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Opioids Prescribing: Outcome Measures

 

Indicator O1

Continuous prescribing of opiates for more than 12 months (i-chart)

This indicator is not available at PCN level. Please visit CCG, STP or AHSN pages to view data relating to this indicator.

 

More information about this indicator

Data Source: NHSBSA Information Services Data Warehouse

Time Period: April 2018 to February 2020 The data looks at the previous 13 months of prescribing, as far back as April 2017 to calculate the results, but is not reported on separately

Organisation Data: Data is restricted to prescriptions prescribed and dispensed in England

Drug Data: "The data shows patients who were prescribed substances from the Opioid Analgesics paragraph of the British National Formulary (BNF) (040702) Please note that since the implementation of the One Drug Database, the number of drugs encompassed by this definition has changed and therefore the historic numbers from DR1064 have also changed slightly. For more information on the One Drug Database implementation, see https://www.nhsbsa.nhs.uk/one-drug-database-odd-has-been-implemented"

Patient Counts: "The column 'Number of Unique Patients' shows a count of unique identified patients, for each month and CCG. To be counted, a patient must have been prescribed an Opioid Analgesic (as described above) in the listed month and also in each of the 12 previous months, giving them 13 months consecutive prescribing. This prescribing must have occurred in the same CCG to be counted.

For example, each of the patients recorded against Airedale, Wharfedale and Craven CCG for April 18 will have received an opioid analgesic prescription from a prescriber in Airedale, Wharfedale and Craven CCG in each of April 17, May 17, June 17, July 17, August 17, September 17, October 17, November 17, December 17, January 18, February 18, March 18 and April 18 (13 months)."

Note that a patient may appear in more than one CCG for the same month, in the instance that they meet the above criteria for more than one CCG

Exclusions: The data excludes:

  • Items not dispensed, disallowed and those returned to the contractor for further clarification.
  • Prescriptions prescribed and dispensed in Prisons, Hospitals and Private prescriptions.
  • Items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser

Data for this indicator has been sourced directly from NHSBSA Information Services: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

Indicator O2

High dose opioids as percentage regular opioids by all CCGs (p-chart)

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More information about this indicator

Description: Opioids with likely daily dose of ≥120mg morphine equivalence compared with prescribing of all doses of these opioids

Why it matters: There is little evidence that opioids are helpful in long term pain, and the risk of harm increases significantly above 120mg morphine (or equivalent) per day, without much increase in benefit.

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Data for this indicator has been sourced from openprescribing.net

 

Indicator O3

High dose opioids per 1000 patients by all CCGs (u-chart)

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More information about this indicator

Description: Opioids with likely daily dose of ≥120mg morphine equivalence per 1000 patients

Assumption: If a patient is on regular doses of 120mg morphine a day or above that they are likely to have also had additional opioids for breakthrough pain.

This is why the threshold has been set at ≥120mg morphine equivalence per day. The calculations are based on likely doses of long acting, regular opioids, for example morphine sulphate tablets or fentanyl patches.

Please follow this link for a detailed technical specification

Data for this indicator has been sourced from openprescribing.net

 

Indicator O4

Opioids - total oral morphine equivalence by CCG (u-chart)

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More information about this indicator

Description: Total opioid prescribing (as oral morphine equivalence) per 1000 patients

Why it matters: This measure describes the total Oral Morphine Equivalence (OME) in ALL opioid prescribing (excluding prescribing for addiction) including low-dose opioids in drugs such as co-codamol and co-dydramol.

Please follow this link for a detailed technical specification

Data for this indicator has been sourced from openprescribing.net

NB: Low volume figures have not been redacted and therefore individual patients may be identifiable. Please take care when disseminating data and contact your Caldicott Guardian for further guidance.

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