PRIMIS is proud to lead on the national roll out of PINCER, in partnership with the Academic Health Science Networks (AHSNs).
Medication errors in general practice are an important and expensive preventable cause of patient safety incidents associated with morbidity, hospitalisations and deaths. PINCER is a pharmacist-led, IT-based intervention (PINCER) to reduce clinically important medication errors in primary care, developed and tested by researchers at the University of Nottingham. The intervention involves searching GP clinical systems using computerised prescribing safety indicators to identify patients at risk from their prescriptions, and then acting to correct the problems with pharmacist support.
Since 2018, PRIMIS has been working with all 15 AHSNs in England to implement PINCER within their territories, using the principles of social franchising. As of December 2020, the scale and scope of the national rollout of PINCER is as follows:
In terms of clinical impact (as documented in our PINCER Progress Report*), analysis of follow-up data showed:
*The progress report on the National Rollout of PINCER (published in September 2020) can be accessed using the links on the right of this page.
Infographic from the PINCER Progress Report, showing improvements in the reductions of numbers of at-risk patients (using follow-up data from 1,060 practices). See full report (link, right) for details.
PRIMIS is currently working with colleagues from the University of Nottingham to find out whether the PINCER intervention has prevented serious harm to patients, including hospital admissions. This follow-on study (called PRoTeCT) involves a more detailed analysis of data from GP practices in the East Midlands. For further information, please visit:
PRIMIS is pleased to confirm that the PINCER specification has been written in full SNOMED CT. A beta version of the system searches for EMIS Web and TPP SystmOne has been developed and tested internally on our in-house clinical systems. If you are interested in testing the beta version of the searches please email email@example.com with your details, including clinical system type.
Please note the following important information in relation to the SNOMED version of the PINCER searches:
In the meantime, please continue to use the existing Read versions of our PINCER searches. These searches are still valid as suppliers continue to operate within the GP subset of SNOMED CT (ie those codes with an equivalent code in Read V2/CTV3).
PRIMIS has now made PINCER IIF indicators available to help identify figures for your IIF targets.
Although the searches referred to in the IIF 2020/21 Guidance are very similar to the PINCER searches, the way that they have been constructed is not the same: the denominators in the IIF Guidance differ to those in the PINCER indicators and are based on the NHS Digital/NHS BSA medication safety indicators. Our PINCER indicators are constructed by identifying the 'at-risk' population (denominator) and then searching for the group of patients exposed to the hazardous prescribing (numerator).
We have taken this step to enable PINCER users to meet your requirements for this incentive scheme simply and efficiently. These searches are only available to those who are implementing PINCER.
Find the searches under ‘Tools’ in the PINCER Resource Centre.
PRIMIS and the AHSN Network were delighted to have been one of the finalists for Patient Safety Team of the Year at 2020's HSJ Patient Safety Awards, recognising their outstanding contribution to healthcare through the national rollout of PINCER.
Find out about the HSJ Patient Safety Awards and winners
More information on contacting your local AHSN in the first instance
If you are using PINCER as part of the national scaling up programme, you can download files, find links for CHART Online, download PINCER-branded templates and images and view instructional videos. You will need to log in using your PINCER username and password:
PINCER resource area
Since 2018, PRIMIS has been working with all 15 AHSNs in England to implement PINCER in their localities. Download the progress report on the National Rollout of PINCER (published September 2020):
Extended Executive Summary
Since writing the report we re now seeing an increase in the uptake in PINCER again - find out more:
PINCER progress report on World Patient Safety Day
PRIMIS + PINCER / PRoTeCT case studies
University of Nottingham Research Pages
Browser does not support script.
Email us firstname.lastname@example.org
Helpdesk 0115 846 6424
General office and non-helpdesk enquiries 0115 846 6420
Please see Contacting us for further details