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

September 2017 - No new indicators this month.

June 2017 - Percentage of antibiotic prescriptions reviewed within 72 hours with:

  • a stop decision documented; by quarter
  • a stop, switch or IV to oral switch decision documented; by quarter


Updated indicators

September 2017 - All monthly indicators within the HCAI domain have been updated to June 2017 and converted from counts to 12-month rolling rates 

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 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.