requesting information regarding Rebate and QIPP prescribing schemes in NHS Canterbury and Coastal Clinical Commissioning Group
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- Alan Powell
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1 July 2015 Our Ref: FOI.15.CAN0059 requesting information regarding Rebate and QIPP prescribing schemes in NHS Canterbury and Coastal Clinical Commissioning Group Could you please provide me with the details of any prescribing rebate schemes and QIPP prescribing schemes active within your CCG during the financial year 2014/15? Please answer the questions below: 1. Primary Care Prescribing Rebate Schemes Name of Scheme Drug(s) covered Nutricia enteral and sip feeds Pradaxa Rivaroxaban (Xarelto) GlucoRx diabetes monitoring products Insuman, Apidra, Lantus Degarelix Prostap DCS Companies involved in the scheme Nutricia Boehringer-Ingelheim Bayer GlucoRx Sanofi Ferring Takeda 2. What was the total income for the CCG from rebates during 2014/15? I can confirm the total income for NHS Canterbury and Coastal Clinical Commissioning Group from rebates during the financial period is 257, QIPP Prescribing Schemes ECLIPSE LIVE alerts Name of Scheme Drug(s) covered Not relevant for quality measures
2 Uncomplicated UTI audit 8 consultations per prescriber standard 70% # Sore throat audit 8 consultations per prescriber standard 70% # Quinolone audit 6 consultations per prescriber standard 70% # PRIMIS audit tool Preferred tools cover COPD Drug(s) Covered by Project BNF Cost effective use of Proton Pump Inhibitors (May BNF Cost-effective use of Omeprazole (May BNF Cost effective mesalazine (March BNF Macrogol 3350-Cost effective options-cosmocol (first choice) or Laxido (March BNF Angiotensin-II receptor antagonist optimisation BNF Doxazosin Optimisation BNF Perindopril arginine (Coversyl Arginine and Coversyl Arginine DROP list (DRugs of LOw Priority) BNF Glyceryl Trinitrate sprays (June BNF Isosorbide Mononitrate MR 60mg optimisation BNF Amlodipine cost effective prescribing BNF Clopidogrel / Dipyridamole Optimisation BNF Clopidogrel optimisation (May BNF Ezetimibe Optimisation BNF Omega-3 fatty acid compounds BNF Rosuvastatin BNF Statin Optimisation BNF Salbutamol inhalers- cost effective preparations BNF LAMA Optimisation BNF Cost effective budesonide/formoterol inhalers (High strength) (June BNF Cost effective budesonide/formoterol inhalers (June
3 BNF ICS/LABA Project 1 Options for pmdi preparations used at Step 3 of the BTS guidance (Updated June BNF ICS/LABA Project 2 Options for DRY POWDER preparations used at Step 3 of the BTS guidance (Updated June BNF ICS/LABA Project 3 Budesonide/formoterol- cost effective options for this preparation and safety considerations (Updated June BNF ICS/LABA Project 4 Cost effective options for preparations containing fluticasone (Updated June BNF Seretide 250/25 Evohaler monitoring BNF Montelukast cost effective prescribing (May BNF Antihistamines DROP topic (DRugs of LOw Priority) BNF Decongestants, aromatic inhalations, cough mixtures. DROP list (DRugs of LOw Priority) BNF Antipsychotics optimisation-olanzapine BNF Antipsychotics optimisation-risperidone BNF Amisulpride optimisation BNF Aripiprazole dose optimisation BNF Quetiapine immediate release vs Modified release (June BNF use of branded generics for Quetiapine 150mg XL preparations. (June BNF use of branded generics for Quetiapine 200mg XL preparations (June BNF use of branded generics for Quetiapine 300mg XL preparations (June BNF use of branded generics for Quetiapine 400mg XL preparations (June BNF use of branded generics for Quetiapine 50mg XL preparations (June BNF use of generic quetiapine 100mg BNF use of generic quetiapine 150mg BNF use of generic quetiapine 200mg BNF use of generic quetiapine 25mg BNF use of generic quetiapine 300mg BNF Escitalopram cost effective prescribing (May BNF Sertraline cost effective prescribing (May BNF Venlafaxine optimisation
4 BNF Modafinil cost effective prescribing BNF Orlistat BNF Co-codamol 30/500mg cost effective preparations BNF Co-codamol 30/500mg cost effective preparations-soluble preparations BNF Analgesia for minor/common ailments. DROP list (DRugs of LOw Priority) [Some overlap with Paracetamol project] BNF Co-proxamol DROP list (DRugs of LOw Priority) BNF Fentanyl lozenges DROP list (DRugs of LOw Priority) BNF Fentanyl optimisation 12 micrograms BNF Fentanyl optimisation 25 micrograms BNF Fentanyl optimisation 50 micrograms BNF Fentanyl optimisation 75 micrograms BNF Oxycodone immediate release preparation-optimisation BNF Oxycodone Modified Release Preparations-Optimisation 10mg BNF Oxycodone Modified Release Preparations-Optimisation 20mg BNF Oxycodone Modified Release Preparations-Optimisation 40mg BNF Oxycodone Modified Release Preparations-Optimisation 5mg BNF Oxycodone Modified Release Preparations-Optimisation 80mg BNF Oxycodone/ Naloxone (Targinact ) DROP list (DRugs of LOw Priority) BNF Tramacet DROP list (DRugs of LOw Priority) BNF Tramadol Immediate release optimisation 50mg BNF Tramadol Modified release optimisation 100mg BNF Tramadol Modified release optimisation 150mg BNF Tramadol Modified release optimisation 200mg BNF Tramadol Modified release optimisation 50mg BNF Triptans-Cost-effective use BNF Pregabalin 25mg BNF Pramipexole cost effective prescribing (May BNF Buprenorphine sublingual cost effective prescribing (May BNF Galantamine optimisation BNF Minocycline. DROP list (DRugs of LOw Priority) BNF Intermediate and long acting Insulins- Use NPH insulin first line BNF Pen needles (Revised measure Oct 2014)
5 BNF Gliclazide MR 30mg. DROP list (DRugs of LOw Priority) BNF Blood Glucose Test strips BNF Lancets BNF Prednisolone 5mg Optimisation BNF Desmopressin cost effective prescribing of nasal spray (May BNF Desmopressin cost effective prescribing of tablets (May BNF Bisphosphonate optimisation (May BNF COC (Project 1) Gedarel 20/150 in place of Mercilon BNF COC (Project 2) Millinette 20/75 in place of Femodette or Sunya 20/75 BNF COC (Project 3) Gedarel 30/150 in place of Marvelon BNF COC (Project 4) Lucette in place of Yasmin BNF COC (Project 5) Millinette 30/75 in place of Femodene or Katya 30/75 BNF COC (Project 6) Rigevidon in place of Microgynon 30, Ovranette or Levest BNF COC (Project 7) TriRegol in place of Logynon BNF POP Cerelle in place of Ceravette BNF Tolterodine MR to Neditol XL BNF Drugs for erectile dysfunction- generic sildenafil vs high cost alternatives (Amended Dec 2014) BNF Sildenafil cost effective prescribing (May BNF Anastrazole Optimisation (May BNF Gonadorelin analogues (May (Preparations for one month duration of treatment) BNF Gonadorelin analogues (May (Preparations for three months/12 weeks duration of treatment) BNF Appendix Nutritional supplements-ensure Cans BNF Appendix Nutritional supplements-aymes Shake is more cost effective than Complan Shake (March BNF A Colief DROP list (DRugs of LOw Priority) BNF A VSL#3 DROP list (DRugs of LOw Priority) BNF Vitamins and minerals-unlicensed BNF Calcium and Vitamin D -DROP list (DRugs of LOw Priority) BNF Ibuprofen and naproxen as % of all NSAIDs BNF Glucosamine
6 BNF Ibruprofen gel 10% switch to branded generic BNF Ibuprofen gel 5% to branded generic BNF Movelat to Algesal BNF Dorzolamide (and combination products) optimisation BNF Latanoprost (and combination products) optimisation BNF Mometasone nasal spray cost effective prescribing (May BNF Nystatin suspension optimisation BNF Cost effective emollients - ZeroAQS (Aqueous Cream Alternative) BNF Cost effective emollients - Zerobase (Diprobase Cream Alternative) BNF Cost effective emollients - Zerocream (E45 Cream Alternative) BNF Cost effective emollients - Zeroderm (Epaderm alternative) BNF Cost effective emollients - Zerodouble Gel (Doublebase Gel Alternative) BNF Cost effective emollients - Zeroguent Cream (Unguentum M Cream Alternative) BNF Emollient bath and shower - cost effective preparations BNF Fflornithine (Vaniqa) DROP list-drug of Low Priority BNF Topical Antifungals DROP list (DRugs of LOw Priority) BNF Cost effective Lymecycline Preparation BNF Vaccinations for Hepatitis B and Meningitis ACWY (June BNF Travel vaccines (June
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