Somerset Pharmaceutical Needs Assessment 2018-21 Somerset Health and Wellbeing Board ANNEXE 6 SOUTH SOMERSET COMMISSIONING LOCALITY 1 6.1 South Somerset 6.1.1 Overview The South Somerset commissioning locality is in south east of the county. It is the largest commissioning locality by population. The area is made up of market towns and countryside, with Yeovil by far the largest settlement. Health need is taken from the South Somerset Commissioning Locality Profile for 2016 http://www.somersetintelligence.org.uk/files/South%20Somerset%20Cloc%20 2016.pdf which should be considered part of the Somerset PNA 2018. 6.1.2 Population & context for health The population registered with GPs in the locality was 122,383 in 2016. The area has a similar population age profile to the Somerset average. The Index of Multiple Deprivation for the local area is 16.9 representing lower levels of deprivation compared to the Somerset average of 18.1. Disease prevalence Significantly worse (higher number than expected compared to the county average) for: o Dementia Significantly better (lower number than expected compared to the county average) for: o Chronic Kidney Disease (18+) o Chronic Obstructive Pulmonary Disease o Mental Health o Stroke Mortality The ‘death blobs’ for mortality and years of life lost provide a visual indication of the key causes of death South Somerset Commissioning Locality. The proportion of deaths occurring before age 65 years is 12.6% which is similar to the Somerset rate of 12.0%. 2 3 Figure 1: 'Death blobs' for South Somerset 2016 4 Figure 2: 'Years of life lost blobs' for South Somerset 2016 5 Figure 3: South Somerset Commissioning Locality (Yeovil shown in Figure 4) 6 Figure 4: Yeovil 7 Screening The commissioning arrangements have changed for the NHS Health Checks programme. Of those eligible, 8.5% received a health check. In the most deprived quintile, 8.1% of the population received a check. Cervical screening rates for those aged 25-49 years old, at 70.6%, are similar to the county average of 72.3%. Practice based rates of chlamydia screening of eligible 15-24 year olds was 3.6%, much higher than the Somerset average rate of 3.0%. Immunisations MMR vaccination rates above the target for herd immunity of 95%, with 95.8% vaccinated by age 2. Childhood environment Local breastfeeding initiation rates are 78.7% compared to 80.7% in Somerset. Continuation rates at 6-8 weeks are 49.3% compared to 49.4% in the county as a whole. Excess weight According to the underlying model used to assess appropriate childhood weight, only 15% children should be of excess weight. Somerset rates are 22.4% at age 4-5 years and 30.4% at age 10. For this Commissioning Locality, estimated rates are 22.9% and 31.0% for each age group. The percentage of adults in the area who are obese is 8.6% which is about average for the county. Smoking The Commissioning Locality has 12.6% of adults over age 16 recorded as smokers compared to a 12.8% Somerset average. In 2015/16, only 42 per 1000 recorded smokers in South Somerset went through cessation services compared to 110 per 1000 in 2013-15. This is a similar proportion compared to other Commissioning Localities but this number is dramatically down in absolute terms. 8 . Drugs and Alcohol Hospital admissions for alcohol related reasons are similar to the Somerset average but drug related admissions are the lowest. Alcohol related admissions: South Somerset 1,794 per 100,000; Somerset 1,894 per 100,000. Drug related admissions: South Somerset 90 per 100,000; Somerset 137 per 100,000. Hospital admission rates To focus on a few indicators, the emergency admission rate for falls in the over 65s is 24 per 1000 as compared to the Somerset average of 31 per 1000. The self-harm admission rate is 135 per 100,000 which is the lowest for the county. Suggested public health priority areas Increase numbers of smokers referred to stop smoking services Increase uptake of flu vaccination for those aged 2-3 and over 65. Improve support for breastfeeding continuation. 9 6.1.3 Details of GP surgeries Code Name Address Post Dispensing Prescribing Total code L85032 Bruton Patwell Bruton BA10 0 6,062 6,062 Surgery Lane 0EG L85040 Millbrook Millbrook Castle Cary BA7 0 5,035 5,035 Surgery, Gardens 7EE Castle Cary L85066 Ilchester 17 Ilchester BA22 0 3,135 3,135 Surgery, Church 8LN Ilchester Street L85033 Langport North Langport TA10 7,464 5,009 12,473 Surgery Street 9RH L85007 Church Church Martock TA12 0 10,990 10,990 Street Street 6JL Surgery, Martock L85031 Milborne Gains- Sherborne DT9 2,924 2,949 5,873 Port borough, 5FH Surgery Milborne Port L85005 Buttercross Behind Somerton TA11 0 4,802 4,802 Health Berry, 7PB Centre L85026 Hamdon Matts Stoke-Sub- TA14 0 5,308 5,308 Medical Lane Hamdon 6QE Centre, Stoke-Sub- Hamdon L85027 Wincanton Dykes Wincanton BA9 0 8,757 8,757 Health Way 9FQ Centre Y00189 Abbey , Abbey Yeovil BA21 0 3,220 3,220 Manor Manor 3TL Medical Park Practice 10 L85022 Hendford 74 Yeovil BA20 0 10,927 10,927 Lodge Hendford 1UJ Medical Centre, Yeovil Y02778 NHS Yeovil 37 Middle Yeovil BA20 0 6,270 6,270 Health Street 1LS Centre L85064 Oaklands Birchfield Yeovil BA21 0 3,855 3,855 Surgery, Road 5RL Yeovil L85017 Penn Hill St. Yeovil BA20 0 9,756 9,756 Surgery, Nicholas 1SB Yeovil Close L85015 Preston Preston Yeovil BA20 0 12,392 12,392 Grove Grove 2BQ Medical Centre, Yeovil L85044 Queen West Yeovil BA22 4,947 587 5,534 Camel Camel 7LT Medical Road, Centre Queen Camel L85048 Ryalls Park Marsh Yeovil BA21 0 6,209 6,209 Medical Lane 3BA Centre, Yeovil Y01163 Westlake High Yeovil BA22 2,460 1,341 3,801 (s) Street, 9AH West Coker 11 Table 1: South Somerset - Significant housing developments 2018-20 – expected number of dwellings Location Total Site (over 100) Number Yeovil 1380 Sites >100 Keyford, Dorchester 100 Road Upper Mudford, 100 Primrose Lane Lufton 200 Brimsmore, 270 Thorne Lane Langport 180 Somerton 250 Wincanton 270 Castle Cary 260 Ilchester 90 Bruton 10 Martock 180 Coat Road 100 Milborne Port 30 South Petherton 20 Stoke Sub Hamdon 40 Rest of Locality 770 Total 3480 The scale of development in the South Somerset commissioning locality is typical of the county. More than a third of likely development in the period of the PNA is in Yeovil, where 1,380 dwellings are expected, including 470 to the north west of the town at Lufton and Brimsmore. This is significantly lower than the total of 2,600 12 dwellings that led to the creation of a gap in provision in Monkton Heathfield, near Taunton. The scale of development in Yeovil, and proximity to existing providers, including the 100 hour pharmacy in Asda, means that this is unlikely to constitute a gap in provision during the period of the PNA. The scale of development in market towns is not expected to create a gap in provision during this period. 13 6.1.4 Necessary services: current provision Pharmacy Code Contract Trading Address Electronic Of which Name Name Prescription Access to NHSmail Number of items on Elastic Post- 100 Service Summary address as prescription electronic Hosiery code Hour available Care Record at 2-6-17 fees paid prescriptions items Bruton 3 High Yes Pharmacy Bruton Street, BA10 (NUMSAS FVK07 Ltd Pharmacy Bruton 0AB No Yes Yes OK) 77453 52806 6 Boots UK Boots Fore Street, BA7 FTF48 Ltd pharmacy Castle Cary 7BG No Yes Yes 72641 46970 2 31 High Day Lewis Day Lewis Street, BA22 FFR15 plc pharmacy Ilchester 8NH No Yes Yes 48549 30699 4 Boots UK Boots Cheapside, TA10 FNV27 Ltd pharmacy Langport 9PH No Yes Yes 80127 529 2 Bestway The Chantry, National Church Chemists Well Street, TA12 FH826 Ltd pharmacy Martock 6JL No Yes Yes 142359 99960 0 Milborne 10 High Port Milborne Street, Yes Pharmacy Port Milborne DT9 (NUMSAS FML59 Ltd Pharmacy Port 5AG No Yes No OK) 44096 6275 2 14 Boots UK Boots West Street, TA11 FD004 Ltd pharmacy Somerton 7PR No Yes Yes 121680 58523 2 6 Market Square, Boots UK Boots South TA13 FGT40 Ltd pharmacy Petherton 5BT No Yes Yes 63529 57871 2 South Petherton South Health Yes John Petherton Centre, TA13 (NUMSAS FME12 Ware Ltd pharmacy Bernard Way 5EF Yes Yes Yes OK) 75359 59967 4 Hamdon Medical Centre, Day Lewis Day Lewis Stoke sub TA14 FLE02 plc pharmacy Hamdon 6QE No Yes Yes 78979 48191 0 Wincanton Health Boots UK Boots Centre, BA9 FWQ87 Ltd pharmacy Dykes Way 9FQ No Yes Yes 106771 69320 5 15 29-31 High Boots UK Boots Street, BA9 FJ403 Ltd pharmacy Wincanton 9JU No Yes Yes 40709 29885 14 Asda Asda Preston BA20 FAP59 Stores Ltd pharmacy Road, Yeovil 2HB Yes Yes Yes 77143 48041 0 Bestway National Chemists Well 67 St John's BA21 FAL04 Ltd pharmacy Road, Yeovil 5NJ No Yes Yes 74200 50697 0 Boots UK Boots 37 Middle BA20 FLY88 Ltd pharmacy Street, Yeovil 1LS No Yes Yes 118034 55704 8 Hendford Lodge Medical Centre, 74 Day Lewis Day Lewis Hendford, BA20 FJG42 plc pharmacy Yeovil 1UJ No Yes No Yes (other) 90162 68880 8 5a The Day Lewis Day Lewis Forum, BA21 Abbey FT109 plc pharmacy 3TL No Yes Yes 47495 36378 2 Manor Park, 16 Yeovil 61b West Yes John Options Coker Road, BA20 (NUMSAS FV219 Ware Ltd pharmacy Yeovil 2JD No Yes Yes OK) 51770 39857 0 L Ryalls Park Rowland Medical & Co Centre, (Retail) Rowlands Marsh Lane, BA21 FXF88 Ltd pharmacy Yeovil 3BA No Yes No 85683 49886 0 Yes Naimans Penn Hill 9 South BA20 (NUMSAS FMQ12 UK Ltd pharmacy Street, Yeovil 1QE No Yes Yes OK) 147484 110492 2 Preston Grove Medical Preddy Preston Centre, Yes Newco Grove Preston BA20 (NUMSAS FG394 Limited pharmacy Grove, Yeovil 2BQ No Yes Yes OK) 109769 47146 4 17 Super- Super- drug drug 15 High BA20 FP032 Stores plc pharmacy Street, Yeovil