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To make further reported aldactone as suspect benadryl places and atarax and aldactone. Very few consultations do not result in a prescription being issued. Where the GP works in a dispensing practice a lower number of consultations result in a prescription. Practice overspend is seen as a serious problem by some GPs but many are neutral on this issue and some disagree that it is a problem. The BNF is seen as the most useful, and the most objective, source of information by GPs, 77% ranked it as very useful and 84% ranked it as very or generally objective. 75% of respondents read 50% or less of the prescribing information they receive. 40% read 25% or less of it. Most 58% ; say they are usually confident to appraise prescribing information. 3% of respondents say they rarely feel confident to appraise such information. The preferred format for prescribing information is via summary journals. The majority of GPs were using the EMIS clinical system. In general clinical systems do not display prescribing information only 7% of GPs said this was the case. GPs perceive the priority role of the Prescribing Adviser to be `Providing support on commissioning in relation to medicine'. They feel provision support and advice on current issues in prescribing to be their lowest priority. The majority of GPs describe their relationship with their Prescribing Adviser to be `reasonable'. 66% of GPs have a PCT prescribing incentive scheme in place. 38% do not know the value of the scheme to the practice. Of those that do know the value, the majority placed it in the 2, 001 4, 000 bracket. Overall the incentive schemes do incentivise GPs to stay within budget some more so than others. 62% of GPs were working under the GMS contract. Of those working within this system 31% strongly agreed with the statement that QOF incentives had increased their prescribing. 30% of GPs agreed that the QOF had made their prescribing more efficient. Three quarters of the sample said that patient demand for drugs has increased over the past 3 years. 86% of GPs said their prescribing was benchmarked against others via systems such as PACT.

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