Antibiotic Prescribing Quality Premium 2016/17

2016/17 Quality Premium: Antimicrobial resistance measure – improving antibiotic prescribing in primary care

The 2016/17 antimicrobial resistance Quality Premium indicator builds on the 2015/16 Quality Premium which nationally, between April and December 2015, contributed towards 2 million fewer antibiotic prescriptions dispensed, compared to the same period the previous year, a 7.9% reduction.  Within this total there were 480,450 fewer broad spectrum antibiotics dispensed.  In North East and Cumbria CCGs (excluding Sunderland) there were 107,079 fewer antibiotic items dispensed between April and December 2015, a reduction of 7% compared to April to December 2014.

Antimicrobial prescribing is worth 10% of the total Quality Premium for 2016/17[1].  The Quality Premium measure consists of two parts (each worth 50% of the payment available for this indicator).

Part a) reduction in the number of antibiotics prescribed in primary care

CCGs will be required to either:

  • Reduce by 4% (or greater) from each CCG’s 2013/14 performance
  • Be equal to (or below) the England 2013/14 mean performance of 1.161 items per STAR-PU

Part b) reduction in the proportion of broad spectrum antibiotics prescribed in primary care

CCGs will be required to either:

  • Be equal to or lower than 10%
  • Reduce by 20% from each CCG’s 2014/15 value

Antibiotic quality premium monitoring dashboard

The NHS England Antibiotic Quality Premium Monitoring Dashboard is produced by the NHS Business Services Authority to support NHS England in monitoring CCG performance in the delivery of the Antibiotic Quality Premium. This dashboard is published monthly and reports on performance with the primary care antibiotic prescribing indicators.


[1] NHS England Quality Premium Guidance for 2016/17 (March 2016)