Review prescribing

DRIVER: Appropriate prescribing of anti-dementia drugs

Actions

Resources

Examples

Audit prescribing of acetylcholinesterase inhibitors. Check for:

adherence to NICE guidance
diagnosis captured on GP dementia register (QOF DEM1)

Prescribing guidelines: Acetyl Cholinesterase inhibitors
These prescribing guidelines developed by Berkshire Healthcare NHS Foundation Trust support GPs on the use of Acetyl Cholinesterase inhibitors (ChEIs) for the treatment of Alzheimer’s dementia in accordance with NICE guidance. Read more »
Prescribing review: Acetyl Cholinesterase inhibitors
This audit was undertaken by North Staffordshire Combined Healthcare NHS Trust to establish compliance with NICE Technology Appraisal Guidance 111 on the use of donepezil, galantamine and rivastigmine for the treatment of mild to moderately severe Alzheimer’s disease. Read more »

DRIVER: Appropriate prescribing of antipsychotics

Actions	Resources	Examples
Audit prescribing of antipsychotics of adults. Check for: adherence to NICE guidance outliers, where action is needed diagnosis captured on GP dementia register (QOF DEM1)	Low expectations Reducing the inappropriate prescribing of antipsychotic medication for people with dementia The Right Prescription: a call to action on the use of antipsychotic drugs for people with dementia The Right Prescription: resource pack The use of antipsychotic medication for people with dementia: Time for action	Accelerating Dementia Diagnosis 2012 action plan This plan sets out actions to accelerate dementia diagnosis across Cornwall and the Isles of Scilly. Read more » Audit of antipsychotic therapy in dementia patients in Hampshire This audit of antipsychotic therapy in patients with dementia was undertaken by NHS Hampshire to ensure it is safe and complies with local guidance. Read more » Audit tool: GP prescribing of antipsychotics to people with dementia This tool developed by NHS London aims to obtain a baseline of current levels of GP prescribing of antipsychotics to people with dementia across London. Read more » Psychotropic medicine management for people in care homes with dementia This guidance aims to support the safe management of psychotropic medicines in Norfolk care homes particularly when given to residents to assist in managing their psychological agitation. Read more » Resources to support the reduction of inappropriate prescribing of antipsychotics The Dementia Commissioning Pack (Department of Health, 2011) included a set of accompanying resources to support the reduction of inappropriate prescribing of antipsychotics. Read more » The Right Prescription on-line community Join the Right Prescription on-line community and take action to reduce the inappropriate prescribing of antipsychotic drugs for people with dementia. Read more »
Review regularly general practice patients living in care homes who have been prescribed antipsychotics.	Low expectations	Psychotropic medicine management for people in care homes with dementia This guidance aims to support the safe management of psychotropic medicines in Norfolk care homes particularly when given to residents to assist in managing their psychological agitation. Read more »
Consider training needs of care home staff in the management of behavioural symptoms.	Low expectations
Engage with care home management and pharmacy leads to address this, where appropriate.	The Right Prescription: a call to action on the use of antipsychotic drugs for people with dementia The Right Prescription: resource pack

Dementia Partnerships

Living well with dementia

10. Review prescribing

Review prescribing

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