To ensure that OPAT is an integral part of, and adheres to, the principles of the broader antimicrobial stewardship agenda
• Promote OPAT as an important aspect of antimicrobial stewardship across the BSAC portfolio.
• Engage with all in the OPAT clinical community e.g. acute medicine, ambulatory care, surgery – to inform, support and enhance the delivery of safe and effective services across all sectors
• Develop an online accredited OPAT stewardship training module relevant for OPAT and other healthcare practitioners.
• Recommend all local antimicrobial management teams, stewardship committees or their equivalents appoint a member of the OPAT service to their membership.
• Recommend that OPAT antimicrobial use is reviewed within the antimicrobial stewardship programme as in other clinical specialties
To establish the clinical and organisational landscape of UK OPAT service provision and advocate for a nationally recognised funding mechanism that benefits both providers and payers of OPAT services
• Undertake a landscape survey to identify and characterise all OPAT services operating within the UK including the emergence of OPAT offered via ambulatory care services.
• Develop and undertake a qualitative survey looking at requirements for and obstacles to development of new / expansion of existing OPAT services.
• Establish a multi-centre UK project to map the range of different OPAT service models and estimate the associated service delivery costs
• Use the evidence gathered from the multi-centre project on costs and current models for reimbursement to lever change by championing the need for a consensus on OPAT funding
• Present outputs to the All Party Parliamentary Group on Antibiotics and other professional health care organisations within the devolved nations
To support, within the good practice framework, the development of competencies for all OPAT practitioners, working collaboratively with regulatory bodies as required
• Work collaboratively with regulatory bodies to gain support for the development of a competency framework for all OPAT practitioners.
• Undertake a literature review to establish what competency framework(s) exist at present and for whom.
• Develop a competency framework through consideration of both discipline-specific and generic competencies.
• Produce and publish an evidence based peer reviewed report that includes competencies for all OPAT practitioners: nurses, pharmacists, ID physicians, general practitioners and microbiologists.
Note: The competency framework project will be wholly supported by the British Society for Antimicrobial Chemotherapy. No commercial support is invited or permitted for this evidence review.
To maintain a comprehensive dataset on OPAT service provision, therapy and outcomes within the United Kingdom to allow for shared learning and driving quality improvement
• Strive to ensure all OPAT services report on their service(s) via contribution of a core data set to the National Outcomes Registry as part of good antimicrobial stewardship governance.
• Provide preceptorship/online training support programme to centres in the supply and upload of data to the National Outcomes Registry.
• Continue to develop the outcomes registry for the OPAT community.
• Publish key outcomes for OPAT services within the UK to share learning.
To extend the range of anti-infectives and devices available for use within the OPAT patient pathway through publication of standardised open access data
• Establish, in collaboration with the preferred provider, the BSAC Standardised Drug Stability Methodology Centre.
• Develop a business case to support commissioning of stability and shelf-life data for a minimum of six aseptically prepared antimicrobial agents for parenteral administration via syringe, infusion bag and elastomeric devices, over a 36 month project.
• Make available to the healthcare community the results of the stability and shelf-life studies through open access publication.
• Complete and publish the results of a literature review on the use of oral agents in OPAT settings.
• Develop a series of multi-media case studies from clinical and patient perspectives demonstrating the optimal use of oral agents in OPAT settings
To establish a proactive, self-supporting OPAT networking community
The OPAT community primarily works discretely within their own service, possibly sharing practice within their region and neighbouring region. The UK OPAT Initiative has provided an umbrella organisation through which practitioners can, through attendance at national conferences and local workshops, share advice, good practice, etc. There is a demonstrated appetite, overly driven by the nursing community, to establish formal virtual networking opportunities. This is an appetite shared by other healthcare professionals within the UK and internationally, and also by commercial providers.