What are the aims of the study?

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The aim of the study was to produce measurable improvements in the management of insomnia across Lincolnshire, specifically to:

  1. Improve the user experience of management of insomnia.
  2. Reduce rate and (costs) of z-drug prescribing by 50% in 3 years
  3. Reduce the rate (costs) of benzodiazepine hypnotic prescribing by 25% in 3 years
  4. Increase use of recorded non-pharmacological measures in insomnia by at least 100% in 3 years

By achieving the above aims there will be potential recurrent costs savings exceeding £180k per annum in Lincolnshire which could:

  • be used to support additional quality improvement initiatives
  • increase capacity for quality improvement in areas of health priority
  • lead to a real possibility of embedding quality improvement research and techniques in the day-to-day activities of Primary Care Trusts and other commissioning organisations including practice based commissioning clusters.

Podobne wpisy

Welcome

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Sleep problems are common, affecting over a third of the population with many patients going on to have long term problems. Insomnia is associated with a range of psychological, physical and social problems contributing to daytime tiredness, which in turn can lead to accidents and work or relationship problems. Patients will often seek help from their general…

What is the study’s methodology?

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The team measured the quality of clinical care for insomnia and the rate of adoption and spread of changes in practice using a range of quantitative and qualitative measures. Prescribing quality indicators were collected and analysed monthly using the following routine Prescribing Analysis and Cost (PACT) data for primary care: Patient measures included: The team…

Why is the study needed?

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Insomnia is a common and often disabling condition affecting the adult working and elderly population with a prevalence ranging from 6 to 48% in the United Kingdom.[1] Half of those with insomnia seek medical help for their condition[2] and this often involves prescription of a benzodiazepine such as temazepam or a Z-drug such as zopiclone, zolpidem or…

Publications & Presentations

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The REST team have disseminated their findings as the project progresses. As well as several journal publications, the team have presented locally, nationally and internationally since the beginning of the project. Journal Publications Siriwardena AN,Qureshi Z,Gibson S,Latham M. Family doctors’ attitudes and behaviour to benzodiazepine and Z drug prescribing:a barrier to implementation of evidence and guidance on hypnotics. British…

Who is involved?

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Resources for Effective Sleep Treatment (REST) is a three year quality improvement project funded by the Health Foundation as part of their Engaging With Quality in Primary Care initiative. The project aims to improve treatment for people with insomnia by promoting a range of treatment options beyond sleeping pills and is being carried out across…

About the study

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Everyone has difficulty sleeping at some point in their life but in most cases this is short term. However, around one in ten people suffer chronic insomnia, which occurs on a regular basis or over a long period of time. It is most commonly caused by stress and worry but can also be triggered by…

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