10. Review prescribing

Review prescribing

Work with pharmacists, primary, community, and secondary care providers to improve prescribing of anti-dementia drugs and antipsychotics.

DRIVER: Appropriate prescribing of anti-dementia drugs

ActionsResourcesExamples
Audit prescribing of acetylcholinesterase inhibitors. Check for:

  • adherence to NICE guidance
  • diagnosis captured on GP dementia register (QOF DEM1)

DRIVER: Appropriate prescribing of antipsychotics

ActionsResourcesExamples
Audit prescribing of antipsychotics of adults. Check for:

  • adherence to NICE guidance
  • outliers, where action is needed
  • diagnosis captured on GP dementia register (QOF DEM1)
Review regularly general practice patients living in care homes who have been prescribed antipsychotics.
Consider training needs of care home staff in the management of behavioural symptoms.
Engage with care home management and pharmacy leads to address this, where appropriate.