Implementation of NICE guidelines

Abstract

Purpose -The aim of this paper is to assess the monitoring standards of methylphenidate prescribed by general practitioners (GPs) against the NICE guidelines. Design/methodology/approach -The data on methylphenidate prescribing by GPs in Chorley and South Ribble were collected using a custom designed proforma from patient records held at GP surgeries and interviews with GPs. The data were then analysed using descriptive statistics. Findings -The study finds that the majority (96 per cent) of the subjects who were on methylphenidate prescription from GPs were monitored by specialist services. This included both the National Health Service and the private sector. Only 62.5 per cent had documentation on physical monitoring and psychosocial intervention. Practical implications -The results of the study showed that the monitoring of children on methylphenidate did not conform to the NICE guidelines. This highlighted the need for clear communication of responsibility of monitoring across the services. This is more important in regions where there are not optimal functioning child and adolescent mental health services. Originality/value -As far as the authors know this was the first audit of its kind assessing the standards of methylphenidate prescribing done by general practitioners.