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10. Action Plan: NHS Boards and their Area Drug and Therapeutics Committees
All NHS Boards should immediately set up, as a sub group of their Area Drug and Therapeutics Committee ( ADTC), Antimicrobial Management Teams ( AMT), where these are not already in place.
To ensure effective communication with SMC and linkage with other appropriate systems the AMT should be a sub group of the NHS Boards Area Drug and Therapeutics Committee.
To maximise implementation and monitoring of the impact of any actions required or taken, the Antimicrobial Management Team in liaison with the Area Drug and Therapeutics Committee should also link closely with:
- clinical governance and risk management teams within NHS Boards and other appropriate bodies
- NHS Board Infection Control Committee
- the Infection Control Manager
- appropriate 'out of hospital' agencies.
In collaboration with their Area Drug and Therapeutics Committees, Antimicrobial Management Teams would receive, disseminate and ensure implementation of advice from the Scottish Medicines Consortium at NHS Board level regarding antimicrobial resistance and antimicrobial utilisation, and co-ordinate work across hospital and 'out of hospital' care areas.
All ADTCs should ensure that Antimicrobial Management Teams involve and engage with members of the public in a meaningful way. These persons would link into existing formal Patient Focus and Public Involvement ( PFPI) structures.
NHS Boards should also ensure that the antimicrobial Automated Sensitivity Testing equipment, recently funded by the Scottish Government via a new national contract, is adequately supported in terms of purchase of consumables and participation in the national surveillance arrangements as specified by Health Protection Scotland.
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