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Download to read offline
Calculates ACB score based on
repeat templates
Records ACB score with read
code
Patient Information Leaflet on risks
of anticholinergic medicines
ACB calculator template & protocol
written & published to all BSW
SystmOne practices
Review of strongly anticholinergic drugs for
Over Active Bladder for highest risk groups.
Education sessions on ACB risks for
prescribers.
"Deprescribing Champion" GP in each
practice
Calculating & recording ACB scores in
Structured Medication Reviews (SMRs)
Since 2020 BSW ICB has included projects to
reduce ACB in our annual Prescribing Incentive
Scheme.
gaylewynn@nhs.net www.bswtogether.org.uk
REDUCING
ANTICHOLINERGIC
BURDEN (ACB)
SUPPORTING
MATERIALS
BACKGROUND
cognitive impairment
falls
all-cause mortality
There is increasing evidence that medicines with
anticholinergic effects increase the risk of:
in older people.
Risks appear cumulative, with people taking more
medicines with anticholinergic activity i.e. higher
anticholinergic burden (ACB), being at higher risk.
METHODS
RESULTS
Gayle Wynn Bath & North East Somerset, Swindon & Wiltshire ICB

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Reducing Anticholinergic Burden (ACB).pdf

  • 1. Calculates ACB score based on repeat templates Records ACB score with read code Patient Information Leaflet on risks of anticholinergic medicines ACB calculator template & protocol written & published to all BSW SystmOne practices Review of strongly anticholinergic drugs for Over Active Bladder for highest risk groups. Education sessions on ACB risks for prescribers. "Deprescribing Champion" GP in each practice Calculating & recording ACB scores in Structured Medication Reviews (SMRs) Since 2020 BSW ICB has included projects to reduce ACB in our annual Prescribing Incentive Scheme. gaylewynn@nhs.net www.bswtogether.org.uk REDUCING ANTICHOLINERGIC BURDEN (ACB) SUPPORTING MATERIALS BACKGROUND cognitive impairment falls all-cause mortality There is increasing evidence that medicines with anticholinergic effects increase the risk of: in older people. Risks appear cumulative, with people taking more medicines with anticholinergic activity i.e. higher anticholinergic burden (ACB), being at higher risk. METHODS RESULTS Gayle Wynn Bath & North East Somerset, Swindon & Wiltshire ICB