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Essex Pharmaceutical Needs Assessment

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Essex Pharmaceutical Needs Assessment Essex Pharmaceutical Needs Assessment April 2018- March 2021 Report review due 2020 Produced for the Essex Health and Wellbeing Board by Essex County Council Public Health and Intelligence & Insight Teams ESSEX PNA 2018-2021 1 1 Table of content 1 Table of content 2 2 Foreword 6 3 Executive Summary 8 3.1 Introduction .................................................................................................................................... 8 4 Introduction 10 4.1 The Essex Health and Wellbeing Board Pharmaceutical Needs Assessment ............................... 10 4.2 Background and legislation........................................................................................................... 10 4.3 Local context ................................................................................................................................ 11 4.4 Development of the Essex PNA ................................................................................................... 11 4.5 Consultation ................................................................................................................................. 13 4.6 Scope of the Essex PNA .............................................................................................................. 13 5.7 What is excluded from the scope of this assessment .................................................................... 14 4.8 PNA review process ..................................................................................................................... 15 4.9 Localities for the purpose of the PNA ........................................................................................... 15 5 Pharmaceutical Services 16 5.1 The Community Pharmacy Contractual Framework ...................................................................... 16 5.2 Essential services ......................................................................................................................... 17 5.3 Advanced services ....................................................................................................................... 18 5.4 NHS Urgent Medicine Supply Advanced Service (NUMSAS) Pilot (ending 31st March 2018) ....... 20 5.5 Local Enhanced Services (LES) and Locally Commissioned Services (LCS) ............................... 20 5.6 Non commissioned, value add services ........................................................................................ 20 6 Market entry and pharmaceutical providers 21 6.1 Market entry ................................................................................................................................. 21 6.2 100 hours ..................................................................................................................................... 21 ESSEX PNA 2018-2021 2 6.3 Distance selling pharmacies (internet pharmacies) ....................................................................... 21 6.4 Essential Small Pharmacies Local Pharmaceutical Services ........................................................ 21 6.5 Dispensing Appliance Contractors (DACs) ................................................................................... 21 6.6 Dispensing doctors ....................................................................................................................... 22 6.7 Others .......................................................................................................................................... 22 7 Community pharmacy in 2016/17 and beyond 22 7.1 Amendments to NHS regulations.................................................................................................. 22 7.2 Pharmacy Access Scheme ........................................................................................................... 23 7.3 Quality payments scheme ............................................................................................................ 23 7.4 Urgent medicines supply pilot scheme (NUMSAS) ....................................................................... 24 7.5 Changes to reimbursement .......................................................................................................... 24 7.6 Changes to market entry to facilitate the consolidation of pharmacies .......................................... 24 7.7 Modernising the service ................................................................................................................ 24 7.8 Later changes............................................................................................................................... 24 7.9 Pharmacy Integration Fund (PhIF) ................................................................................................ 24 7.10 Timeframe .................................................................................................................................... 24 8 The Essex Area 26 8.1 Demographics .............................................................................................................................. 26 8.2 Deprivation ................................................................................................................................... 34 8.3 Lifestyles ...................................................................................................................................... 36 8.4 Education ..................................................................................................................................... 45 8.5 Employment ................................................................................................................................. 46 8.6 Housing ........................................................................................................................................ 47 8.7 Transport ...................................................................................................................................... 50 8.8 Health ........................................................................................................................................... 51 9 The assessment 56 9.1 The assessment of pharmaceutical services ................................................................................ 56 ESSEX PNA 2018-2021 3 9.2 Pharmaceutical services in Essex ................................................................................................ 59 9.3 Locality of services ....................................................................................................................... 61 9.4 Essential services ......................................................................................................................... 61 9.5 Advanced services ....................................................................................................................... 65 9.6 Enhanced services in Essex ......................................................................................................... 78 9.7 NHS Urgent Medicine Supply Advanced Service (NUMSAS) Pilot ............................................... 80 9.8 Other services providers ............................................................................................................... 80 10 ESSEX LOCALITY ANALYSIS 84 10.1 BASILDON ................................................................................................................................... 84 10.2 BRAINTREE ................................................................................................................................. 94 10.3 BRENTWOOD ............................................................................................................................ 103 10.4 CASTLE POINT ......................................................................................................................... 113 10.5 CHELMSFORD .......................................................................................................................... 121 10.6 COLCHESTER ........................................................................................................................... 130 10.7 EPPING FOREST ...................................................................................................................... 140 10.8 HARLOW ................................................................................................................................... 149 10.9 MALDON .................................................................................................................................... 158 10.10 ROCHFORD .............................................................................................................................. 166 10.11 TENDRING ................................................................................................................................ 175 10.12 UTTLESFORD ........................................................................................................................... 185 11 Likely future needs to consider 193 11.1 Necessary and Relevant services............................................................................................... 193 11.2 Identifying gaps .......................................................................................................................... 193 11.3 People who need help with managing their medicines ................................................................ 194 11.4 How pharmaceutical services
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