Swindon and Wiltshire LPC Meeting

Minutes

Swindon and Wiltshire LPC Meeting Thursday 2nd March 2017 Marlborough Golf Club, Marlborough Common, Marlborough Item Actions 1. Present: Nick Jephson (NJ), Fiona Castle (FC), Robert Townsend (RT), Andrew Hobson (AH), Chris Shields (CS), Kaushik Patel (KP), Zoe Pearce (ZP), John Hughes (JH), Paul Hedge (PH), Sian Williams (SW), Aga Jankowska (AJ), Lis Jardine (LJ, notes)

Apologies: Will Pearce

CCA are currently choosing from nominations to fill the LPC vacancy.

Guests: Nav Chohan (Boots); Ali Hashemian (Avicenna); Julie McCann (NHS England) for item 5; Kathryn Buchanan (Swindon MMT) for item 5 (with Chelsea Griffiths-Mead) 2. Minutes of previous meeting Accuracy The minutes were accepted as a true record. Items for redaction from publicly published minutes None. Action Report  James Bleakley and West of England ASHN excited about extending PharmOutcomes referrals to Salisbury. FC setting up meeting. WoE AHSN have offered some funding plus FC possible small card with patient questionnaire. FC  Swindon GP/patient relationships – no progress, needs to go in workplan ZP  Trowbridge Forum invitations to go out. Melksham Forum in progress – ZP contacting LJ everyone, will arrange room at Spa for meeting. Salisbury poss end June – Endless Street. AH/NJ Artwork for poster that has worked well in Chippenham – reproduce?

 Bank holiday clarification with Medvivo –AH and NJ as LPC members/CPSW directors invited to meeting.

 Wiltshire CCG – improving relationship. NJ took recent opportunity for chat with Alex.

 NJ attended Diabetes summit, enthused. Community Pharmacy in heart of planned wave LJ/FC 2, thanks to Rachel Hobson. ZP o Gateway service identifying diabetics – funding available for increased referrals to GP? 12 opportunities a year.

 Wiltshire CCG will support consultation room awareness campaign. Article about GP answer phone message – Melksham and RWB. ZP to write something about this ‘pharmacy first’ impact

o Audit ‘how did you hear about us?’ May convince CCG of volume of impact? All > LJ o ‘Today in my consultation room’ PO service to collect info for campaign. FC/NJ

o LJ to use FB page to post in locum forums. Research #s to use. FC o Media should focus on open consultation room events.

o LJ to create Dropbox for photos/materials. FC/LJ o CPPQ response to measure success.

 DBS – FC for experiences from LPC members for newsletter.

 Asthma review proposal; slow progress

 POD Wilts – in conversation but unlikely to get a formal ‘say’; LPC must keep making opportunities to talk.

 Minor ailments lobbying materials: not exciting. One page summary is proving difficult to draft. Prescribing data from Independent Prescribers may be useful? Pharmacy needs training program to gain competence in triaging patients.

o Area is out of kilter with nationally important services e.g. URMS, MAS. FC to give LJ data to create infographic.

 Stop Smoking PO service has had major problems. Pinnacle and Christine Woodward trying to reconcile for payments at the end of March.

3. Chief Officer/Chair Reports Boots Adcroft have applied for minor relocation – no objections (Boots members and those from the Trowbridge area abstained from comment). Lloyds are selling Royal Wootton Bassett store to Cohens. Martindale rep will address LPC in April re naloxone provision with Needle Exchange. Quality Points Newsletter reminder needed explaining re safeguarding, online form for claiming QP, update FC/LJ NHS Choices. Recommend PO tracker – fun as it changes colour.

Issues coming onto the radar

Accessible Information Standard Not been well publicised. Consultation in progress. Needs to be recorded via tickbox and shared. Falsification of Medicines Directive LPC should regularly review progress. What might this mean in a years’ time. Newsletter article in May? Massive database will be needed. FC 4. Potential meetings for members to attend LPC went through a list of meetings and the following was agreed:  NJ to attend CCG board.

 RT: CGL

 FC and CS: POD steering group  NJ: Wilts health committee

 KP: Swindon CCG public forum?

 FC and AH Warminster Public Health fair. Pre-regs – Nigel (Boots), JH (Lloyds).

 NJ: Swindon CCG Primary Care Join Commissioning Committee

 FC/NJ: NHSE liaison

 ?: Swindon adults health social care and scrutiny meeting

 FC: Falls and bone health

 ZP, CS, JH, AH: Area boards (FC to send dates)

 ZP: Local intelligence network CDs

 CCG locality meetings – aim to get invited. KB to send locality contacts to FC

5. Guest: Katherine Buchanan (with Chelsea Griffiths-Mead, pre-reg at GWC) POD update: Now fairly well established. 3 or 4 more surgeries interested in joining - Sparcells, Merchiston, Ridge Green, and Phoenix. POD so far being judged positively re savings and streamlining. LPC expressed interest in seeing data when available. Dosset boxes – PO service, FC to look in to developing with CS.

Discussion around diabetes: extra funding for cross agency delivery/support to improve service. Anticipate the increase in prevalence, build on existing expertise. Suggestions: group sessions building confidence in lifestyle changes; virtual clinics with pharmacy presence; Will want to get community pharmacists trained up across the patch ready to offer a service. Options: 6 week ‘expert’ course run by DSN - can attend and observe; LPC arrange some clinical training; LPC members to attend CPPE courses. FC to recirculate the young diabetics/MUR reports. NJ to circulate Diabetes Summit slides. Guest: Julie McCann Controlled Drugs Update 1000 incidents reported per year. 100 followed up (serious). Have discovered that there are certain tablet overages – trying to agree national message re patient returns (treat as stock or patient return) and policy on whether sealed containers should be opened on dispensing. Destruction: new process working well. Risk to JM offset by much better use of time and resources. Reporting tool on way for CD incidents. Will also be able to request destruction authorisation online from same portal. 6. ‘Elevator pitch’ and stakeholder engagement Small group Proposed Target Final pitch wording Stakeholder Ali Hashimien, Paul Members of Community pharmacies can be found where you live, Hedge, Lis Jardine public / Councillors work and shop, in the high street, the supermarket and at your local surgery. A pharmacist is your local trusted medicines expert, easily accessible without an appointment for confidential advice in a private consultation room. Pharmacy should be your first port of call for healthcare and medicines advice and healthy lifestyle support. Chris Shields, Robert Urgent Care Did you know that you have got 115 urgent care Townsend, Sian Commissioners centres in Swindon and Wiltshire – and they are called Williams, Nav Chohan pharmacies? I want to talk to you about how you can best use this under-utilised urgent care network. We know that on a Saturday morning 30% of the calls to NHS111 are requests for urgent repeat medicines - which could be diverted to community pharmacy, where the patient would end up anyway. This would simplify the patient journey and improve their experience. Andrew Hobson, Aga Public Health I’m a community pharmacist, and with your help I Janowska, John Commissioners could be your champion on the high street. I work for Hughes the Local Pharmaceutical Committee representing all 115 pharmacies in Wiltshire and Swindon, and I would like to create a stronger relationship with Public Health. Do you know that community pharmacy can see people, even the healthy ones, on average 14 times per year? This gives us a great opportunity to deliver services. What projects are you currently working on that we could help you deliver? Nick Jephson, Zoe Professional How does your surgery plan to deal with the Pearce, Kaushik Patel Colleagues who increasing diabetic burden? may refer patients Having attended the Wiltshire Diabetic Summit, I am (E.g. GPs, keen to help along with 115 pharmacies across Consultants, Swindon and Wiltshire. Specialist nurses) Pharmacists are the only medicines expert on the high street; we are immediately accessible to the young or old and ill or well. On average we see each patient 14 times a year. How are we going to work together to tackle a doubling diabetic burden?

7. Any other business Some double strength insulins around, mistakes being made. Newsletter article AH to supply? AH

FC to print copy of contract for NJ to sign. FC