Request

Could I request for ICBs, Northamptonshire, Somerset, North Cumbria, Cheshire & Merseyside and South Yorkshire (presented individually if possible please):

1. The number of patients who have been prescribed both Fostair pMDI and Luforbec Between September 21 and September 22

2.a The number of patients who have been prescribed both Fostair pMDI and Luforbec between September 21 and March 22.

2.b of those patients from 2.a how many have again been prescribed both in Apr-22 to Sep-22

On 14 February 2023 you clarified the following:

If they could be locked to being counted in the first ICB Or if simpler to group them all as a misc. ICB group?

Response

A copy of the information is attached.

NHS Prescription Services process prescriptions for Pharmacy Contractors, Appliance Contractors, Dispensing Doctors and Personal Administration with information then used to make payments to pharmacists and appliance contractors in England for prescriptions dispensed in primary care settings (other arrangements are in place for making payments to Dispensing Doctors and Personal Administration). This involves processing over 1 billion prescription items and payments totalling over £9 billion each year. The information gathered from this process is then used to provide information on costs and trends in prescribing in England and Wales to over 25,000 registered NHS and Department of Health and Social Care users.

Data Source

The data source was the NHSBSA Information Services Data Warehouse.

Exclusions

The Data excludes:

• Items not dispensed, disallowed and those returned to the contractor for further clarification.

• Prescriptions prescribed and dispensed in Prisons, Hospitals and Private prescriptions.

• Items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.

Time Period

September 2021 to September 2022 inclusive.

Prescribing

Prescribing has been limited to the following ICB Locations (ICBs).

NHS South Yorkshire Integrated Care Board NHS North East And North Cumbria Integrated Care Board NHS Northamptonshire Integrated Care Board NHS Somerset Integrated Care Board NHS Cheshire And Merseyside Integrated Care Board

Dispensing

There are no limitations to the dispensing data

Drugs

Drugs have been limited to the following BNF Presentations:

'0302000C0BUABBZ' Luforbec 200micrograms/dose / 6micrograms/dose inhaler

'0302000C0BUAABX' Luforbec 100micrograms/dose / 6micrograms/dose inhaler

'0302000C0BQAABX' Fostair 100micrograms/dose / 6micrograms/dose inhaler

'0302000C0BQABBZ' Fostair 200micrograms/dose / 6micrograms/dose inhaler

Identified Patients

Data is limited to prescriptions where an NHS Number was captured during NHSBSA prescription processing, the percentages of prescription items with an identified NHS Numbers for this dataset was: 99.64%

BNF Code

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 four pseudo BNF chapters (20 to 23).

Data

The data request has been split into 3 separate csv files:

FOI30957_Q1

This file is the number of patients within the restricted ICBs who have been prescribed both Fostair pMDI and Luforbec between September 21 and September 22 where both drugs have been prescribed within the same ICB

FOI30957_Q2a

This file is the number of patients within the restricted ICBs who have been prescribed both Fostair pMDI and Luforbec between September 21 and March 22 where both drugs have been prescribed within the same ICB

FOI30957_Q2b

The data is calculated by finding patients within the restricted ICBs who have been prescribed both Fostair pMDI and Luforbec between September 21 and March 22 where both drugs have been prescribed within the same ICB. The patient counts show where these patients have also been prescribed both Fostair pMDI and Luforbec between April 22 and September 22 where both drugs have been prescribed within the same ICB, with the ICB being the same for both time periods.

If patients meet the prescribing requirements for more than one ICB within this dataset they will be counted in all those ICBs and therefore patient counts should not be added

Please note that this request and our response is published on our Freedom of Information disclosure log at:

https://opendata.nhsbsa.net/dataset/foi-30957

If you have any queries regarding the data provided, or if you plan on publishing the data, please contact foidata@nhsbsa.nhs.uk ensuring you quote the above reference. This is important to ensure that the figures are not misunderstood or misrepresented.

If you plan on producing a press or broadcast story based upon the data please contact nhsbsa.communicationsteam@nhs.net. This is important to ensure that the figures are not misunderstood or misrepresented.

The information supplied to you continues to be protected by the Copyright, Designs and Patents Act 1988 and is subject to NHSBSA copyright. This information is licenced under the terms of the Open Government Licence detailed at: http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

Should you wish to re-use the information you must include the following statement: “NHSBSA Information Services Data Warehouse, NHSBSA Copyright 2023” This information is licenced under the terms of the Open Government Licence:

http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

Failure to do so is a breach of the terms of the licence.

Information you receive which is not subject to NHSBSA Copyright continues to be protected by the copyright of the person, or organisation, from which the information originated.

Please obtain their permission before reproducing any third party (non NHSBSA Copyright) information.