Skip to main content Skip to footer

ISP report information

This information will help you to put the data included within reports/charts into context.

You can find out what’s included in each report category and any notes about how the data has been produced, for example, what is and what is not included in the data.

Common Information Reports

These reports are freely available to the general public.

Prescribing data

Dispensing data

Organisation data

Controlled drugs monitoring reports

A set of reports has been developed to help Controlled Drug Accountable Officers to fulfil their obligations to monitor the prescribing of Schedule 2 and 3 Controlled Drugs. The reports are designed to highlight potential causes for concern within the prescribing of CDs through demonstrating variance in the prescribing of controlled drugs between organisations, and by identifying prescribers or organisations exhibiting unusual prescribing behaviour. These reports are not designed to be used in isolation, but have been introduced as an additional source of information and enhancement to other data sources and local knowledge.

The following reports are now available in the Information Services Portal:

CD Monitoring Analysis Reports

These reports are only available to registered users of the portal. The reports take the form of funnel plots and provide an analysis of unusual behaviour in CD prescribing at prescriber and practice level. Reports are updated on a quarterly basis and are available for the most recent five quarters’ data.

View further information on how to use and interpret these reports

View further information on the methodology used to identify outliers

Notes

The data provided is based on items which have been prescribed in England on an FP10 and FP10HP and dispensed in the community. The data may include items prescribed in England but dispensed in Wales, Scotland, Northern Ireland and the Isle of Man.

If a prescription was issued but not presented for dispensing, or was not submitted to NHS Prescription Services by the dispenser, then it is not included in the data provided.

The data excludes items prescribed in Wales, Scotland, Northern Ireland and the Isle of Man but dispensed in England. The data excludes items dispensed in prisons and private prescriptions but does include prescriptions issued by prisons and provider organisations which are dispensed in the community. 

The data only includes NHS prescribing for prescribers who are linked to a practice. Data excludes items prescribed by unidentified prescribers and prescribers working directly for a Primary Care Organisation.

CD Requisitions Reports

These reports are available to registered users of the Portal only. They provide information on all requisitions within Area Teams. The reports are shown at Area Team level, and can be filtered on NHS or Private requisitions. Data is presented in a tabular view only, and includes Requisitioner and Supplier details, as well as BNF Name, Items and Quantity prescribed.

View further information and a guide to CD Requisitions report 

Notes

The data provided is based on requisitions written and supplied in England for all people who can legally order or supply a CD on a requisition working in the community, excluding the following suppliers:

  • NHS Hospitals (except when writing a requisition for dispensing in the community) 
  • Manufacturers 
  • Wholesalers 
  • Requisitions written in England, but supplied in Wales or Scotland.

Private CD Analysis Report

These reports are available to registered users of the Portal only. These reports provide data on the private prescribing of controlled drugs. The reports are shown at Area Team level, and include Prescriber Details, BNF Name, Items and Quantity prescribed, Dispenser Details. Data is presented in a tabular view only.

View Private CD Analysis report

Notes

If a prescription was issued but not presented for dispensing, or was not submitted to NHS Prescription Services by the dispenser, then it is not included in the data provided.

The data excludes items prescribed in England but dispensed in Wales, Scotland, Northern Ireland and the Isle of Man.

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked QuestionsIf you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Data download

Data Download enables you to further manipulate data using a programme of your choice. You can access Data Download on the Information Services Portal.

Our user guide gives details on how to use the Data Download facility. There is also data specification information (Word: 327 KB) available.

When downloading information, standard spreadsheet applications may not be able to handle the volumes of data contained in the monthly data sets. 

 File type

 Approx. download size (zip)

 Approx. uncompressed .csv

  National

 450 MB

 3.5 GB

 Regional Office

 125 MB

 1 GB

 Area Team

 20 MB

 150 MB

 PCO

 3.5 MB

 25 MB

 Practice

 100 KB 

 900 KB

If you're downloading large volumes of data, for example, National, Regional Office and some Area Teams, you may need to use a bespoke IT solution or an add-on able to handle larger data sets, for example the Microsoft PowerPivot add-on for Excel.              

Using Microsoft PowerPivot

The PowerPivot add-on is available from Microsoft at https://support.office.com/en-nz/article/Power-Pivot-Add-in-a9c2c6e2-cc49-4976-a7d7-40896795d045

Once PowerPivot has been installed, to load large files please follow the instructions below.

1. Start Excel as normal
2. Click on the PowerPivot tab  
3. Click on the PowerPivot Window icon (top left)
4. In the PowerPivot Window, click on the “From Other Sources” icon
5. In the Table Import Wizard e.g. scroll to the bottom and select Text File
6. Browse to the file you want to open and choose the file extension you require e.g. .csv

Once the data has been imported you can view it as a table or view and manipulate it as a graph.

Other add-ons are available and you should use whichever add-on or bespoke solution best meets your needs. 

Notes

Detailed prescribing information is updated on a monthly basis providing information on a practice’s prescribing habits and costs. The extract only includes data for prescribers that are directly attached to a practice.

The data is based on items prescribed on NHS prescriptions that were dispensed in the community, this includes items prescribed and dispensed in England.

The data does not include:

  • Items where a prescription was issued, but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser
  • Items prescribed in Wales, Scotland or Northern Ireland but dispensed in England
  • Items prescribed in England, but dispensed in Wales, Scotland and Northern Ireland
  • Items prescribed by dentists
  • Items prescribed on FP10HP forms by hospitals.

                                                                       
Items shows the number of times a product appears on a prescription form, for each unique quantity prescribed.

Quantity shows the quantity for each of these prescribed items.

For example, in the data below, amlodipine 10mg tablets have been prescribed once with a quantity of 28 and four times with a quantity of 7.  In this case the total number of items is 5, and the total quantity prescribed (quantity * items) is 56.

 BNF Description

 Items

 Quantity

  Amlodipine_Tab 10mg

 1

 28

 Amlodipine_Tab 10mg

 4

 7

Net Ingredient cost (NIC) is the basic price of a drug as stated in Part II, Clause 8 of the Drug Tariff.

Actual Cost is the basic price of the drug less the National Average Discount Percentage (NADP) plus Payment for Consumables (previously known container allowance), Out of Pocket Expenses and Payment for Containers. The calculation for the discount amount is the basic price multiplied by the NADP. Actual Cost only relates to England.

ADQ (Average Daily Quantity) is a measure of prescribing volume based on prescribing behaviour in England. It represents the assumed average maintenance dose per day for a drug used for its main indication in adults. The ADQ is not a recommended dose but an analytical unit to compare prescribing activity. ADQs are reviewed on a regular basis, to reflect any changes in drug use and to include new drugs.

Patient list size data is updated when a new quarter’s data is uploaded. The data does not include Temporary Resident band.

BNF code information is updated on an annual basis.

The BNF Code is a 15 digit code in which the first seven digits are allocated according to the categories in the BNF and the last 8 digits represent the medicinal product, form, strength and the link to the generic equivalent product. NHS Prescription Services has created pseudo BNF chapters, which are not published, for items not included in BNF chapters 1 to 15. The majority of such items are dressings and appliances which NHS Prescription Services has classified into the four pseudo BNF chapters 20 - 23.

NB - If a product is a generic product produced by a specific manufacturer, this item is not allocated a BNF code but is assigned a seven digit 'PPA code'.  This is an internal code used to link this product back to the BNF code of the generic product.

Information included in Data Download:

Detailed Prescribing Information provides information on a practice’s prescribing habits and costs. The extract only includes data for prescribers that are directly attached to a practice.  

BNF Code Information allows a user to select from the latest three versions of BNF updates.

Patient List Size Information provides the details of patient list sizes for all practices at the required organisation level.

Downloads will remain available to registered users for 24 months after publication, after which they will be automatically deleted.

Resources

Information Services Portal user guides

Glossary of terms Electronic Drug Tariff

BNF classification and pseudo classification used by NHS Prescription Services

Average Daily Quantity (ADQ) - NHS Digital website

Frequently Asked Questions

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Home oxygen therapy - CCG

The Home Oxygen Therapy report is accessed via the Information Services Portal.

These reports are only available to users who have been authorised  to view Home Oxygen Reports by their respective Organisations.

The system holds 24 months of data which is updated on a monthly basis. 

Notes

Home oxygen therapy payments are made the month following supply. 

What is included in the Home Oxygen Therapy Reports

CCG Payment Claim - Allow CCGs/Regions to monitor the payments made to the oxygen suppliers for patients registered in their CCG/region. 

This report is split into three data views

  • CCG Payment Claim Summary
  • CCG Payment Claim - In Area Supply
  • CCG Payment Claim - Out of Area Supply

This report will detail the Claim to CCGs for the oxygen supplied by their home regions as well as any out of area Supply

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Home Oxygen Therapy Reports

Home Oxygen Therapy Adjustment Notification Form

This form should only be used to make adjustments to payments claimed by the supplier who has the contract for your CCG area.

The form should clearly state the Supplier Name and Address, the region, CCG name and CCG code. 
Please indicate if the amount is to be PAID to the supplier or DEDUCTED from the supplier. 
All amounts stated should be excluding VAT.

The form should be signed by an authorised signatory. If you are unsure who the signatories for Home Oxygen Therapy Adjustments are for your organisation please contact the Customer Payment Team on 0191 244 6488.

The Home Oxygen Therapy Adjustment Form is available in both PDF and Word format and can be downloaded below:

Adjustment Form

Adjustment Form

Home Oxygen Therapy Out of Area Adjustment Notification Form

This form should only be used to make adjustments to payments that have been claimed by suppliers for Home Oxygen Therapy supplied to patients when they have been out of the CCG area.

The form should clearly state the

  • Supplier name and address
  • Region
  • CCG name
  • CCG code.

Please indicate if the amount is to be PAID to the supplier or DEDUCTED from the supplier. All amounts stated should be excluding VAT.

The form should be signed by an authorised signatory. If you are unsure who the signatories for Home Oxygen Therapy Adjustments are for your organisation please contact the Customer Payment Team on 0191 244 6488.

Please note that the forms are designed to accommodate up to four adjustments on one notification, please ensure that the values are totalled correctly. Where possible complete each notification in full rather than submit multiple notifications with one value on each, please retain a copy of the authorised notification for your records. The forms are accepted by fax or post, in order to reduce the risk of processing twice there is no requirement to post originals after they have been faxed. NHS Prescription Services processes the payment however, there is no payment monitoring performed by NHS Prescription Services. If you require confirmation that the adjustments have been processed, the CCG can check the reports on the system, where an adjustment is received towards the end of a month, it may not be processed until the following month.

Out of Area Adjustment FormOut of Area Adjustment Form

Out of Hours report

Out of Hours Care (OOH) Non-FP10 Reports are accessed via the Information Services Portal

The Out of Hours Non-FP10 report details the monthly and cumulative net ingredient cost (NIC) spend of out of hours services that utilise Non-FP10 prescriptions (FP10P-REC).  Non-FP10 prescriptions are submitted directly to NHS Prescription Services for processing by the out of hours care provider.

Notes
This data only covers information captured from form FP10P-REC where the Out Of Hours provider submitted the form to NHS Prescription Services. Other data may be held locally by the primary care organisation (PCO)

Net Ingredient cost (NIC) is the basic price of a drug as stated in Part II Clause 8 of the Drug Tariff

Those organisations which do not have “Out of Hours” units associated with them will not appear in the report.

Unidentified Out of Hours Care will be shown on the National Totals report only.

Out of Hours providers data will be attributed to the organisation that they are assigned to for the prescribing month selected.

What is included in Out of Hours (OOH) Non-FP10 Reports

There are three types of report available to view

National Totals
Area Team Totals
PCO Totals

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Out of Pocket Expenses report

Out of Pocket Expenses Reports are accessed via the Information Services Portal

The Out of Pocket Expenses report is available to Area Team authorised users.

The Out of Pocket Expenses report details the monthly claims for Out of Pocket Expenses by Contractor within the Area Team submitted to NHS Business Services Authority by Pharmacy and Appliance Contractors detailing:

  • Area Team
  • Contractor
  • BNF Code
  • Presentation
  • NIC
  • OOPE
  • Quantity
  • Manufacturer

Definition of Out Of Pocket Expenses as outlined in the Drug Tariff Part II - Requirements Enabling Payments to be made for the supply of Drugs, Appliances and Chemical Reagents - CLAUSE 12 OUT OF POCKET EXPENSES:

Where, in exceptional circumstances, out-of-pocket expenses have been incurred in obtaining a drug, appliance or chemical reagent other than those priced in Part VIIIA Category A and M, Part VIIIB, Part IXA, Part IXR of the Tariff and all other specials and imported products not listed and not required to be frequently supplied by the contractor, or where out-of-pocket expenses have been incurred in obtaining oxygen from a manufacturer, wholesaler or supplier specially for supply against a prescription, where such expenses on any occasion exceed 50p payment of the full amount may be made where the contractor sends a claim giving particulars to the Pricing Authority on the appropriate prescription form. The endorsement shall be ‘XP’ or ‘OOP’ to indicate the contractor has taken all reasonable steps to avoid claiming.

Notes


The data provided is based on England Community Dispensing (not prescribing) only. The data may include items prescribed in Wales, Scotland, Northern Ireland and the Isle of Man which have been dispensed in England.

Please note this means that if a prescription was issued, but not presented for dispensing or was not submitted to NHS Prescription Services by the dispenser, then it is not included in the data provided.

The data excludes items prescribed in England but dispensed in Wales, Scotland, Northern Ireland and Isle of Man.

The data excludes items dispensed in prisons, hospital and private prescriptions but does include dental, prison and hospital prescriptions which are dispensed in the community.

Each line shown within the data represents an individual item against which Out of Pocket Expenses has been claimed.

Net Ingredient cost (NIC) is the basic price of a drug as stated in Part II Clause 8 of the Drug Tariff.
Quantity normally shows the quantity of a product prescribed. However, where a product is packed in a 'special container'(see Drug Tariff Part II Clause 10) the pharmacist is not required to split the pack and may supply the number of containers or original packs which provide the quantity nearest to that prescribed. In some circumstances these items show quantity as the number of units supplied i.e. 1 or 2 even though a pack may contain 56 tablets.

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

PD2 report

PD2 report is accessed via the Information Services Portal.

The PD2 report is released quarterly.  

What is included in PD2 Reports

There are three types of report available to view depending on your permissions:

  • PCO-level 
  • Practice-level 
  • Prescriber-level (Not available to Guest Users)

Notes about the PCO-level section - April 2013 onwards

  • Prescribing list totals and averages relate to all prescribing-only practices within the PCO. 
  • Dispensing list totals and averages relate to all prescriptions prescribed and dispensed by practices within the PCO. 
  • The 'Percentage of Generic items' column includes dressings, appliances, and adjuncts as listed in the Drug Tariff.

Notes about the PCO-level section -  Prior to April 2013

  • Prescribing list totals and averages relate to all prescribing-only practices within the PCO. 
  • Dispensing list totals and averages relate to all prescriptions prescribed and dispensed by practices within the PCO. 
  • Prescribing by PCO employed nurses and supplementary prescribers for patients in the same PCO is included in the relevant prescribing and dispensing list figures. 
  • CNPC figures contain the prescribing by nurses employed under CNPC. 
  • OOAP figures contain the prescribing by nurses and supplementary prescribers employed by the PCO for patients whose practices are within a different PCO. 
  • The 'Percentage of Generic items' column includes dressings, appliances, and adjuncts as listed in the Drug Tariff.

Notes about the Practice and Prescriber level sections

Elderly people receive, on average, about three times as many prescription items as younger people. Since the average cost per item is about the same for elderly people as for the young, it follows that doctors with above-average numbers of elderly patients will often appear to have above average prescribing costs. The age of 65 has been chosen as the dividing line between elderly and young since the number or patients aged 65 and over can be readily identified.

For prescribing cost purposes, one elderly person is equivalent to three younger persons and since a list size which has been weighted to take this into account no longer refers to the number of persons, they are referred to as prescribing units (PUs).

Example:

 

No. of Persons on doctor's list

No. prescribing units on a doctor's list

Aged 65 or over

300

900

Aged under 65

1700

1700

Total

2000

2600

  • When * appeared directly before the prescriber name, it indicates that the prescriber is either deceased, retired, or has left the practice. 
  • Prescribers whose names are on the PCO list who has not prescribed since commencement will not appear on the report. 
  • The following annotation that appears after the prescriber name denotes the prescriber type:

GP - General Practitioners

N/GP - Nurse and General Practitioner

NPF - Nurse Qualified to prescribe from the Nurse Prescribers' Formulary for District Nurses and Health Visitors

NIP/SP - Nurse qualified to prescribe from the Nurse Prescribers' Formulary or as a supplementary prescriber

SP-PHARM - Pharmacist qualified to prescribe as a supplementary prescriber

Physio - Qualified to prescribe as a supplementary prescriber

  •  The following annotation that appears after the practice code number denotes the practice type:

WIC - Walk In Centre
PMD - Personal Medical Services
OOH - Out Of Hours

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions

If you have any queries you can contact the Information Services team on 0191 2035050 or email us at nhsbsa.help@nhs.net

Personally administered items

The Personally Administered Items report is accessed via the Information Services Portal.

It provides information on the items personally administered within the practice down to individual item level.

The system will hold 24 months of data which will be updated on a monthly basis.

The Personally Administered Items report is not available to Area Team and Guest Users.

Notes

A personally administered item is classed as a prescription item which is prescribed and administered by a member of the practice team and attracts payment under the NHS General Medical Services Statement of Financial Entitlements Paragraph 23.4.

Net Ingredient cost (NIC) is the basic price of a drug as stated in Part II Clause 8 of the Drug Tariff.

The BNF Code is a 15 digit code in which the first seven digits are allocated according to the categories in the BNF and the last 8 digits represent the medicinal product, form, strength and the link to the generic equivalent product. NHS Prescription Services has created pseudo BNF chapters, which are not published, for items not included in BNF chapters 1 to 15. The majority of such items are dressings and appliances, which the NHS Prescription Services has classified into four pseudo BNF chapters (20 to 23).

Items shows the number of times a product appears on a prescription form not the quantity prescribed.

What is included in the Personally Administered Items Report

There are 2 views available to select:

  • Personally Administered Items – Yearly overview
  • Personally Administered Items – Detailed

Personally Administered Items – Yearly overview

The yearly view shows the totals for items personally administered for each month up to the selected month in data selector.

Every month is hyperlinked to drill down to the details of individual items personally administered by the practice.

Personally Administered Items – Detailed

The detailed view shows the details of personally administered items for the selected month directly.

This is the same view that will be available when user drill downs from yearly view.

The report provides information on product (including BNF code), number of items and net ingredient cost.

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Practice Detailed Prescribing Information (PDPI)

Practice Detailed Prescribing Information (PDPI) is accessed via the Information Services Portal.

Practice Detailed Prescribing Information (PDPI) provides information on a practice’s prescribing habits and costs, which enables a practice to compare and manage their prescribing performance against national and PCO (Primary Care Organisation) comparators. The PDPI extract only contains data for prescribers that are directly attached to a practice.

Practice Detailed Prescribing Information (PDPI) is only available to registered users.

Notes

The data is based on what was prescribed in England and may include items prescribed in England which have been dispensed in England, Wales or Scotland.

Please note this means that if a prescription was issued, but not presented for dispensing or was not submitted to NHS Prescription Services by the dispenser, then it is not included in the data provided.

The data excludes items prescribed in Wales, Scotland or Northern Ireland which have been dispensed in England.

The data includes all NHS prescriptions which have been dispensed in the community excluding items prescribed by dentists or on FP10HP forms by hospitals.

Items - shows the number of times a product appears on a prescription form not the quantity prescribed.

Quantity - normally shows the quantity of a product prescribed. However, where a product is packed in a 'special container'(see Drug Tariff Part II Clause 10) the pharmacist is not required to split the pack and may supply the number of containers or original packs which provide the quantity nearest to that prescribed. In some circumstances these items show quantity as the number of units supplied ie 1 or 2 even though a pack may contain 56 tablets. Included in this category are preparations which are:

  • sterile 
  • effervescent or hygroscopic 
  • liquid preparations for addition to bath water 
  • coal tar preparations 
  • viscous external preparations 
  • preparations packed in a collapsible tube, pressurised aerosol, spray, puffer pack, squeeze pack, castor, shaker, roll-on bottle, drop bottle, container with an integral means of application, or any other container from which it is not practicable to dispense the exact quantity ordered 
  • reconstituted from granules or powder, resulting in a liquid of limited stability.

Quantity * Items - the quantity multiplied by number of prescribed items

Net Ingredient cost (NIC) - is the basic price of a drug as stated in Part II Clause 8 of the Drug Tariff

Actual Cost – is the basic price of the drug less the National Average Discount Percentage (NADP) plus Payment for Consumables (previously known container allowance), Out of Pocket Expenses and Payment for Containers. The calculation for the discount amount is the basic price multiplied by the NADP. Actual Cost only relates to England.

OOPE (Out of Pocket Expenses) – this where in exceptional circumstances, out-of-pocket expenses have been incurred in obtaining a drug, appliance or chemical reagent other than those priced in Part VIIIA Category A and M, Part VIIIB, Part IXA, Part IXR of the Tariff and all other specials and imported products not listed and not required to be frequently supplied by the contractor, or where out-of-pocket expenses have been incurred in obtaining oxygen from a manufacturer, wholesaler or supplier specially for supply against a prescription, where such expenses on any occasion exceed 50p payment of the full amount may be made where the contractor sends a claim giving particulars to the Pricing Authority on the appropriate prescription form. The endorsement shall be ‘XP’ or ‘OOP’ to indicate the contractor has taken all reasonable steps to avoid claiming

Payment for Containers - re-imbursement payment which is paid for each prescription item supplied where the quantity ordered is outside the pack size for the product.

BNF (British National Formulary) - BNF Code is a 15 digit code in which the first seven digits are allocated according to the categories in the BNF and the last 8 digits represent the medicinal product, form, strength and the link to the generic equivalent product. The NHS Prescription Services has created pseudo BNF chapters, which are not published, for items not included in BNF chapters 1 to 15. The majority of such items are dressings and appliances, which the NHS Prescription Services has classified into four pseudo BNF chapters (20 to 23).

What is included in Practice Detailed Prescribing Information (PDPI)

There are 12 views available to select depending on level of access

  1. Detailed Prescribing Information at Practice Level
  2. Detailed Prescribing Information at Prescriber Level ordered by BNF
  3. Detailed Prescribing Information at Prescriber Level ordered by Prescriber
  4. Summarised Prescribing Information at Practice Level
  5. Summarised Prescribing Information at Prescriber Level ordered by BNF
  6. Summarised Prescribing Information at Prescriber Level ordered by Prescriber
  7. Detailed Dispensing information at Practice Level
  8. Detailed Dispensing Information at Prescriber Level ordered by BNF
  9. Detailed Dispensing Information at Prescriber Level ordered by Prescriber
  10. Summarised Dispensing Information at Practice Level
  11. Summarised Dispensing Information at Prescriber Level ordered by BNF
  12. Summarised Dispensing Information at Prescriber Level ordered by Prescriber

Resources

Information Services Portal user guides

Glossary of terms Electronic Drug Tariff

BNF classification and pseudo classification used by NHS Prescription Services Frequently Asked Questions

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Prescribing Analysis report (PAR)

Prescribing Analysis Reports (PAR) are accessed via the Information Services Portal.

PAR is a group of reports which contain an analysis of the prescribing which has taken place during the reporting period.

Reports are only available to Registered Users.

A quarterly and monthly report is produced at Practice level with details of each individual practice prescriber.

The system will hold 24 rolling months data which will be updated on a monthly basis.

Reports are issued every month and quarter and include:

Total level of prescribing
Breakdown of prescribing in the 6 highest cost BNF Therapeutic Groups
Top 20 leading cost drugs in the practice
Top 40 BNF Sections by cost in the practice
The practice prescribing is also compared with last year's level and with the PCO and National levels.

Caveats

Figures are based on the 'Net Ingredient' cost of drugs prescribed.

Net Ingredient cost (NIC) is the basic price of a drug as stated in Part II Clause 8 of the Drug Tariff.

The data provided is for prescriptions issued by prescribers in England only which have been dispensed in the community. Hospitals prescriptions, including those dispensed in the community, private prescriptions and dental prescribing, are excluded from the data.

PCO level data is shown against the prescribers PCO.

Items show the number of times a product appears on a prescription form.

What is included in Prescribing Analysis (PAR)

There are seven types of report available to view, depending on your permissions:

  • Comparison of Cost per ASTRO PU
  • Prescribing Costs by BNF Level
  • Prescribing Costs, Volume and Average Cost per Item
  • Prescribing Dashboard
  • Prescribing Trend
  • Total Practice Prescribing
  • Twenty Leading Cost Drugs

Comparison of Cost per ASTRO PU

This report will show comparison of cost per Astro PU of the selected organisation with respect to values against its parent organisation and National level for a period of twelve months in case of monthly reports and for eight quarters in case of quarterly reports.

The ASTRO PUs are the number of cost based 'Age, Sex and Temporary Resident Originated Prescribing Units'.

Prescribing Costs by BNF Level

This report will lay out an analysis of costs by BNF Chapters and BNF Sections at various PCO and Practice levels in NHS Hierarchy.

Prescribing Costs, Volume and Average Cost per Item

This report will lay out an analysis of total prescribing costs and volumes at PCO and Practice level in the NHS Hierarchy. The report will also show average cost per item at the appropriate organisation level.

Prescribing Dashboard

This report will be a dashboard showing trend of prescribing costs and items over a period of twelve months in case of monthly reports and a trend over eight quarters in case of quarterly reports for the top eight chapters and top ten sections according to the selected view.

Prescribing Trend

This report will lay out the trend of prescribing costs and items over a period of time, twelve months in the case of monthly reports and eight quarters in the case of the quarterly reports.

Total Practice Prescribing

This report will show the overall prescribing ascribed to a practice showing the details of different prescribers.

Total Practice Prescribing is available to PCO and Practice users only.

Twenty Leading Cost Drugs

This report shows the total cost and number of items corresponding to the top twenty cost drugs at various organisation levels.

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions

Details regarding Astro PUs can be found at http://www.hscic.gov.uk/prescribing/measures

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Prescribing Comparators

Prescribing Comparators are accessed via the Information Services Portal.

They provide a range of reports which enable users to compare prescribing performance against other prescribing organisations using predefined drug lists and indicators.

Changes to ASTRO PU and STAR PU weightingsChanges to titles of Volume Comparators

What is included in Prescribing Comparators

The Prescribing Comparators include:

1. Potential Generic Savings Report - The Potential Generic Savings Report is produced at National, Area Team, PCO and Practice level to show the potential savings that may be achieved by prescribing generically.

2. Specialist Drugs Report - This is a list of drugs, identified by advisers, to assist with the monitoring of drugs for which there are concerns about appropriate prescribing in primary care.  Hospital specialists generally initiate these drugs. These drugs tend to be high cost, so users find this information useful for budget setting, identifying exceptional pressures on individual practices and reviewing financial performance. Although a small number of new drugs are added each year, none are removed. Over time some of the drugs have become established in routine use, and no longer regarded as specialist.

The data is updated on a quarterly basis.

The Prescribing Comparators provides a list of the drugs included within each comparator except the one relating to new drugs. The Prescribing Comparators is a useful tool for an overview and comparison of prescribing.

Any queries on Drug Lists which are attributed to individual comparators should be directed to the Health and Social Care Information Centre (HSCIC) http://www.hscic.gov.uk/home as they advise NHS Prescription Services of what Drugs should be included in the comparators.

Notes

The data only includes NHS prescribing for prescribers who are linked to a practice.

The data provided is based on England Community prescribing only. The data may include items prescribed in England but dispensed in Wales, Scotland, Northern Ireland and the Isle of Man.

Please note this means that if a prescription was written, but not presented for dispensing or was not submitted to NHS Prescription Services by the dispenser, then it is not included in the data provided

The data excludes items prescribed in Wales, Scotland, Northern Ireland and Isle of Man but dispensed in England. It also excludes items prescribed by unidentified prescribers and prescribers working directly for the PCO.

The data excludes items dispensed in prisons and hospitals and private prescriptions but does include dental, prison and prescriptions issued by provider organisations which are dispensed in the community.

Any comparator which uses PU weightings in the calculations the following needs to be taken into account:

Practices that have prescribing, but do not have a list, size will be included in the data and have a comparator value of '0' as there is no list size to make the calculations.

Practices that have not prescribed, and do have a list size, will not appear at all in the practice level data for that comparator.  However, the list sizes for these practices with no prescribing will contribute to the list size and therefore to the comparator value in reports at a higher level (PCO level).

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions

Useful data sources

Cost Measures – Definition of NIC and Actual cost can be found in glossary of terms http://www.ppa.org.uk/systems/glossary/glossary.html 

Prescribing Measures - The Prescribing Measures booklet defines measures currently used in reports and information systems produced by NHS Prescription Services, and can be downloaded from the HSCIC website: http://www.hscic.gov.uk/prescribing/measures

Volume Measures - ADQs are reviewed on a regular basis, to reflect any changes in drug utilisation and to include new drugs. The HSCIC website:  http://www.hscic.gov.uk/prescribing/measures

Includes details of how ADQs are devised to assist those wishing to develop local values.

Patient Denominators - A paper explaining the review process, and tables of all the STAR-PUs are available on the reports section of the website: http://www.hscic.gov.uk/prescribing/measures

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Programme Budget Categories

Programme Budget Categories (PBC) Reports are accessed via the Information Services Portal.

The Department of Health (DH) has set up a National Programme Budget Project to develop a primary source of information, which can be used by all bodies, to give a greater understanding of NHS expenditure in terms of where it is spent.

For detailed information please see the Department of Health’s website.

The National Programme Budget Project aims to map some £50bn of NHS expenditure into, currently, 23 programmes of care, examples of which include infectious diseases, cancer, blood disorders, mental health problems, coronary heart disease, problems of the skin, falls and problems due to trauma and injuries.

As part of this, NHS Information Services provides information about all English PCOs’ prescribing expenditure, broken down amongst the 23 categories.

Notes

The data provided is for prescriptions issued by prescribers in England only which have been dispensed in the community. Hospitals’ prescriptions, including those dispensed in the community, private prescriptions and dental prescribing, are excluded from the data.

CCG level data is shown against the prescriber’s CCG.

Some medical products can be used in more than one treatment area.  In these situations prescribing is apportioned across the relevant categories. 

Items show the number of times a product appears on a prescription form.

The Actual Cost is the Net Ingredient Cost of the drug less an approximation of discount based on the Average national discount, plus the container cost.

Some products are specifically excluded from the Blood disorder category.

What is included in Programme Budget Categories Reports

There are three types of report available to view

National
Area Team
PCO

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions

Department of Health

Repeat Dispensing Report (including EPS items)

The Repeat Dispensing reports (including EPS items) are accessed via the Information Services Portal.

Repeat Dispensing reports are a set of reports which provide information at both cost and item level.

The system will hold 24 months of data which will be updated on a monthly basis.  

Notes

Paper prescriptions

The data is based on what was prescribed in England and may include items prescribed in England which have been dispensed in England, Wales or Scotland.

Please note this means that if a prescription was issued, but not presented for dispensing or was not submitted to NHS Prescription Services by the dispenser, then it is not included in the data provided.

The data excludes items prescribed in Wales, Scotland or Northern Ireland which have been dispensed in England.

The data includes all NHS prescriptions which have been dispensed in the community excluding items prescribed by dentists or on FP10HP forms by hospitals.

EPS Prescriptions

Information on EPS data is derived from electronic messages submitted by prescribers to dispensing contractors in the community. 

The data is based on what was electronically prescribed in England and will only include items dispensed in England.

Please note this means that if a prescription message was sent but the patient did not collect the dispensed item(s) then it is not included in the data provided.

Data included will relate to Practices registered under CCGs, no other organisations will be included within the EPS data.

Definition of a PCO - Primary Care Organisations (PCO) is used to define CCGs, Local Authorities and provider organisations or a combination of these organisations in relation to the information in reports

What is included in the Repeat Dispensing reports

Repeat Dispensing % Items

There are seven data views available, depending on your permissions:

  • Repeat Dispensing % Items – National Totals by CCG
  • Repeat Dispensing % Items – National Totals by PCO
  • Repeat Dispensing % Items – National Totals by Area Team (CCG prescribing only)
  • Repeat Dispensing % Items – National Totals by Area Team (All PCOs)
  • Repeat Dispensing % Items – Area Team Totals (CCG prescribing only)
  • Repeat Dispensing % Items – Area Team Totals (All PCOs)
  • Repeat Dispensing % Items – PCO Totals

The National Totals  by CCG  will  show the CCG totals within England . The National Totals  by Area team (CCG prescribing only) will  show the Area team totals in England for CCG prescribing only. The Area Team Totals (CCG Prescribing Only)  level view will show only the totals for  all  CCGs registered under the selected Area Team.

The National Totals by PCO will show the PCO totals within England. The National Totals by Area team (All PCOs) will show the Area Team totals in England for all PCO prescribing. The Area TeamTotals (All PCOs) view will show the totals for all PCOs registered under the selected Area Team.

The PCO Totals will  show the details for its child practices along with the details of individual prescribers associated with the practices of the selected PCO

All users except the guest users will be able to see the report for all organisation levels. A guest user will have access to all views other than PCO Totals view. 

Repeat Dispensing % Cost

There are seven data views available, depending on your permissions:

  • Repeat Dispensing % Costs – National Totals by CCG
  • Repeat Dispensing % Costs – National Totals by PCO
  • Repeat Dispensing % Costs – National Totals by Area Team (CCG prescribing only)
  • Repeat Dispensing % Costs – National Totals by Area Team (All PCOs)
  • Repeat Dispensing % Costs – Area Team Totals (CCG prescribing only
  • Repeat Dispensing % Costs – Area Team Totals (All PCOs)
  • Repeat Dispensing % Costs – PCO Totals

The National Totals by CCG will show the CCG totals within England. The National Totals by Area team (CCG prescribing only) will show the Area team totals in England for CCG prescribing. The Area Team Totals (CCG prescribing only) view will show the totals for all CCGs registered under the selected Area Team.

The National Totals by PCO will show the PCO totals within England. The National Totals by Area team (All PCOs) will show the Area Team totals in England for all PCO prescribing. The Area Team Totals (All PCOs) will show the totals for all PCOs registered under the selected Area Team.

The PCO Totals view will show the details for its child practices along with the details of individual prescribers associated with the practices of the selected PCO

All  users except the guest users will be able to see the report for all organisation levels. A guest user will have access to all views other than PCO Totals view. 

Costs shown in the report will be Net Ingredient Cost (NIC) – which is the basic price of a drug as stated in Part II Clause 8 of the Drug Tariff.

Resources

Information Services Portal user guides

Glossary of terms Frequently Asked Questions