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NHS changes have disrupted scrutiny of antibiotic prescribing in general practice, MPs hear

BMJ 2014; 348 doi: http://dx.doi.org/10.1136/bmj.g144 (Published 13 January 2014) Cite this as: BMJ 2014;348:g144
  1. Adrian O’Dowd
  1. 1London

Changes to NHS structures and bodies have led to a gap in monitoring and persuading GPs to prescribe fewer antibiotics, MPs have been told.

Efforts to curb the growth of resistance to antibiotics—such as the government’s antimicrobial resistance strategy1 published in September 2013—have been destabilised by the NHS reorganisation, witnesses told MPs on the House of Commons Science and Technology Committee.

The committee, holding an evidence session on 8 January as part of its inquiry into antimicrobial resistance, asked how effective “clinician focused initiatives” such as the Department of Health’s Antimicrobial Stewardship: Start Smart—Then Focus guidance2 for hospitals were in dealing with this issue.

Michael Moore, national clinical champion for antimicrobial stewardship for …

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