Agenda item

Kate Grey, Public Health Specialist, to present

Kate Grey, Specialist Public Health, gave the following powerpoint presentation on Mapping the Pharmaceutical Needs Assessment:-

 

Pharmaceutical Needs Assessment (PNA) Requirements

-        Statutory requirements

-        Required every 3 years

-        Must describe the current need for pharmaceutical services, the current provision of pharmaceutical services locally, whether current need was met by existing service provision, potential future need and potential need for new services

 

How are PNAs used

-        Pharmacies were private businesses but had to apply to NHS England and Improvement (NHSE/I)

-        PNAs guided NHSE/I decisions on applications

-        They signalled to market where an application was likely to be successful

-        They could affect the conditions of approval e.g. hours of operation, services required

-        They did not determine whether applications were made

-        They could not influence where new pharmacy applications were located

 

Process Overview

-        Responsibility of the Health and Wellbeing Board

-        Prepared by Public Health Team with oversight from Steering Committee

Data collection from NHSE/I, NHS BASA, pharmacies, JSNA

Analysis using SHAPE Maps, deprivation analysis throughout

-        Internal review

-        External consultation – 60 days (24^th May-26^th July, 2022)

-        Review by Health and Wellbeing Board September 2022

-        Publication by 1^st October 2022

 

Coverage

-        60 pharmacies

-        1 dispensing appliance contractor

-        4 dispensing GPs

-        24.5 community pharmacies per 100,000 population (>national average of 21.3 as at 2017)

 

Access

-        86% of population live within 15 minute walk

-        97% live within one mile walk

-        100% live within 10 minute drive (during rush hour)

-        Inclusion of cross-border pharmacies did not affect figures

 

Services

-        Essential Services

Dispensing of prescriptions

Dispensing of repeat prescriptions

Discharge medicines service

Promotion of healthy lifestyles

Signposting

Support self-care

Disposal of unwanted medicines

-        Advanced Services

Appliance use review (no providers but service needs met through Rotherham-wide service led by specialist nurses)

Community pharmacist consultation service (good coverage 97%)

Flu vaccine (good coverage 81% of pharmacies plus GPs)

Hep C testing (low coverage (4 providers) and poor geographical spread but reflected national picture, low demand, services provided elsewhere)

Hypertension case finding (new service)

New Medicine Service (good coverage 91%)

Smoking cessation (new service)

Stoma appliance customisation

-        Locally Commissioned Services

Over the counter labelling service

Palliative care

Champix (community smoking cessation)

NRT pregnancy

Emergency hormonal contraception

Supervised consumption

Needle exchange

 

60 Day Consultation

-        Published on Council website

-        6 questions based on guidance from NHSE/I sent to all local pharmacies and dispending doctors, Rotherham HWBB members, all neighbouring HWBBs, TRFT and RDaSH, NHSE/I, Healthwatch, Local Pharmaceutical Committee, Local Medical Committee and CCG

-        7 responses in total.  2 ‘test’ so removed from analysis

 

Consultation – Takeaways

Findings

-        One respondent consistently expressed some dissatisfaction with PNA, however, no indication from comments that PNA had not fulfilled its function

-        No indication that local pharmacy offer was not in alignment with national requirements

-        Some frustration that pharmacies do not cater to occasional emergency requirements beyond scope of existing contractual requirements

Implications

-        No substantial changes to content of report or recommendations

-        Include note report regarding emergency requirement for consideration by NHSE/I

 

Conclusions/Statements

-        There was sufficient choice with regard to obtaining pharmaceutical services in Rotherham

-        Pharmaceutical services that were necessary to meet the health needs of the population were all essential services and select advanced services (NHS Community Pharmacist Consultation Services, Flu vaccination, New Medicines Review Service)

-        Pharmaceutical services that had secured improvements or better access – all other advanced services plus all locally commissioned services

-        There were no identified future needs for pharmaceutical services.  Monitoring of the Waverley site development should be conducted within the lifetime of the PNA to assess whether a future need emerges

-        There were no other NHS services that affected pharmaceutical service needs

 

Responding to emerging needs – proposed process

-        NHSE/I continue to send notification of any pharmacy closures to the Council’s Public Health Team

-        Steering Committee  to meet annually or as needed in response to changes to review any emerging needs or changes to provision and make recommendations to the HWBB

 

Discussion ensued with the following issues raised/clarified:-

 

·        It was noted that the Government was considering removal of the obesity measures that had been brought in last year

·        There was a national workforce shortage at pharmacies

·        Cross-border pharmacies were taken into account in the mapping analysis, however, they did not affect any of the key statistics

 

Resolved:-  (1)  That the Pharmaceutical Needs Assessment (PNA) be approved for publication.

 

(2)  That the proposed process for the ongoing review of pharmaceutical needs be approved.