Brian
@brianmackenna.bsky.social
380 followers 230 following 230 posts
MPharm MPH working for the NHS and at bennett.ox.ac.uk building tools, analysis and papers from health data opensafely.org openprescribing.net
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brianmackenna.bsky.social
Howya folks!

Allow me to introduce myself.......

I’m a pharmacist by trade, with a specialist interest in pharmacomedy, and spend most of my time at @bennettoxford.bsky.social beavering away on OpenPrescribing and OpenSAFELY

If you haven’t heard of them - allow me to shout about them for a minute
Reposted by Brian
shinyblackshoe.bsky.social
Didn't get a chance to mention it at yesterday's #BOPA2025 SC #Nivolumab session...

The amazing guys at #OpenPrescribing have built a SC Nivo tracker. Want to know if you are ahead of the cure - check this out:

hospitals.openprescribing.net/measures/niv...
Measures · Uptake of nivolumab subcutaneous | OpenPrescribing Hospitals
What is this measure?
hospitals.openprescribing.net
brianmackenna.bsky.social
Price concessions continue to challenge NHS orgs

£16million extra cost last month - see our monitoring tool

openprescribing.net/national/eng...

Sign up to bespoke monitoring for your organisation

www.bennett.ox.ac.uk/blog/2019/02...

Check out C4 news for good explainer of the issues*
jessrmorley.bsky.social
NEWS!!! Normally when I tweet about @BennettOxford work I’m either talking about the @bengoldacre Review or @OpenSAFELY BUT @openprescribing was our first born & last night @Channel4News ran a 6min segment using our Price Concessions data to highlight rising drug prices:
Reposted by Brian
brianmackenna.bsky.social
Can the NHS implement change quickly?

Some say no… but new cancer “super jabs” 🚀 show it can.

We’ve just launched 2 new measures on OpenPrescribing Hospitals:

👉 Nivolumab hospitals.openprescribing.net/measures/niv...

👉 Atezolizumab hospitals.openprescribing.net/measures/ate...
Reposted by Brian
bengoldacre.bsky.social
COME TO OUR CONFERENCE!

Lots of people work on medicines data: researchers; but also "medicines optimisation" teams, using data to directly improve NHS care; and teams who build data tools. These clans rarely meet... Until now! Join us, Dec 10th, in Oxford.

www.bennett.ox.ac.uk/events/2025-...
2025 Bennett Institute Medicines Symposium | Bennett Institute for Applied Data Science
The two-day 2025 Bennett Institute Medicines Symposium will take place at Jesus College in Oxford on 10–11 December 2025.
www.bennett.ox.ac.uk
brianmackenna.bsky.social
OpenPrescribing Hospitals is free and open to all

No logins, no barriers.

Explore the measures and see how your hospital compares:

hospitals.openprescribing.net
Home | OpenPrescribing Hospitals
hospitals.openprescribing.net
brianmackenna.bsky.social
Why does this matter?
✅ More convenient for patients
✅ Less time in hospital
✅ Saves NHS resources

This is an incredible achievement by hospital teams across England. Delivering change safely, quickly, and under huge pressure. 👏
brianmackenna.bsky.social
What the data show is phenomenal.

Hospitals switched to Phesgo almost overnight.

Atezolizumab is showing the same rapid adoption.

Too early to say for nivolumab. But you can follow along with the new measures to see how your trust is doing.
brianmackenna.bsky.social
An aside: I know they aren't literally "super jabs". They are subcutaneous injections - but "super jabs" is what NHSE called them when launching the news NHSE would be launching them!
brianmackenna.bsky.social
We often hear: “the NHS can’t implement new treatments quickly or consistently.”

But the hospital prescribing data tell a different story.

Cancers once treated with IV infusions lasting hours can now be treated with quick subcutaneous injections — the “super jabs” 💉
brianmackenna.bsky.social
Can the NHS implement change quickly?

Some say no… but new cancer “super jabs” 🚀 show it can.

We’ve just launched 2 new measures on OpenPrescribing Hospitals:

👉 Nivolumab hospitals.openprescribing.net/measures/niv...

👉 Atezolizumab hospitals.openprescribing.net/measures/ate...
brianmackenna.bsky.social
There was some transient blood test delays….

Encouragingly, most indicators recovered by late 2021. NHS practices and teams showed remarkable resilience in protecting medication safety under huge strain.

The delays were probably a sign of correct prioritisation during the lockdown.
brianmackenna.bsky.social
Now for the questions - did hazardous prescribing increase during the pandemic?

Nope

Potentially hazardous prescribing was largely unaffected by the covid-19 pandemic in primary care health records in England.
brianmackenna.bsky.social
Now in the pandemic - you can’t really have everyone doing this manual data labour because there are more important things to do!

So we set out to see if we could use OpenSAFELY to monitor the PINCER measures.

As everyone suspected that meds safety went out the window with COVID-19 priorities.
brianmackenna.bsky.social
To evaluate the pharmacists work - the PINCER team monitored how certain medicine safety measures changed in GP. To collect this data-individual practices download their data and send it to Nottingham.

This is fine - but slow, not everyone sends its, not everyone measures at the same time etc etc
brianmackenna.bsky.social
Background: PINCER is a pharmacist-led hazardous prescribing primary care.

Full RCT here doi.org/10.1016/s014...

TLDR: it works

It’s one of the NHS’s flagship safety programmes.

One of the reasons the NHS invested substantially in pharmacy folk in general practice over the past decade.
brianmackenna.bsky.social
We used OpenSAFELY to analyse 57 million patient records from over 6,000 general practices – one of the largest medication safety analyses ever done in England........and possibly ever in the world!
Reposted by Brian
wjchulme.bsky.social
As part of this hiring round we're looking for a post-doc to work with us on OVERTURE, a new NIHR-funded programme on vaccine effectiveness for flu, Covid-19, and RSV. You'll use OpenSAFELY to establish and apply optimal methods for estimating VE in population-scale data
wjchulme.bsky.social
We are hiring researchers! We do lots of fun and important work with NHS data - epidemiology, service monitoring, developing analytic tools and methods, more.

Deadline 3 October.

Get in touch if you'd like to know more.

www.bennett.ox.ac.uk/blog/2025/09...
We're hiring researchers to work on OpenSAFELY | Bennett Institute for Applied Data Science
Come and work with us! We’re looking for Epidemiologists / Health Data Scientists to join our growing research team.
www.bennett.ox.ac.uk