title: POMHS 9b - antipsychotic prescribing in people with a learning disability.
abstract: BACKGROUND
  Prescribing Observatory for Mental Health (POMH-UK) runs national audit-based quality improvement programmes open to all specialist mental health services in the UK to help improve prescribing practice in discrete areas.
  
  
  OBJECTIVE
  The baseline sample and this re-audit represent the largest audits of antipsychotic prescribing in PWLD that have been conducted to date; and thus provide the most generalisable picture of such prescribing nationally.
  
  
  METHODS
  A case note audit of use of antipsychotic medication in PWLD was conducted using standard data collection tool provided by POMH-UK. Trust wide, 7 clinical teams in Essex and Bedfordshire & Luton, participated in the re-audit. Analysis and benchmarking was conducted centrally by POMH-UK and an individualised Trust report was compiled by POMH-UK for local review and consideration.
  
  
  METHODS
  The indication for treatment with antipsychotic medication should be documented in the clinical records (Deb 2006). The continuing need for antipsychotic medication should be reviewed at least once a year (Deb 2006). Side effects of antipsychotic medication should be reviewed at least once a year. This review should include assessment for the presence of extrapyramidal side effects (EPS), and screening for the 4 aspects of the metabolic syndrome: obesity, hypertension, impaired glucose tolerance and dyslipidaemia (NICE schizophrenia guideline update CG82, 2009).
  
  
  RESULTS
  Out of three standards measured, Standard One maintained 100% throughout the baseline and re-audit and Standard Two achieved over 90% throughout baseline and re-audit. Standard 3 has improved from baseline to re-audit. Overall, there has been clear improvement in all 3 standards from baseline audit.
authors: South Essex Partnership University NHS Foundation Trust, Twinwoods Medical Centre, Clapham, Bedfordshire, UK. Deepak.thalitaya@sept.nhs.uk
authors: Madhusudan Deepak
authors: MD
authors: Thalitaya
authors: Victor
authors: V
authors: Udu
authors: Maggie
authors: M
authors: Nicholls
authors: Terry
authors: T
authors: Clark
authors: Verinder P
authors: VP
authors: Prasher
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use*; D006801:Humans; D007859:Learning Disabilities / Q000150:complications*; D008485:Medical Audit / Q000379:methods* / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012559:Schizophrenia / Q000150:complications / Q000188:drug therapy*; D006113:United Kingdom
chemical_list: D014150:Antipsychotic Agents