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.

Updated indicators

January 2021 - The following indicators have been updated in the Profile: AMR Local Indicators:

Domain: Health Care Associated Infection, Area: All Trust

  • Surgical Site Infection Hip Prosthesis by acute NHS Trust and financial year
  • Surgical Site Infection Knee Prosthesis by acute NHS Trust and financial year

Domain: Antibiotic Prescribing (reuploaded 2020/21 Q1 with more accurate admissions data)Area: All Acute Trust

  • Total antibiotic prescribing DDDs per 1000 admissions
  • Carbapenem prescribing DDDs per 1000 admissions
  • Proportion of total antibiotic prescribing from the "Access" category of the WHO Essential Medicines List AWaRe index
  • Proportion of total antibiotic prescribing from the "Watch" category of the WHO Essential Medicines List AWaRe index
  • Proportion of total antibiotic prescribing from the "Reserve" category of the WHO Essential Medicines List AWaRe index

All Acute Trust level antibiotic prescribing indicators have been updated to Q1 2020/21.  Indicators displaying the rate of Antibiotic Defined Daily Doses (DDDs) per 1000 admissions are now calculated using provisional HES admissions data for each quarter in question rather than proxy admissions for the most recent quarters to be more representative of Trust activity experienced in this period. Prescribing rates for 2020/21 Q1 have noticeably decreased due to an update in provisional HES admissions data. Due to the substantial lag in provisional HES admissions data quality available to PHE, 2020/21 Q2 Antibiotic Prescribing indicators for secondary care will not be updated until February to allow for more accurate reporting. For a complete 2020/21 publication schedule please see the definitions tab for each Acute Trust level prescribing indicator.

Area: CCG and GP

Antibiotic prescribing primary care indicators for CCGs (since 4/20) and GP area types were not updated to 2020 Q3 due to delays with PHE’s data infrastructure processing. These indicators will be updated in February 2021.

Domain: Infection Prevention and Control, Area: All Acute Trust

  • Proportion of single rooms available within NHS Acute Trusts by financial year
  • Proportion of single rooms with ensuite available within NHS Acute Trusts by financial year

Domain: Antimicrobial Stewardship, Area: All Trust 

The 2019/20 CQUIN is complete and so CCG1a and CCG1b indicators will be archived from 2021 onwards. 2020/21 CQUIN schemes are on hold due to the COVID-19 pandemic and there will be no further CQUIN reporting on AMR Local Indicators until CQUIN schemes resume.

The Q2 and Q3 2020 E. coli BSI and UTI testing indicators have been postponed in Domain: Antimicrobial Resistance, Area: All Trust and All Clinical Commissioning Groups

Antimicrobial Resistance (AMR): Testing and resistance indicators for E. coli blood stream and urinary tract infections were not updated for the calendar quarters Q2 & Q3 2020 due to a PHE data infrastructure issue. These indicators will be updated as soon as this has been resolved.

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. 

Archived Indicators 

Archived Indicators

Recent updates

December 2020

Surveillance of surgical site infections in NHS hospitals in England annual Report for 2019 to 2020 

https://www.gov.uk/government/publications/surgical-site-infections-ssi-surveillance-nhs-hospitals-in-england 

November 2020

English surveillance programme for antimicrobial utilisation and resistance (ESPAUR) report for 2019 to 2020

Recent updates

December 2020

Surveillance of surgical site infections in NHS hospitals in England annual Report for 2019 to 2020 

https://www.gov.uk/government/publications/surgical-site-infections-ssi-surveillance-nhs-hospitals-in-england 

November 2020

English surveillance programme for antimicrobial utilisation and resistance (ESPAUR) report for 2019 to 2020