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NHS medicines optimisation

Investigate variation in published NHS medicines activity.

Prepare medicines optimisation discussions with a clear account of what the published sources show, where they report activity and which periods can be compared. Published activity raises questions for investigation; it does not establish clinical appropriateness or explain local decisions.

Where and how much

NHS Analytics brings together published community prescribing and hospital medicines activity and cost, from national to local organisations. Examine items, cost and reimbursement reference prices from the Drug Tariff to inform comparisons.

Community dispensing and hospital medicines-issued measures remain separate. Indicative hospital cost is not actual net expenditure because confidential discounts and rebates are not represented. A gap in a source is not evidence of no activity.

When activity changed

NHS Intelligence places published NHS activity on a timeline, with positive decisions from the relevant UK HTA body marked for context. Choose the nation, source, organisation level, presentation, measure and period, then export the view for discussion. The markers are historical context, not evidence that a decision caused a change in activity.

The Governance page explains how findings are checked.

Request an NHS medicines optimisation demonstration

Questions your team can investigate

  • Examine published NHS activity and cost

    "Where is it used, how much, and when did that change?"

Capabilities for this decision

Sources behind these findings

  • Aug 2025-Jul 2026

    48 ICBs, 186 hospital trusts, 6,918 GP practices with figures for apixaban 5mg

    Source: NHSBSA English Prescribing Dataset (EPD); NHSBSA Secondary Care Medicines Data (SCMD); Synapptiq application · Reviewed 2026-10-27 · Review due 2027-10-27

  • NHS Analytics GP/hospital views

    Months not shown are listed by name; missing never drawn as zero

    Source: Synapptiq application · Reviewed 2026-10-27 · Review due 2027-10-27

  • aggregate published files

    No patient-level NHS data held

    Source: NHSBSA English Prescribing Dataset (EPD); NHSBSA Secondary Care Medicines Data (SCMD); Public Health Scotland prescribing data · Reviewed 2026-10-27 · Review due 2027-10-27