Devon Local Pharmaceutical Committee. Meeting held on 6 th January Westbank Centre, Exminster

Transcription

1 Devon Local Pharmaceutical Committee Meeting held on 6 th January 2015 Westbank Centre, Exminster Present: David Bearman, Chris Babbs, Sadik Al- Hassan, Nerys Cadvan-Jones, David Chapman, David Fulton, Ali Hayes, Andrew Howitt, Michael Lennox, Stephen O Reilly, Adrian Tebby, Sue Taylor, Mark Stone, 1/1103 Apologies: Simon Gardner, Andy Lawson, John Varnish Pre meeting visits to Pharmacy First Contractors The members had carried out a number of visits to contractors signed up to Pharmacy First who had not yet demonstrated engagement with the services. After feedback from the visits the following actions were agreed:- Best practice case studies to be pulled together and circulated to contractors A tool kit for staff to use as an aide memoire to encourage the initiation of conversation with customers and patients Research with patients and the public to ascertain what they think of the service and the best way to promote it Liaise with the Devon LMC to come up with a referral pad for use by practice receptionists for effective signposting to the service Opportunities of speaking at practice shut down times to promote the service Members who had visited the pharmacies to follow up with a phone call a week later to see if there had been change in activity. 1/1104 Welcome and introductions David welcomed the members to the meeting. He informed the Committee that Kevin Muckian had resigned with immediate effect. Adrian Tebby had stepped down as Vice Chair of the LPC 1/1105 Minutes of the meeting held on 17/11/2014 Sue Taylor to write out to independent contractors to notify of a contractor vacancy on the LPC. Appointment of Vice Chair to be made at the next meeting. A vote of thanks to Adrian was proposed by Nerys Cadvan Jones. The Committee asked the Executive to pass on thanks and gratitude for his contribution to the LPC over the past years to Kevin Muckian. The minutes of the meeting were signed as a true and accurate record.

2 1/1106 Review of SW Regional Campaign on Skin Cancer Russ Moody, Health and Wellbeing programme lead, PHE, presented on the outcomes of the regional campaign on skin cancer. This had run from 16 th June 2014 to the 27 th July 2014 and the evaluation showed that the campaign had been received well by the public and GPs. The Area Team had run its own local campaign alongside the regional campaign. Overall feedback included the following points:- There is an impressive history of running skin cancer campaigns across Devon Cornwall and Somerset (DCS) This is reflected in the high baseline knowledge of skin cancer in our area (DCS) Community Pharmacies have played a key role in this and are rightly proud of their campaigning in this area, on this topic Community Pharmacies have an important role and significant opportunity in adding value into this (and many other) health improvement campaigns By designing a National Skin Cancer Campaign (and as such a 'package' that local areas can pick up and use) it has the potential to overbear locally designed programmes (and as a result not be as effective) especially if it is projected onto stakeholders with no collaboration on short time scales (which is what happened in our PHE pilot, acknowledged) To mitigate against this, coordinated engagement and planning should occur with reasonable 'lead in time' in collaboration Training would be useful. Possibly developed from dermatologists expertise with a view to improving GP confidence in diagnosis and response/action. Community Pharmacists should be included in this type of training (both development and implementation). If possible, a standard pack of 'default resources' should be sent out to all participating pharmacies with the additional facility to order more/a wider range of resources There is much scope to capitalise on the value that community pharmacies can add to PHE health improvement campaigns 1/1107 Matters arising 1/1046 Essential Small Pharmacy Schemes Contact had been made with the relevant pharmacy and a meeting arranged with NHS England

3 1/1062 Torbay LES decommissioning Chris Babbs notified that payments had still not been received despite assurances given to the contrary. Payments for services are not being made. 1/1085 LPC Self Evaluation To be discussed at LPC Executive meeting and an action plan prepared. ST to follow up Work in progress 1/1097 CPAF Contractual Changes on repeat dispensing, MURs and reporting Further clarification and timescale for implementation of contractual changes still waited. 1/1098 Engagement with Regional Managers Mark had received feedback on the proposed Pharmacy Workbook from LPC members. A meeting with the Area Team had been arranged for the following week. 1/1108 Finance Report A brief update on the current financial position was given to the meeting by Sue Taylor on behalf of Andy Lawson MS to forward on member comments to David Bearman who would be attending the AT meeting 1/1109 Pharmaceutical Needs Assessment The PNAs are out for consultation which runs until 16 th January The Committee worked in small groups and fed back their main points for feedback. The main areas of concern for the members were the lack of clarity around rurality, controlled localities and dispensing doctors services. It was felt that the focus on drive time to pharmacies was misleading especially for rural areas. The members were also disappointed at the lack of information about potential services to support identified gaps in health needs, for example, prevention of hospital admissions and vaccination services. It was felt that that the LPC should support neighbouring LPCs with feedback on the relevant PNAs. Sue Taylor to respond for all three PNAs on behalf of the LPC, incorporating their feedback and comments from the small working groups. 1/1110 Development Group David Bearman outlined the work that the development group had been shaping during local Joint Executive

4 update and report discussions. It was felt that the key opportunities existing around joint health checks, flu vaccinations, near patient testing, mental health and urgent care. Delivery of skill mix was important, and there was some discussion about how the LPC/local leaders could prepare individual pharmacy teams for future change and recognition that the biggest risk is the capacity of pharmacy to deliver. The delivery of services requires:- Change in mind set A structured approach to launching the services Set out clear what needs to be done Being clear about the consequences of performance and non-performance. There has been a considerable amount of discussion with the local GP federations and how to utilise GP systems to share data. Michael Lennox asked if the Executive was aware of the timescale for the Devon County Council commissioning of an integrated sexual health services. David Bearman and Mark Stone had met with Kelechi Nnoaham, Director of Public Health Plymouth City Council who had demonstrated significant interest in further development of the pharmacy offer relating to public health in Plymouth. Thrive Plymouth is a movement for a healthier Plymouth that will involve working with partners and communities to support positive health enabling choices. An engagement event with all of the community pharmacies was being planned for later in the spring. meeting with Cornwall LPC to set out a roadmap of future service models ST to find out timescale for future sexual health service commissioning Mark Stone/David Bearman leading on this work 1/1111 Pharmacy Manifesto Sue Taylor outlined the Pharmacy Manifesto that had been launched by Pharmacy Voice. After a brief discussion it was agreed that the LPC Executive should focus on a small number of key MPs and local influencers and circulate the manifesto with accompanying local information. 1/1112 NRT Vouchers Plymouth Community Health has agreed to support a voucher scheme for NRT to be issued by nonclinically registered staff. The LPC had been asked to agree that pharmacists could make a discretionary decision re the appropriateness of the NRT recommendation and that pharmacies would receive an additional nominal fee to acknowledge the additional work. The change to the voucher supply was agreed, the members asked for it to be clear to the pharmacist they should check the appropriateness of the products being supplied for the patient and that the

5 written products were a recommendation. The wording on the NRT voucher would be changed to reflect this. 1/1113 Date of next meeting Monday 23 rd February 2015 Evening meeting start 7.00 pm for 7.30 pm Deer Park Business Centre