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The Antimicrobial Self-Assessment Toolkit for NHS Trusts (ASAT) was developed by an Advisory Non-Departmental Public Body on Antimicrobial Resistance and Healthcare Associated Infections (ARHAI), in conjunction with the Department of Health (DH). It was developed by a review of the evidence base up to 2012, on antimicrobial stewardship programmes (ASPs) and also by consensus expert opinion. The antimicrobial self-assessment toolkit is underpinned by the Public Health England Code of Practice for the prevention and control of infections, as set out in the Public Health England Patient safety alert “addressing antimicrobial resistance through implementation of an antimicrobial stewardship programme” published 18 August 2015. It also complies with NICE guidance on antimicrobial stewardship.

The main purpose of the antimicrobial self-assessment toolkit is to evaluate and to assess the antimicrobial stewardship programmes that exist within NHS acute hospitals. The antimicrobial self-assessment toolkit could assist NHS acute hospitals to review their current antimicrobial stewardship practices. An antimicrobial self-assessment toolkit evaluation will help hospitals to assess their antimicrobial stewardship policies against national guidelines and to identify areas for improvement so that the organisation can address any gaps in service provision and delivery. The results from an antimicrobial self-assessment toolkit evaluation could also be used to help hospitals to develop a strategy for improving patient safety by addressing and reducing healthcare associated infections such as Clostridium difficile and antimicrobial resistance.

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