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Entry title:

Total antibiotic use

Last updated on Friday, 29 May 2026 at 11:31am

This page provides information on total antibiotic use in England.

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.

Total antibiotic consumption - most recent month

Defined daily doses per 1,000 inhabitants per day (DID)
For month ending 31 Dec 2025
17.7

Total antibiotic consumption (% change)

Change from the same month in the previous year
Up to 31 Dec 2025
-1.7%

Access antibiotics (%)

For month ending 31 Dec 2025
67.3%

Rate of total antibiotic consumption

Antibiotic use by month (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 Dec 2025

ChartThere are 3 plots on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is plot number 1 on this chart. 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_totalDID' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 December 2018 to 31 December 2025. It fell from 18.27 on 31 December 2018 to 18.13 on 29 February 2020. It fell from 18.49 on 31 March 2020 to 14.69 on 30 April 2021. It rose from 14.0 on 31 May 2021 to 16.23 on 30 June 2022. It fell from 15.79 on 31 July 2022 to 15.71 on 31 August 2023. It rose from 15.73 on 30 September 2023 to 16.9 on 31 October 2024. And finally. It rose from 16.96 on 30 November 2024 to 17.73 on 31 December 2025. This is plot number 2 on this chart. This is a turquoise solid line plot. The plot has a label of 'Primary care'. This plot shows data for antibiotics. Specifically the metric 'antibiotics_consumption_primaryDID' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 December 2018 to 31 December 2025. It fell from 14.57 on 31 December 2018 to 14.46 on 29 February 2020. It fell from 14.82 on 31 March 2020 to 11.64 on 30 April 2021. It rose from 11.07 on 31 May 2021 to 12.8 on 30 June 2022. It fell from 12.47 on 31 July 2022 to 12.13 on 31 August 2023. It rose from 12.27 on 30 September 2023 to 12.88 on 31 October 2024. And finally. It rose from 13.08 on 30 November 2024 to 13.38 on 31 December 2025. This is plot number 3 on this chart. This is a dark pink solid line plot. The plot has a label of 'Secondary care'. This plot shows data for antibiotics. Specifically the metric 'antibiotics_consumption_secondaryDID' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 December 2018 to 31 December 2025. It fell from 3.69 on 31 December 2018 to 3.67 on 29 February 2020. It fell from 3.67 on 31 March 2020 to 3.05 on 30 April 2021. It rose from 2.93 on 31 May 2021 to 3.43 on 30 June 2022. It rose from 3.32 on 31 July 2022 to 3.59 on 31 August 2023. It rose from 3.46 on 30 September 2023 to 4.02 on 31 October 2024. And finally. It rose from 3.88 on 30 November 2024 to 4.35 on 31 December 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Rate of total antibiotic consumption data for antibiotic use by month (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 December 2025

Date Total Primary care
31 Dec 202517.7313.38
30 Nov 202515.7711.93
31 Oct 202516.5012.36
30 Sep 202515.6711.59
31 Aug 202513.8710.22
31 Jul 202515.3511.40
30 Jun 202515.0811.32
31 May 202514.9611.24
30 Apr 202515.7411.82
31 Mar 202515.9212.15
28 Feb 202517.0113.12
31 Jan 202517.7913.83
31 Dec 202418.0313.90
30 Nov 202416.9613.08
31 Oct 202416.9012.88
30 Sep 202415.3311.66
31 Aug 202414.6511.11
31 Jul 202416.2712.48
30 Jun 202415.7612.18
31 May 202416.8813.06
30 Apr 202417.6613.85
31 Mar 202417.1813.52
29 Feb 202418.3014.47
31 Jan 202418.7114.86
31 Dec 202318.0114.29
30 Nov 202317.8714.11
31 Oct 202316.6213.03
30 Sep 202315.7312.27
31 Aug 202315.7112.13
31 Jul 202315.4212.01
30 Jun 202316.5812.87
31 May 202316.2212.69
30 Apr 202315.8612.50
31 Mar 202318.4414.78
28 Feb 202318.5714.99
31 Jan 202319.4015.81
31 Dec 202222.6818.62
30 Nov 202218.4514.81
31 Oct 202216.7213.43
30 Sep 202215.9512.58
31 Aug 202215.3911.99
31 Jul 202215.7912.47
30 Jun 202216.2312.80
31 May 202216.1712.69
30 Apr 202216.1312.82
31 Mar 202217.1913.74
28 Feb 202216.2413.00
31 Jan 202215.8012.77
31 Dec 202118.0414.48
30 Nov 202118.2314.62
31 Oct 202116.9213.61
30 Sep 202116.9313.49
31 Aug 202114.9711.72
31 Jul 202115.8012.43
30 Jun 202115.8912.45
31 May 202114.0011.07
30 Apr 202114.6911.64
31 Mar 202115.1612.12
28 Feb 202114.8811.96
31 Jan 202114.9511.93
31 Dec 202015.7312.43
30 Nov 202015.3812.25
31 Oct 202015.5012.38
30 Sep 202015.9012.74
31 Aug 202013.4910.78
31 Jul 202014.6111.77
30 Jun 202017.1611.83
31 May 202013.5511.24
30 Apr 202016.1013.35
31 Mar 202018.4914.82
29 Feb 202018.1314.46
31 Jan 202019.6515.78
31 Dec 201919.2715.30
30 Nov 201918.2014.51
31 Oct 201918.0314.30
30 Sep 201916.6313.20
31 Aug 201916.3812.98
31 Jul 201916.9613.28
30 Jun 201916.3312.97
31 May 201917.0713.49
30 Apr 201917.5913.87
31 Mar 201917.5814.10
28 Feb 201919.1715.32
31 Jan 201920.0216.12
31 Dec 201818.2714.57
Date Secondary care
31 Dec 20254.35
30 Nov 20253.83
31 Oct 20254.14
30 Sep 20254.08
31 Aug 20253.65
31 Jul 20253.95
30 Jun 20253.76
31 May 20253.72
30 Apr 20253.92
31 Mar 20253.77
28 Feb 20253.89
31 Jan 20253.96
31 Dec 20244.13
30 Nov 20243.88
31 Oct 20244.02
30 Sep 20243.67
31 Aug 20243.53
31 Jul 20243.79
30 Jun 20243.58
31 May 20243.83
30 Apr 20243.81
31 Mar 20243.67
29 Feb 20243.83
31 Jan 20243.84
31 Dec 20233.73
30 Nov 20233.77
31 Oct 20233.59
30 Sep 20233.46
31 Aug 20233.59
31 Jul 20233.42
30 Jun 20233.71
31 May 20233.52
30 Apr 20233.36
31 Mar 20233.66
28 Feb 20233.58
31 Jan 20233.59
31 Dec 20224.05
30 Nov 20223.64
31 Oct 20223.30
30 Sep 20223.37
31 Aug 20223.41
31 Jul 20223.32
30 Jun 20223.43
31 May 20223.48
30 Apr 20223.31
31 Mar 20223.45
28 Feb 20223.24
31 Jan 20223.03
31 Dec 20213.56
30 Nov 20213.61
31 Oct 20213.31
30 Sep 20213.43
31 Aug 20213.25
31 Jul 20213.37
30 Jun 20213.43
31 May 20212.93
30 Apr 20213.05
31 Mar 20213.05
28 Feb 20212.92
31 Jan 20213.02
31 Dec 20203.30
30 Nov 20203.13
31 Oct 20203.12
30 Sep 20203.16
31 Aug 20202.70
31 Jul 20202.84
30 Jun 20205.33
31 May 20202.30
30 Apr 20202.75
31 Mar 20203.67
29 Feb 20203.67
31 Jan 20203.87
31 Dec 20193.97
30 Nov 20193.69
31 Oct 20193.72
30 Sep 20193.44
31 Aug 20193.40
31 Jul 20193.68
30 Jun 20193.36
31 May 20193.59
30 Apr 20193.72
31 Mar 20193.49
28 Feb 20193.84
31 Jan 20193.89
31 Dec 20183.69
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About

Rate of antibiotic use by primary and secondary care setting (DDDs per 1,000 inhabitants per day) (DID)

Access antibiotics

Rate of Access antibiotics use in all care settings (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_totalAware' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 January 2018 to 31 December 2025. It fell from 13.19 on 31 January 2018 to 10.63 on 30 April 2019. It fell from 10.23 on 31 May 2019 to 8.17 on 31 August 2020. It rose from 9.74 on 30 September 2020 to 11.64 on 31 December 2021. It rose from 10.02 on 31 January 2022 to 10.22 on 30 April 2023. It fell from 10.48 on 31 May 2023 to 9.3 on 31 August 2024. And finally. It rose from 9.79 on 30 September 2024 to 11.89 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 all care settings (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 December 2025

Date Access
31 Dec 202511.89
30 Nov 202510.44
31 Oct 202510.89
30 Sep 202510.18
31 Aug 20259.00
31 Jul 20259.96
30 Jun 20259.69
31 May 20259.58
30 Apr 202510.14
31 Mar 202510.32
28 Feb 202511.14
31 Jan 202511.72
31 Dec 202412.01
30 Nov 202411.14
31 Oct 202410.96
30 Sep 20249.79
31 Aug 20249.30
31 Jul 202410.52
30 Jun 202410.17
31 May 202410.93
30 Apr 202411.50
31 Mar 202411.32
29 Feb 202412.12
31 Jan 202412.49
31 Dec 202312.11
30 Nov 202311.91
31 Oct 202310.93
30 Sep 202310.13
31 Aug 202310.08
31 Jul 20239.96
30 Jun 202310.62
31 May 202310.48
30 Apr 202310.22
31 Mar 202312.12
28 Feb 202312.27
31 Jan 202312.99
31 Dec 202215.57
30 Nov 202212.19
31 Oct 202210.98
30 Sep 202210.25
31 Aug 20229.75
31 Jul 202210.09
30 Jun 202210.30
31 May 202210.21
30 Apr 202210.22
31 Mar 202210.93
28 Feb 202210.25
31 Jan 202210.02
31 Dec 202111.64
30 Nov 202111.70
31 Oct 202110.88
30 Sep 202110.66
31 Aug 20219.25
31 Jul 20219.79
30 Jun 20219.76
31 May 20218.51
30 Apr 20218.79
31 Mar 20219.08
28 Feb 20218.88
31 Jan 20218.98
31 Dec 20209.51
30 Nov 20209.28
31 Oct 20209.42
30 Sep 20209.74
31 Aug 20208.17
31 Jul 20208.81
30 Jun 20208.79
31 May 20208.16
30 Apr 20209.69
31 Mar 202011.32
29 Feb 202011.10
31 Jan 202012.15
31 Dec 201912.15
30 Nov 201911.31
31 Oct 201911.14
30 Sep 201910.14
31 Aug 20199.93
31 Jul 201910.29
30 Jun 20199.84
31 May 201910.23
30 Apr 201910.63
31 Mar 201910.61
28 Feb 201911.68
31 Jan 201912.32
31 Dec 201811.23
30 Nov 201811.10
31 Oct 201811.02
30 Sep 20189.85
31 Aug 20189.79
31 Jul 20189.91
30 Jun 201810.15
31 May 201810.37
30 Apr 201810.62
31 Mar 201811.39
28 Feb 201812.01
31 Jan 201813.19
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Watch antibiotics

Rate of Watch antibiotics use in all care settings (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_totalAware' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 January 2018 to 31 December 2025. It fell from 8.15 on 31 January 2018 to 6.82 on 30 April 2019. It fell from 6.7 on 31 May 2019 to 5.2 on 31 August 2020. It rose from 6.01 on 30 September 2020 to 6.27 on 31 December 2021. It fell from 5.65 on 31 January 2022 to 5.49 on 30 April 2023. It fell from 5.66 on 31 May 2023 to 5.16 on 31 August 2024. And finally. It rose from 5.33 on 30 September 2024 to 5.63 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 all care settings (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 December 2025

Date Watch
31 Dec 20255.63
30 Nov 20255.13
31 Oct 20255.42
30 Sep 20255.20
31 Aug 20254.69
31 Jul 20255.21
30 Jun 20255.18
31 May 20255.18
30 Apr 20255.38
31 Mar 20255.41
28 Feb 20255.66
31 Jan 20255.86
31 Dec 20245.85
30 Nov 20245.64
31 Oct 20245.69
30 Sep 20245.33
31 Aug 20245.16
31 Jul 20245.68
30 Jun 20245.52
31 May 20245.89
30 Apr 20246.11
31 Mar 20245.84
29 Feb 20246.16
31 Jan 20246.21
31 Dec 20235.90
30 Nov 20236.00
31 Oct 20235.63
30 Sep 20235.47
31 Aug 20235.46
31 Jul 20235.36
30 Jun 20235.79
31 May 20235.66
30 Apr 20235.49
31 Mar 20236.25
28 Feb 20236.24
31 Jan 20236.38
31 Dec 20227.06
30 Nov 20226.22
31 Oct 20225.78
30 Sep 20225.65
31 Aug 20225.52
31 Jul 20225.58
30 Jun 20225.78
31 May 20225.81
30 Apr 20225.80
31 Mar 20226.12
28 Feb 20225.86
31 Jan 20225.65
31 Dec 20216.27
30 Nov 20216.40
31 Oct 20215.92
30 Sep 20216.12
31 Aug 20215.59
31 Jul 20215.87
30 Jun 20215.98
31 May 20215.36
30 Apr 20215.77
31 Mar 20215.94
28 Feb 20215.85
31 Jan 20215.83
31 Dec 20206.07
30 Nov 20205.95
31 Oct 20205.94
30 Sep 20206.01
31 Aug 20205.20
31 Jul 20205.68
30 Jun 20205.58
31 May 20205.28
30 Apr 20206.28
31 Mar 20207.02
29 Feb 20206.89
31 Jan 20207.36
31 Dec 20196.99
30 Nov 20196.75
31 Oct 20196.74
30 Sep 20196.35
31 Aug 20196.30
31 Jul 20196.52
30 Jun 20196.36
31 May 20196.70
30 Apr 20196.82
31 Mar 20196.83
28 Feb 20197.33
31 Jan 20197.55
31 Dec 20186.90
30 Nov 20187.02
31 Oct 20187.06
30 Sep 20186.48
31 Aug 20186.50
31 Jul 20186.57
30 Jun 20186.81
31 May 20186.98
30 Apr 20187.11
31 Mar 20187.41
28 Feb 20187.65
31 Jan 20188.15
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Reserve antibiotics

Rate of Reserve antibiotics in all care settings (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_totalAware' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 31 January 2018 to 31 December 2025. The date fluctuates between 0.14 on 31 January 2018, ending with the same value on 30 April 2019. It fell from 0.14 on 31 May 2019 to 0.11 on 31 August 2020. It rose from 0.12 on 30 September 2020 to 0.13 on 31 December 2021. The date fluctuates between 0.12 on 31 January 2022, ending with the same value on 30 April 2023. The date fluctuates between 0.12 on 31 May 2023, ending with the same value on 31 August 2024. And finally. It rose from 0.12 on 30 September 2024 to 0.13 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 in all care settings (Defined Daily Doses per 1,000 inhabitants per day (DID))

Up to and including 31 December 2025

Date Reserve
31 Dec 20250.13
30 Nov 20250.12
31 Oct 20250.13
30 Sep 20250.12
31 Aug 20250.12
31 Jul 20250.13
30 Jun 20250.12
31 May 20250.12
30 Apr 20250.13
31 Mar 20250.12
28 Feb 20250.13
31 Jan 20250.13
31 Dec 20240.13
30 Nov 20240.12
31 Oct 20240.13
30 Sep 20240.12
31 Aug 20240.12
31 Jul 20240.13
30 Jun 20240.12
31 May 20240.13
30 Apr 20240.13
31 Mar 20240.13
29 Feb 20240.13
31 Jan 20240.13
31 Dec 20230.13
30 Nov 20230.14
31 Oct 20230.13
30 Sep 20230.12
31 Aug 20230.12
31 Jul 20230.12
30 Jun 20230.12
31 May 20230.12
30 Apr 20230.12
31 Mar 20230.13
28 Feb 20230.13
31 Jan 20230.12
31 Dec 20220.13
30 Nov 20220.13
31 Oct 20220.12
30 Sep 20220.12
31 Aug 20220.12
31 Jul 20220.12
30 Jun 20220.12
31 May 20220.12
30 Apr 20220.12
31 Mar 20220.12
28 Feb 20220.12
31 Jan 20220.12
31 Dec 20210.13
30 Nov 20210.13
31 Oct 20210.12
30 Sep 20210.13
31 Aug 20210.12
31 Jul 20210.13
30 Jun 20210.12
31 May 20210.11
30 Apr 20210.12
31 Mar 20210.13
28 Feb 20210.13
31 Jan 20210.13
31 Dec 20200.13
30 Nov 20200.13
31 Oct 20200.12
30 Sep 20200.12
31 Aug 20200.11
31 Jul 20200.12
30 Jun 20200.12
31 May 20200.10
30 Apr 20200.13
31 Mar 20200.14
29 Feb 20200.13
31 Jan 20200.13
31 Dec 20190.13
30 Nov 20190.13
31 Oct 20190.13
30 Sep 20190.13
31 Aug 20190.13
31 Jul 20190.13
30 Jun 20190.13
31 May 20190.14
30 Apr 20190.14
31 Mar 20190.13
28 Feb 20190.13
31 Jan 20190.14
31 Dec 20180.13
30 Nov 20180.14
31 Oct 20180.13
30 Sep 20180.12
31 Aug 20180.13
31 Jul 20180.13
30 Jun 20180.13
31 May 20180.13
30 Apr 20180.13
31 Mar 20180.14
28 Feb 20180.14
31 Jan 20180.14
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