Static outliers for Burmantofts, Harehills & Richmond Hill PCN

There is substantial variation in prescribing behaviours, across various different areas of medicine. Some variation can be explained by demographic changes, or local policies or guidelines, but much of the remaining variation is less easy to explain. At OpenPrescribing we are piloting a number of data-driven approaches to identify unusual prescribing and collect feedback on this prescribing to inform development of new tools to support prescribers and organisations to audit and review prescribing.

This report has been developed to automatically identify prescribing patterns at a chemical level which are furthest away from “typical prescribing” and can be classified as an “outlier”. We calculate the number of prescriptions for each chemical in the BNF coding system using the BNF subparagraph as a denominator, for prescriptions dispensed between April 2021 and August 2021. We then calculate the mean and standard deviation for each numerator and denominator pair across all practices/CCGs/PCNs/STPs. From this we can calculate the “z-score”, which is a measure of how many standard deviations a given practice/CCG/PCN/STP is from the population mean. We then rank your “z-scores” to find the top 5 results where prescribing is an outlier for prescribing higher than its peers and those where it is an outlier for prescribing lower than its peers.

It is important to remember that this information was generated automatically and it is therefore likely that some of the behaviour is warranted. This report seeks only to collect information about where this variation may be warranted and where it might not. Our full analytical method code is openly available on GitHub here.

The DataLab is keen to hear your feedback on the results. You can do this by completing the following survey or emailing us at ebmdatalab@phc.ox.ac.uk. Please DO NOT INCLUDE IDENTIFIABLE PATIENT information in your feedback. All feedback is helpful, you can send short or detailed feedback.

Prescribing where Burmantofts, Harehills & Richmond Hill PCN is higher than most

BNF Chemical Chemical Items BNF Subparagraph Subparagraph Items Ratio Mean std Z_Score Plots
Neostigmine bromide 1 Drugs which enhance neuromuscular transmission 30 0.03 0.00 0.00 17.76
Sucroferric oxyhydroxide 30 Phosphate binding agents 156 0.19 0.00 0.02 9.26
Flutamide 3 Prostate cancer and gonadorelin analogues 189 0.02 0.00 0.00 5.40
Nimodipine 6 Calcium-channel blockers 20058 0.00 0.00 0.00 4.74
Zuclopenthixol hydrochloride 307 Antipsychotic drugs 7809 0.04 0.01 0.01 4.28

Prescribing where Burmantofts, Harehills & Richmond Hill PCN is lower than most

BNF Chemical Chemical Items BNF Subparagraph Subparagraph Items Ratio Mean std Z_Score Plots
Pyridostigmine bromide 29 Drugs which enhance neuromuscular transmission 30 0.97 1.00 0.00 -8.53
Metronidazole 263 Metronidazole, tinidazole and ornidazole 264 1.00 1.00 0.00 -3.19
Trimethoprim 367 Sulfonamides and trimethoprim 559 0.66 0.87 0.07 -3.17
Colecalciferol 13548 Vitamin D 14624 0.93 0.97 0.01 -2.75
Colecalciferol 800unit capsules : 1628
Colecalciferol 1,000unit tablets : 433
Colecalciferol 1,000unit capsules : 178
Colecalciferol 400unit capsules : 93
Colecalciferol 10,000units/ml oral solution : 3
Colecalciferol 400unit / Calcium carbonate 1.5g tablets : 6
Colecalciferol 2,000units/ml oral drops sugar free : 10
Colecalciferol 200unit / Calcium carbonate 1.25g chew tab : 4
Colecalciferol 400unit / Calcium carbonate 1.25g chew tab : 603
Colecalciferol 440unit/Calcium carb 1.25g efferv gran sach : 6
Colecalciferol 400unit / Calcium carbonate 1.5g chewable tab : 784
Colecalciferol 800unit/Calcium phosphate 3.1g oral pdr sach : 30
Colecalciferol 400unit / Calcium carbonate 1.5g efferv tab : 73
Colecalciferol 400unit / Calcium carbonate 1.25g tablets : 20
Colecalciferol 200unit / Calcium carbonate 750mg tablets : 66
Colecalciferol 20,000units/ml oral drops : 1
Colecalciferol 2,200unit tablets : 1
Colecalciferol 10,000unit tablets : 2
Colecalciferol 20,000unit tablets : 123
Colecalciferol 800unit tablets : 146
Colecalciferol 10,000units/5ml oral solution : 1
Colecalciferol 40,000unit capsules : 64
Colecalciferol 50,000unit tablets : 12
Colecalciferol 2,000unit tablets : 7
Colecalciferol 3,200unit capsules : 1
Colecalciferol 25,000units/1ml soln ud amp sugar free : 84
Colecalciferol 880unit / Calcium carbonate 2.5g chew tab : 4
Colecalciferol 25,000unit tablets : 23
Colecalciferol 800unit / Calcium carbonate 2.5g chewable tab : 22
Colecalciferol 10,000units/ml oral drops sugar free : 40
Colecalciferol 10,000units/ml oral solution sugar free : 2
Colecalciferol 2,400units/ml oral drops sugar free : 2
Colecalciferol 20,000unit capsules : 688
Colecalciferol 50,000units/1ml soln ud amp sugar free : 2
Colecalciferol 10,000unit capsules : 1
Colecalciferol 2,500unit capsules : 2
Colecalciferol 30,000unit capsules : 1
Colecalciferol 5,000unit capsules : 2
Colecalciferol 1,000unit / Calcium carbonate 2.5g chew tab : 388
Colecalciferol 4,000unit tablets : 21
Colecalciferol 25,000unit capsules : 5
Colecalciferol 400unit tablets : 31
Colecalciferol 10,000units/5ml oral solution sugar free : 1
Colecalciferol 50,000unit capsules : 33
Colecalciferol 400units/ml oral drops sugar free : 6
Colecalciferol 200units/drop oral drops : 2
Pro D3 400unit capsules : 24
Pro D3 1,000unit capsules : 78
Pro D3 20,000unit capsules : 9
Pro D3 2,000units/ml liquid drops : 4
Pro D3 2,000units/ml liquid : 8
Accrete D3 tablets : 499
Accrete D3 One a Day 1000mg/880unit chewable tablets : 2
Valupak Vitamin D3 1,000unit tablets : 109
Adcal-D3 chewable tablets tutti frutti : 2160
Adcal-D3 Lemon chewable tablets : 151
Adcal-D3 Dissolve 1500mg/400unit effervescent tablets : 58
Adcal-D3 750mg/200unit caplets : 850
Cacit D3 effervescent granules sachets : 11
Calceos 500mg/400unit chewable tablets : 1388
Calcichew D3 chewable tablets : 6
Calcichew D3 Forte chewable tablets : 502
Calcichew D3 500mg/400unit caplets : 17
Calcichew D3 1000mg/800unit Once Daily chewable tablets : 64
Calfovit D3 oral powder sachets : 79
SunVit-D3 1,000unit tablets : 32
SunVit-D3 20,000unit tablets : 130
SunVit-D3 2,000unit tablets : 7
SunVit-D3 800unit tablets : 5
Fultium-D3 800unit capsules : 232
Fultium-D3 20,000unit capsules : 7
Fultium-D3 2,740units/ml oral drops : 1
Pro D3 forte 3,000units/ml liquid : 2
Hux D3 20,000unit capsules : 127
Hux D3 3,200unit capsules : 1
Desunin 800unit tablets : 95
Plenachol D3 40,000unit capsules : 1
Kalcipos-D 500mg/800unit tablets : 11
OsteoCaps D3 20,000unit capsules : 4
OsteoCaps D3 1,000unit capsules : 21
Evacal D3 1500mg/400unit chewable tablets : 5
HealthAid Vitamin D3 200units/drop oral drops : 3
InVita D3 25,000units/1ml oral solution : 58
InVita D3 2,400units/ml oral drops : 11
InVita D3 50,000units/1ml oral solution : 6
InVita D3 800unit capsules : 10
InVita D3 50,000unit capsules : 30
InVita D3 25,000unit capsules : 5
InVita D3 5,600unit capsules : 16
Stexerol-D3 1,000unit tablets : 39
Thorens 10,000units/ml oral drops : 12
Calci-D 1000mg/1,000unit chewable tablets : 999
Strivit-D3 800unit capsules : 1
ColeDose D3 20,000unit capsules : 2
ColeDose D3 25,000unit capsules : 1
Other amino acidandnutritional agent preparations 2 Amino acids and nutritional agents 4 0.50 0.96 0.17 -2.68