Antibiotic resistance is a major global public health issue and a threat to the future of healthcare. Without effective antibiotics, many routine treatments will become increasingly dangerous.
Setting fractured bones and other routine surgery, even chemotherapy all rely on access to antibiotics that work. Antibiotic resistance is driven by use of antibiotics so a key way of tackling it is to reduce their inappropriate use.
The Scottish Antimicrobial Prescribing Group (SAPG), established in 2008 at the request of the Scottish Government, works closely with clinical staff in NHS boards to promote the safe and effective use of antibiotics across hospital and community settings.
Our primary objective is to coordinate a national framework for antimicrobial stewardship. This means making the best use of antibiotics to prevent and treat infection to optimise outcomes for patients and reduce harm to both patients and wider society. The SAPG programme of work is aligned to the Scotland’s “Realistic Medicine” agenda through our efforts to reduce harm, waste and variation in antibiotic prescribing practice and to develop individualised treatment for patients wherever possible. We work closely with NHS National Services Scotland (NSS), NHS Education for Scotland (NES) and Antimicrobial Management Teams in regional health boards to deliver this work.
By working together, we are making progress in improving use of antibiotics across hospital and community settings, but there is still work to be done.
What we do
- Quality improvement: supporting health and social care staff in community settings and clinicians working in hospitals to improve how they use antibiotics to treat patients with infections.
- Education: developing training materials to support multi-professional education around antibiotics and resistance across all health and care settings.
- Surveillance and informatics: developing robust information systems to measure antibiotic use and antibiotic resistance and also assess the impact or our quality improvement work.
- Antibiotic awareness: working with our public partners to raise awareness about use of antibiotics and the problem of antibiotic resistance amongst health and care staff, patients and the public so that together we can ‘Keep Antibiotics Working’.
Who we are
We are a national clinical multi-professional group with representation from key stakeholders including all mainland Scottish health boards.
We are part of Healthcare Improvement Scotland.
Our programme of work is headed up by our Chair Dr Andrew Seaton and Project Lead Dr Jacqueline Sneddon, and supported by our Project Officer Susan Paton and Information Analyst Andrea Patton. We also work closely with colleagues in National Services Scotland (NSS) and NHS Education for Scotland (NES).
You can contact us by email at firstname.lastname@example.org
- SAPG representation
Chair: Dr Andrew Seaton, Infectious Diseases Consultant and AMT Lead, NHS Greater Glasgow and Clyde
Vice Chair: Dr Gail Haddock, General Practitioner, NHS Highland
Medical Directors Group (Acute Care): Dr Brian Cook, Associate Director - Acute, Critical Care, NHS Lothian
Directors of Pharmacy Group: Alison Wilson, Director of Pharmacy, NHS Borders
Chief Executives' Group: Christine Gilmour, Chief Pharmacist, NHS Lanarkshire
Lead for Information (Prescribing): Professor Marion Bennie, Chief Pharmaceutical Adviser, National Medicines Utilisation Unit, Information Services Division
Lead for Information (Surveillance): Dr Michael Lockhart, Consultant Microbiologist, Health Protection Scotland
Pharmaceutical Adviser Information: William Malcolm, Pharmaceutical Adviser, Health Protection Scotland
Lead for Antimicrobial Resistance programme: Dr Julie Wilson, Principal Healthcare Scientist (Epidemiologist) HAI & Infection Control Group
Information Workstream Analyst: Rita Nogueira, Senior Information Analyst, Information Services Division; Mr Alastair Beith, Information Analyst, National Services Scotland
Representative with responsibility for research: Dr Charis Marwick, Clinical Senior Lecturer, University of Dundee
NHS Education for Scotland: Dr Ruth Robertson, Health Protection Education Programme Manager, Health Protection Scotland/NHS Education for Scotland
Controlling Antimicrobial Resistance in Scotland programme: Dr Eleanor Anderson, Consultant in Public Health Medicine, Health Protection Scotland.
NHS Ayrshire & Arran: Dr Ursula Altmeyer, Consultant Microbiologist
NHS Borders: Samuel Whiting, Infection Control Manager
NHS Dumfries & Galloway: Dr Bryan Marshall, Consultant Microbiologist
NHS Fife: Dr David Griffith, Consultant Microbiologist
NHS Forth Valley: Dr Robbie Weir, Consultant Microbiologist
NHS Greater Glasgow and Clyde: Dr Brian Jones, Consultant Microbiologist
NHS Grampian: Dr Alexander Mackenzie, Consultant in Infectious Diseases. Deputy: Dr Ian Gould, Consultant Microbiologist
NHS Highland: Dr Adam Brown, Consultant Microbiologist. Deputy: Alison MacDonald, Antimicrobial Pharmacist
NHS Lanarkshire: Dr Stephanie Dundas, Consultant in Infectious Diseases
NHS Lothian: Dr David Wilks, Consultant Physician. Deputy: Carol Philip / Alison Cockburn, Antimicrobial Pharmacists
NHS Orkney: Catriona Innes, Antimicrobial Pharmacist; Dr Becky Wilson, Consultant Microbiologist and Infectious Diseases Clinician, NHS Grampian and NHS Orkney
NHS Tayside: Dr Busi Mooka, Infectious Diseases Consultant
General Practitioners: Dr Simon Hurding, GP Adviser Efficiency & Productivity, Scottish Government and Medicines Management Adviser / GP, NHS Lothian
Paediatrics: Dr Conor Docherty, Consultant in Paediatric Infectious Diseases
Association of Scottish Antimicrobial Pharmacists: Alison Cockburn, Antimicrobial Pharmacist and Chair of the Association of Scottish Antimicrobial Pharmacists
Scottish Microbiology and Virology Network: Dr Mairi MacLeod, Consultant Microbiologist, NHS Greater Glasgow and Clyde
Infection Control Managers group: Samuel Whiting, Infection Control Manager, NHS Borders
Infection Control Doctors Group: Dr Ben Parcell, Consultant Microbiologist, NHS Tayside
Infection Prevention Society: Deirdre Harris, Consultant Nurse, Infection Control, NHS Fife
Nursing: Jo McEwen, Antimicrobial Nurse, NHS Tayside; Lesley Shepherd, Nurse Consultant, HAI Improvement Scotland and National Services Scotland
Scottish Nurse Executive Directors: Mrs Hazel Borland, Director of Nursing, NHS Ayrshire and Arran
Safety: John Harden, Scottish Clinical Lead for Quality and Safety
Dentistry: Dr Alexander Crichton, Consultant in Oral Medicine, Glasgow School of Dentistry; Professor Andrew Smith, Professor of Clinical Bacteriology, NHS Greater Glasgow and Clyde
Public Partners: Howard McNulty; Suzanne Clark, Healthcare Improvement Scotland, Patient and Public Involvement
Scottish Prescribing Advisors Association: Anne Thomson, Prescribing Advisor, NHS Greater Glasgow and Clyde; Jill Nowell, Prescribing Advisor, NHS Forth Valley
Professional Secretary, ScotMARAP: Ysobel Gourlay, Lead Antimicrobial Pharmacist, NHS Greater Glasgow and Clyde
- Observers and SAPG secretariat
Dr Jacqueline Sneddon, SAPG Project Lead, Scottish Medicines Consortium
Susan Paton, SAPG Project Officer, Scottish Medicines Consortium
Andrea Patton, SAPG Information Analyst, Scottish Medicines Consortium
Professor Alistair Leanord, HAI Medical Adviser, Policy Unit, Chief Nursing Officer Directorate, Patients, Public and Health Professionals, Scottish Government