878, ,441, ,498, % Sep ,743, ,441, ,561, % Oct ,901, ,441, ,385, % Nov ,472, ,441, ,183, % Page 4 of 16

5 PRESCRIBING STATEMENT BREAKDOWN Cost By Therapeutic Group No. Chapter Cost ( ) Current Month % Cost Change from 2017/18 Cost Cumulative % Cost Change from 2017/18 01 Gastro-Intestinal System 2,377, ,642, Cardiovascular System 6,252, ,384, Respiratory System 6,335, ,694, Central Nervous System 7,746, ,101, Infections 928, ,492, Endocrine System 7,402, ,148, Obstetrics 1,834, ,626, Malignant Disease & Immunosuppression 909, ,596, Nutrition And Blood 2,869, ,815, Musculoskeletal & Joint Diseases 1,261, ,198, Eye 872, ,455, Ear, Nose And Oropharynx 438, ,720, Skin 1,391, ,215, Immunological Products & Vaccines 1,885, ,792, Anaesthesia 182, ,435, Other Drugs And Preparations 168, ,374, Dressings 460, ,718, Appliances 1,549, ,966, Incontinence Appliances 92, ,561, Stoma Appliances 874, ,379, s 45,833, ,322, Page 5 of 16

6 By Therapeutic Group No. Chapter Current Month % Change from 2017/18 Cumulative % Change from 2017/18 01 Gastro-Intestinal System 619, ,899, Cardiovascular System 1,973, ,634, Respiratory System 488, ,971, Central Nervous System 1,398, ,997, Infections 214, ,641, Endocrine System 667, ,252, Obstetrics 172, ,372, Malignant Disease & Immunosuppression 36, , Nutrition And Blood 330, ,646, Musculoskeletal & Joint Diseases 191, ,537, Eye 104, , Ear, Nose And Oropharynx 75, , Skin 179, ,455, Immunological Products & Vaccines 201, , Anaesthesia 8, , Other Drugs And Preparations 6, , Dressings 25, , Appliances 147, ,168, Incontinence Appliances 3, , Stoma Appliances 15, , s 6,860, ,706, Page 6 of 16

7 Annual Profile Of Basic ( ) Current Year 2017/2018 Actual ( ) % Of Annual Dispensed Basic ( ) Actual ( ) % Of Spend Dispensed Apr 44,496,445 41,330, ,377,362 Apr 44,184,413 41,015, ,217,420 May 92,104,892 85,528, ,214,579 May 92,466,732 85,774, ,926,241 Jun 139,216, ,266, ,891,099 Jun 143,348, ,873, ,741,022 Jul 185,478, ,261, ,560,001 Jul 193,069, ,902, ,323,204 Aug 233,547, ,878, ,390,726 Aug 241,897, ,146, ,027,789 Sep 278,635, ,743, ,700,140 Sep 290,891, ,539, ,672,838 Oct 329,488, ,901, ,846,163 Oct 342,179, ,995, ,603,653 Nov 375,322, ,472, ,706,914 Nov 392,206, ,336, ,472,201 Dec 440,411, ,048, ,223,427 Jan 488,250, ,419, ,006,229 Feb 531,435, ,535, ,174,639 Mar 578,427, ,158, ,903,730 Page 7 of 16

8 Actual Health Board Cumulative 2018/19 ( ) PRESCRIBING SUMMARY Current Month Ratio ( ) Annual ( ) Projected Outturn ( ) % Over/under spend Cumulative 2017/18 ( ) Aneurin Bevan 64,700,641 10,542, ,700,031 95,462, ,399,016 10,512,930 Cardiff And Vale Uni 48,754,309 6,781, ,622,520 71,837, ,039,691 6,743,024 Hywel Dda 46,102,084 6,892, ,928,000 68,213, ,235,812 6,928,807 Betsi Cadwaladr Uni Abertawe Bro Morgannwg Uni 73,368,666 11,684, ,743, ,206, ,053,699 11,710,491 63,162,951 9,643, ,899,698 93,265, ,440,944 9,538,489 Powys Teaching 15,580,098 2,315, ,388,952 23,019, ,227,016 2,318,431 Cwm Taf 36,803,936 5,847, ,158,885 54,219, ,940,565 5,720,029 Page 8 of 16

9 Monthly Cost Variations COST VARIATIONS Actual ( ) Health Board Current Month Month Last Year Variation ( ) % Variation Aneurin Bevan 8,053,410 8,589, , Cardiff And Vale Uni 5,962,235 6,583, , Hywel Dda 5,516,848 6,172, , Betsi Cadwaladr Uni 9,015,975 9,787, , Abertawe Bro Morgannwg Uni 7,640,386 8,310, , Powys Teaching 1,868,765 2,071, , Cwm Taf 4,514,008 4,824, , Page 9 of 16

10 Welsh Cross Boundary Entity CROSS BOUNDARY REPORT Inflow Outflow Net Value 2GETHER NHS FOUNDATION TRUST ADDACTION AIREDALE, WHARFEDALE AND CRAVEN CCG 255 6, , ASHFORD CCG BARKING & DAGENHAM CCG 96 1, , BARNET CCG 83 2, , BARNSLEY CCG BASILDON AND BRENTWOOD CCG 108 2, , BASSETLAW CCG BATH AND NORTH EAST SOMERSET CCG BEDFORDSHIRE CCG BERKSHIRE WEST CCG 23 1, , BEXLEY CCG BIRMINGHAM AND SOLIHULL CCG BIRMINGHAM COMMUNITY HEALTHCARE TRUST BLACKBURN WITH DARWEN CCG BLACKPOOL CCG BOLTON CCG BRADFORD CITY CCG 93 2, , BRADFORD DISTRICTS CCG 251 7, , BRENT CCG BRIGHTON & HOVE CCG 55 1, , BRISTOL, N SOM, SOM & S GLOS AREA TEAM BRISTOL, NORTH SOMERSET & S GLOS CCG 158 1, , BROMLEY CCG 153 3, , BUCKINGHAMSHIRE CCG BURY CCG CALDERDALE CCG CAMBRIDGESHIRE AND PETERBOROUGH CCG CAMDEN CCG 64 1, , CANNOCK CHASE CCG CANTERBURY AND COASTAL CCG s 25, , , , Page 10 of 16

11 Entity Inflow Outflow Net Value CARE UK CLINICAL SERVICES LTD CASTLE POINT AND ROCHFORD CCG CENTRAL LONDON (WESTMINSTER) CCG CHESHIRE & WIRRAL P/S NHS FOUNDATION TR CHORLEY AND SOUTH RIBBLE CCG CITY AND HACKNEY CCG 223 5, , COASTAL WEST SUSSEX CCG 364 6, , CORBY CCG COVENTRY AND RUGBY CCG CRIME REDUCTION INITIATIVES LTD CROYDON CCG CUMBRIA CCG DARLINGTON CCG 61 2, , DARTFORD, GRAVESHAM AND SWANLEY CCG DONCASTER CCG DORSET CCG 374 6, , DUDLEY CCG DUMMY PCT Q DUMMY PCT Q , , DURHAM DALES,EASINGTON & SEDGEFIELD CCG 131 3, , EALING CCG 103 1, , EAST AND NORTH HERTFORDSHIRE CCG EAST BERKSHIRE CCG EAST LANCASHIRE CCG EAST LEICESTERSHIRE AND RUTLAND CCG EAST RIDING OF YORKSHIRE CCG 150 4, , EAST STAFFORDSHIRE CCG EAST SURREY CCG EASTBOURNE, HAILSHAM AND SEAFORD CCG 77 1, , EASTERN CHESHIRE CCG 88 1, , ENFIELD CCG 35 1, , EREWASH CCG FAREHAM AND GOSPORT CCG FYLDE & WYRE CCG s 25, , , , Page 11 of 16

12 Entity GLOUCESTERSHIRE CARE SERVICES NHS TRUST Inflow Outflow Net Value GLOUCESTERSHIRE CCG 185 2, , GREAT YARMOUTH & WAVENEY CCG GREATER HUDDERSFIELD CCG 193 5, , GREATER PRESTON CCG GREENWICH CCG 133 3, , GUERNSEY GUILDFORD AND WAVERLEY CCG 150 2, , HALTON CCG 75 5, , HAMBLETON, RICHMONDSHIRE AND WHITBY CCG 86 2, , HAMMERSMITH AND FULHAM CCG HARDWICK CCG HARINGEY CCG HARROGATE AND RURAL DISTRICT CCG 178 4, , HARROW CCG 132 2, , HARTLEPOOL AND STOCKTON-ON-TEES CCG 134 4, , HASTINGS & ROTHER CCG 426 8, , HAVERING CCG HEREFORDSHIRE CCG 762 7, , HERTS VALLEYS CCG HEYWOOD, MIDDLETON & ROCHDALE CCG HIGH WEALD LEWES HAVENS CCG HILLINGDON CCG HORSHAM AND MID SUSSEX CCG 117 2, , HOUNSLOW CCG 81 1, , HULL CCG 63 1, , IPSWICH AND EAST SUFFOLK CCG ISLE OF MAN ISLE OF WIGHT CCG ISLINGTON CCG KERNOW CCG KINGSTON CCG KIRKLEES COUNCIL KNOWSLEY CCG 51 1, , LAMBETH CCG s 25, , , , Page 12 of 16

13 Entity Inflow Outflow Net Value LANCASHIRE NORTH CCG LCWUCC LEEDS CCG , , LEICESTER CITY CCG LEWISHAM CCG 51 1, , LINCOLNSHIRE EAST CCG LINCOLNSHIRE WEST CCG LIVERPOOL CCG LUTON CCG MANCHESTER CCG 141 1, , MEDWAY CCG 79 2, , MEDWAY COMMUNITY HEALTHCARE CIC MERTON CCG MID ESSEX CCG MILTON KEYNES CCG 130 3, , NENE CCG NEWARK & SHERWOOD CCG NEWCASTLE GATESHEAD CCG , , NEWHAM CCG NORTH DERBYSHIRE CCG 334 6, , NORTH DURHAM CCG NORTH EAST ESSEX CCG 259 4, , NORTH EAST HAMPSHIRE AND FARNHAM CCG 269 5, , NORTH EAST LINCOLNSHIRE CCG 85 1, , NORTH HAMPSHIRE CCG 144 3, , NORTH KIRKLEES CCG 152 5, , NORTH LINCOLNSHIRE CCG NORTH NORFOLK CCG NORTH STAFFORDSHIRE CCG NORTH TYNESIDE CCG 216 5, , NORTH WEST SURREY CCG 190 5, , NORTH, EAST, WEST DEVON CCG NORTHUMBERLAND CCG , , NOTTINGHAM CITY CCG OLDHAM CCG OXFORD HEALTH NHS FOUNDATION TRUST s 25, , , , Page 13 of 16

14 Entity Inflow Outflow Net Value OXFORDSHIRE CCG PORTSMOUTH CCG REDBRIDGE CCG REDDITCH AND BROMSGROVE CCG RICHMOND CCG 63 1, , RUSHCLIFFE CCG SALFORD CCG SANDWELL AND WEST BIRMINGHAM CCG SCARBOROUGH AND RYEDALE CCG SE STAFFS & SEISDON PENINSULAR CCG SHEFFIELD CCG 220 3, , SHROPSHIRE CCG 2,678 19, ,678-19, SHROPSHIRE COMMUNITY HEALTH NHS TRUST SIRONA CARE AND HEALTH CIC SOMERSET CCG SOUTH CHESHIRE CCG SOUTH DEVON AND TORBAY CCG SOUTH EASTERN HAMPSHIRE CCG SOUTH KENT COAST CCG SOUTH NORFOLK CCG SOUTH SEFTON CCG SOUTH TEES CCG 80 2, , SOUTH TYNESIDE CCG SOUTH WARWICKSHIRE CCG SOUTH WEST LINCOLNSHIRE CCG SOUTH WORCESTERSHIRE CCG SOUTHAMPTON CCG 73 1, , SOUTHEND CCG SOUTHERN DERBYSHIRE CCG SOUTHPORT AND FORMBY CCG SOUTHWARK CCG 90 1, , SPECTRUM COMMUNITY HEALTH ST HELENS CCG 75 2, , STAFFORD AND SURROUNDS CCG STOCKPORT CCG 95 1, , STOKE ON TRENT CCG s 25, , , , Page 14 of 16

15 Entity Inflow Outflow Net Value SUNDERLAND CCG SURREY DOWNS CCG SURREY HEATH CCG 108 2, , SUTTON CCG SWALE CCG SWINDON CCG TAMESIDE AND GLOSSOP CCG TELFORD & WREKIN CCG THANET CCG THE SOCIETY OF ST JAMES THURROCK CCG 75 1, , TOGETHER DRUG AND ALCOHOL SERVICE TOWER HAMLETS CCG TRAFFORD CCG TURNING POINT VALE OF YORK CCG 82 2, , VALE ROYAL CCG WAKEFIELD CCG 101 2, , WALSALL CCG WALTHAM FOREST CCG 49 1, , WANDSWORTH CCG WARRINGTON CCG 107 9, , WARWICKSHIRE NORTH CCG WEST CHESHIRE CCG 8,370 69, ,370-69, WEST ESSEX CCG 189 4, , WEST HAMPSHIRE CCG 489 8, , WEST KENT CCG 375 8, , WEST LANCASHIRE CCG WEST LEICESTERSHIRE CCG WEST LONDON (K&C & QPP) CCG 115 2, , WEST SUFFOLK CCG 33 1, , WIGAN BOROUGH CCG WILTSHIRE CCG WIRRAL CCG 115 1, , WIRRAL COMMUNITY NHS TRUST WOLVERHAMPTON CCG s 25, , , , Page 15 of 16

16 Entity Inflow Outflow Net Value WWL NHS FOUNDATION TRUST WYRE FOREST CCG s 25, , , , Page 16 of 16