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Why have strategies to avoid prescribing antibiotics not been more widely adopted, and how can we facilitate this?

 In this workstream our objectives are to:

  1. Ascertain the underpinning barriers and facilitators acting at the individual and practice-level to explain why delayed/back-up prescribing and strategies to avoid prescribing based on enhanced consultation skills (eg improved communication training or point of care tests), which have not been widely adopted in general practice in England.
  2. Develop and test novel solutions to target these barriers and factilitators, based on the priniciples of co-design with healthcare professionals and patients, to substantially increase uptake of all strategies across England.