Cost effective prescribing

Practice Managers Association
Delivery Method: Face-to-face


After undertaking the training, learners will:

  • Have an increased awareness of what cost-effective prescribing means
  • Be able to identify and prevent potential medicines waste
  • Be able to identify medicines which provide low value or should have restricted prescribing
  • Have knowledge of how to access and interpret their prescribing data
  • Be able to suggest drug categories and the associated clinical guidance that should be audited in general practice to promote quality and cost-effective prescribing
  • Have developed an action plan that can be implemented in their workplace
  • Be able to identify barriers to change in prescribing habits and have considered how to overcome these

Successful and safe cost-effective prescribing is reliant on the following principles:

  • Robust protocols for prescribing agreed by both clinical and non-clinical staff, which clearly outline the responsibilities of each and when escalation to a clinical member of the team is required
  • A commitment from the whole team to cost effective prescribing
  • Continuing audit of prescribing activity, with feedback and education


09.15Registration & Coffee
09.30Welcome & Introduction
09.50Exercise – what do attendees wish to learn from the day?
10.00Cost effective prescribing
  • What is cost effective prescribing?
  • Strategies to achieve cost effective prescribing
10.10Why does paracetamol cost significantly more on prescription?
  • Lifecycle of a prescription
10.25Generic vs branded
  • Key examples
  • Active isomers of established drugs (“Pro Drugs”)
10.45Should some medicines not be prescribed?
  • Blacklisted medicines
  • ACBS
  • RAG list
  • Food supplements
  • Low value medicines
11.30Medicines waste
  • How big is the problem of medicines waste?
  • The process of ordering repeat prescriptions
  • ‘When required’ items
  • Automatics
  • ‘Underground economy’
12.00Prescription Cost Analysis
  • Top 20 drugs by volume
  • Top 20 drugs by net ingredient cost
  • Trends
  • Local data
  • Overview
  • How to access ePACT2
  • Volume measures
  • Cost measures
  • Patient denominators
13.45Cost effective prescribing by BNF categories
  • Benzodiazepines
  • Inhaled corticosteroids
  • Antibacterials
  • Ulcer healing drugs
  • NSAIDs including COX2 inhibitors
  • ACEi and ARBs
  • Statins
  • Oral anticoagulants
  • Bisphosphonates
15.00Barriers and challenges
  • How to change clinical practice
  • Barriers to change
  • Overcoming the barriers to change
  • Audits to support cost effective prescribing
15.45Action Plans
16.30 Close
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