Admin: DONCASTER PHARMACEUTICAL COMMITTEE Alison Ellis Chief Officer [email protected] Nick Hunter  07882289083 [email protected] Fax: 0115 8379854 07595 069178 http://psnc.org.uk/doncaster -lpc/ Fax: 01455 634800 http://psnc.org.uk/doncaster-lpc/

Doncaster Local Pharmaceutical Committee Meeting

LPC MEETING 1 Weldricks Head Office, Training Room, Ten Pound Walk, Doncaster On Wednesday 8th July 2015 at 10am

Present: In the Chair Richard Wells (RW)

Secretary: Nick Hunter (NH)

Members: Mohamed Ahmed (MA), Emily Bellwood (EB), Paul Chatterton (PC), Richard Harris (RH), Catherine Hudson (CH), Seonaidh Innes (SI), Lynn Murrie (LM), Darren Powell (DP), Dave Sharp (DS), Claire Thomas (CT)

Minutes: Alison Ellis (AE)

Attending  Stuart Green, RDASH  Louise Braisby, RDASH  Steve Shore, Healthwatch Doncaster  Joanne Lamb, HSCIC  Andy Collins, Substance Misuse, Doncaster Public Health  Diana Taylor, CPPE  Peter Magirr, LPN Chair, NHS England SYB Area Team

Observer None present

Apologies  Garry Myers, PSNC Regional Rep  Iraj Darbandi, LPC member  Chris Bland, LPC member

REMINDER ABOUT THE GOVERNANCE AND DECLARATIONS AT THE FRONT OF THE AGENDA

Strategy Planning session (Split into groups and go through each section to see if still relevant, make notes and NH to review, update and bring back to the September LPC meeting.)

Aim to simplify the plan Groups – 1) RW, RH, DP 2) CT, SI, CH 3) LM, MA, PC

Feedback from group discussions Need to encourage members and contractors to talk to groups/ organisations about pharmacy. Page 1 of 14 Doncaster LPC mins 13.05.15 Everyone knows someone involved in local groups, can talk to children’s school, etc LPC will support them to do. Need to educate public on what pharmacy can do and what are services provided.

Do key message and run this over a period of time for members to go to groups and talk about pharmacy. NH has presentations that can be used.

Write out to groups / local schools in the area and ask them to talk to local pharmacy / LPC about attending their group and talking about what pharmacy do

Action: NH to go through the revised strategy plan with members comments and finalise this for September LPC meeting. Action: NH to look at presentations and put together a key message that members and contractors can use when talk to groups etc. Action: NH to contact local groups and schools in the area and ask them to go and talk to their local pharmacy re attending their groups to explain about pharmacy services.

Open meeting guests

Stuart Green, and Louise Braisby, RDASH

Stuart Green has taken on Paula Brocklesby’s role. - Feels that things have calmed down around script generation issues. - Dual prescribing is a concern and continuity of prescribing

Louise Braisby manages the prescription coordinators. - Working closely with the pharmacy liaison workers – if need anything resolving then contact Louise.

Missed pick-ups – what happens to the reports? Reports when faxed through from pharmacy are received and inputted onto SystmOne - this shows in a report that picks up trends and patterns. If missed 3 pick-ups then this will be flagged up and then sent through via fax to pharmacy to confirm that they are to stop dispensing until receive a new prescription. What happens to the comments that are sometimes included in the info sent by pharmacy? – these are raised with the clients worker via a task sent on SystmOne so there is an audit trail. Need the missed pick up notifications to be sent through daily and also need to send through with cover sheet so know how many sheets there should be, in case a page goes missing.

When restart the regime pharmacy will receive a fax with all the information on and also if on titrating dose will receive this information and a phone call afterwards to confirm arrangements.

Mail sent to the pharmacy for clients Advised that should not be sending letters addressed to clients at the pharmacy without notifying the pharmacy what the context is. The drug team will not be sending the letters through with clients names on but addressed to the pharmacist asking them to pass on instead.

Catherine and Tracey are full time, David Napier is leaving next week. Sue Rawson is starting soon. RW asked if they would like / find it useful to spend some time in a pharmacy – Lloyds and Weldricks were happy to do facilitate. They need to see a manual system and Methameasure / Methasoft automated systems.

Prescriptions Sending through prescriptions on Friday and asking pharmacies if they can check they have all prescriptions expecting etc by Monday to give time before prescription starts on Wednesday to sort out any queries.

Page 2 of 14 Doncaster LPC mins 08.07.15

Communication Trying to achieve continuity of prescribing. Have a clear record of where the prescriptions are, when they have been sent and by which method.

Christmas opening – Sat 26th December Trying to move to Wednesday if weekly pick up. Will liaise with all the pharmacies who provide the service and check the opening hours for each pharmacy

Members asked how pharmacy contact the service during out of hours when there is a problem? LB will look into this – other areas have been employing pharmacists to cover out of hours.

Contact details are Roselyn House, 303916, [email protected] –

Tender Tender has been submitted.

Are there any plans to include treatment for other addictions? - Been spoken about but not at the moment - Starting to look at wider health issues

Large proportion of clients who are missing doses and also using on top of treatment.

Clients to take responsibility for their treatment. New clients are being treated with a step system.

Training Some of the pharmacy technicians could do more – have a good relationship with the clients. Funding would need to be given for any of this. Do feel that it would be useful to have some training as an evening event and also offer 1:1 training at pharmacies. They have a training venue in the town centre.

Alcohol Feedback from pharmacy if clients turn up intoxicated would be very useful so that they can address this dangerous practice and stop treatment if necessary.

If pharmacy feel that a client is intoxicated then they can use their professional judgement whether to dispense medication or not. Liaison staff on the phones can see the client record and if reported by pharmacy previously this will be on SystmOne and can check if a regular occurrence, aware of issues and if have an appointment with keyworker .

Actions: bulletin article / website – asking contractors to send cover sheets through with missed pick-ups and other key messages – LB/SG to send these through to AE/NH. Action: Training - evening event and also offer 1:1 training at pharmacies. They have a training venue in the town centre – NH to liaise with LB and SG around this Action: AE to add Louise Braisby and Stuart Green to the open meetings distribution list. [email protected]

Steve Shore, Healthwatch Unfortunately there was a misunderstanding and SS was unable to attend the meeting. Attending September meeting instead.

Page 3 of 14 Doncaster LPC mins 08.07.15 Peter Magirr, SY LPN SY have put in a 4 month extension to their contract so have until end of July 2015. Promised single operating framework but not had yet and meetings have been cancelled.

- Working on the Call to Action data – strategy – take on local issues and see what is completed nationally.

- Put in bid for proof of concept pilot for SCR – 137 participating pharmacies 50% independent. Sheffield had the largest dataset. Results are impressive – 92% were able to deal with the patient rather than referring to other services by accessing the records

Working as part of the primary care team - Pharmacy support into gp practices – clinical practice pharmacists - Set up small project with 4 practices in Sheffield and funded a community pharmacist for 1 day a week in practice. Put in bid for prime ministers challenge fund to carry this on and spread to all Sheffield pharmacies. - £730,000 just been awarded to put this into place for a year.

Feel that working with the community pharmacist in the area works better than bringing in clinical pharmacist from elsewhere – local and patient knowledge. Also going to look at whether can work with pharmacy technicians too.

Pharmacist working in pharmacy and gp practice - Enhancement of service - Replacement of gp roles that can be given to pharmacist - Trying to integrate community pharmacy into gp practice workload to help with workload rather than replacing gp’s.

Pharmacy is going to have to be integrated into the family healthcare team.

Training from Health Education – West Yorkshire gaining access to funds that Doncaster have not been able to do. Regional disparity as well as a sector disparity. Looking at setting up a development role GP said that they wanted pharmacy to be involved in primary care.

There are 3 LPNs across the Yorkshire and Humber area team – not sure if this is still going to be the case in 3 weeks time.

Can the LPC do anything to help with the LPN’s existence??

Joanne Lamb, HSCIC and Pam Ford, Implementation support

 EPS update  training

slides provided National update 60% gps live nationally – starting to do repeat dispensing 14m patients signed up to EPS 98% able to do EPS Average use is 47% Need to have 1 in 3 going electronic by March 2016

Have hit all targets earlier than planned

Page 4 of 14 Doncaster LPC mins 08.07.15

Doncaster update 56% gp practices live 35% usage – there will be a big drive on utilisation in next 12 months

Controlled drugs NHS legislation changed on 01.07.15 Department of Health said needed to have the same wording as on the paper prescriptions. Need to be changes by system suppliers to enable, although need to ensure that all pharmacy systems are able to do before allow controlled drugs to be sent through EPS.

Phase 4 All prescriptions will go electronically. Nomination will stay in place and so any other scripts will be sent electronically and then when patient comes into pharmacy this can then be pulled down from the spine.

Things that need to be in place before Phase 4 can be rolled out - business continuity – reliant on BT N3 – systems slow and call out response is slow – working on how they can help with keeping the business running if the pharmacy system goes down. - training – all ready started looking at this - controlled drugs need to have been implemented on systems - service model review – priority needs to be increased - system suppliers – if have any add ons then contractors have to pay for them – PSNC are involved in the negotiations. - patient awareness needs to be increased.

Target date: sometime within the next financial year.

Some practices are sending patients to pharmacy stating that medication is ready but only just sent the script. These sort of issues need to be raised to Joanne Lamb. Joanne is happy to come out and facilitate meetings with pharmacy and gp

Training Money has been signed off and will be recruiting some more staff to facilitate 750 events nationally with system suppliers Going to run some test events to make sure cover the right points.

Repeat dispensing Do have template training presentation to be able to do separately - Joanne will liaise with the implementation team to organise this training and also this needs to be done with both practices and pharmacies.

Action: NH to work with Joanne Lamb around repeat dispensing training for pharmacy and gp practices. Action: NH to speak to Joanne Lamb for Doncaster to be involved in the test events for the training

Andy Collins, Substance Misuse, Doncaster Public Health  Overdose Awareness Campaign 2015

31/08/15 Overdose awareness day

Looked at data re admittance to hospital – 200 + accidental poisoning

Run campaign for two weeks - Posters – Andy is going to produce a Doncaster focused poster - Medication amnesty (general not targeted to certain medication) - public may not be aware that

Page 5 of 14 Doncaster LPC mins 08.07.15 pharmacy accept patient returns – need to ensure that pharmacies are prepared for this re storage and recording. - Go through alcohol usage and dangers when dispensed certain medications – scratch cards

Suggested working with Trax FM around doing a campaign along the lines of the Hallam FM one

Action: Andy Collins will order and distribute scratch cards to pharmacies. Action: Andy Collins will send through a poster to all pharmacies for the Overdose Awareness Campaign Action: AE to include the overdose awareness campaign information on the website and put on as a news story for the two weeks.

Diana Taylor, CPPE CPPE is free for all pharmacists and pharmacy technicians and is funded by NHS England

Brand new website – sign post newly qualified pharmacists Members asked if the pre-reg section has been shared with the GPhC Declaration of competence is in the providing NHS services section

Learning at lunch – create a learning community – doesn’t have to be hospital!

Offering 1:1 support – help with workload / stress - There are quite a few people accessing this support

Where do CPPE fit in the RPS faculty? - Supportive and joint working and not competing - To be part of the faculty you need to go through your past 5 years and what you have achieved – Diana felt that this was very enlightening and fulfilling. Need to then prove your development over the next 5 years to stay in the faculty – revalidation. Going to become a standard to become a member

Members had a discussion around revalidation and RPS and influencing GPhC.

Polypharmacy – next subject for CPPE – fits in with medicines optimisation 18th January 2015

2 2.1 Apologies for absence  Iraj Darbandi  Chris Bland (am)  Dave Sharp (arrived at 11am)

2.2 Acceptance of the minutes from 13th May 2015 (Attachment A1) Proposed by LM and seconded by CH

Page 6 Section 4 - Hallam FM – LM queried the figures quoted last meeting as they are very different to the actual figures agreed. NH advised that the figures were rounded down to £5000 in May LPC meeting but that this had not included VAT. On agenda to discuss today. The minutes were correct at the time.

2.3 Matters arising (not on the agenda) – Attachment A2

Health Education Yorkshire & Humber (LETB) – met with NH and RH Should always have been involving SY and have been made aware of this They have money to help pharmacy with education. Community Pharmacy West Yorkshire – have much of their training subsidised by Health

Page 6 of 14 Doncaster LPC mins 08.07.15 Education – but impression from Alison Samson is that only fund training for qualifications. Looking at expanding this - LM to find out how WY have been able to obtain this funding Next training they are putting on is Flu vaccine and injection technique.

Action: LM to contact Community Pharmacy West Yorkshire about funding of the training and NH to contact Robbie Turner.

1) Substance Misuse NH didn’t get to meet with Paula Brocklesby but has had conversations. Struggle to cover out of hours – independent prescribers with special interest could cover this while working in pharmacy – just need access to the records (employed so will organise confidentiality)

2) CCG Chris Stainforth – not met – Martha had a meeting with NH and Jeremy Bradley and Nick Tupper. Need to follow this up. Organised another meeting with Chris and NT on 27.08.15

3) APC NH has not written letter to the APC about checking of booklets for lithium, insulin and methotrexate but feel should be added as a agenda item to the next APC meeting.

AE to check if NH has emailed Mark Randerson to have checking of booklets for lithium, insulin and methotrexate included on the APC agenda

4) Champix – private prescriptions Simon Lister is chasing whether it is legal to provide private scripts The remuneration offered was not high enough and NH has reported this back. This is for people that are outside of the scope of the specification.

5) CCG evaluation of services CT and NH have put in the reports and all three services have been re-commissioned. Falls and inhaler services are being added onto PharmOutcomes

6) Harm reduction strategy and Substance Misuse prescribing governance – 28/07/15 Looking for volunteers to attend as NH and RW are on annual leave.

3 Governance Items

a) Declarations of interest – Attachment B1 SI – completed – add to the website

b) Skills assessment review – Attachment B2 Everyone has now completed

Looked at the sections that are under 45 scoring and checked if have the right balance of expertise or if need to look at this further.

Members who are lower on scoring – consider attending some events run by PSNC / conference to improve knowledge then let NH know.

Communication – need to do more work on this as a committee – could run a member session at a LPC meeting by the company that PSNC use or members could give a 10 minute presentation and then feedback be given to help with development.

Action: Members skills will be reviewed again in May 2016 Action: Members asked to look at the PSNC newsletters that are sent through and if they wish to

Page 7 of 14 Doncaster LPC mins 08.07.15 attend any training / seminars then to let NH and AE know and will book places.

3 NHS Contract Matters

Regulations Table –on the meeting documents page

Regulations guidance – https://www.gov.uk/government/publications/nhs-pharmaceutical- services-assessing-applications

a) Contracts spreadsheet for SYB – nothing received

3.1 New contracts-Routine None received

3.2 New contracts-Excepted 3.2.1 Application in respect of a relocation within a HWB area that does not result in significant change to pharmaceutical services provision By: H I Weldrick Ltd From: 40-42 East Laith Gate, Doncaster, DN1 1HZ To: 10 Cavendish Court, South Parade, Doncaster Closing date: 06/07/15 – LPC response sent – Attachment 1

Conflict of interest: PC, RH, CH, DP, CT and RW (Weldricks), ID and LM (Lloyds), SI (Boots), CB (McGills)

This was discussed over email Further comments notification has been sent out and due in on 21.07.15

Action: AE to send out the contract responses received to members and ask for any further comments by 17.07.15

3.2.2 Application offering unforeseen benefits where the premises are known By: H I Weldrick Ltd At: The Stables, High Street, Norton, Doncaster, DN6 9EL Closing date: 29/07/15

Declarations: PC, RH, CH, DP, CT and RW (Weldricks), SI (Boots)

Nearest pharmacy is in Askern which is about 2 miles.

Response: AE to send out the contract application to members and ask for any further comments by 17.07.15

3.2.3 Application in respect of a no significant change relocation (recommenced) By: H I Weldrick Ltd From: 4 Finkle Street, Thorne, Doncaster, DN8 5DE To: The Vermuyden Centre, Fieldside, Thorne, DN8 4BQ Closing date: 13/07/15 – Attachment 2 - No changes to the original response Still not had any notification re closure of Day Lewis pharmacy closing in the Vernuyden Centre.

Response: Send the original response discussed at the May LPC meeting – nothing further to add.

Contract applications received from other areas None received Page 8 of 14 Doncaster LPC mins 08.07.15

3.3 Litigation 3.3.1 Application for a no significant change relocation By: D&R Sharp Chemists Ltd From: 21 St David’s Drive, Doncaster, DN5 8NG To: Unit 4, Barnsley Road, Scawsby, Doncaster, DN5 8QE Approved after appeal

3.3.2 SHA / 18038 Application for inclusion in the pharmaceutical list offering to meet an identified current need where the premises are not known By: Muhammad Sattar At: Vicinity of West End Clinic / Kings Road, Rossington, Doncaster, DN11 0PW Response to appeal by 22/07/15

Nothing further for the LPC to add to previous comments.

3.4 Decisions 3.4.1 Application for inclusion in the pharmaceutical list offering to meet an identified current need where the premises are not known By: Muhammad Sattar At: Vicinity of West End Clinic / Kings Road, Rossington, Doncaster, DN11 0PW Refused (see above appeal)

3.4.2 Application for no significant change relocation By: H I Weldricks Ltd From: 77 Broadway, Dunscroft, Doncaster To: The Abbey Shopping Centre, Station Road, Doncaster, DN7 4JS Approved

Decisions from other areas None received

3.5 Responses received.

Nothing received

3.6 Amendment to Pharmaceutical List Nothing received

4 Treasurer reports 4.1 Finances for May / June 2015 – Attachment C1, C2 and C3 Reminded members that it is policy that there is a 3 month cut off for expenses and also need to have in 1 month after the end of the financial year. Travelling – try and book in advance to keep the costs down.

4.2 Budget for 2015/16 – Attachment C4 Queries Training - the amount has increased significantly and queried why??– RH stated that he queried what is conference, training etc and so included it all together and also the LPC underspent on training and attending conferences last year. Conference costs have gone down – this is because of the C&D awards attended last year and this is not on this year’s budget. Members costs – locum fees are varied and so increased the budget but not the costs

RH proposed and LM seconded the approval of the budget and all members voted in favour

Page 9 of 14 Doncaster LPC mins 08.07.15

4.3 2014-2015 Draft Accounts – need to formally approve before the AGM - Attachment C5 RH proposed as a true record of the accounts for April 2014 to March 2015 and DP seconded All voted in favour of accepting these accounts as a true record for April 2014 to March 2015

5 Secretary reports 5.1 EPS - Deployment –Attachment D1 Post go live support is the problem – Victoria Lindon is going to speak to the Area Team – need to be able to telephone rather than email and wait for an answer.

- EPS expressions of interest update nothing

- Issues raised by RW – Attachment D2 and D3- Letter from practice with concerns about handling of EPS prescriptions in pharmacy. Weldricks contacted the practice, some of the other multiples have been causing problems and there has not been any contact from any other pharmacies to the letter which has disappointed them. Need the practices and pharmacy to be involved in the meetings before go live to discuss some of the issues that are being encountered in both places and then to meet again post go live to review. Letter went to every single pharmacy in Doncaster (City).

Website pages update – A lot of work has been recently with the help of Bet Rudge before she left and hopefully this will be easier to navigate.

Training – Doncaster LPC have expressed an interest in doing some test training sessions - feel that should have contractors to deliver the training as a user as they will know about pharmacy processors

5.2 PCS Services Stakeholder Group – Attachment E For information

5.3 PSNC Chair and Secretaries meeting – 09/06/15 NH Apparent that we are kept quite well updated by Garry Myers. National Flu service will not be available this season Earl Howe has been replaced and PSNC seemed to be disappointed with this as he was in favour of pharmacy Concern with branded generics Discretionary payments – these have now stopped Provider company – national template - makes easier for multiple companies as they cannot be part of the local company set up Discussed around table – engagement of contractors with services Think pharmacy – used Doncaster templates and they are also creating some others and these will be downloadable

Page 10 of 14 Doncaster LPC mins 08.07.15 6 Chair reports 6.1 Meeting with Nick Tupper this month 27/08/15 next meeting

6.2 Attended the Tobacco control alliance meeting Policy was written recently but they are looking at complete rewrite due to e-cigs inclusion in nicotine / tobacco use.

7 Tenders and bids / Consultations / Service Opportunities / LPC future - update 7.1 Substance misuse – gone through Only current provider has spoken to the LPC

Sexual health – discussed previously – been awarded - SLA is out of date – PGD is in date. - Lots of disruption within TriHealth – staff changes, resources and location RH to raise at the next sexual health meeting Need a list of pharmacies who are providing the service so this can be put on the LPC website for pharmacies to access and send to all pharmacies Some contractors are trying to provide the service but not been able to get commissioned – who do need to talk to and are they accepting new providers?

Action: RH to raise issues at the sexual health meeting - List of pharmacies who are providing the service so this can be put on the LPC website for pharmacies to access and send to all pharmacies - Some contractors are trying to provide the service but not been able to get commissioned – who do need to talk to and are they accepting new providers?

No immediate tenders come through

8 Topics for discussion

8.1 Radio Hallam Community Pharmacy Publicity update – Attachment F - Adverts on the LPC website -

If members or contractors are going out to schools etc then can use the information from Hallam FM – they are going to provide leaflets etc which can be used.

Live chat – going to do a test to see what questions would be asked.

Very sure that will come back with figures showing it works – need to see what impact it has on pharmacies

Costs per pharmacy per week is only small but obviously as a LPC it is quite a chunk of money.

8.2 MAS update and discussion (30 mins ) Still not got confirmed funding. Everything is done – even have a business case in place if needed. Planning to launch in October 2015 Cetirizine liquid (hayfever) – feel that would be better to have 150ml bottles on the formulary to reduce the amount of visits Oral rehydration tablets being added to the formulary CT will send the proposed formulary to members for comments – need to send comments back to CT by 17.07.15 Prices will be based on the drug tariff price

Page 11 of 14 Doncaster LPC mins 08.07.15 Action: Members to provide comments on the formulary to CT by end of next week (17/07/15) and then CT to report back to Marie Hancock at CCG.

9 Members reports Nothing

10 Research

10.1 NIHR Health Technology Assessment Reference: 15/08/68 – Attachment G Turned down for the recent bid – said it wasn’t a priority at the moment.

11 PSNC Communications Members are advised that many PSNC communications are now communicated electronically and repeated on the PSNC website. It is recommended that members regularly visit the PSNC website ‘ LPC members’ area to access the latest information available onhttp://psnc.org.uk/

11.1 Briefings / LPC newsletters – these are received by LPC members 11.1.1 Price Concessions May 2015 (update) 11.1.2 Price Concessions May 2015 (further update) 11.1.3 News: Recent examples of those breaking new ground for pharmacy services; New Pharmacy Minister appointed; Regulations Officer vacancy 11.1.4 News: Guidance on prescription direction; CPN showcases pharmacy innovation; June Drug Tariff change; Head of Dispensing & Supply maternity cover 11.1.5 Have you signed up for our endorsing webinar?; Temazepam prescribing change; Drug Tariff price update; Additional payment reminder 11.1.6 NCSO/price concessions June 2015 11.1.7 News: People with Asthma need better support; MUR target groups guide; 2 weeks until webinar; HSJ showcases pharmacy; Transfer of care e-programme 11.1.8 NCSO/Price Concessions June 2015 (update) 11.1.9 PSNC and Pharmacy Voice continue joint work on local political engagement 11.1.10 NCSO/price concessions June 2015 (updated) 11.1.11 NCSO/price concessions June 2015 additional product 11.1.12 Announcement: Summary Care Record access for pharmacies; EPS live service reports; Movianto supply issues; New Repeat Dispensing resources 11.1.13 News: Webinar now on-demand; Government calls on patients to take responsibility; Boxing Day 2015; Schedule 2/3 CDs on EPS; Business Change Workshops

11.2 Pricing audit centre prescription check January 2015 – Attachment H

For information

12 Communication

12.1 Pharmacy Voice 12.1.1 Pharmacy Voice Local Commissioning Landscape update – Attachment I1 and I2 This is a very good document – NH has contributed to this and advised members to read this

Reports (some items will be covered in the open meeting)

a. NHS Commissioning Board Area Team update i. Pharmacy Flu SLA 2015/16 – Attachment J

Gone out for expressions of interest – flagged also from the LPC. Care homes / Dom MURs vaccines – need to change the spec has it is not included in the SLA that can do off premises.

Page 12 of 14 Doncaster LPC mins 08.07.15

Funding for West Yorkshire flu training via LPC enabling contractors to attend for free – NH will look into this.

b. Local Authority update i. Nothing to report

c. CCG update i. APC Bulletin May 2015 – Attachment K Doing a gap analysis on meds optimisation. Asked if Nicky could come along to the LPC meeting Methotrexate 10mg tablets – rheumatology said they are not prescribing. If see any then report and do not dispense 10mg tablets. Members reported that consultant states 10mg dose on prescription but doesn’t specify 2.5mg tablets.

Circaidin to be used for Autistic children instead of Melatonin

ii. Falls Awareness week and Falls Service – CT Fall alliance – Elaine is now back leading this group and work as person who was leading is on long term sick. Falls service – currently being commissioned as per previous service Put through a bid through better care scheme This has been agreed to be commissioned - Tiered service – consultation fee for data and referral to falls clinic - Or Next stage if doesn’t meet criteria but deem medication (4 or more or having side effects) then would have a medication review using stop start criteria.... Looking at bone health - If have any balance problems, continence issues – looking at whether can be referred to physio etc. Will receive another fee for this referral

Moving onto PharmOutcomes to make easier for pharmacy and also looking at putting the Basic questionnaire, which is being used currently, on PharmOutcomes and looking at technicians to be able to do this and then the pharmacist reviews any medications issues. Members are not convinced this is the best use of time etc. CT to send out information to members and ask for comments back – has some questions for them

Action: CT to send out falls information she has so far with questions and ask for comments to be sent back by 17.07.15

Would need to have some training for this before the service is rolled out.

iii. dispensing bags and corporate branding some of the multiples have issues using the bags – Head Office requires everything handed out to be corporately branded DS says that people do look at the bags as they are different so feels worth using these to advertise.

iv. Lung health pilot Very good training night. There are more booked in for next week (15.07.15) IRME training – 2 dates – August / September Waiting on consultant at the DRI to agree these dates. Hopefully will have the info for next week. Training of the pharmacy staff – some would like 1:1 training at the pharmacy. PC was wishing to be involved in Hatfield – CT to ask Marie Hancock if he can be involved in

Page 13 of 14 Doncaster LPC mins 08.07.15 this pilot.

v. Waste Medicines survey – Attachment M Interesting information - public are not aware to return medicines to the pharmacy. Advised to look at this and if wish to discuss then raise at the next meeting or by email

d. LPN Already discussed

13 East Midlands Region

13.1 Feedback from regional meeting 02/07/15

13.2 PSNC conference – 04.11.15 – who is attending? Attachment L In Birmingham ICC

MA and DS wish to attend – DS will check the date

Chair and Secretaries the day before - DS attending instead of RW Book hotels so all together and can meet in the evening.

Action: AE to book places on the LPC conference for MA and DS and also change booking for the chair and secretaries meeting to DS.

15 Any matters for discussion not on the agenda (AOB allocated to either open or closed session as appropriate) – to be informed to the chairman at the start of the meeting

15.1 Internet access – RW will check if Weldricks can give access to the WIFI for LPC members.

16 Future meetings

Dates Time Venue 9th September 2015 3pm – 6pm (1pm – Board Room Sovereign House , Ten 3pm open) Pound Walk 11th November 2015 3pm – 6pm (1pm – Training Room , Weldricks 3pm open)

The meeting ended at 5.50pm The next meeting will be held on Wednesday 9th September 2015 at 1pm

Amendments to minutes (if any):

Signed as a true and proper record:

Proposed by: Iraj Darbandi Seconded by: Mohammed Ahmed

Approved by: original signed by Richard Wells and members present at the LPC meeting Richard Wells, Chairman. 9th September 2015

Page 14 of 14 Doncaster LPC mins 08.07.15