All Wales Medicines Strategy Group National Prescribing Indicators 2021 - 2022

Module created April 2020 - Reviewed October 2021
The AWMSG National Prescribing Indicators have been updated for 2022-2023. Please review the current set of indicators before continuing with this module. The updated indicators and associated supporting information can be accessed here: National-prescribing-indicators-2022-2023

This module provides an overview of the All Wales Medicines Strategy Group (AWMSG) National Prescribing Indicators for 2021 – 2022 subsequently referred to as NPIs. The All Wales Therapeutics and Toxicology Centre provide professional secretariat, pharmaceutical and clinical support to the All Wales Medicines Strategy Group and it’s sub groups.

National Prescribing Indicators (NPIs) are used to highlight therapeutic priorities for NHS Wales and compare the ways in which different prescribers and organisations use particular medicines or groups of medicines. Since endorsement of the first set of NPIs by the All Wales Medicines Strategy Group (AWMSG) in 2003, NPIs have evolved to include secondary care in addition to primary care, and encompass quality, safe, and efficient prescribing.

For 2020 – 2021 the NPI’s were refreshed with a focus on 3 priority areas supported by safety and efficiency domains, as highlighted in the diagram. This refresh continued with the philosophy of prudent healthcare enabling higher quality and value through reducing variation waste and harm. Due to the workload pressures across NHS Wales during the COVID-19 pandemic, the decision was made to carry forward the NPIs for 2020–2021 into 2021–2022.

Image of a pyramid showing the three priority areas and supporting domains for the National Prescribing Indicators

Developed by the All Wales Prescribing Advisory Group (AWPAG)

  • May 2019: AWPAG NPI Task and Finish Group review and develop NPIs.
  • June 2019: Recommendations for NPIs 2019–2020 discussed at AWPAG.
  • September 2019: Draft consultation paper discussed at AWPAG.
  • October 2019: Consultation with industry and stakeholders.
  • December 2019: Final version presented to AWPAG.
  • February 2020: Final document endorsed by the All Wales Medicines Strategy Group (AWMSG).



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