Rammya Mathew's activity
In group: Primary Care
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Rammya Mathew posted an update in the group Primary Care 2 years, 8 months ago
Just to let everyone know that I’m now starting to plan learning events for the Autumn and Winter. If you have any particular topic requests, or indeed if you would like to share your own work, then please do get in touch. You can message me via Q or email me: rammya.mathew@nhs.net.
Hi Rammya
I’d love to revisit the issue of understanding demand for GP care and if we can use ‘nudge theory’ to help people to make choices about accessing services. Also, we have some work to share on using QI to reduce the prescribing or broad spectrum antibiotics that we can share and invite others to share wat they might be doing with regare to anti-microbial resistance.
Thanks @joannabircher – both sound great. I’m curious about nudge theory too, and how it might be applied in the context of supporting patients to self care or choose the most appropriate service for themselves.
A showcase of work on antimicrobial resistance sounds like a good bet too. @elizabethbeech – would you be able to identify people/ practices/ PCN’s who have worked on this area, who are also keen to share their work.
Great idea @joannabircher and @rammya-mathew and I can easily locate improvement examples, especially as we have a national PHE AntibioticGuardian award and every November a World Antibiotic Awareness Week. This is 18-24th November 2021 and it would extra good to align any AMR related activity to that week. Very happy to support this too.
An example of nudging in Somerset is the translation of the usual and successful approach to data – sharing GP practice performance as a benchmark is very routine for medicines management teams. Somerset used this to share read coded use of urine dipsticks in older people (to place in context do not use to diagnose a UTI in older people) and this changed dip stick use in Somerset practices (or coding for dip stick use so some nice questions about unintended consequences here, including lack of measures for patient outcome). There is also a Kent QI project that used temporary use of in practice CRP point of care testing for LRTI to nudge changes in antibiotic prescribing.
And lastly existing research (quite old now) compared a No Antibiotic/Delayed Antibiotic/ Immediate Antibiotic strategy for adults with sore throat impacted symptom resolution and reconsultation rates.
So @rammya-mathew can you schedule an AMR themed event for WAAW 18-24th November time? Sounds like @joannabircher and myself are supportive ?
Great @elizabethbeech – I’ll direct message you to try and set this up.
@rammya-mathew best contact is via elizabeth.beech@nhs.net