Audit-based Education to Implement NICE Do-Not-Do Recommendations in People with Cardiometabolic Multimorbiditory (MONITORY); a cluster randomised trial

This study focuses on improving medication prescribing in GP surgeries to enhance patient safety. The National Institute for Health and Care Excellence (NICE) highlighted over 800 clinical interventions that should be used sparingly or discontinued in the NHS to prevent adverse events. However, these recommendations can be overlooked due to time constraints and competing commitments for clinicians.

We're targeting five specific recommendations, particularly for patients with multiple long-term conditions like heart disease and diabetes. Through a programme called Audit-Based Education (ABE), we aim to improve adherence to these recommendations in GP practices in England associated with the Oxford-Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) network. Using an online platform, we'll provide personalised dashboards and educational tools to practices, focusing on cardiometabolic conditions. By training clinicians and monitoring prescribing patterns, we aim to reduce inappropriate prescriptions.

Our goal is to demonstrate that ABE can lead to fewer inappropriate prescriptions, benefiting patients and potentially leading to implementation into GP computerised medical record systems nationally.