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JAC Advance Access originally published online on July 10, 2007
Journal of Antimicrobial Chemotherapy 2007 60(4):709-711; doi:10.1093/jac/dkm250
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© The Author 2007. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Leading articles

Improving practice—the Hospital Pharmacy Initiative revisited

Robert G. Masterton* and Michele Caldwell

Ayrshire and Arran NHS Board, The Ayr Hospital, Dalmellington Road, Ayr KA6 6DX, UK

* Corresponding author. Tel: +44-1292-614511; Fax: +44-1292-288952; E-mail: robert.masterton{at}aaaht.scot.nhs.uk

The Hospital Pharmacy Initiative was a £12 million scheme introduced in England in 2003 and aimed at improving antimicrobial prescribing. Although significant successes have been claimed for the scheme, there is evidence which demonstrates that the untargeted and essentially undirected investment where no clear objectives were set has resulted in extremely variable developments with arguably minimal gains attributable to the programme. This contrasts strongly with the Scottish approach where form and function has been detailed with a focus on service sustainability in the ongoing challenge of improving prudent antimicrobial prescribing.

Keywords: antimicrobial management , antibiotic pharmacist , prescribing practice


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