Improvements in primary care antibiotic use have not been matched in secondary care. [1,2] Although hospitals account for a minority of human antibiotic use, they are where most broad-spectrum antibiotics are prescribed. 
A government report published 20 years ago in the UK highlighted the need to address antibiotic overprescribing.  Ten years ago, the Government placed statutory responsibility on National Health Service (NHS) hospitals to ensure appropriate antimicrobial use.  Three years ago, financial incentives to reduce hospital antibiotic overuse were introduced.  In 2018, hospital dispensing of antibiotics, corrected for clinical activity had increased by 7% since 2013.