OPNet: Reducing overprescribing

Event 23 November 2022Location 13.00 - 16.30 Online via Webex

Insights, guidance and tips on how the ICS can contribute to, and support the reduction in, overprescribing in frailty, multimorbidity and polypharmacy.


23 November 2022


13.00 - 16.30 Online via Webex

About the event

In our learning and networking event for pharmacists and pharmacy technicians working with older people we provided a forum for  practitioners to keep abreast of topical issues in the care of older people as well as to further develop the skills and confidence to deliver patient-centred care and optimise medicines use.

The theme for this webinar was implementing the National Overprescribing Review (NOR) report.

Why it’s important

ICS are tasked with reducing overprescribing by 10% (number of prescribed items).

Older people have a higher prevalence of overprescribing and are more vulnerable to its adverse consequences.

Pharmacists and pharmacy technicians, particularly in primary care, are expected to enable and contribute to the delivery of the NOR plan through Structured Medication Reviews (SMRs).

What was covered/what you’ll learn

  • Outline the key findings of the NOR report and how pharmacy teams can contribute to implementation of relevant recommendations.
  • Describe and apply the DExTruS approach to tackling over prescribing in patients with complexities in primary care:
    • Data: the provision of continuous, comprehensive access to data from across multidisciplinary teams which includes the CONTEXTUAL data needed to support tailored interpretations.
    • Explanation: professional capacity to construct tailored interpretations of need and the value of medicalisation
    • Trust: recognised as both a mechanism of, and outcome. of quality generalist care, our findings showed that trust is created by a capacity to LEARN – a model of practice built on an informed process of ‘trial and review’.
    • Supportive infrastructure: with health systems designed to support the complex knowledge work involved in construction, delivery and learning from tailored care.
  • Describe practical processes that need setting up in their local practice to facilitate delivery of SMRs.
  • Learn about system wide approaches and interdisciplinary and multi-disciplinary collaboration to reduce overprescribing.


We are pleased to attach the Agenda and slides from this Conference with grateful thanks to our speakers.


The webinar was recorded and is available via this link


Lelly Oboh, Consultant Pharmacist, Care of older people, NHS Specialist Pharmacy Services and Guys & St Thomas NHS Trust.

Clare Howard, Clinical Lead for AHSN National Polypharmacy programme.

Prof Joanne Reeve, GP and Professor of Primary Care Research

Steve Williams, Senior Clinical Pharmacist at Poole Bay and Bournemouth PCN

Heather Smith, Consultant Pharmacist, Older People, ICS Overprescribing Lead, Integrated Care Board (ICB) Leeds, NHS West Yorkshire ICB

Dan Hopewell, Social Prescribing Regional Facilitator for London HLP and Director of Knowledge and Innovation at the Bromley By Bow Centre

Rizwana Dudhia Lead Pharmacist for Learning Disabilities and Autism NELFT, Personalised Care Clinical Lead – Personalising Access To Care | NHS England London Clinical Network

Cleo Butterworth, Associate Clinical Director, Patient Safety and Experience, Health Innovation Network

Nicola Wake, Pharmacy Integration Project Lead​, NHS Specialist Pharmacy Service

SPS Speakers

Our MC today will be Barry Jubraj.  You can read more about Barry below.

Contact us

Please contact the Admin Team if you have any questions.