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 to tackle antimicrobial resistance.
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.
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.
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 Frances Kerr. We 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
What we do
Guidance & QI Tools
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.
SAPG has created resources for health and care staff and also materials to engage with patients and the public.
Surveillance and informatics
Developing robust information systems to measure antibiotic use and antibiotic resistance and also assess the impact or our quality improvement work.
SAPG collaborates with clinicians and academic partners to support research in antimicrobial stewardship and develop peer reviewed publications of our work.
- SAPG representation
Chair: Dr Andrew Seaton, Infectious Diseases Consultant and AMT Lead, NHS GG&C
Scottish Association of Medical Directors: Dr Scott Davidson, Deputy Medical Director for Acute Services, NHS GG&C
Directors of Pharmacy: Alison Wilson, Director of Pharmacy, NHS Borders
Scottish Government: Jamie Stewart, AMR Team Lead
Lead for Information (Prescribing): Professor Marion Bennie, Chief Pharmacist, Public Health Scotland
Pharmaceutical Adviser Information: William Malcolm, Pharmaceutical Adviser, Clinical Lead for the SONAAR Programme, ARHAI Scotland
Lead for Antimicrobial Resistance programme: Dr Julie Wilson, AMR Manager, ARHAI Scotland
Information Analyst: Polly Russell, Information Analyst, Karen Gronkowski, Senior Information Analyst and Aidan Morrison, Senior Information Analyst, SONNAR Programme, ARHAI Scotland
Representative with responsibility for research: Dr Charis Marwick, Clinical Senior Lecturer, University of Dundee
NHS Education for Scotland: Sabine Nolte, Principal Educator, Public Health Team, Nursing, Midwifery and Allied Health Professions (NMAHP)
National Clinical Safety Lead for Quality and Safety: Dr John Harden, A&E Consultant, NHS Lanarkshire / Scottish Government
NHS Tayside: Dr Busi Mooka, Infectious Diseases Consultant
Golden Jubilee National Hospital: Rebecca Houston, Lead Antimicrobial Pharmacist; Dr David Fallaha, Consultant Anaesthetist
Infection Control Doctors Group: Dr Ben Parcell, Consultant Microbiologist, NHS Tayside
General Practitioners: Dr Deirdre O'Driscoll, NHS GG&C and Dr Virginia Santiago, NHS Fife
Paediatrics: Dr Conor Doherty, Consultant in Paediatric Infectious Diseases, NHS GG&C and Susan Kafka, Advanced Pharmacist - Paediatric Antimicrobials & Medicine, NHS GG&C
Association of Scottish Antimicrobial Pharmacists: Kirsteen Hill, Antimicrobial/HIV Pharmacist, NHS Tayside and Fiona McDonald, Specialist Pharmacist - Antibiotics, NHS Grampian
Scottish Microbiology and Virology Network: Dr Mairi MacLeod, Consultant Microbiologist, NHS GG&C
Infection Control Nurses: Diane Stark, Senior Infection Prevention and Control Nurse, NHS Highland
Scottish Antimicrobial Nursing Group: Jo McEwen, Antimicrobial Nurse, NHS Tayside
Scottish Executive Nurse Directors: Theresa Williamson, Associate Nurse Director, Golden Jubilee National Hospital and Sarah Dickie, Associate Nurse Director, NHS Tayside
Dentistry: Dr Alexander Crighton, Consultant in Oral Medicine, Glasgow School of Dentistry; Professor Andrew Smith, Professor of Clinical Bacteriology, NHS GG&C
Public Partner: James Findlay, Healthcare Improvement Scotland, Patient and Public Involvement
Scottish Prescribing Advisors Association: Laura Innes, Prescribing Support Pharmacist, NHS GG&C
Professional Secretary, ScotMARAP: Ysobel Gourlay, Lead Antimicrobial Pharmacist, NHS GG&C
Antimicrobial Management Team representatives
NHS Ayrshire & Arran: Dr Ursula Altmeyer, Consultant Microbiologist
NHS Borders: Dr Edward James, Consultant Microbiologist
NHS Dumfries & Galloway: Dr Sharon Irvine, Consultant in Infectious Diseases
NHS Fife: Dr David Griffith, Consultant Microbiologist
NHS Forth Valley: Dr Robbie Weir, Consultant Microbiologist
NHS Grampian: Dr Vhairi Bateman, Consultant in Infectious Diseases
NHS Highland: Dr Adam Brown, Consultant Microbiologist and Alison MacDonald, Area Antimicrobial Pharmacist
NHS Lanarkshire: Dr Stephanie Dundas, Consultant in Infectious Diseases
NHS Lothian: Dr Simon Dewar, Consultant Microbiologist
NHS Orkney: Dr Becky Wilson, Consultant Microbiologist and Infectious Diseases Clinician, NHS Grampian and NHS Orkney; Mr Russell Mackay, Specialist Clinical Pharmacist
- SAPG secretariat
Frances Kerr, SAPG Project Lead, Healthcare Improvement Scotland
Marion Pirie, SAPG Project Officer, Healthcare Improvement Scotland
Guidance and QI Tools
We support staff across primary, social care and hospital settings to improve infection management and the use of antibiotics.
Surveillance and informatics
We have developed robust information and surveillance systems to measure prescribing and its impact on antimicrobial resistance.