Select committee: Public Accounts Committee
Recommendation 4
30th Report - Antimicrobial resistance: addressing the risks
Published 13 Jun 2025
Addressed to HM Treasury
Public Accounts Committee Antimicrobial resistance: addressing the risks All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Recommendation (the committee's words)
DHSC has made slow progress in implementing diagnostic tools that could help reduce AMR. Inappropriate prescribing of antibiotics in primary care is estimated to be around 20% of antibiotic prescriptions, which is too high and could drive AMR. ‘Inappropriate’ includes prescribing antibiotics or other antimicrobials when they are unnecessary (for example, using antibiotics to treat a viral infection), prescribing the wrong one (for example, not the most suitable antibiotic), or using them for longer than necessary. Diagnostic tools can be used to diagnose what infection a patient has, reducing inappropriate prescribing by enabling clinicians to determine with accuracy whether a patient needs antimicrobial treatment and, if so, which one. However, the 2019–24 NAP target to report on the percentage of antibiotic prescriptions supported by the use of diagnostic tools was not achieved and has not been included in the 2024–29 NAP, and there has been only limited progress in making better use of diagnostic tests. 4 recommendation DHSC, NHS England and UKHSA should set out how they intend to make demonstrable progress in the use of diagnostic tools, including under the Pharmacy First Scheme, over the next two years.
From: Public Accounts Committee, 30th Report - Antimicrobial resistance: addressing the risks (HC 646), 13 June 2025
Government response
Latest Treasury Minutes progress report to the Committee of Public Accounts on the Thirtieth Report of Session 2024-26
The government responded to the whole report on 4 June 2026 (deadline 13 August 2025).
Treasury minutes: Government response to the Committee of Public Accounts on the Thirtieth report from Session 2024-26
Published 18 September 2025.
Summary written by Accountability Index from the government's response. It is not the government's own words.The government says it agrees with the Committee's recommendations on antimicrobial resistance, and sets out target implementation dates ranging from Winter 2025 to Autumn 2027.
- On progress against targets, the government agrees, and says targets are subject to annual review over the summer, "with the potential to revise, if deemed appropriate and agreed by the UK AMR Strategy Board".
- On transparency, it agrees and says the government "will publish the first of these reports by the autumn", describing activity during the first year of the 2024-2029 National Action Plan.
- On diagnostics, it agrees (target date Spring 2027) and says engagement will inform an "infection diagnostics framework" by 2027, with point-of-care test pilots reporting in 2026-2027.
- On wastewater, it agrees (target date Autumn 2027); the department "will provide a full response via a White Paper in Autumn 2025" and "will commission further research" on evidence gaps "by Summer 2026".