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[LFISHER7]

• [x] Provide definition of count and rate in each section. Is count equivalent to a single prescription (ie one course of antibiotics per patient?)
• [x] Display stacked bar as trend line for each antibiotic to visualise relative demand and changes in demand for each drug.
• [x] Providing these numbers in a table would also help with forecasting.
• [x] Make it clear than data for individual drugs is what is prescribed, but may not reflect what was dispensed due to SSPs (most important for penicillin V products). We have this, but perhaps need to make it more prominent.
• [x] Make it clearer that the top 5 tables represents cumulative counts over the entire period (up to 1 code per patient per week/month) and how this compares to event counts table.
• [x] For strep a sore throat, consider reporting 'sore throat' as it's not easy to distinguish clinically between viral and bacterial sore throat and very few patients have a diagnostic test to confirm.
• [x] Lay summary under the title (can take from the project application)
  • [x] Look to key measures report for structure (background, authors, this is a work in progress get in touch)
• [ ] Report combining multiple upper respiratory tract infections - this is larger group that sore throat or scarlet fever but dictates antibiotic demand. (DO NOT DO FOR NOW)

[chrisjwood16]

Bits from above/extra clarifications as discussed with @ccunningham101: Let me know if anything unclear or if you need input.

• [x] If simple to change adjust title to cover that this also covers treatments and sore throat/tonsillitis: Group A streptococcal cases and treatments during the COVID-19 pandemic: {start_date} through {end_date} by week [CC]

• [x] Any antibiotic - add info on why chosen - add erythromycin The following antibiotics are included: phenoxymethylpenicillin, amoxicillin, clarithromycin, azithromycin, erythromycin, flucloxacillin, cefalexin and co-amoxiclav. This is based on the antibiotic recommendation given in NHS England Group A streptococcus in children: Interim clinical guidance summary 22nd December 2022 . [CC]

• [x] Move data notes to make more obvious Change "Medication data" to "Prescribing data" to better match headings Add this under Antibiotic Prescribing heading - can repeat under other headings if needed: Note: Prescribing data is based on prescriptions issued within the Electronic Health Record. Prescriptions may not always be dispensed or in some cases the dispensed item may differ from the prescribed item due to the use of a Serious Shortage Protocol. Add this under Recorded Clinical Events heading - can repeat under other headings if needed: Note: Clinical events data is based on a clinical code being added to a patients record. This is often added by a clinician during a consultation to indicate the presence of a sign/symptom (e.g. sore throat) or that a clinical diagnosis has been made (e.g. Scarlet Fever). These codes do not necessarily indicate positive test results.

• [ ] Can "Events in the latest week" be changed to "Prescriptions in the latest week" (or should it be "Patients with at least one prescription in the latest week") for medications

• [x] Change references of "Strep A sore throat" to "Sore throat/tonsillitis" [CC]

• [x] Add summary of study from application - I will write draft here

• [x] Clearly define count (of people) and rate of people. Check y-axis consistent and match this.

Less urgent things:

• [x] Add info that counts are rounded to nearest 5.
• [x] Add info that figures redacted if less than x. Invasive Group A Strep figures approaching point of needing redaction