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Doncaster LPC July 2015 Minutes

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Doncaster LPC July 2015 Minutes Admin: DONCASTER PHARMACEUTICAL COMMITTEE Alison Ellis Chief Officer Nick Hunter [email protected] 07882289083 [email protected] Fax: 0115 8379854 07595 069178 Fax: 01455 634800 http://psnc.org.uk/doncaster -lpc/ 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.
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