Source · National Audit Office

Investigation into how government is addressing antimicrobial resistance

A new report from the National Audit Office finds that government has made limited progress on combatting antimicrobial resistance.

Published: 26 Feb 2025 Recommendations: 6 Type: Value for Money NAO confirmed: 5 Department: Department for Environment, Food & Rural Affairs
Dept: Department for Environment, Food & Rural AffairsDepartment of Health and Social Care Topics: Health and social carePublic healthRisk and resilience nao.org.uk →

Recommendations

6 items
5 accepted 3 implemented 2 in progress 1 awaiting response

Recommendation 1

Addressee: Department for Environment, Food and Rural Affairs; Department of Health and Social Care; NHS England and NHS Improvement; UK Health Security Agency · Source location: Page 12, 24a

The government should consider how delivery of its current targets and commitments can be more successful than in NAP19?24, including through the use of strengthened performance monitoring and deadlines for implementation

Response position: Accepted

Delivery: Implemented · Q2 2026-27 · Confirmed by NAO

Recommendation 2

Addressee: Department of Health and Social Care; NHS England and NHS Improvement; UK Health Security Agency · Source location: Page 12, 24b

The government should consider whether targets for no increase in a range of human infections are stretching enough to make a contribution to the vision of reducing the burden of infection.

Response position: Accepted

Delivery: Implemented · Q3 2025/26 · Confirmed by NAO

Recommendation 3

Addressee: Department of Health and Social Care; NHS England and NHS Improvement · Source location: Page 12, 24c

The government should consider how the results of the new NHS antibiotic subscription model will be tracked, evaluated and made public, including any effects on the research and development of new drugs.

Response position: Accepted

Delivery: In progress · Q1 2027/28 · Confirmed by NAO

Recommendation 4

Addressee: Department for Environment, Food and Rural Affairs · Source location: Page 12, 24d

The government should consider what the UK?s aquatic environment is currently contributing to rising AMR, particularly wastewater treatment and spills, and, as a result, whether new commitments or targets are needed in this area.

Response position: Accepted

Delivery: In progress · Q3 2026-27 · Confirmed by NAO

Recommendation 5

Addressee: Cabinet Office · Source location: Page 12, 24e

The government should consider how maximum beneficial impact can be achieved from the classification of AMR as a chronic risk and whether there is value in publishing the government?s full list of chronic risks so that universities, funding bodies, businesses and other institutions can better understand the public sector?s priorities for research and innovation.

Response position: No response position recorded

Delivery: No implementation status recorded

Recommendation 6

Addressee: Cabinet Office; Department for Environment, Food and Rural Affairs; Department of Health and Social Care; NHS England and NHS Improvement; UK Health Security Agency · Source location: Page 12, 24f

The government should consider whether a national preparedness exercise with a significant AMR dimension should be carried out.

Response position: Accepted

Delivery: Implemented · Q4 2025-26 · Confirmed by NAO