About the AMR local indicators

Data have been uploaded across six domains:

  • Supporting NHS England Initiatives
  • Antimicrobial Resistance (AMR)
  • Antibiotic Prescribing
  • Healthcare-Associated Infections (HCAI)
  • Infection Prevention and Control (IPC)
  • Antimicrobial stewardship (AMS)

Antibiotic prescribing and antibiotic resistance are inextricably linked, as overuse and incorrect use of antibiotics are major drivers of resistance. AMR local indicators are publically available data intended to raise awareness of antibiotic prescribing, AMR, HCAI, IPC and AMS; and to facilitate the development of local action plans. The data published in this tool may be used by healthcare staff, commissioners, directors of public health, academics and the public to compare the situation in their local area to the national picture.

For further information about this profile, please click here to download the user guide.

 

New indicators

August 2018 - No new indicators this month

July 2018 - No new indicators this month

June 2018 - The following indicators have been added to the healthcare-associated infection domain:

  • Counts and 12-month rolling rates of hospital-onset MRSA cases, monthly by CCG and Acute Trust
  • Counts and 12-month rolling rates of community-onset MRSA cases, monthly by CCG and Acute trust
  • Counts and 12-month rolling rates of hospital-onset MSSA cases, monthly by CCG and Acute Trust
  • Counts and 12-month rolling rates of community-onset MSSA cases, monthly by CCG and Acute trust

 

Updated indicators

August 2018 - All monthly counts and rolling rates within the HCAI domain have been updated

July 2018 - The following have been updated:

  • All monthly counts and rolling rates within the HCAI domain
  • Annual and quarterly indicators within the antibiotic resistance, antibiotic prescribing and trust level antimicrobial stewardship domains
  • Percentage of frontline health care workers vaccinated with the seasonal influenza vaccine by NHS Acute Trust within the Infection Prevention and Control Domain

June 2018 - All monthly counts and rolling rates within the HCAI domain have been updated

If you have any queries about the data shown the AMR local indicators profile please email: AMR@phe.gov.uk

 

Interventions to reduce AMR

There are a number of actions that can be taken to reduce the burden of AMR. These include improved antibiotic prescribing as well as enhanced infection prevention and control, both for healthcare-associated and community-onset infections. The AMR resource handbook identifies current national policy, guidance and supporting materials in relation to antimicrobial stewardship and the infection prevention and control of healthcare associated infections in order to aid the reduction of antimicrobial resistance. 

Recent updates

July 2018

MRSA, MSSA and E. coli bacteraemia and C. difficile infection: annual epidemiological commentary published by PHE.

 

June 2018

The European Centre for Disease Control (ECDC) has published Clostridium difficile infections - Annual Epidemiological Report for 2016

 

ECDC has published a rapid risk assessment on the emergence of resistance to ceftazidime-avibactam in carbapenem-resistant Enterobacteriaceae

 

April 2018

PHE has published a study estimating the incidence and 30-day all-cause mortality rate of Escherichia coli bacteraemia in England by 2020/21

 

February 2018

Studies attempting to quantify the appropriateness of antibiotic prescribing in primary care published by PHE and research partners.

 

December 2017

PHE has published its annual surveillance report of surgical site infections in NHS hospitals in England in 2016/17.

 

November 2017

PHE and RCGP are reviewing "How to prevent urine infections (UTIs) and what to do if you have one – a leaflet for older adults". Have your say by 15th December

 

October 2017

PHE has launched the national "Keep Antibiotics Working" campaign.

 

PHE’s English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) has published its 2017 report.

 

July 2017

MRSA, MSSA and E. coli bacteraemia and C. difficile infection: annual epidemiological commentary published by PHE.

 

March 2017

NHS England, NHS Improvement and Public Health England have published resources to support the delivery of the national ‘Reducing the impact of serious infections (Antimicrobial Resistance and Sepsis)’ CQUIN part 2c and 2d

 

January 2017

Improving feedback of surveillance data on antimicrobial consumption, resistance and stewardship in England: putting the data at your Fingertips.

 

PHE has published a report of Thirty-day all-cause fatality subsequent to MRSA, MSSA and E. coli bacteraemia and C. difficile infection, 2015/16

 

December 2016

PHE has published its annual surveillance report of surgical site infections in NHS hospitals in England in 2015/16.

 

November 2016

Health Secretary Jeremy Hunt has announced government plans to halve the number of Gram-negative bloodstream infections in the NHS by 2020.

 

PHE’s English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) has published its 2016 report.

 

PHE published a blog ahead of World Antibiotic Awareness Week (November 14-20): “How pharmacists can help in tackling antimicrobial resistance"

 

If you didn’t become an antibiotic guardian during World Antibiotic Awareness Week, why not become one today?

 

October 2016

PHE published a blog for International Infection Prevention Week (October 16-22): Beating E.coli - what are you doing to break the chain of infection?

 

September 2016

The UN General Assembly has passed a resolution to combat AMR and to increase and improve awareness of AMR globally.

 

Published NHS Operational Planning and Contracting Guidance 2017 – 2019 includes “Measurable improvement in antimicrobial prescribing and resistance rates” as a goal by 2020.

 

Health Protection Report: Infection Report for Candidaemia in England, Wales and Northern Ireland 2015 data has been published

 

PHE has published guidance on the “Detection of bacteria with carbapenem hydrolysing β lactamases (carbapenemases)”

 

PHE has published “Descriptive epidemiology of Escherichia coli bacteraemia in England”.

 

Antimicrobial resistance among the projects funded by £816 million investment in NHS research.

 

The Department of Health and Defra have published their annual progress report on the UK 5 year AMR strategy and a formal response to the independent Review on AMR

 

August 2016

The latest point prevalence survey (PPS) for England to collect both healthcare associated infection and antimicrobial use data is being conducted by PHE between 5 September and 14 December 2016. Supporting documentation for participants has been published on the PHE website.

 

July 2016

MRSA, MSSA and E. coli bacteraemia and C. difficile infection: annual epidemiological commentary published by PHE.

 

“Understands antimicrobial resistance and the roles of infection prevention, control and antimicrobial stewardship measures” added as a distinct competence in the updated prescribing competency framework for all prescribers.

 

PHE in collaboration with academics have published a cost-effectiveness modelling study of strategies to reduce risk of infection following primary hip replacement based on a systematic review.

 

May 2016

The UK Government commissioned “Review on Antimicrobial Resistance” in collaboration with the Wellcome Trust published its findings - Tackling drug-resistant infections globally: final report and recommendations.

 

At the G7 in Japan the UK Prime Minister announced plans to tackle AMR - press statement

 

April 2016

The AMR resource handbook has been published by PHE. This handbook collates links to national resources on antimicrobial resistance, antimicrobial stewardship and infection prevention and control. The denominator data for Trust admissions has been updated to reflect the most recently available data.

    

March 2016

NHS England publishes the Quality Premium guidance 2016/17 and The 2016/17 National CQUIN 

 

January 2016

The AMR / HCAI fingertips profile is being developed. Five domains (AMR, Antibiotic Prescribing, HCAI, IPC and Antibiotic stewardship) and corresponding data have been added to the profile

 

December 2015

Health matters: Antimicrobial resistance has been published. The document provides information on antimicrobial resistance (AMR) and sets out effective methods to avoid unnecessary prescribing of antibiotics and provides advice for healthcare professionals.