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Entry title:

Secondary care antibiotic use

Last updated on Thursday, 28 May 2026 at 04:00pm

Overview

Antibiotic prescribing and antibiotic resistance are inextricably linked, as overuse and incorrect use of antibiotics are major drivers of resistance. This dashboard presents publicly available data intended to raise awareness of antibiotic prescribing patterns and to inform ongoing and developing antimicrobial stewardship efforts.

Secondary care covers NHS hospital prescribing, with inpatient and outpatient use combined due to data limitations.

Secondary care antibiotic consumption

Defined Daily Doses per 1,000 inhabitants per day (DID)
For month ending 31 Dec 2025
4.4

Total antibiotic consumption in secondary care (% change)

Change from the same month of the previous year
For month ending 31 Dec 2025
5.3%

Access antibiotics proportion

For month ending 31 Dec 2025
55.2%

Secondary Care Antibiotic use (Total)

Rate of antibiotic use in hospitals (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 Dec 2025

ChartThere is only 1 plot on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is a dark blue solid line plot. The plot has a label of 'Total'. This plot shows data for antibiotics. Specifically the metric 'antibiotics_consumption_awareTotal' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 January 2017 to 31 December 2025. It fell from 3.56 on 31 January 2017 to 3.44 on 30 June 2018. It rose from 3.51 on 31 July 2018 to 3.97 on 31 December 2019. It fell from 3.87 on 31 January 2020 to 3.42 on 30 June 2021. It rose from 3.36 on 31 July 2021 to 4.14 on 31 December 2022. It fell from 3.68 on 31 January 2023 to 3.63 on 30 June 2024. And finally. It rose from 3.85 on 31 July 2024 to 4.27 on 31 December 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Secondary Care Antibiotic use (Total) data for rate of antibiotic use in hospitals (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 December 2025

Date Total
31 Dec 20254.27
30 Nov 20253.76
31 Oct 20254.08
30 Sep 20253.92
31 Aug 20253.59
31 Jul 20253.90
30 Jun 20253.68
31 May 20253.65
30 Apr 20253.83
31 Mar 20253.70
28 Feb 20253.81
31 Jan 20253.89
31 Dec 20244.09
30 Nov 20243.82
31 Oct 20243.90
30 Sep 20243.58
31 Aug 20243.47
31 Jul 20243.85
30 Jun 20243.63
31 May 20243.90
30 Apr 20243.89
31 Mar 20243.78
29 Feb 20243.94
31 Jan 20243.97
31 Dec 20233.85
30 Nov 20233.94
31 Oct 20233.66
30 Sep 20233.46
31 Aug 20233.55
31 Jul 20233.44
30 Jun 20233.67
31 May 20233.58
30 Apr 20233.34
31 Mar 20233.72
28 Feb 20233.66
31 Jan 20233.68
31 Dec 20224.14
30 Nov 20223.75
31 Oct 20223.46
30 Sep 20223.44
31 Aug 20223.41
31 Jul 20223.32
30 Jun 20223.41
31 May 20223.46
30 Apr 20223.32
31 Mar 20223.44
28 Feb 20223.24
31 Jan 20223.02
31 Dec 20213.57
30 Nov 20213.62
31 Oct 20213.31
30 Sep 20213.43
31 Aug 20213.25
31 Jul 20213.36
30 Jun 20213.42
31 May 20212.93
30 Apr 20213.04
31 Mar 20213.03
28 Feb 20212.91
31 Jan 20213.01
31 Dec 20203.30
30 Nov 20203.12
31 Oct 20203.12
30 Sep 20203.14
31 Aug 20202.70
31 Jul 20202.85
30 Jun 20202.67
31 May 20202.30
30 Apr 20202.76
31 Mar 20203.67
29 Feb 20203.67
31 Jan 20203.87
31 Dec 20193.97
30 Nov 20193.68
31 Oct 20193.72
30 Sep 20193.43
31 Aug 20193.39
31 Jul 20193.67
30 Jun 20193.36
31 May 20193.59
30 Apr 20193.72
31 Mar 20193.48
28 Feb 20193.84
31 Jan 20193.89
31 Dec 20183.69
30 Nov 20183.71
31 Oct 20183.69
30 Sep 20183.26
31 Aug 20183.46
31 Jul 20183.51
30 Jun 20183.44
31 May 20183.56
30 Apr 20183.46
31 Mar 20183.70
28 Feb 20183.74
31 Jan 20183.92
31 Dec 20173.69
30 Nov 20173.59
31 Oct 20173.49
30 Sep 20173.31
31 Aug 20173.39
31 Jul 20173.32
30 Jun 20173.53
31 May 20173.47
30 Apr 20173.25
31 Mar 20173.46
28 Feb 20173.55
31 Jan 20173.56
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Access Antibiotics

Rate of Access antibiotics use in secondary care (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 Dec 2025

ChartThere is only 1 plot on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is a dark blue solid line plot. The plot has a label of 'Access'. This plot shows data for antibiotics. Specifically the metric 'antibiotics_consumption_awareAccess' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 January 2017 to 31 December 2025. It fell from 1.71 on 31 January 2017 to 1.7 on 30 June 2018. It rose from 1.75 on 31 July 2018 to 2.01 on 31 December 2019. It fell from 1.89 on 31 January 2020 to 1.71 on 30 June 2021. It rose from 1.67 on 31 July 2021 to 2.14 on 31 December 2022. It rose from 1.86 on 31 January 2023 to 1.91 on 30 June 2024. And finally. It rose from 2.03 on 31 July 2024 to 2.4 on 31 December 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Access Antibiotics data for rate of Access antibiotics use in secondary care (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 December 2025

Date Access
31 Dec 20252.40
30 Nov 20252.12
31 Oct 20252.32
30 Sep 20252.26
31 Aug 20252.03
31 Jul 20252.17
30 Jun 20251.98
31 May 20251.95
30 Apr 20252.04
31 Mar 20251.98
28 Feb 20252.03
31 Jan 20252.06
31 Dec 20242.17
30 Nov 20242.04
31 Oct 20242.07
30 Sep 20241.89
31 Aug 20241.83
31 Jul 20242.03
30 Jun 20241.91
31 May 20242.04
30 Apr 20242.03
31 Mar 20241.97
29 Feb 20242.05
31 Jan 20242.04
31 Dec 20232.00
30 Nov 20232.04
31 Oct 20231.90
30 Sep 20231.80
31 Aug 20231.84
31 Jul 20231.80
30 Jun 20231.91
31 May 20231.86
30 Apr 20231.72
31 Mar 20231.91
28 Feb 20231.87
31 Jan 20231.86
31 Dec 20222.14
30 Nov 20221.93
31 Oct 20221.77
30 Sep 20221.77
31 Aug 20221.75
31 Jul 20221.69
30 Jun 20221.74
31 May 20221.75
30 Apr 20221.67
31 Mar 20221.74
28 Feb 20221.64
31 Jan 20221.51
31 Dec 20211.79
30 Nov 20211.81
31 Oct 20211.67
30 Sep 20211.73
31 Aug 20211.60
31 Jul 20211.67
30 Jun 20211.71
31 May 20211.46
30 Apr 20211.49
31 Mar 20211.49
28 Feb 20211.40
31 Jan 20211.42
31 Dec 20201.57
30 Nov 20201.51
31 Oct 20201.52
30 Sep 20201.57
31 Aug 20201.34
31 Jul 20201.38
30 Jun 20201.30
31 May 20201.09
30 Apr 20201.21
31 Mar 20201.80
29 Feb 20201.81
31 Jan 20201.89
31 Dec 20192.01
30 Nov 20191.88
31 Oct 20191.91
30 Sep 20191.77
31 Aug 20191.75
31 Jul 20191.88
30 Jun 20191.73
31 May 20191.82
30 Apr 20191.87
31 Mar 20191.73
28 Feb 20191.91
31 Jan 20191.92
31 Dec 20181.84
30 Nov 20181.86
31 Oct 20181.84
30 Sep 20181.63
31 Aug 20181.73
31 Jul 20181.75
30 Jun 20181.70
31 May 20181.75
30 Apr 20181.69
31 Mar 20181.77
28 Feb 20181.79
31 Jan 20181.85
31 Dec 20171.79
30 Nov 20171.76
31 Oct 20171.72
30 Sep 20171.65
31 Aug 20171.70
31 Jul 20171.66
30 Jun 20171.77
31 May 20171.72
30 Apr 20171.60
31 Mar 20171.69
28 Feb 20171.73
31 Jan 20171.71
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Watch Antibiotics

Rate of Watch antibiotics use in secondary care (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 Dec 2025

ChartThere is only 1 plot on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is a dark blue solid line plot. The plot has a label of 'Watch'. This plot shows data for antibiotics. Specifically the metric 'antibiotics_consumption_awareWatch' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 January 2017 to 31 December 2025. It fell from 1.76 on 31 January 2017 to 1.63 on 30 June 2018. It rose from 1.65 on 31 July 2018 to 1.84 on 31 December 2019. It fell from 1.86 on 31 January 2020 to 1.61 on 30 June 2021. It rose from 1.57 on 31 July 2021 to 1.89 on 31 December 2022. It fell from 1.72 on 31 January 2023 to 1.61 on 30 June 2024. And finally. It rose from 1.71 on 31 July 2024 to 1.76 on 31 December 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Watch Antibiotics data for rate of Watch antibiotics use in secondary care (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 December 2025

Date Watch
31 Dec 20251.76
30 Nov 20251.54
31 Oct 20251.65
30 Sep 20251.56
31 Aug 20251.44
31 Jul 20251.61
30 Jun 20251.58
31 May 20251.58
30 Apr 20251.67
31 Mar 20251.61
28 Feb 20251.66
31 Jan 20251.71
31 Dec 20241.81
30 Nov 20241.67
31 Oct 20241.72
30 Sep 20241.58
31 Aug 20241.53
31 Jul 20241.71
30 Jun 20241.61
31 May 20241.75
30 Apr 20241.75
31 Mar 20241.70
29 Feb 20241.77
31 Jan 20241.81
31 Dec 20231.75
30 Nov 20231.77
31 Oct 20231.64
30 Sep 20231.55
31 Aug 20231.59
31 Jul 20231.54
30 Jun 20231.64
31 May 20231.61
30 Apr 20231.51
31 Mar 20231.69
28 Feb 20231.67
31 Jan 20231.72
31 Dec 20221.89
30 Nov 20221.70
31 Oct 20221.58
30 Sep 20221.56
31 Aug 20221.55
31 Jul 20221.53
30 Jun 20221.56
31 May 20221.59
30 Apr 20221.54
31 Mar 20221.58
28 Feb 20221.50
31 Jan 20221.41
31 Dec 20211.66
30 Nov 20211.69
31 Oct 20211.53
30 Sep 20211.58
31 Aug 20211.54
31 Jul 20211.57
30 Jun 20211.61
31 May 20211.37
30 Apr 20211.45
31 Mar 20211.43
28 Feb 20211.39
31 Jan 20211.49
31 Dec 20201.62
30 Nov 20201.50
31 Oct 20201.49
30 Sep 20201.47
31 Aug 20201.26
31 Jul 20201.36
30 Jun 20201.26
31 May 20201.13
30 Apr 20201.43
31 Mar 20201.75
29 Feb 20201.75
31 Jan 20201.86
31 Dec 20191.84
30 Nov 20191.69
31 Oct 20191.69
30 Sep 20191.54
31 Aug 20191.53
31 Jul 20191.67
30 Jun 20191.52
31 May 20191.64
30 Apr 20191.73
31 Mar 20191.63
28 Feb 20191.81
31 Jan 20191.85
31 Dec 20181.74
30 Nov 20181.73
31 Oct 20181.72
30 Sep 20181.53
31 Aug 20181.62
31 Jul 20181.65
30 Jun 20181.63
31 May 20181.71
30 Apr 20181.66
31 Mar 20181.80
28 Feb 20181.83
31 Jan 20181.95
31 Dec 20171.79
30 Nov 20171.72
31 Oct 20171.66
30 Sep 20171.55
31 Aug 20171.58
31 Jul 20171.56
30 Jun 20171.64
31 May 20171.64
30 Apr 20171.55
31 Mar 20171.67
28 Feb 20171.71
31 Jan 20171.76
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Reserve Antibiotics

Rate of Reserve antibiotics use in secondary care (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 Dec 2025

ChartThere is only 1 plot on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is a dark blue solid line plot. The plot has a label of 'Reserve'. This plot shows data for antibiotics. Specifically the metric 'antibiotics_consumption_awareReserve' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 January 2017 to 31 December 2025. It rose from 0.1 on 31 January 2017 to 0.11 on 30 June 2018. The date fluctuates between 0.11 on 31 July 2018, ending with the same value on 31 December 2019. It fell from 0.11 on 31 January 2020 to 0.1 on 30 June 2021. The date fluctuates between 0.11 on 31 July 2021, ending with the same value on 31 December 2022. It rose from 0.1 on 31 January 2023 to 0.11 on 30 June 2024. And finally. The date fluctuates between 0.11 on 31 July 2024, ending with the same value on 31 December 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Reserve Antibiotics data for rate of Reserve antibiotics use in secondary care (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 December 2025

Date Reserve
31 Dec 20250.11
30 Nov 20250.11
31 Oct 20250.11
30 Sep 20250.11
31 Aug 20250.11
31 Jul 20250.11
30 Jun 20250.11
31 May 20250.11
30 Apr 20250.11
31 Mar 20250.11
28 Feb 20250.11
31 Jan 20250.11
31 Dec 20240.11
30 Nov 20240.11
31 Oct 20240.11
30 Sep 20240.11
31 Aug 20240.10
31 Jul 20240.11
30 Jun 20240.11
31 May 20240.11
30 Apr 20240.11
31 Mar 20240.11
29 Feb 20240.11
31 Jan 20240.11
31 Dec 20230.11
30 Nov 20230.12
31 Oct 20230.11
30 Sep 20230.10
31 Aug 20230.11
31 Jul 20230.10
30 Jun 20230.11
31 May 20230.10
30 Apr 20230.10
31 Mar 20230.11
28 Feb 20230.11
31 Jan 20230.10
31 Dec 20220.11
30 Nov 20220.12
31 Oct 20220.11
30 Sep 20220.11
31 Aug 20220.10
31 Jul 20220.10
30 Jun 20220.10
31 May 20220.11
30 Apr 20220.10
31 Mar 20220.11
28 Feb 20220.10
31 Jan 20220.10
31 Dec 20210.11
30 Nov 20210.11
31 Oct 20210.10
30 Sep 20210.11
31 Aug 20210.10
31 Jul 20210.11
30 Jun 20210.10
31 May 20210.10
30 Apr 20210.10
31 Mar 20210.11
28 Feb 20210.11
31 Jan 20210.11
31 Dec 20200.11
30 Nov 20200.11
31 Oct 20200.10
30 Sep 20200.10
31 Aug 20200.09
31 Jul 20200.10
30 Jun 20200.10
31 May 20200.08
30 Apr 20200.10
31 Mar 20200.12
29 Feb 20200.11
31 Jan 20200.11
31 Dec 20190.11
30 Nov 20190.11
31 Oct 20190.11
30 Sep 20190.11
31 Aug 20190.11
31 Jul 20190.11
30 Jun 20190.11
31 May 20190.12
30 Apr 20190.12
31 Mar 20190.11
28 Feb 20190.11
31 Jan 20190.12
31 Dec 20180.11
30 Nov 20180.12
31 Oct 20180.11
30 Sep 20180.10
31 Aug 20180.11
31 Jul 20180.11
30 Jun 20180.11
31 May 20180.11
30 Apr 20180.10
31 Mar 20180.12
28 Feb 20180.12
31 Jan 20180.12
31 Dec 20170.11
30 Nov 20170.11
31 Oct 20170.11
30 Sep 20170.11
31 Aug 20170.11
31 Jul 20170.11
30 Jun 20170.11
31 May 20170.11
30 Apr 20170.10
31 Mar 20170.10
28 Feb 20170.10
31 Jan 20170.10
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