{"id":5345,"date":"2023-07-17T09:10:19","date_gmt":"2023-07-17T08:10:19","guid":{"rendered":"https:\/\/services.nhslothian.scot\/carehomes\/?page_id=5345"},"modified":"2023-07-12T14:19:53","modified_gmt":"2023-07-12T13:19:53","slug":"antimicrobial-stewardship-including-antibiotics","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/carehomes\/antimicrobial-stewardship-including-antibiotics\/","title":{"rendered":"Infection &#8211; Antimicrobial Stewardship (including Antibiotics)"},"content":{"rendered":"\n<div class=\"wp-block-getwid-section caringcover gowide alignfull getwid-section-content-full-width\"><div class=\"wp-block-getwid-section__wrapper getwid-padding-left-medium getwid-padding-right-medium getwid-margin-left-none getwid-margin-right-none\" style=\"min-height:550px;padding-top:2px;padding-bottom:0px\"><div class=\"wp-block-getwid-section__inner-wrapper\"><div class=\"wp-block-getwid-section__background-holder\"><div class=\"wp-block-getwid-section__background has-background\" style=\"background-color:#954B6A;background-image:url('https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/04\/Banner.jpg')\"><div class=\"wp-block-getwid-section__background-image-wrapper\"><img decoding=\"async\" class=\"wp-block-getwid-section__background-image\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/04\/Banner.jpg\" alt=\"Cartoon image of bacteria and viruses\" \/><\/div><\/div><div class=\"wp-block-getwid-section__foreground\"><\/div><\/div><div class=\"wp-block-getwid-section__content\"><div class=\"wp-block-getwid-section__inner-content\">\n<div class=\"wp-block-columns alignwide are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:800px\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<div class=\"wp-block-group caringbox2 has-background\" style=\"background-color:#954B6A;padding-top:var(--wp--preset--spacing--50);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--50);padding-left:var(--wp--preset--spacing--40)\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h3 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\">Infection -Antimicrobial Stewardship<\/h3>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-text-align-center\">Antimicrobial Stewardship (AMS)<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Antimicrobials can speed up your recovery if you have an infection and can save your life if you have a serious infection. However, overuse of antimicrobials can lead to antimicrobial resistance \u2013 infections with bugs that cannot be treated effectively with antimicrobials.<br><br>Antimicrobial stewardship is about avoiding unnecessary use of antimicrobials and making sure that whenever an antimicrobial is used, it is used with care to minimise the risk of antimicrobial resistance.<br><br>Consumers, doctors, nurses, pharmacists and care staff all have an&nbsp; important role in antimicrobial stewardship.<br><br>The following information is to:<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li>Support conversations with both residents and families<\/li>\n\n\n\n<li>Provide shared understanding of careful and appropriate antibiotic use<\/li>\n\n\n\n<li>Signpost resources that optimise infection management in care homes<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-text-align-center\">Information on <br>Infections, AMS and AMS Resistance<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"548\" height=\"384\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/04\/Inforgraphic.png\" alt=\"Infographic on the cycle of antimicrobial use\" class=\"wp-image-5347\" srcset=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/04\/Inforgraphic.png 548w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/04\/Inforgraphic-300x210.png 300w\" sizes=\"auto, (max-width: 548px) 100vw, 548px\" \/><\/figure>\n<\/div>\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js is-open\" data-initially-open=\"true\" data-click-to-close=\"true\" data-auto-close=\"false\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92060\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">What are Infections?<\/h2><div id=\"ac-92060\" class=\"c-accordion__content\">\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-light-accent-green-background-color has-background has-regular-font-size wp-block-list\">\n<li>Infections are illnesses caused by bacteria, virus, fungi or parasites<\/li>\n\n\n\n<li>As we get older our chances of getting an infection increases<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js is-open\" data-initially-open=\"true\" data-click-to-close=\"true\" data-auto-close=\"false\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92061\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">What are Antimicrobials?<\/h2><div id=\"ac-92061\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-green-background-color has-background has-regular-font-size\" style=\"font-style:normal;font-weight:400\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>Antimicrobials are medications to treat or prevent infections.<br><br>They include:<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li>Antibiotics which are active against bacteria (for example amoxicillin, cefalexin)<\/li>\n\n\n\n<li class=\"has-regular-font-size\">Antivirals which are active against viruses (for example aciclovir)<\/li>\n\n\n\n<li>Antifungals which are active against fungi (for example clotrimazole cream)<\/li>\n\n\n\n<li>Antiparasitics which are active against parasites<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js is-open\" data-initially-open=\"true\" data-click-to-close=\"true\" data-auto-close=\"false\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92062\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">What is Antimicrobial Resistance?<\/h2><div id=\"ac-92062\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li>Antimicrobial resistance (AMR) happens when bugs that cause infections become resistant to antimicrobials. AMR makes it difficult to treat the infection<\/li>\n\n\n\n<li>AMR rates are higher in aged care services than in hospitals<\/li>\n\n\n\n<li>Preventing antimicrobial misuse can reduce AMR in aged care services<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Awareness of Antimicrobial Resistance (AMR) Animation\" width=\"1520\" height=\"855\" src=\"https:\/\/www.youtube.com\/embed\/oMnU6g2djm4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js is-open\" data-initially-open=\"true\" data-click-to-close=\"true\" data-auto-close=\"false\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92063\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">What is Antimicrobial Stewardship (AMS)?<\/h2><div id=\"ac-92063\" class=\"c-accordion__content\">\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-light-accent-green-background-color has-background has-regular-font-size wp-block-list\">\n<li>Antimicrobial stewardship (AMS) is the careful and responsible management of medications used to treat or prevent infections<\/li>\n\n\n\n<li>It involves activities that promote and support best practice antimicrobial prescribing and use<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js is-open\" data-initially-open=\"true\" data-click-to-close=\"true\" data-auto-close=\"false\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92064\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Who Contributes to AMS in Aged Care Services?<\/h2><div id=\"ac-92064\" class=\"c-accordion__content\">\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-light-accent-green-background-color has-background has-regular-font-size wp-block-list\">\n<li>Consumers (residents, families, carers and representatives)<\/li>\n\n\n\n<li>Aged care providers<\/li>\n\n\n\n<li>Clinicians (nurses, doctors, personal care attendants)<\/li>\n\n\n\n<li>Pharmacists<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js is-open\" data-initially-open=\"true\" data-click-to-close=\"true\" data-auto-close=\"false\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92065\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">AMS is a focus for Improvement in Aged Care Services<\/h2><div id=\"ac-92065\" class=\"c-accordion__content\">\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-light-accent-green-background-color has-background has-regular-font-size wp-block-list\">\n<li>Aged care residents experience higher rates of infection than other older people. They also have higher rates of antimicrobial use, compared to the general population. Residents also have multiple risk factors that may lead to developing antimicrobial resistance.<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-text-align-center\">Resources to Support Best Use of Antibiotics<\/h2>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92066\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Antibiotic Stewardship &#8211; Care Homes and End of Life<\/h2><div id=\"ac-92066\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\">Care Homes<\/h4>\n\n\n\n<p>We have developed guidance based on the available evidence and national consensus to support health and social care staff in managing common infections in the Care Home population.<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li class=\"has-regular-font-size\"><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/4365\/hsc-staff-key-messages.pdf\" target=\"_blank\">Keep Antibiotics Working &#8211; five key messages for health and social care staff (pdf)<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/6042\/20210610-good-practice-recommendations-for-antimicrobial-use-in-frail-older-people.pdf\" target=\"_blank\">Good practice recommendations for antimicrobial use in frail older people (pdf)<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/6041\/20210610-antibiotics-an-information-leaflet-for-staff-in-care-homes-and-community-hospitals.pdf\" target=\"_blank\">Antibiotics &#8211; an information leaflet for staff in care homes and community hospitals (pdf)<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\">Use of Antibiotics Towards the End of Life<\/h4>\n\n\n\n<p>SAPG convened a multi-professional group of experts in end of life care and antimicrobial stewardship to develop evidence-based good practice recommendations for clinicians considering the use of antibiotics in patients towards the end of life.<\/p>\n\n\n\n<p>Findings from a literature review and a survey of clinicians experience were triangulated and group discussion was used to generate consensus on how to approach decision-making.<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/5446\/gprs-for-use-of-antibiotic-towards-eol.pdf\" target=\"_blank\">Good Practice Recommendations for use of antibiotics towards the end of life (pdf)<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/5532\/gprs-patient-leaflet-01.pdf\" target=\"_blank\">End of life antibiotics information for patients (pdf)<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92067\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Urinary Tract Infections (UTI)<\/h2><div id=\"ac-92067\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>We have developed guidance based on the available evidence and national consensus to support primary care teams in managing acute and recurrent urinary tract infections. These documents have been updated to reflect the recommendations within SIGN 160 Management of suspected bacterial UTI in non-pregnant women.<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/5844\/decision-aid-for-diagnosis-and-management-of-suspected-uti-in-people-over-65-years.pdf\" target=\"_blank\">Decision aid for diagnosis and management of suspected urinary tract infection (UTI) in people aged 65 years and over (pdf)<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/5837\/care-home-uti-assessment-tool.pdf\" target=\"_blank\">Care home UTI assessment tool (pdf)<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/5839\/decision-aid-for-diagnosis-and-management-of-suspected-uti-in-people-with-catheters.pdf\" target=\"_blank\">Decision aid for diagnosis and management of suspected urinary tract infection (UTI) in people with indwelling catheters (pdf)<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/5845\/management-of-recurrent-uti-in-non-pregnant-women-v2.pdf\" target=\"_blank\">Management of recurrent urinary tract infection (UTI) in non-pregnant women (pdf)<\/a><\/li>\n\n\n\n<li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.sapg.scot\/media\/5841\/management-of-urinary-tract-infections-in-men.pdf\" target=\"_blank\">Management of urinary tract infections in men (pdf)<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-92068\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Skin and Soft Tissue Infections &#8211; The Scottish Ropper Ladder<\/h2><div id=\"ac-92068\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-green-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\">The Scottish Ropper Ladder for Infected Wounds: use when wound infection is suspected<\/h4>\n\n\n\n<h5 class=\"wp-block-heading\">Key points are:<\/h5>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"has-regular-font-size wp-block-list\">\n<li>Antimicrobial Wound Dressings (AWD) are indicated for the short term treatment of localised infection; and in combination with systemic antibiotics for the treatment of spreading or systemic infection.<\/li>\n\n\n\n<li>AWDs should not be used to heal wounds or where symptoms of infection are not present.<\/li>\n\n\n\n<li>Where AWDs are used, they should be reviewed after 2 weeks and should not normally be used longer than recommended by local policies or product information.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/07\/20180119-AWD-Appendix-1-Algorithm-for-Assessment-Management-of-Chronic-Wounds.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"PDF embed\"><\/object><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/07\/20180119-AWD-Appendix-1-Algorithm-for-Assessment-Management-of-Chronic-Wounds.pdf\" class=\"wp-block-file__button wp-element-button\" download>Download Algorithm for Assessment Management of Chronic Wounds<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/07\/20180119-AWD-Appendix-2-Scottish-Ropper-Ladder-for-Infected-Wounds.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"PDF embed\"><\/object><a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/07\/20180119-AWD-Appendix-2-Scottish-Ropper-Ladder-for-Infected-Wounds.pdf\" class=\"wp-block-file__button wp-element-button\" download>Download Scottish Ropper Ladder for Infected Wounds<\/a><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Antimicrobial Stewardship (AMS) Antimicrobials can speed up your recovery if you have an infection and can save your life if you have a serious infection. However, overuse of antimicrobials can lead to antimicrobial resistance &ndash; infections with bugs that cannot be treated effectively with antimicrobials. Antimicrobial stewardship is about avoiding unnecessary use of antimicrobials and<\/p>\n","protected":false},"author":47,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/mainmenuvertical.php","meta":{"footnotes":""},"categories":[],"class_list":["post-5345","page","type-page","status-publish","hentry"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"hazelstewart","author_link":"https:\/\/services.nhslothian.scot\/carehomes\/author\/hazelstewart\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"Antimicrobial Stewardship (AMS) Antimicrobials can speed up your recovery if you have an infection and can save your life if you have a serious infection. However, overuse of antimicrobials can lead to antimicrobial resistance &ndash; infections with bugs that cannot be treated effectively with antimicrobials. Antimicrobial stewardship is about avoiding unnecessary use of antimicrobials and","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/5345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/users\/47"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/comments?post=5345"}],"version-history":[{"count":29,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/5345\/revisions"}],"predecessor-version":[{"id":9206,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/5345\/revisions\/9206"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/media?parent=5345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/categories?post=5345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}