Pan- Pharmaceutical Needs Assessment 2018

Appendix 1: Legal requirements for PNAs This section contains an extract from The National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013. Please note that the HWB takes no responsibility for the accuracy of the extract. The full text of the Regulations is available at: http://www.legislation.gov.uk/uksi/2013/349/contents/made

1. These regulations may be cited as the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 and come into force on 1st April 2013.

2. Interpretation (long – see website)

3. The pharmaceutical services the PNA must cover are all the pharmaceutical services that may be provided under arrangements made by the NHSCB for: a) the provision of pharmaceutical services (including directed services) by a person on a pharmaceutical list; b) the provision of local pharmaceutical services under an LPS scheme (but not LP services which are not local pharmaceutical services); or c) the dispensing of drugs and appliances by a person on a dispensing doctors list (but not other NSH services that may be provided under arrangements made by the NHSCB with a dispensing doctor)

4. Information to be contained in PNA (1) Each PNA must contain the information set out in Schedule 1. (2) Each HWB must, in so far as is practicable, keep up to date the map which it includes in its PNA pursuant to paragraph 7 of Schedule 1 (without needing to republish the whole of the assessment or publish a supplementary statement)

5. Date by which the first HWB PNAs are to be published Each HWB must publish its first PNA by 1st April 2015.

6. Subsequent assessments (1) After it has published its first PNA, each HWB must publish a statement of its revised assessment within 3 years of its previous publication. (2) A HWB must make a revised assessment as soon as is reasonably practicable after identifying changes since the previous assessment, which are of a significant extent, to the need for pharmaceutical services in its area, having regard in particular changes to – a) the number of people in its area who require pharmaceutical services; b) the demography of its area; and c) the risks to the health or wellbeing of people in its area,

unless it is satisfied that making a revised assessment would be a disproportionate response.

(3) Pending the publication of a statement or a revised assessment, a HWB may publish a supplementary statement explaining changes to the availability of pharmaceutical services (..) where – a) the changes are relevant to the granting of applications referred to in section 129(2)(c)(i) or(ii) of the 2006 Act; and b) the HWB – (i) is satisfied that making its first or revised assessment would be a disproportionate response, or (ii) is in the course of making its first or revised assessment and is satisfied that immediate notification of its PNA is essential in order to prevent significant detriment to the provision of pharmaceutical services in its area.

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7. Temporary extension of PCT PNAs and access by the NHSCB and HWBs to PNAs Before the publication by an HWB of the first PNA that it prepares for its area, the PNA that relates to any locality within that area is the PNA that relates to that locality of the PCT for that locality immediately before the appointed day, read with a) any supplementary statement published by the PCT (..) b) any supplementary statement published by the HWB (..)

Each HWB must ensure that the NHSCB has access to – a) the HWB’s PNA (including any supplementary statements) (..) b) any supplementary statement that the HWB publishes (..) c) any PNA of a PCT that it holds, which is sufficient to enable the NHSCB to carry out its functions under these Regulations

Each HWB must ensure that, as necessary, other HWBs have access to any PNAs of any PCT that it holds, which is sufficient to enable the other HWBs to carry out their functions under these Regulations.

8. Consultation on PNAs (1) When making an assessment for the purposes of publishing a pharmaceutical needs assessment, each HWB (HWB1) must consult the following about the contents of the assessment it is making— (a) any Local Pharmaceutical Committee for its area (including any Local Pharmaceutical Committee for part of its area or for its area and that of all or part of the area of one or more other HWBs); (b) any Local Medical Committee for its area (including any Local Medical Committee for part of its area or for its area and that of all or part of the area of one or more other HWBs); (c) any persons on the pharmaceutical lists and any dispensing doctors list for its area; (d) any LPS chemist in its area with whom the NHSCB has made arrangements for the provision of any local pharmaceutical services; (e) any Local Healthwatch organisation for its area, and any other patient, consumer or community group in its area which in the opinion of HWB1 has an interest in the provision of pharmaceutical services in its area; and (f) any NHS trust or NHS foundation trust in its area; (g) the NHSCB; and (h) any neighbouring HWB. (2) The persons mentioned in paragraph (1) must together be consulted at least once during the process of making the assessment on a draft of the proposed pharmaceutical needs assessment.

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(3) Where a HWB is consulted on a draft under paragraph (2), if there is a Local Pharmaceutical Committee or Local Medical Committee for its area or part of its area that is different to a Local Pharmaceutical Committee or Local Medical Committee consulted under paragraph (1)(a) or (b), that HWB— (a) must consult that Committee before making its response to the consultation; and (b) must have regard to any representations received from the Committee when making its response to the consultation. (4) The persons consulted on the draft under paragraph (2) must be given a minimum period of 60 days for making their response to the consultation, beginning with the day by which all those persons have been served with the draft. (5) For the purposes of paragraph (4), a person is to be treated as served with a draft if that person is notified by HWB1 of the address of a website on which the draft is available and is to remain available (except due to accident or unforeseen circumstances) throughout the period for making responses to the consultation. (6) If a person consulted on a draft under paragraph (2)— (a) is treated as served with the draft by virtue of paragraph (5); or (b) has been served with copy of the draft in an electronic form, but requests a copy of the draft in hard copy form, HWB1 must as soon as is practicable and in any event within 14 days supply a hard copy of the draft to that person (free of charge).

9. Matters for consideration when making assessments (1) When making an assessment for the purposes of publishing a pharmaceutical needs assessment, each HWB must have regard, in so far as it is practicable to do so, to the following matters— (a) the demography of its area; (b) whether in its area there is sufficient choice with regard to obtaining pharmaceutical services; (c) any different needs of different localities within its area; (d) the pharmaceutical services provided in the area of any neighbouring HWB which affect— (i) the need for pharmaceutical services in its area, or (ii) whether further provision of pharmaceutical services in its area would secure improvements, or better access, to pharmaceutical services, or pharmaceutical services of a specified type, in its area; and (e) any other NHS services provided in or outside its area (which are not covered by subparagraph (d)) which affect— (i) the need for pharmaceutical services in its area, or (ii) whether further provision of pharmaceutical services in its area would secure improvements, or better access, to pharmaceutical services, or pharmaceutical services of a specified type, in its area.

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(2) When making an assessment for the purposes of publishing a pharmaceutical needs assessment, each HWB must take account of likely future needs— (a) to the extent necessary to make a proper assessment of the matters mentioned in paragraphs 2 and 4 of Schedule 1; and (b) having regard to likely changes to— (i) the number of people in its area who require pharmaceutical services, (ii) the demography of its area, and (iii) the risks to the health or wellbeing of people in its area.

SCHEDULE 1 Regulation 4(1) Information to be contained in pharmaceutical needs assessments

Necessary services: current provision 1. A statement of the pharmaceutical services that the HWB has identified as services that are provided— (a) in the area of the HWB and which are necessary to meet the need for pharmaceutical services in its area; and (b) outside the area of the HWB but which nevertheless contribute towards meeting the need for pharmaceutical services in its area (if the HWB has identified such services).

Necessary services: gaps in provision 2. A statement of the pharmaceutical services that the HWB has identified (if it has) as services that are not provided in the area of the HWB but which the HWB is satisfied— (a) need to be provided (whether or not they are located in the area of the HWB) in order to meet a current need for pharmaceutical services, or pharmaceutical services of a specified type, in its area; (b) will, in specified future circumstances, need to be provided (whether or not they are located in the area of the HWB) in order to meet a future need for pharmaceutical services, or pharmaceutical services of a specified type, in its area.

Other relevant services: current provision 3. A statement of the pharmaceutical services that the HWB has identified (if it has) as services that are provided— (a) in the area of the HWB and which, although they are not necessary to meet the need for pharmaceutical services in its area, nevertheless have secured improvements, or better access, to pharmaceutical services in its area; (b) outside the area of the HWB and which, although they do not contribute towards meeting the need for pharmaceutical services in its area, nevertheless have secured improvements, or better access, to pharmaceutical services in its area;(c) in or outside the area of the HWB and, whilst not being services of the types described in sub-paragraph (a) or (b), or paragraph 1, they nevertheless affect the assessment by the HWB of the need for pharmaceutical services in its area.

Improvements and better access: gaps in provision 4. A statement of the pharmaceutical services that the HWB has identified (if it has) as services that are not provided in the area of the HWB but which the HWB is satisfied— (a) would, if they were provided (whether or not they were located in the area of the HWB), secure improvements, or better access, to pharmaceutical services, or pharmaceutical services of a specified type, in its area, (b) would, if in specified future circumstances they were provided (whether or not they were located in the area of the HWB), secure future improvements, or better access, to pharmaceutical services, or pharmaceutical services of a specified type, in its area.

Other NHS services 5. A statement of any NHS services provided or arranged by a local authority, the NHSCB, a CCG, an NHS trust or an NHS foundation trust to which the HWB has had regard in its assessment, which affect— (a) the need for pharmaceutical services, or pharmaceutical services of a specified type, in its area; or

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(b) whether further provision of pharmaceutical services in its area would secure improvements, or better access, to pharmaceutical services, or pharmaceutical services of a specified type, in its area.

How the assessment was carried out 6. An explanation of how the assessment has been carried out, and in particular— (a) how it has determined what are the localities in its area; (b) how it has taken into account (where applicable)— (i) the different needs of different localities in its area, and (ii) the different needs of people in its area who share a protected characteristic; and (c) a report on the consultation that it has undertaken.

Map of provision 7. A map that identifies the premises at which pharmaceutical services are provided in the area of the HWB.

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Appendix 2: Characteristics of Localities Defining localities The PNA regulations require the PNA to define ‘localities’ to use during this process. Pan- Lancashire is made up of two upper tier local authorities ( with and ) and one county council (Lancashire County Council). Lancashire County Council's 12 lower tier local authorities are commonly used by Lancashire to sub-divide the county.

In considering how to define localities within pan-Lancashire, it was decided to use local authority, Blackpool local authority and the 12 lower tier local authorities of Lancashire County Council as localities; 14 localities across pan-Lancashire.

Blackburn with Darwen and Blackpool have a population of 147,049 and 139,195, respectively. The 12 Lancashire County Council localities used in the PNA have an average population of 99,899 (range, 58,826 to 143,5175) (ONS, 2016 mid year population estimates).

There was also a practical decision to be made to ensure that the document remained manageable in terms of size. Therefore it was agreed that data would be presented at locality level.

Upper and lower tier local authorities Local authorities are well understood by many people and enables comparison of routine data. Pan-Lancashire there are 14 local authorities (two upper-tier and 12 lower-tier).

Clinical Commissioning Group (CCG) There are 8 CCGs across pan-Lancashire and it is intended that the CCGs can use the PNA to inform their commissioning decisions.

Electoral wards These are key building blocks of UK administrative geography. However, they have limited relevance to commissioning of pharmaceutical services, and are subject to change. The population size can vary from 100 to 30,000 residents.

Super Output Area (SOA) This is a way of collecting and publishing small area statistics developed by the Office of National Statistics (ONS).i They are of a more consistent size than electoral wards, which facilitates an assessment of needs for the local populations. They are not subject to frequent boundary change, so may be more suitable for comparisons over time. In addition, they will build on the existing availability of data for census output areas. SOA data are increasingly used for health needs assessment, health planning and assessing health inequalities.

SOAs come in two levels. Lower Layer Super Output Areas (LSOAs) have a minimum population size of 1,000 people and the average size is 1,500 people. Additionally, LSOAs can be grouped into Middle Layer Super Output Areas (MSOA). The MSOAs population size is minimum 5,000 people and the average is 7,200 people. All MSOAs are contained within a local authority (LA) and do not cross LA boundaries.

Sources of data for small areas A good source for a wide range of socio-economic data for small areas is the Office for National Statistics’ Neighbourhood Statistics website (contains information on e.g. age structure,

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housing, long-term illness and deprivation and other data from 2011 Census): https://www.ons.gov.uk/help/localstatistics

Health profiles for the area can be found at: https://fingertips.phe.org.uk/profile/health- profiles

Some insight into the health needs of the local population can be gained from the Quality and Outcomes Framework data of the local GPs http://content.digital.nhs.uk/qof

Comparing the prevalence of common conditions of the practices within the CCG or average gives an indication of the health of the local population. A more convenient way of viewing individual practices are the practice profiles at https://fingertips.phe.org.uk/profile/general-practice

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Appendix 3: Methods used to identify providers

This section outlines the methods used for identifying providers of pharmaceutical services.

1. Identification of pharmaceutical service providers

Pharmacies within pan-Lancashire

A list of pharmacies as of 1 June 2017 including postcodes and other information was obtained from NHS England North (Lancashire and South Cumbria), who maintains the registration database of pharmacies.

Pharmacies outside of pan-Lancashire

Pharmacies in surrounding local authorities were obtained from the Health and Social Care Information Centre Organisation Data Service (ODS).

Dispensing doctors (GP) surgeries

NHS England North (Lancashire and South Cumbria) confirmed that there are 12 dispensing doctors across pan-Lancashire.

Distance selling pharmacies

A list of distance selling pharmacies was obtained from NHS England North (Lancashire and South Cumbria).

Dispensing appliance contractors

NHS England North (Lancashire and South Cumbria) confirmed that there are 4 dispensing appliance contractors in pan-Lancashire.

2. Creation of maps The maps show the location of the pharmaceutical service providers in each of the 14 localities across the pan-Lancashire area.

Maps indicating locations of premises providing pharmaceutical services

Maps showing the locations of premises providing pharmaceutical services were created in ArcGIS by Lancashire County Council's Business Intelligence team.

Maps indicating travel distance

Maps showing travel times to pharmaceutical services were created using TRACC and ArcGIS network analyst software by Lancashire County Council's Transport Planning team.

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Appendix 4: List of pharmacies (As at June 2017)

HWB CCG Type Pharmacy Name Address 1 Address 2 Postcode Locality Blackburn Blackburn with with Blackburn Darwen 40 Hr Cohens Chemist 63 Whalley Range Blackburn BB1 6EA Darwen Blackburn Blackburn with Blackburn Service with Blackburn Darwen 100 Hr 4Court Pharmacy Station Whalley Banks BB2 1NT Darwen Blackburn Blackburn with Distance- 38 Shear Bank with Blackburn Darwen selling Akhtar's Pharmacy Road Blackburn BB1 8AZ Darwen Blackburn Blackburn with Lower Audley Grimshaw Park with Blackburn Darwen 100 Hr Asda Pharmacy Retail Park Road BB2 3DY Darwen Blackburn Blackburn with 95 with Blackburn Darwen 40 Hr Aston Pharmacy Road Blackburn BB1 2AF Darwen Blackburn Blackburn with Audley Late Night 114-116 Audley with Blackburn Darwen 100 Hr Pharmacy Range Blackburn BB1 1TG Darwen Blackburn Blackburn with 75 Whalley New with Blackburn Darwen 40 Hr Bastwell Pharmacy Road Blackburn BB1 6JY Darwen Blackburn Blackburn with Beehive Trading with Blackburn Darwen 100 Hr Beehive Pharmacy Park Road BB1 2EE Darwen Blackburn Blackburn with "your local Boots with Blackburn Darwen 40 Hr pharmacy" 435 Bolton Road Ewood BB2 4HY Darwen Blackburn Blackburn with "your local Boots 193-195 with Blackburn Darwen 40 Hr pharmacy" Accrington Road Blackburn BB1 2AQ Darwen Blackburn Blackburn with "your local Boots with Blackburn Darwen 40 Hr pharmacy" 49 Fishmoor Drive Blackburn BB2 3UY Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Boots Chemist 2 Cobden Court Blackburn BB1 7JJ Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Boots UK Ltd 8 Market Street Darwen BB3 1AZ Darwen Unit B2 Blackburn Blackburn with Townsmoor Retail with Blackburn Darwen 40 Hr Boots UK Ltd Park Great Bolton Street BB2 3RX Darwen Blackburn Blackburn with 6 Preston Old with Blackburn Darwen 100 Hr Buncer Lane Pharmacy Road Blackburn BB2 2SS Darwen Blackburn Blackburn with Chapel Street 62 New Chapel with Blackburn Darwen 40 Hr Pharmacy Street Mill Hill BB2 4DT Darwen Blackburn Blackburn with Distance- 288 Whalley with Blackburn Darwen selling Chemist2Customer.com Range Blackburn BB1 6NL Darwen Blackburn Blackburn with 371 Whalley New with Blackburn Darwen 40 Hr Cohens Chemist Road Blackburn BB1 9SP Darwen Blackburn Blackburn with 101 Plane Tree with Blackburn Darwen 40 Hr Cohens Chemist Road Blackburn BB1 5PA Darwen Blackburn Blackburn with Darwen Health with Blackburn Darwen 40 Hr Cohens Chemist Centre James Street West BB3 1PY Darwen

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Blackburn Blackburn with 33 Preston Old with Blackburn Darwen 40 Hr Cohens Chemist Road Witton BB2 2ST Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Everest Pharmacy 21 Cemetery Road Darwen BB3 2LZ Darwen Blackburn Blackburn with Geloo Brothers 782 Whalley New with Blackburn Darwen 40 Hr Pharmacy Road Brownhill BB1 9BA Darwen Blackburn Blackburn with Geloo Brothers with Blackburn Darwen 40 Hr Pharmacy 13-14 Union Street Darwen BB3 0DA Darwen Blackburn Blackburn with Geloo Brothers 1 New Wellington with Blackburn Darwen 40 Hr Pharmacy Street Mill Hill BB2 4DY Darwen Blackburn Blackburn with Granville Road with Blackburn Darwen 40 Hr Pharmacy 37 Granville Road Blackburn BB2 6HD Darwen Blackburn Blackburn with Barbara Castle with Blackburn Darwen 100 Hr HBS Pharmacy Way Hc Simmons Street BB2 1AX Darwen Blackburn Blackburn with 50-52 Johnston with Blackburn Darwen 40 Hr Johnston Pharmacy Street Blackburn BB2 1HD Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Karims Pharmacy Ltd 140 Mosley Street Blackburn BB2 3RX Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Lammack Pharmacy 5 Whinney Lane Blackburn BB2 7BX Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Larkhill Pharmacy GBL House, Cleaver Street BB1 5DG Darwen Blackburn Blackburn with 238 Livesey with Blackburn Darwen 40 Hr Livesey Pharmacy Branch Road Blackburn BB2 4QL Darwen Blackburn Blackburn with 103 Blackburn with Blackburn Darwen 40 Hr Lloydspharmacy Road Darwen BB3 1ET Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Lloydspharmacy 8 Bentham Road Mill Hill BB2 4PN Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Lloydspharmacy 11 Church Street Darwen BB3 2RE Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Manor Pharmacy 174 Shear Brow Blackburn BB1 8DZ Darwen Blackburn Blackburn with Unit 2 Livesey with Blackburn Darwen 40 Hr Manor Pharmacy Branch Rd Feniscowles BB2 5DX Darwen Blackburn Blackburn with Market Street 29-31 Market with Blackburn Darwen 100 Hr Pharmacy Street Darwen BB3 1PS Darwen Blackburn Blackburn with 107 Oakenhurst with Blackburn Darwen 40 Hr Montague Pharmacy Road Blackburn BB2 1SN Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Morrisons Pharmacy Morrisons Store Railway Road BB1 5AZ Darwen Blackburn Blackburn with Distance- with Blackburn Darwen selling Mymed Direct 95 Johnston Street Blackburn BB2 1HY Darwen Blackburn Blackburn with 62 Haslingden with Blackburn Darwen 100 Hr Pharmalogic Road Blackburn BB2 3HS Darwen

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Blackburn Blackburn with with Blackburn Darwen 100 Hr Riaz Pharmacy 112 Randal Street Blackburn BB1 7LG Darwen Blackburn Blackburn with 221 Shadsworth with Blackburn Darwen 40 Hr Shadsworth Pharmacy Road Blackburn BB1 2AW Darwen Blackburn Blackburn with Blackburn with Blackburn Darwen 40 Hr Superdrug Pharmacy 3,5 & 7 Stonybutts Shopping Centre BB1 7JD Darwen Blackburn Blackburn with with Blackburn Darwen 100 Hr Tesco Pharmacy Hill Street Blackburn BB1 3HF Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Village Pharmacy 365 Bolton Road Edgworth BL7 0AZ Darwen Blackburn Blackburn with Unit 4, Audley with Blackburn Darwen 40 Hr Well Pharmacy Shopping Centre Audley Range, BB1 1TG Darwen Blackburn Blackburn with Whalley Range with Blackburn Darwen 100 Hr Pharmacy 1 Whalley Range Blackburn BB1 6DX Darwen Blackburn Blackburn with with Blackburn Darwen 40 Hr Witton Pharmacy 108 Redlam Blackburn BB2 1UW Darwen 337 Whitegate Blackpool Blackpool 40 Hr Boots UK Drive Blackpool FY3 9JR Blackpool 28-38 Bank Hey Blackpool Blackpool 40 Hr Boots UK Street Blackpool FY1 4TE Blackpool 164C Whitegate Blackpool Blackpool 40 Hr Cohens Chemist Drive Blackpool FY3 9HF Blackpool Moor Park Health Blackpool Blackpool 40 Hr Cohens Chemist & Leisure Centre Bristol Avenue FY2 0JG Blackpool Blackpool Blackpool 40 Hr Cohens Chemist 91 Holmfield Road Blackpool FY2 9RS Blackpool F. Crossley (Chemists) Blackpool Blackpool 40 Hr Ltd 273 Lytham Road Blackpool FY4 1DP Blackpool 59 Chepstow Blackpool Blackpool 40 Hr Grange Pharmacy Road Blackpool FY3 7PH Blackpool Newton Drive Blackpool Blackpool 100 Hr HBS Pharmacy Health Centre Newton Drive FY3 8NX Blackpool Blackpool Blackpool 40 Hr Lloydspharmacy J Sainsbury Store 80 Red Bank Road FY2 9HY Blackpool 118/120 Blackpool Blackpool 40 Hr Lloydspharmacy Bloomfield Road Blackpool FY1 6JW Blackpool 21-22 South King Blackpool Blackpool 40 Hr Lloydspharmacy Street Blackpool FY1 4LS Blackpool 182 Waterloo Blackpool Blackpool 40 Hr Lloydspharmacy Road Blackpool FY4 3AD Blackpool Blackpool Blackpool 40 Hr Lloydspharmacy 110 Talbot Road Blackpool FY1 1LR Blackpool Blackpool Blackpool 40 Hr Lloydspharmacy 109 Egerton Road Blackpool FY1 2NL Blackpool 525-527 Lytham Blackpool Blackpool 40 Hr Lloydspharmacy Road Blackpool FY4 1RF Blackpool Blackpool Blackpool 40 Hr Lytham Road Pharmacy South Shore PCC Lytham Road FY4 1TJ Blackpool 45-47 Westcliffe Blackpool Blackpool 40 Hr M J Moore Pharmacy Drive Blackpool FY3 7BH Blackpool 54-56 Norbreck Blackpool Blackpool 40 Hr Norchem Road Blackpool FY5 1RP Blackpool 118 Adelaide Blackpool Blackpool 40 Hr Pharmisense Street Blackpool FY1 4LN Blackpool 275 Devonshire Blackpool Blackpool 40 Hr Rhodes Pharmacy Rd Blackpool FY2 0TN Blackpool Blackpool Blackpool 100 Hr Tesco Pharmacy Clifton Retail Park Clifton Road FY4 4UJ Blackpool Trust Bispham 119 Redbank Blackpool Blackpool 40 Hr Pharmacy Road Bispham FY2 9HZ Blackpool Trust 2 Anchorsholme Blackpool Blackpool 40 Hr Pharmacy Lane Blackpool FY5 3QL Blackpool

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Trust South Shore 211 Waterloo Blackpool Blackpool 40 Hr Pharmacy Road Blackpool FY4 2AE Blackpool Trust St Mary's Blackpool Blackpool 40 Hr Pharmacy 343 Lytham Road Blackpool FY4 1DS Blackpool Blackpool Blackpool 40 Hr Well Pharmacy Unit E 5 Langdale Place FY4 4TR Blackpool Blackpool Blackpool 40 Hr Well Pharmacy Asda Supermarket Cherry Tree Road FY4 4QH Blackpool 9-11 All Hallows Blackpool Blackpool 40 Hr Well Pharmacy Road Blackpool FY2 0AS Blackpool Blackpool Blackpool 40 Hr Well Pharmacy 8 Grasmere Road Blackpool FY1 5HU Blackpool Arnold Medical 204 St Annes Blackpool Blackpool 40 Hr Well Pharmacy Centre Road FY4 2EF Blackpool 8 South King Blackpool Blackpool 40 Hr Well Pharmacy Street Blackpool FY1 4LS Blackpool St Pauls Medical Blackpool Blackpool 40 Hr Well Pharmacy Centre Dickson Road FY1 2HH Blackpool Blackpool Blackpool 40 Hr Well Pharmacy 53 Highfield Road Blackpool FY4 2JD Blackpool LPS (91 Whitegate Health 150 Whitegate Blackpool Blackpool hrs) Whitegate Pharmacy Centre Drive FY3 9ES Blackpool 27 Common Edge Blackpool Blackpool 40 Hr Whitworth Chemists Ltd Road Blackpool FY4 5AX Blackpool Layton Medical 200 Kingscote Blackpool Blackpool 40 Hr Whitworth Chemists Ltd Centre Drive FY3 7EN Blackpool 80B Charles Blackpool Blackpool 40 Hr Whitworth Chemists Ltd Street Blackpool FY1 3JJ Blackpool 60 Whitegate Blackpool Blackpool 40 Hr Whitworth Chemists Ltd Drive Blackpool FY3 9DQ Blackpool 93/99 Bloomfield Blackpool Blackpool 40 Hr Whitworth Chemists Ltd Road Blackpool FY1 6JN Blackpool 300 Highfield Blackpool Blackpool 40 Hr Whitworth Chemists Ltd Road Blackpool FY4 3JU Blackpool 292-294 Waterloo Blackpool Blackpool 40 Hr Whitworth Chemists Ltd Road Blackpool FY4 3AG Blackpool Cleveleys Health Thornton Lancashire Fylde & Wyre 40 Hr Centre Pharmacy Kelso Avenue Cleveleys FY5 3DZ Blackpool Lancashire East Lancashire 40 Hr Asda Pharmacy Princess Way BB12 0EB Burnley 22 Rosegrove Lancashire East Lancashire 40 Hr Bailey & Garrett Lane Burnley BB12 6HX Burnley Lancashire East Lancashire 40 Hr Bailey & Garrett Kiddrow Lane HC Kiddrow Lane BB12 6LH Burnley "your local Boots 76 Yorkshire Lancashire East Lancashire 40 Hr pharmacy" Street Burnley BB11 3BT Burnley "your local Boots BB11 Lancashire East Lancashire 40 Hr pharmacy" 16 Crowther Street Burnley 3ND Burnley 51 St James Lancashire East Lancashire 40 Hr Boots Street Burnley BB11 1QL Burnley Lancashire East Lancashire 40 Hr Brunshaw Pharmacy 6 Brownside Road Burnley BB10 3JU Burnley Burnley Late Night Lancashire East Lancashire ` Pharmacy 36b Road Burnley BB10 1LG Burnley 68-70 Coal Clough BB11 Lancashire East Lancashire 40 Hr Cohens Chemist Lane Burnley 4NW Burnley 305-307 Lancashire East Lancashire 40 Hr Cohens Chemist Road Burnley BB12 6PR Burnley 151-151a Lancashire East Lancashire 40 Hr Cohens Chemist Accrington Road Burnley BB11 5AL Burnley 44 Lyndhurst Lancashire East Lancashire 40 Hr Cohens Chemist Road Burnley BB10 4DX Burnley Lancashire East Lancashire 40 Hr Colne Road Pharmacy 60 Colne Road Burnley BB10 1LG Burnley 135/139 Burnley Lancashire East Lancashire 40 Hr Ian G Todd Road Padiham BB12 8BA Burnley Lancashire East Lancashire 40 Hr Lloydspharmacy Active Way Burnley BB11 1BS Burnley 83-85 Burnley Lancashire East Lancashire 40 Hr Lloydspharmacy Road Padiham BB12 8BL Burnley

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BB10 Lancashire East Lancashire 40 Hr Peak Pharmacy 36 Abel Street Burnley 1QR Burnley 198 Briercliffe Lancashire East Lancashire 40 Hr Rowlands Pharmacy Road Burnley BB10 2NZ Burnley Lancashire East Lancashire 40 Hr St Peter's Pharmacy St Peter's Centre Church Street BB11 2DL Burnley Tesco Instore BB12 Lancashire East Lancashire 100 Hr Pharmacy Wyre Street Padiham 8DQ Burnley Tesco Instore Lancashire East Lancashire 40 Hr Pharmacy Centenary Way Finsley Gate BB11 2HE Burnley Lancashire East Lancashire 40 Hr Village Pharmacy 142 Burnley Road, Briercliffe BB10 2HJ Burnley Lancashire East Lancashire 40 Hr Well Pharmacy 4 Browhead Road Burnley BB10 3BF Burnley & South Clayton Green Lancashire Ribble 100 Hr Asda Pharmacy Sheephill Lane, Road PR6 7JY Chorley Chorley & South Astley Village Lancashire Ribble 40 Hr Pharmacy Unit 5, Hallgate Astley Village PR7 1XA Chorley Chorley & South Lancashire Ribble 40 Hr Bamfords Pharmacy 163 Chorley Road Adlington PR6 9LP Chorley Chorley & South Lancashire Ribble 40 Hr Boots UK Ltd 24 Market Walk Chorley PR7 1DE Chorley Chorley & South Lancashire Ribble 100 Hr Chorley Pharmacy 13-17 Peel Street Chorley PR7 2EY Chorley Chorley & South Lancashire Ribble 40 Hr Cohens Chemist 97 Market Street Chorley PR7 2SQ Chorley Chorley & South 5 Acerswood Lancashire Ribble 100 Hr Cohens Chemist Close PR7 5EN Chorley Chorley & South Lancashire Ribble 40 Hr Cohens Chemist 1 The Centre Eaves Green Road PR7 3QG Chorley Chorley & South Unit 3 The Lancashire Ribble 40 Hr Fishlocks Chemist Carrington Centre New Mill Street PR7 5SZ Chorley Chorley & South 209-211 Lancashire Ribble 40 Hr Lloydspharmacy Spendmore Lane Coppull PR7 5BY Chorley Chorley & South 180 Devonshire Lancashire Ribble 40 Hr Lloydspharmacy Road Chorley PR7 2BY Chorley Chorley & South 96 Devonshire Lancashire Ribble 40 Hr Lloydspharmacy Road PR7 2DJ Chorley Chorley & South Lancashire Ribble 40 Hr Lloydspharmacy Library Street Chorley PR7 2EE Chorley Chorley & South Lancashire Ribble 40 Hr Lloydspharmacy 246 Eaves Lane Chorley PR6 0ET Chorley Block C, Clayton Chorley & South Distance- Green Business Lancashire Ribble selling Pharmalogic Park Library Road PR6 7EN Chorley Chorley & South 116-118 Wigan Lancashire Ribble 40 Hr Rowlands Pharmacy Road PR7 6JW Chorley Chorley & South Lancashire Ribble 40 Hr Rowlands Pharmacy 15 Market Street Lower Adlington PR7 4HE Chorley Ackhurst Industrial Chorley & South Tesco In-store Estate, Foxhole Lancashire Ribble 100 Hr Pharmacy Tesco Extra Road PR7 1NW Chorley Chorley & South In store pharmacy, Lancashire Ribble 100 Hr Tesco stores Ltd Ordnance Rd PR7 7EL Chorley Chorley & South Trust Lancashire Ribble 40 Hr Pharmacy 69 Station Road Croston PR26 9RL Chorley Chorley & South Lancashire Ribble 40 Hr Whittle Brook Pharmacy 230 Preston Road Whittle-Le-Woods PR6 7HW Chorley Chorley & South Lancashire Ribble 40 Hr Whittle Brook Pharmacy 74 Tunley Holme PR5 8ES Chorley Chorley & South Lancashire Ribble 40 Hr Pharmacy 17 Bury Lane Withnell PR6 8RX Chorley Morrison Blackpool Blackpool 40 Hr Morrison's Pharmacy Supermarket Squires Gate Lane FY4 2AY Fylde 11 Alexandria Lancashire Fylde & Wyre 40 Hr Alexandria Pharmacy Drive St. Annes on Sea FY8 1JF Fylde 64-66 Clifton Lancashire Fylde & Wyre 40 Hr Boots Street Lytham St. Annes FY8 5EW Fylde

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3 -5 St. Annes Lancashire Fylde & Wyre 40 Hr Boots Road West Lytham St. Annes FY8 1SB Fylde 38 Highbury Road Lancashire Fylde & Wyre 40 Hr Cohens Chemist East Lytham St. Annes FY8 2RW Fylde Lancashire Fylde & Wyre 40 Hr Cohens Chemist 14 Whalley Place St Annes on Sea FY8 3PU Fylde St Annes Health Lancashire Fylde & Wyre 40 Hr Cohens Pharmacy Ctre Durham Ave FY8 2EP Fylde Lancashire Fylde & Wyre 40 Hr HMI Pharmacy 14 Moor Street Kirkham PR4 2AU Fylde St. Andrews Road Lancashire Fylde & Wyre 40 Hr Lloydspharmacy North St Annes on Sea FY8 2DH Fylde Rowlands Pharmacy St Lancashire Fylde & Wyre 40 Hr Annes 4/6 Wood Street Lytham St. Annes FY8 1QS Fylde 108a Warton Lancashire Fylde & Wyre 40 Hr Smiths Pharmacy Street Lytham FY8 5HA Fylde 24-26 St. Annes Lancashire Fylde & Wyre 40 Hr St. Annes Pharmacy Road East Lytham St. Annes FY8 1UR Fylde Lancashire Fylde & Wyre 40 Hr Tomlinsons Chemist 11 Market Square Lytham FY8 5LW Fylde Ansdell Medical Albany Road, Lancashire Fylde & Wyre 40 Hr Trust Pharmacy Centre Ansdell FY8 4GW Fylde Lancashire Fylde & Wyre 40 Hr Well Pharmacy 32 Moor Street Kirkham PR4 2AU Fylde Lancashire Fylde & Wyre 40 Hr Well Pharmacy 5 Market Square Kirkham PR4 2SD Fylde Trinity Medical Lancashire Fylde & Wyre 40 Hr Well Pharmacy Centre Douglas Drive PR4 1RY Fylde Lancashire Fylde & Wyre 40 Hr Wesham Pharmacy 22 Station Road Wesham PR4 3AD Fylde Lancashire Fylde & Wyre 40 Hr Whitworths Chemist 2a Church Street, Kirkham PR4 2SE Fylde Lytham Health Lancashire Fylde & Wyre 40 Hr Windmill Pharmacy Ctre Warton Street FY8 5EE Fylde Accrington Late Night 188 Blackburn Lancashire East Lancashire 100 Hr Pharmacy Road Accrington BB5 0AQ Lancashire East Lancashire 40 Hr Accrington Pharmacy 257 Whalley Road Accrington BB5 5AD Hyndburn Lancashire East Lancashire 100 Hr Asda Pharmacy Hyndburn Road Accrington BB5 1QR Hyndburn 387-391 Blackburn Lancashire East Lancashire 40 Hr Aston Pharmacy Aston House Road BB5 1RP Hyndburn 516 Manchester Lancashire East Lancashire 40 Hr Baxenden Pharmacy Road Baxenden BB5 2RG Hyndburn "your local Boots Lancashire East Lancashire 40 Hr pharmacy" 50 Queen Street BB6 7QQ Hyndburn Lancashire East Lancashire 40 Hr Boots 2 Cornhill Accrington BB5 1EX Hyndburn Lancashire East Lancashire 40 Hr Cohens Chemist 53-55 High Street BB1 4LD Hyndburn Lancashire East Lancashire 40 Hr Cohens Chemist 67/69 Union Road BB5 3DD Hyndburn 322-324 Union Lancashire East Lancashire 40 Hr Cohens Chemist Road Oswaldtwistle BB5 3JD Hyndburn Lancashire East Lancashire 40 Hr Cohens Chemist 240 Union Road Oswaldtwistle BB5 3JD Hyndburn Distance- Clayton Business Lancashire East Lancashire selling Dialachemist Ltd No.4 Petre Road Park BB5 5JB Hyndburn Lancashire East Lancashire 40 Hr Holden E B Pharmacy 9-11 Queen Street Great Harwood BB6 7QL Hyndburn Lancashire East Lancashire 40 Hr Huncoat Pharmacy 20 Station Road Huncoat BB5 6LS Hyndburn Lancashire East Lancashire 40 Hr Lloydspharmacy 13-17 Peel Street Accrington BB5 1EA Hyndburn Distance- Lancashire East Lancashire selling My Pharmacy 58a Queen Street Great Harwood BB6 7AL Hyndburn Oswaldtwistle Lancashire East Lancashire 100 Hr Pharmacy 300 Union Road Oswaldtwistle BB5 3JD Hyndburn Paradise Street Lancashire East Lancashire 40 Hr Pharmacy 1A Paradise Street Accrington BB5 2EJ Hyndburn Lancashire East Lancashire 40 Hr Rishton Pharmacy 42 High Street Rishton BB1 4LA Hyndburn 20 Cornhill, Lancashire East Lancashire 40 Hr Superdrug Pharmacy Arndale Ctentre Accrington BB5 1EX Hyndburn

• 173 • Pan-Lancashire Pharmaceutical Needs Assessment 2018

Tesco Instore Lancashire East Lancashire 100 Hr Pharmacy Queen Street Great Harwood BB6 7AU Hyndburn Tesco Instore Lancashire East Lancashire 100 Hr Pharmacy 2 Eagle Street Accrington BB5 1LN Hyndburn Lancashire East Lancashire 40 Hr Well Pharmacy 36 Pickup Street Clayton-Le-Moors BB5 5NS Hyndburn 198 Blackburn Lancashire East Lancashire 40 Hr Well Pharmacy Road Accrington BB5 0AQ Hyndburn 406 Blackburn Lancashire East Lancashire 100 Hr Well Pharmacy Road Accrington BB5 1SA Hyndburn Distance- Lancashire East Lancashire selling Wyvern Pharmacy 81 Abbey Street Accrington BB5 1EH Hyndburn Lancashire Bay 40 Hr Asda Pharmacy Ovangle Road Lancaster LA1 5JR Lancaster Lancashire Morecambe Bay 100 Hr Ash Trees Pharmacy Market Street LA5 9JU Lancaster 45 Princes Lancashire Morecambe Bay 40 Hr Bare Pharmacy Crescent Bare LA4 6BY Lancaster "your local Boots Lancashire Morecambe Bay 40 Hr pharmacy" Braddon Close Westgate LA4 4UZ Lancaster "your local Boots Lancashire Morecambe Bay 40 Hr pharmacy" 15 Hornby Road Caton LA2 9QW Lancaster 14-16 Lancaster Lancashire Morecambe Bay 40 Hr Boots Gate St Nicholas Arcade LA1 1NB Lancaster Lancashire Morecambe Bay 40 Hr Boots 4 Royalty Mall Arndale Centre LA4 5DH Lancaster Lancashire Morecambe Bay 40 Hr Boots 24 Market Street Carnforth LA5 9JX Lancaster 8 - 9 Gordon Lancashire Morecambe Bay 40 Hr Bowerham Pharmacy Terrace Bowerham Road LA1 4DS Lancaster Morecambe Health Centre Lancashire Morecambe Bay 40 Hr Cohens Chemist Pharmacy Hanover Street LA4 5LY Lancaster 52-54 Ullswater Lancashire Morecambe Bay 40 Hr Cohens Chemist Road Lancaster LA1 3PS Lancaster Lancashire Morecambe Bay 40 Hr Cohens Chemist 1 Heysham Rd Morecambe LA3 1DA Lancaster Lancashire Morecambe Bay 40 Hr Cohens Chemist 5 James Street Morecambe LA4 5TE Lancaster Heysham Primary Lancashire Morecambe Bay 40 Hr Cohens Chemist Care Centre, Middleton Way LA3 2LE Lancaster Dalton Square 24 - 28 Great John Lancashire Morecambe Bay 100 Hr Pharmacy Street Lancaster LA1 1NG Lancaster Lancashire Morecambe Bay 40 Hr Fox & Medcalfe 36 King Street Lancaster LA1 1RE Lancaster Lancashire Morecambe Bay 40 Hr Halton Pharmacy 110 High Road Halton LA2 6PU Lancaster Higher Greaves Lancashire Morecambe Bay 40 Hr Pharmacy 20 Scotforth Road Lancaster LA1 4ST Lancaster Lancashire Morecambe Bay 40 Hr Murray's Pharmacy 2 Broadway Skerton LA1 2BU Lancaster 359 Lancaster Lancashire Morecambe Bay 40 Hr Kings Chemist Road Torrisholme LA4 6RL Lancaster LPS (40 Lancaster University 66a Bowland Lancaster Lancashire Morecambe Bay hrs) Pharmacy College University LA1 4YT Lancaster Morecambe Health Centre Car Lancashire Morecambe Bay 40 Hr Lloydspharmacy Park Hanover Street LA4 5LY Lancaster Lancashire Morecambe Bay 100 Hr Lloydspharmacy Christie Park Morecambe LA4 5TJ Lancaster Lancashire Morecambe Bay 100 Hr Lloydspharmacy Cable Street Lancaster LA1 1HH Lancaster Morecambe Bay 28-30 Regent Lancashire Morecambe Bay 40 Hr Chemist Road Morecambe LA3 1QN Lancaster Lancashire Morecambe Bay 40 Hr Rosebank Pharmacy Highland Brow Galgate LA2 0NB Lancaster Pointer Court Lancashire Morecambe Bay 40 Hr Rowlands Pharmacy Pharmacy Ashton Road, LA1 4JT Lancaster 8-8a Princes Lancashire Morecambe Bay 40 Hr Rowlands Pharmacy Crescent Bare LA4 6BX Lancaster Lancashire Morecambe Bay 40 Hr Rowlands Pharmacy 11 Dalton Square Lancaster LA1 1PL Lancaster

• 174 • Pan-Lancashire Pharmaceutical Needs Assessment 2018

Lancashire Morecambe Bay 40 Hr Slyne Pharmacy 2 Manor Road Slyne LA2 6JY Lancaster St. Nicholas Lancashire Morecambe Bay 40 Hr Superdrug Unit 1 Arcade LA1 1NB Lancaster Lancashire Morecambe Bay 40 Hr Well Pharmacy 9 Market Street Carnforth LA5 9JX Lancaster Lancashire Morecambe Bay 40 Hr Well Pharmacy Main Road Bolton Le Sands LA5 8DH Lancaster Lancashire Morecambe Bay 40 Hr Well Pharmacy 44 King Street Lancaster LA1 1RE Lancaster Lancashire Morecambe Bay 40 Hr Westend Pharmacy 3 Heysham Road Morecambe LA3 1DA Lancaster Lancashire East Lancashire 100 Hr Asda Pharmacy Corporation Street Colne BB8 8LU Pendle 102 Barkerhouse Lancashire East Lancashire 40 Hr Barkerhouse Pharmacy Rd Nelson BB9 9EU Pendle Pendlerise Lancashire East Lancashire 40 Hr Boots 2 Marsden Mall Shopping Centre BB9 9SL Pendle Lancashire East Lancashire 40 Hr Boots 64 Market Street Colne BB8 0HS Pendle Lancashire East Lancashire 40 Hr Boundary Pharmacy 359 Leeds Road Nelson BB9 8RP Pendle Brierfield's Late Night Lancashire East Lancashire 100 Hr Chemist 19A Chapel Street Brierfield BB9 5HJ Pendle 194 Chapelhouse Lancashire East Lancashire 40 Hr Chapelhouse Pharmacy Rd Nelson BB9 0QW Pendle Colne Health Lancashire East Lancashire 40 Hr Colne H C Pharmacy Centre Craddock Road BB8 0JZ Pendle Distance- Lancashire East Lancashire selling Direct2Chemist 24a Forest Street Nelson BB9 7NB Pendle Lancashire East Lancashire 100 Hr Evercare Pharmacy 13 Market Street Colne BB8 0LJ Pendle 71/73 Keighley Lancashire East Lancashire 40 Hr Leedams' Pharmacy Road Colne BB8 0QF Pendle Lancashire East Lancashire 100 Hr Lloydspharmacy Windy Bank Colne BB8 9HY Pendle Lancashire East Lancashire 100 Hr Nelson Pharmacy 41 Every Street Nelson BB9 7LU Pendle Lancashire East Lancashire 40 Hr Newbridge Pharmacy 61 Nora Street Barrowford BB9 8NT Pendle Distance- Lancashire East Lancashire selling Pharmadrug Direct 99a Leeds Road Nelson BB9 9UA Pendle Lancashire East Lancashire 40 Hr Rowlands Pharmacy 2-6 Arthur Street Brierfield BB9 5SQ Pendle Lancashire East Lancashire 40 Hr Rowlands Pharmacy 7 Albert Road Colne BB8 0RY Pendle Lancashire East Lancashire 40 Hr Taylors Chemist 207 Leeds Road Nelson BB9 8EH Pendle 110-112 Gisburn Lancashire East Lancashire 40 Hr Village Pharmacy Road Barrowford BB9 6EW Pendle 26-30 Rainhall BB18 Lancashire East Lancashire 40 Hr Well Pharmacy Road 5DR Pendle Lancashire East Lancashire 40 Hr Well Pharmacy 10-12 Colne Road Brierfield BB9 5PH Pendle BB18 Lancashire East Lancashire 40 Hr Whitworth Chemists 39 Victoria Road 6UN Pendle Lancashire East Lancashire 40 Hr Whitworth Chemists 96 Every Street Nelson BB9 7LS Pendle BB18 Lancashire East Lancashire 40 Hr Whitworth Chemists 21 Rainhall Road Barnoldswick 5DR Pendle Yardspinners Lancashire East Lancashire 40 Hr Nelson Pharmacy Health Centre Carr Road BB9 7SR Pendle Lancashire Greater Preston 40 Hr Asda Pharmacy Eastway, Fulwood Preston PR2 9NP Preston Room Fb075, UCLAN Foster Lancashire Greater Preston 40 Hr Ashton Pharmacy Building Preston PR1 2HE Preston Lancashire Greater Preston 40 Hr Avenham Pharmacy 42 Avenham Lane Preston PR1 3TS Preston Lancashire Greater Preston 40 Hr Boots 76 Pedders Lane Ashton PR2 1HN Preston Ribble village local Lancashire Greater Preston 40 Hr Boots Centre 198 Miller Road PR2 6NH Preston Lancashire Greater Preston 40 Hr Boots UK Ltd 10-13 Fishergate Preston PR1 3NN Preston

• 175 • Pan-Lancashire Pharmaceutical Needs Assessment 2018

Unit C2, Deepdale Lancashire Greater Preston 40 Hr Boots UK Ltd Retail Park Blackpool Rd PR1 6QY Preston 440 Blackpool Lancashire Greater Preston 40 Hr Boots UK Ltd Road Ashton-on Ribble PR2 2DX Preston 331 Lancashire Greater Preston 40 Hr Broadway Pharmacy Road Fulwood PR2 9UP Preston Brookfield, Lancashire Greater Preston 40 Hr Cohens Chemist 3 Langcliffe Road Ribbleton PR2 6UE Preston Cottam Lane Lancashire Greater Preston 100 Hr Cottam Lane Pharmacy Surgery Ashton PR2 1JR Preston 59-61 Plungington Lancashire Greater Preston 40 Hr DDL Davies Ltd Road Preston PR1 7EN Preston Lancashire Greater Preston 40 Hr Frenchwood Pharmacy 1 Ruskin Street Preston PR1 4NA Preston 859 Whittingham Lancashire Greater Preston 40 Hr Goosnargh Pharmacy Lane Goosnargh PR3 2AU Preston Issa Medical Lancashire Greater Preston 100 Hr HBS Pharmacy Centre St Gregory Road PR1 6YA Preston Distance- Lancashire Greater Preston selling HBS Pharmacy Moor Park Avenue Preston PR1 6AS Preston Lancashire Greater Preston 40 Hr Imaan Pharmacy 136 Preston Road Grimsargh PR2 5JQ Preston 87-89 Meadow Lancashire Greater Preston 40 Hr Kadri Pharmacy Street Preston PR1 1TS Preston Lancaster Road 70-80 Lancaster Lancashire Greater Preston 40 Hr Pharmacy Road Preston PR1 1DD Preston 258 New Hall Lancashire Greater Preston 40 Hr Lloydspharmacy Lane Preston PR1 4ST Preston Geoffrey St Health Lancashire Greater Preston 40 Hr Lloydspharmacy Centre Geoffrey Street PR1 5NE Preston Lancashire Greater Preston 40 Hr Lloydspharmacy Sainsburys Store Flintoff Way PR1 6PJ Preston Lancashire Greater Preston 40 Hr Lloydspharmacy 3 Lytham Road Fulwood PR2 8JE Preston 112 Deepdale Lancashire Greater Preston 40 Hr Lloydspharmacy Road Preston PR1 5AR Preston Lancashire Greater Preston 40 Hr Longsands Pharmacy Longsands Lane Preston PR2 9PS Preston 51-53 Lancashire Greater Preston 100 Hr M X Pharmacy Road Ribbleton PR2 6RE Preston Lancashire Greater Preston 40 Hr Moor Park Pharmacy 47 Garstang Road Preston PR1 1LA Preston Morrisons In-store Lancashire Greater Preston 40 Hr Pharmacy Mariners Way Ashton On Ribble PR2 2YN Preston New Hall Lane 270 New Hall Lancashire Greater Preston 100 Hr Pharmacy Lane Preston PR1 4ST Preston Guttridge Medical Lancashire Greater Preston 40 Hr Pharmalogic Chemist Centre Deepdale Road PR1 6LL Preston 22 Lancaster Lancashire Greater Preston 40 Hr Pomfret Pharmacy Road Preston PR1 1DA Preston Ribble Village Lancashire Greater Preston 100 Hr Pharmacy 200 Miller Road Preston PR2 6NH Preston 182 Ribbleton Lancashire Greater Preston 40 Hr Ribbleton Pharmacy Avenue Ribbleton PR2 6QN Preston Lancashire Greater Preston 40 Hr Rowlands Pharmacy Blanche Street PR2 2RL Preston 245 Ribbleton Lancashire Greater Preston 40 Hr Rowlands Pharmacy Avenue Ribbleton PR2 6RD Preston Ingol Health 86 Village Green Lancashire Greater Preston 40 Hr Rowlands Pharmacy Centre Lane, Ingol PR2 7DS Preston Lancashire Greater Preston 40 Hr Rowlands Pharmacy 14 Elswick Road Larches Estate PR2 1NT Preston Unit 9, Booths Sharoe Green Shopping Sharoe Green Lancashire Greater Preston 40 Hr Pharmacy Complex Lane PR2 9HD Preston Lancashire Greater Preston 40 Hr Smithson's Pharmacy 51 Fishergate Hill Preston PR1 8DN Preston Unit 1 Fishergate Lancashire Greater Preston 40 Hr Superdrug Pharmacy Walk St Georges Centre PR1 2NR Preston 15-19 Castle Ribble Lancashire East Lancashire 40 Hr Boots Street BB7 2BT Valley

• 176 • Pan-Lancashire Pharmaceutical Needs Assessment 2018

1A East View Ribble Lancashire East Lancashire 40 Hr Langho Pharmacy Terrace, Whalley Road BB6 8BX Valley Ribble Lancashire East Lancashire 40 Hr Lloydspharmacy 40 King Street Whalley BB7 9SL Valley Ribble Lancashire East Lancashire 40 Hr Lloydspharmacy 7-9 King Street Clitheroe BB7 2EU Valley Ribble Lancashire Greater Preston 40 Hr Lloydspharmacy 40 Berry Lane Longridge PR3 3JJ Valley Ribble Lancashire East Lancashire 40 Hr Mellor Pharmacy 28 Carter Fold Mellor BB2 7ER Valley Ribble Lancashire East Lancashire 40 Hr Peter Buckley Ltd 34 King Street Clitheroe BB7 2EU Valley Read & Simonstone Ribble Lancashire East Lancashire 40 Hr Pharmacy 90 Whalley Road Read BB12 7PN Valley The Clitheroe Ribble Lancashire East Lancashire 40 Hr Pharmacy Unit 2 32 King Street BB7 2EP Valley Units 2 & 3 Stonebridge Ribble Lancashire Greater Preston 40 Hr Well Pharmacy Parade Longridge PR3 3AN Valley OL12 Lancashire East Lancashire 40 Hr A J Nuttall 603 Market Street Whitworth 8QS Rossendale Lancashire East Lancashire 100 Hr Asda Pharmacy Holly Mount Way BB4 8EE Rossendale "your local Boots Rawtenstall Health Lancashire East Lancashire 40 Hr pharmacy" Centre, 161 Road BB4 7PL Rossendale 15 St James OL13 Lancashire East Lancashire 40 Hr Boots Square Bacup 9NH Rossendale Lancashire East Lancashire 40 Hr Boots 9 Bank Street Rawtenstall BB4 6QS Rossendale 278 Newchurch Lancashire East Lancashire 40 Hr Cohens Chemist Road Stacksteads OL13 0UJ Rossendale 11 Manchester Lancashire East Lancashire 40 Hr Cohens Chemist Road Haslingden BB4 5SL Rossendale Crawshawbooth Lancashire East Lancashire 40 Hr Pharmacy 572 Burnley Road Crawshawbooth BB4 8AJ Rossendale Lancashire East Lancashire 40 Hr Helmshore Pharmacy 3 The Parade Helmshore BB4 4HD Rossendale Irwell Mill, OL13 Lancashire East Lancashire 40 Hr Lloydspharmacy Bacup PHCC, Rochdale Road 9NR Rossendale Lancashire East Lancashire 40 Hr Lloydspharmacy 3 Irwell Street Bacup OL13 0AD Rossendale Distance- 22 Newchurch Lancashire East Lancashire selling MHS Pharmacy Road Rawtenstall BB4 7QX Rossendale Lancashire East Lancashire 40 Hr Rowlands Pharmacy St James MC, Burnley Road BB4 8HH Rossendale Lancashire East Lancashire 40 Hr Strachan's Chemist 9 Market Street Edenfield BL0 0JQ Rossendale Tesco Instore Lancashire East Lancashire 100 Hr Pharmacy Bury Road Rawtenstall BB4 6DT Rossendale Lancashire East Lancashire 100 Hr Tesco Pharmacy Haslingden Road Haslingden BB4 6LY Rossendale Distance- 29a Burnley Road Lancashire East Lancashire selling Waterfoot Pharmacy East Waterfoot BB4 9AG Rossendale Haslingden Health 27 Manchester Lancashire East Lancashire 40 Hr Well Pharmacy Centre, Road BB4 5SL Rossendale Lancashire East Lancashire 40 Hr Well Pharmacy The Health Centre Cowpe Road BB4 7DN Rossendale Chorley & South South Lancashire Ribble 40 Hr Boots UK Ltd 40 Hough Lane Leyland PR25 2SA Ribble Chorley & South Unit 2 Capitol South Lancashire Ribble 40 Hr Boots UK Ltd Retail Park Walton-Le-Dale PR5 4AW Ribble Chorley & South 219-221 Station South Lancashire Ribble 40 Hr Boots UK Ltd Road PR5 6LD Ribble Chorley & South South Lancashire Ribble 40 Hr Clayfields Chemist 8 Alder Drive PR5 0AD Ribble Chorley & South South Lancashire Ribble 40 Hr Cohens Chemist 13 Hope Terrace Lostock Hall PR5 5RU Ribble Chorley & South PR25 South Lancashire Ribble 40 Hr Cohens Chemist 8-9 Clifton Parade Farington 4YU Ribble Chorley & South South Lancashire Ribble 40 Hr Facer Pharmacy 66 Liverpool Road Longton PR4 5PB Ribble

• 177 • Pan-Lancashire Pharmaceutical Needs Assessment 2018

Chorley & South South Lancashire Ribble 100 Hr HBS Pharmacy 30 St Mary's Road Bamber Bridge PR5 6TD Ribble HBS Pharmacy Chorley & South ( St Fillans Medical South Lancashire Ribble 100 Hr Healthcare Ltd) Centre 2 Liverpool Road PR1 0AD Ribble Chorley & South South Lancashire Ribble 40 Hr Kingsfold Pharmacy 69 Pope Lane Penwortham PR1 9BY Ribble Chorley & South Leyland Late Night PR25 South Lancashire Ribble 100 Hr Pharmacy 6 Hough Lane Leyland 2SD Ribble Ryan Medical Chorley & South Centre, St Mary's South Lancashire Ribble 40 Hr Lloydspharmacy Road Bamber Bridge PR5 6TE Ribble Chorley & South South Lancashire Ribble 100 Hr Lloydspharmacy Way Bamber Bridge PR5 6BJ Ribble Chorley & South 88-90 Leyland South Lancashire Ribble 40 Hr Middleforth Pharmacy Road Middleforth PR1 9QJ Ribble Chorley & South South Lancashire Ribble 40 Hr Peter Buckley Ltd 111 Station Road Bamber Bridge PR5 6QS Ribble Chorley & South South Lancashire Ribble 40 Hr Pomfret Pharmacy 182 Victoria Road Walton-Le-Dale PR5 4AY Ribble Chorley & South Sandy Lane South Lancashire Ribble 40 Hr Rowlands Pharmacy Surgery Sandy Lane PR25 2EB Ribble Chorley & South South Lancashire Ribble 40 Hr Rowlands Pharmacy 22 Liverpool Road Penwortham PR1 0DQ Ribble Chorley & South PR25 South Lancashire Ribble 40 Hr Rowlands Pharmacy 37 West Paddock Leyland 1HR Ribble Chorley & South South Lancashire Ribble 40 Hr Rowlands Pharmacy 25 Main Square Buckshaw Village PR7 7AR Ribble Chorley & South Penwortham South Lancashire Ribble 40 Hr Rowlands Pharmacy Health Centre Cop Lane PR1 0SR Ribble Chorley & South 348-350 Leyland South Lancashire Ribble 40 Hr Rowlands Pharmacy Lane Leyland PR25 1TB Ribble Chorley & South PR26 South Lancashire Ribble 40 Hr Wise Pharmacy Off Dunkirk Lane Moss Side 7SN Ribble Chorley & South Tesco In-store South Lancashire Ribble 100 Hr Pharmacy Tesco Extra Towngate, Leyland PR25 2FN Ribble Chorley & South South Lancashire Ribble 40 Hr Village Pharmacy 356 Chapel Lane New Longton PR4 4AA Ribble Ingram Road, Off West Lancashire 100 Hr Asda Pharmacy Northway WN8 6LA Lancashire West Lancashire West Lancashire 100 Hr Aspire Pharmacy 9 Railway Road L39 2DN Lancashire West Lancashire West Lancashire 40 Hr Banks Pharmacy 15 Church Road Banks PR9 8ET Lancashire West Lancashire West Lancashire 40 Hr Boots UK Ltd 3B Moor Street Ormskirk L39 2AA Lancashire West Lancashire West Lancashire 40 Hr Boots UK Ltd 20 The Concourse Skelmersdale WN8 6ND Lancashire Distance- Chemist-4-U Express 35-37 Greenhey West Lancashire West Lancashire selling Mail Order Pharmacy Place Skelmersdale WN8 9SA Lancashire 60 Liverpool Road West Lancashire West Lancashire 100 Hr Fishlocks Chemist North L40 4BY Lancashire West Lancashire West Lancashire 40 Hr J Halton 11 The Common Parbold WN8 7HA Lancashire Morrisons In-store West Lancashire West Lancashire 40 Hr Pharmacy Park Road Ormskirk L39 3RB Lancashire West Lancashire West Lancashire 40 Hr Ormskirk Pharmacy 4 Derby Street Ormskirk L39 2BY Lancashire Hillside Health West Lancashire West Lancashire 40 Hr Rowlands Pharmacy Centre Tanhouse Road WN8 6DS Lancashire West Lancashire West Lancashire 40 Hr Rowlands Pharmacy 115 County Road Ormskirk L39 1NL Lancashire West Lancashire West Lancashire 40 Hr Rowlands Pharmacy 6 Mill Lane Burscough L40 5TJ Lancashire West Lancashire West Lancashire 40 Hr Rowlands Pharmacy 24 Mark Square Tarleton PR4 6TU Lancashire 22 Moss Delph West Lancashire West Lancashire 40 Hr Rowlands Pharmacy Lane Aughton L39 5DZ Lancashire

• 178 • Pan-Lancashire Pharmaceutical Needs Assessment 2018

37 Liverpool Road West Lancashire West Lancashire 40 Hr Rowlands Pharmacy North Burscough L40 0SA Lancashire West Lancashire West Lancashire 40 Hr Rowlands Pharmacy 21 Lyndale Ashurst WN8 6UH Lancashire 38 Burscough West Lancashire West Lancashire 40 Hr Rowlands Pharmacy Street Ormskirk L39 2ES Lancashire West Lancashire West Lancashire 40 Hr Rowlands Pharmacy Unit A 14 Aughton Street L39 3BW Lancashire West Lancashire West Lancashire 40 Hr Rowlands Pharmacy 1 Dingle Road Upholland WN8 0EN Lancashire West Lancashire West Lancashire 40 Hr Rowlands Pharmacy 55 Westgate Skelmersdale WN8 8LP Lancashire West Lancashire West Lancashire 40 Hr Rowlands Pharmacy 123 Birleywood Digmoor,Upholland WN8 9HR Lancashire 124 Liverpool West Lancashire West Lancashire 40 Hr Rufford Pharmacy Road Rufford L40 1SB Lancashire Trust Hesketh Bank West Lancashire West Lancashire 40 Hr Pharmacy 5 Station Road Hesketh Bank PR4 6SN Lancashire 112 Normoss Blackpool Blackpool 40 Hr Normoss Pharmacy Road Blackpool FY3 8QP Wyre West View Health Lancashire Fylde & Wyre 40 Hr Albert Wildes Pharmacy Village, Broadway FY7 8GU Wyre Lancashire Fylde & Wyre 100 Hr Asda Pharmacy Dock Street Fleetwood FY7 6NU Wyre "your local Boots Thornton Lancashire Fylde & Wyre 40 Hr pharmacy" 9 Rossall Road Cleveleys FY5 1AP Wyre Lancashire Fylde & Wyre 40 Hr Boots 79 - 81 Lord Street Fleetwood FY7 6DS Wyre 39 Victoria Road Thornton- Lancashire Fylde & Wyre 40 Hr Boots West Cleveleys FY5 1BS Wyre Lancashire Fylde & Wyre 40 Hr Carleton Pharmacy 5 Poulton road Carleton FY6 7NH Wyre Great Eccleston Health Lancashire Greater Preston 40 Hr Centre Raikes Road Gt. Eccleston PR3 0ZA Wyre Lancashire Fylde & Wyre 40 Hr Hambleton Pharmacy Kiln Lane Hambleton FY6 9AH Wyre Lancashire Fylde & Wyre 40 Hr Johns Chemist 288 Poulton Road Fleetwood FY7 7LA Wyre Lancashire Morecambe Bay 100 Hr Kepple Lane Pharmacy Kepple Lane Garstang PR3 1PB Wyre Lancashire Fylde & Wyre 40 Hr Lloydspharmacy 17 Breck Road Poulton-Le-Fylde FY6 7AA Wyre Lancashire Fylde & Wyre 40 Hr Lloydspharmacy 7 Wyre View Knott End On Sea FY6 0AE Wyre 13 Victoria Road Thornton Lancashire Fylde & Wyre 40 Hr Lloydspharmacy East Cleveleys FY5 5HT Wyre Thornton Health Lancashire Fylde & Wyre 40 Hr Lloydspharmacy Centre Church Road FY5 2TZ Wyre Unit 22 Teanlowe Lancashire Fylde & Wyre 40 Hr Lloydspharmacy Centre Poulton-Le-Fylde FY6 7DF Wyre Health & Lancashire Fylde & Wyre 40 Hr O'Briens Pharmacy Wellbeing Centre Dock Street FY7 6HP Wyre Warburtons Chemist Lancashire Fylde & Wyre 40 Hr Ltd 84-86 Lord Street Fleetwood FY7 6JZ Wyre Lancashire Morecambe Bay 40 Hr Well Pharmacy Unit 3 Park Hill Road PR3 1EF Wyre Lancashire Fylde & Wyre 40 Hr Well Pharmacy 17 Church Street Poulton-Le-Fylde FY6 7AP Wyre WM Morrisons Amounderness Thornton Lancashire Fylde & Wyre 40 Hr Pharmacy Way Cleveleys FY5 3TS Wyre

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Appendix 5: List of Dispensing Practices As at June 2017

HWB CCG P Code Contractor Address 1 Address 2 Address 3 Postcode Riverside Medical 194 Victoria Lancashire Greater Preston P81185 Centre Road Walton-le-Dale Preston PR5 4AY Morecambe The Windsor Road Garstang Medical Lancashire Bay P81006 Surgery Centre Kepple Lane Garstang PR3 1PB Morecambe Dr D H F Kopcke Lancashire Bay P81029 and Partners Market Street Carnforth Lancashire LA5 9JU Great Eccleston Lancashire Greater Preston P81059 Health Centre Raikes Road Great Eccleston Preston PR3 0ZA Morecambe Over Wyre Poulton-le- Lancashire Bay P81087 Medical Centre Pilling Lane Fylde FY6 0EX Morecambe The Landscape Garstang Medical Lancashire Bay P81190 Surgery Centre Kepple Lane Garstang PR3 1PB Lancashire East Lancashire P81732 Harambee Surgery 27 Skipton Road Trawden Colne BB8 8QU Sabden and Whalley Medical Lancashire East Lancashire P81017 Centre Dispensary The Holme Sabden Clitheroe BB7 9DZ Slaidburn Medical Lancashire East Lancashire P81620 Centre Townend Slaidburn Clitheroe BB7 3EP Sabden and Whalley Medical Lancashire East Lancashire P81017 Centre 42 King Street Whalley Blackburn BB7 9SL Pendleside Clitheroe Health Railway View Lancashire East Lancashire P81069 Medical Practice Centre Road Clitheroe BB7 2JG Castle Medical Clitheroe Health Railway View Lancashire East Lancashire P81100 Group Centre Road Clitheroe BB7 2JG

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Appendix 6: Results of the Community Pharmacy questionnaire A questionnaire was sent to all 383 Community Pharmacies in the pan-Lancashire area. There were 209 returned questionnaires (54.6). In the table below ‘Blank’ denotes the number (percentage) who returned the questionnaire but did not respond to the specific question.

Question Response

Consultation Are consultation facilities on Out of 209 returned questionnaires facilities site and do they include wheelchair access? 176 (84.3%) Have consult. areas with wheelchair

access

28 (13.4%) Have consult. areas w/o wheelchair access

4 (1.9%) No consultation rooms available

1 (0.5%) Blank

Where there is a Out of 204 returned questionnaires consultation area, is it a closed room? 199 (97.6%) Have the consult. area in a closed room

4 (2.0%) Don’t have the consult. area in a closed room

1 (0.5%) Stated NA

Have access to off-site Out of 209 returned questionnaires consultation area? 130 (62.3%) Stated that None apply

79 (37.7%) Willing to undertake consultations in patient's home/ other suitable site

During consultations are Out of 209 returned questionnaires there hand washing facilities? 144 (68.9%) Hand washing facilities in cons. area

26 (12.4%) Hand washing facilities close to cons.

area

34 (16.2%) No hand-washing facilities

5 (2.4%) Have toilet facilities available for patients

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IT facilities Electronic Prescription Out of 209 returned questionnaires: Service: 1 (0.5%) No current plans to provide EPS R2 Release 2 enabled, or 208 (99.5%) EPS R2 enabled No plans for EPS at present

Services Essential Out of 209 returned questionnaires:

Does the pharmacy 182 (87.0%) Yes - All Types dispense appliances? 10 (4.8%) Yes, just dressings

5 (2.4%) Yes, excluding stoma appliances

1 (0.5%) Yes, excluding incontinence appliances

4 (1.9%) Yes, excluding stoma and incontinence appliances

3 (1.5%) Other: dressings and stoma and incontinence no space to measure and fit items

4 (1.9%) None

Advanced 204 (97.6%) Yes

Medicines Use Review 3 (1.5%) No

2 (1.0%) Soon

New Medicine Service 201 (96.2%) Yes

5 (2.5%) No

12 (5.7%) Soon

Appliance Use Review 166 (79.4%) No

29 (13.9%) Yes

0 (0.0%) Soon

Stoma Appliance 169 (80.9%) No

Customisation 28 (13.4%) Yes

12 (5.8%) Soon

Home Delivery Service 128 (61.2%) Currently provide NHS funded service

33 (15.8%) Currently provide private service

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34 (16.3%) Willing to provide if commissioned

14 (6.7%) Blank

Non NHS Collection of prescription Out of 209 returned questionnaires: Funded from surgeries Services 202 (96.6%) Service provided

3 (1.4%) Service not provided

4 (1.9%) Blank

Delivery of dispensed Out of 209 returned questionnaires: medicines – free of charge on request 182 (87.0%) Deliver dispensed medicines free of

charge on request

22 (10.5%) Don’t deliver dispensed medicines free of charge on request

5 (2.4%) Blank

Delivery of dispensed 59 (28.2%) deliver to selected patient groups. medicines

– selected patient groups Selected patient groups stated include: care homes, elderly, disabled or housebound and other patients specifically requesting the service.

Delivery of dispensed 51 (24.4%) deliver to selected areas. medicines – selected areas

Areas ranged from immediate and local to nationwide.

Delivery of dispensed 16 (7.7%) deliver medicines – chargeable. medicines – chargeable

Other Does your pharmacy supply Out of 209 returned questionnaires: medicines etc. to care homes? 25 (12.0%) Currently providing 117 (56.0%) Willing to provide

53 (25.4%) Blank

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Appendix 7: Consultation report

Key

additional content Not resolved Formatting/data correction Request to engage in commissioning process

general comment Amendment made Request to engage in commissioning process no action taken

Comment forwarded to commissioner

no action needed Response Section no. Description of issue/comment in PNA Source Type Status Actions/Comments I feel that there are more than enough local pharmacies within the borough and many cl;aim to be open 24 hours. W probably could manage with fewer as long as the ones which exist are available to patients. This is where the sad lack of Public Transport takes effect and even if there is a pharmacy open it can not BwD council be reaches as there are not enough member of general no action 1 local Public Transport Services. Section 4 public comment needed We agree with the recommendations and thank you for our copy of the draft PNA. We acknowledge that a thorough process has been followed in liaising with, and seeking feedback from, the public, relevant parties and organisations during the production of the PNA and we confirm that we PNA believe it meets the requirements as documen North Yorks general no action 2 set out in the regulations. t CC comment needed I read the Pharmaceutical Needs Chief Assessment with interest and found Pharmacist, this to be a comprehensive Controlled document. Drugs Accountable Officer Lancashire PNA Care NHS documen Foundation general no action 3 t Trust comment needed I would support proposals for Chief increasing community pharmacy Pharmacist, involvement in the NHS Healthcheck Controlled Drugs Accountable Officer Lancashire Care NHS Chapter Foundation general no action 4 5 Trust comment needed

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I was pleased to see reference to the need to support mental health in those with long term conditions, and physical health in those with mental ill health. This seemed to predominantly focus on signposting and I feel we need to collaboratively consider how community pharmacies can provide more support to this agenda. This is particularly important for those patients who are reluctant Chief to access GP surgeries for health Pharmacist, checks but may be more willing to Controlled access interventions via their Drugs community pharmacy. As Chief Accountable Pharmacist at Lancashire Care NHS Officer Request to Foundation Trust, I would be Lancashire engage in delighted to contribute to these Care NHS commissio Comment discussions and provide support and Chapter Foundation ning forwarded to This comment will be forwarded to the 5 advice as appropriate 5 Trust process commissioner relevant public health commissioners. Given the concerns out of hours where patients and district nurses sometimes struggle to access palliative care medicines, it may be Chief helpful to think about expanding the Pharmacist, range of palliative care stock held in Controlled some of the out-of-hours Drugs pharmacies. This will help prevent Accountable unnecessary delays for patients at Officer end of life whose medication Lancashire requirements suddenly change Care NHS Comment This suggestion will be forwarded to Chapter Foundation general forwarded to commissioners to take into account 6 5 Trust comment commissioner when recommissioning JIC services. Given the national concerns about The PNA is about the services provided use of valproate in women of child by pharmacies, and hence this point is bearing age, I would particularly like too detailed a point for inclusion in a to see reference to this NPSA Patient PNA. For background a reminder was Safety Alert with additional narrative reissued to contractors about the need about expectations from community Chief to take action on this matter late last pharmacies to support increased Pharmacist, year - http://psnc.org.uk/our- awareness and counselling about the Controlled news/epilepsy-drug-warnings-are-not- risks Drugs reaching-women-suggests-media-report, Accountable & the Community Pharmacy Patient Officer Safety Group has also been looking at Lancashire this issue to see what else could be done Care NHS to ensure pharmacy teams remember to Chapter Foundation general no action give advice to patients. This level of 7 5 Trust comment needed detail is out of scope for a PNA. This is saying the number of pharmacies has reduced, Worded Exec Formatting more clearly in the opening remarks Summary /data Amendment 8 of chapter 4 - Ch4 CPL correction made This is saying there were 24 per 100,000 last time now there are 26, Exec Formatting how does this fit in with the Summary /data Amendment 9 paragraph above? - Ch 4 CPL correction made Blackpool Council do not commission this service (EHC) from Community Pharmacy Exec general no action 10 Summary CPL comment needed It is NHSE who holds the contract so technically it is to them that we are Formatting accountable. The LPN provides Exec /data Amendment End paragraph with work plan (i.e., 11 professional oversight for NHSE for Summary CPL correction made delete “and is accountable……plan”.)

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this contract. The last part of the sentence does not make sense from the ...and is accountable to the LPN. This implies the LPN is accountable to the LPN? With not via – you can use other routes Formatting Exec /data Amendment 13 Summary CPL correction made changed to "with" In Central & East Lancs they also provide One to one stop smoking Formatting added One to one stop smoking level two level two - it is referred to on p112 Exec /data Amendment (specific uptake) as a separate bullet 14 Summary CPL correction made point There is an opportunity for all Exec pharmacies and social and healthcare Summary agencies to publicise and promote - pharmacy services in the future. Recomm Formatting endation /data Amendment 15 s CPL correction made Changed obligation to opportunity I understand they commission the MAS Scheme in West Lancs CCG – Formatting check with NHSE Chapter /data no action The scheme is commissioned and run by 16 1 - 1.5.2 CPL correction needed the CCG They also commission the Advanced services as well Formatting Chapter /data Amendment 17 1 - 1.5.3 CPL correction made Check the wording, my understanding Delete “There is no ‘keep things as they is that the PiF is not exclusively for are’ option for any part of the NHS.”. community pharmacy, yet pharmacy Deletion from last sentence: “…change in general how it works.”. Formatting End last sentence to: “… need to adapt Chapter /data Amendment and alter its model for the provision of 18 2 - 2.7 CPL correction made pharmaceutical services in future.”. Suggest you check the accuracy of Amended to: “NHS England has seen a this paragraph with NHSE. Also query small reduction in the numbers of use of the word “substantial” pharmacies across its area. Additionally, there have been some changes to Chapter Formatting opening hours but these have had very 2 - 2.7 /data Amendment little impact on services provided. It is 19 page 13 CPL correction made expected that……”. The LPS I understand also provides EHC commissioned by NHSE Take out EHC from the list of examples. Add this after “…Specialised Chapter Formatting Commissioning. The pharmacy continues 4 - 4.1.7 - /data Amendment to provide EHC services, commissioned 20 Blackpool CPL correction made by NHS England.”. This service is commissioned by NHSE, so the last sentence is in part correct PH don’t need to supply resources. However, for the 6 NHS campaigns This paragraph is not quite right - PSNC guidance on provision of materials for the six public health campaigns: if leaflets and posters or other patient literature are to form part of a public health campaign these should be provided to the community pharmacy contractor by NHS England or alternatively a source of free leaflets, such as the Formatting Share with steering group to decide how Department of Health (DH) order line, Chapter /data Amendment we change this section to reflect LPC's 21 could be highlighted prior to the start 4 - 4.3.1 CPL correction made comments

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of the campaign. It is not a requirement of the service for the contractor to purchase leaflets, or to go online and download and print leaflets Incorrect title for the service in pharmacy, should be Seasonal Formatting Influenza Vaccination Advanced Chapter /data Amendment 22 Service 4 - 4.3.1 CPL correction made In Central & East Lancs they also Chapter provide One to one stop smoking 4 - 4.6.1 - Formatting added One to one stop smoking level two level two - it is referred to on p112 Lancashir /data Amendment (specific uptake) as a separate bullet 23 e CPL correction made point The Minor Ailment Scheme is called Pharmacy + Clinic Chapter Formatting 4 - Figure /data Amendment 24 4.53 CPL correction made West Lancs CCG - They do not provide a Minor Ailments Scheme, I Chapter Formatting West Lancs CCG provide a MAS service. understand it is provided by NHSE 4 - Figure /data no action The scheme is commissioned and run by 25 4.53 CPL correction needed the CCG Consider rewording The Electronic Prescription Service (EPS) enables prescriptions to be sent electronically from the GP practice to the pharmacy. It has been deployed through two key releases. Release 1 (R1) in which the barcoded paper prescription form remains the legal prescription known as a “token”. Release 2 supports the transmission of electronic prescriptions; including e-repeat dispensing (eRD); and patient nomination of their selected pharmacy; Currently, prescriber’s can only issue an electronic NHS Chapter prescription where it is being sent 4 - Formatting electronically to a patient’s section /data Amendment 26 nominated pharmacy. 4.7.3 CPL correction made In Blackpool the LPS also provides EHC commissioned by NHSE I Formatting understand Chapter /data Amendment “…Connect service and at Whitegate 27 5 CPL correction made Pharmacy.”. In Central & East Lancs they also Chapter provide One to one stop smoking 5 - Formatting Taken out Central and east as its county level two – it is referred to on p112 section /data Amendment wide - Not all pharmacies have 28 5.2.2 CPL correction made undertaken the level 2 training Fylde & Wyre CCG - The Minor Ailment Scheme is called Pharmacy + Chapter Formatting Clinic 5 - Figure /data Amendment 29 5.1 CPL correction made West Lancs CCG - They do not provide a Minor Ailments Scheme, I Chapter Formatting understand it is provided by NHSE 5 - Figure /data no action The scheme is commissioned and run by 30 5.1 CPL correction needed the CCG Not in Blackpool, so rephrase pan Chapter Lancashire 5 - Formatting Section /data Amendment 31 5.6.3 CPL correction made

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Unclear as to the conclusion if on p117 you say the teenage pregnancy rate in Blackpool is over the national average, and here you say the demand from those under 19 has been low, choosing to use Connect. Chapter The recommendation of the review was What has the impact been since 5 - not to renew the contract for the supply was restricted in 2016 to one Section general no action provision of the service. Too early to see 32 pharmacy and Connect? 5.7.1 CPL comment needed an impact; TP is multifactorial One pharmacy does EHC in Blackpool Chapter & on P 119 5 - Formatting Added: EHC is also freely available at Section /data Amendment Whitegate Pharmacy, a service 33 5.7.1 CPL correction made commissioned by NHS England. This could read Independent Chapter Prescribing – the Pharmacy 5 - Formatting Integration Fund is looking at this Section /data Amendment 34 5.10 CPL correction made CCGs as well? Chapter 5 - Section 5.12- Healthcar e associate d Formatting CCGs do not have infection control infection /data Amendment nurses but amendement made to cover 35 s CPL correction made CCGs Not West Lancs CCG, provided for by Chapter NHSE 5 - Section 5.15- Communi ty pharmac y minor Formatting ailments /data no action The scheme is commissioned and run by 36 service CPL correction needed the CCG

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Appendix 8: Draft PNA advert in pharmacies

i Office for National Statistics: Super Output Areas (SOAs). http://www.ons.gov.uk/ons/guide-method/geography/beginner-s- guide/census/super-output-areas--soas-/index.html

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