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Doncaster Pharmaceutical Committee Admin: DONCASTER PHARMACEUTICAL COMMITTEE Alison Ellis Chief Officer Nick Hunter [email protected] 07882289083 [email protected] Fax: 0115 8379854 07595 069178 Fax: 01455 634800 http://psnc.org.uk/doncaster -lpc/ http://psnc.org.uk/doncaster-lpc/ Doncaster Local Pharmaceutical Committee Meeting LPC MEETING 1 Weldricks HO, Training Room, Railway Court, Ten Pound Walk, Doncaster On Wednesday 11th November 2015 at 1pm Present: In the Chair Richard Wells (RW) Secretary: Nick Hunter (NH) Members: Mohammed Ahmed (MA), Chris Bland (CB), Paul Chatterton (PC), Richard Harris (RH), Catherine Hudson (CH), Seonaidh Innes (SI),Lynn Murrie (LM), Darren Powell (DP), Dave Sharp (DS) Minutes: Alison Ellis (AE) Attending Suzy Layton CEO, from FCMS (NW) Ltd and PDS Medical Ltd. (new GP OOHs provider) Gareth Bennett, Urgent Care Lead from FCMS (NW) Ltd and PDS Medical Ltd. (new GP OOHs provider) Simon Lister, SWYFT Jacqui Reddick, SWYFT Apologies Garry Myers, PSNC Regional Rep Louise Braisby, SystmOne Implementation Lead, Doncaster Drug & Alcohol Services Stuart Green, Doncaster Drug & Alcohol Services Bronwyn Slater, Public Health, DMBC Steve Shore, Healthwatch Doncaster Diana Taylor, CPPE Iraj Darbandi, LPC member Emily Bellwood, LPC member Observer Atlas of Variation For members who can make it we will spend half an hour reviewing this resource and determining how best to make use of the content. The Atlas of Variation can be found at http://www.rightcare.nhs.uk/index.php/atlas/nhs-atlas-of- variation-in-healthcare-2015/ Page 1 of 14 Doncaster LPC mins 11.11.15 The compendium Atlas has 102 maps detailing widespread variation in the quality, cost, activity and health outcome of healthcare in the English NHS. Almost 25% of the indictors focus on children and young people services. The Atlas is collaboration with NHS England, Public Health England and NHS Right Care. Also available is an additional tool which allows commissioners to overlay information – see link below. http://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2015-opportunity-locator-tool/ Time didn’t permit the detailed consideration of this so was agreed members would look at in their own time and brings comments / observations / questions to the Jan.16 meeting. Sponsor - Alastair Haigh – neoNavitas Ltd Adrenaline auto injector education New adrenaline auto injector – easier to use – no way that can get this the wrong way round and inject into thumbs. Bigger needles and correct dosage. Meeting with School nurses in the area. Alastair will pass on link to the website for the product and training – AE will forward to members Your Products – launching range of specials alternatives – YourMAG Branded product but still unlicensed – asking CCG if this can be included on the formulary. Open meeting guests Suzy Layton Suzy Layton, CEO and Gareth Bennett, Urgent Care Lead from FCMS (NW) Ltd. and PDS Medical Ltd. (new GP OOHs provider) Invited to attend the LPC meeting for chance to meet with the LPC members / contractors and discuss any future plans and how can work together. Originally was the gp cooperative for out of hours – 1994 – in Lancashire. Overtime moved into acute care. 2003 approached PCT re community pharmacy. Liaised with 100 hour pharmacies when they were introduced to be involved in the out of hours access to healthcare LPS contract in dispensary on site. Forgotten medication is top request for out of hours provision. Doncaster is the exactly the same – looking at whether can do same service / structure as in Lancashire. Have completed a pilot over a weekend – 30 calls on the Saturday and 25 calls on the Sunday relating to medication. Did not get front end streaming – started September 2015 ECP service – Gareth worked since 2009 Urgent care service – integrated with same day health centres, urgent care centre sees on day presentations that do not need x-ray etc and then also run the out of hours. Front door streaming by DBH Feel need to include community pharmacy in the team. Keen to learn about MAS, also repeat meds is an issue. 30 calls between 9am – 1pm on Saturday regarding medication - DS would like an audit to be done on the category of medication calls. Emergency supply – LPC have been speaking to Doncaster CCG about commissioning the service for all out of hours (when practices are shut) not just bank holidays. Asked if FMCS could help with this. In Notts/Derby – they have done 2000+ interventions since January 2015 – the service is run for all out of hours periods throughout the year. SCR should make easier when rolled out to community pharmacy – any pharmacy would then be able to check what patient has been prescribed and then use emergency supply route if commissioned the full service. Page 2 of 13 Doncaster LPC minutes 11.11.15 Pharmacies need information to go out explaining what services are, who to refer to and contact numbers. MAS – there is a service but there have been problems with the requirements. Service specification needs updating Pharmacies need to have access to a direct dial to health professional so do not have to go through the service - there is a health professional line to have conversation with gp – will send this through to pharmacies List of pharmacies open over the weekends – this is given by CCG – reports from members that this is not correct. Will liaise with CCG and FCMS to ensure have an up to date list of pharmacies and opening times. Multidisciplinary meeting – discuss what each service does Prescribing pharmacists from community – be included in the team to be able to review patients ASK CONTRACTORS IF THERE ARE ANY INDEPENDENT PRESCRIBERS Faxing prescriptions – can it state whether it is delivery or collection Same Day Health Centre (8-8) – appointment needs to be made Urgent care centre – 24 hours access Actions: FCMS to send letter to pharmacies and CCG outlining the services available, where from and when – flowchart if possible. Also provide telephone number for health professional line Action: FCMS to help encourage the CCG to extend the Emergency Supply service to all out of hours or at least every weekend. Action: FCMS to encourage the CCG to implement the Minor Ailment Scheme so that any patients calling the out of hours service can be directed to pharmacies providing this scheme. Action: FCMS to send information through re independent prescribers interested in working within the urgent care environment – LPC will forward to contractors in bulletin Action: FCMS to send through the information re pharmacy opening times and the LPC to send to members / contractors to check if correct for their pharmacies. Action: FCMS to Audit the calls received relating to medication – breakdown of information on calls received Action: LPC to contact 100 hour pharmacies and late opening and invite to multidisciplinary meeting with FCMS Action: AE to include Suzy Layton and Gareth Bennett on the open meeting circulation list Simon Lister, SWYFT Smaller service so unable to provide the support as done before LM reported that Lloyds are currently doing the service Peer support training and quit manager training – need 2 staff members to attend Is there any reimbursement? Simon reported that there was money allocated for reimbursement for attending the training sessions. All advisors are required to be trained – 2 days – need to evidence this If already completed this in the past then would provide a 3 hour refresher session Annual update – per support 2 hour session – sent out recent reminders for this. Returning of the data monitoring forms have been a problem and now moving to quit manager Members reported that information needs to be sent to the advisors as well as the relevant person at pharmacy - dates go to the advisors but that they are not being passed on to the manager. Visits to the pharmacy were good but need to be coordinated so that superintendents are aware and relevant people are in pharmacy that day. Data Pharmacy visit – go through individual advisor data with them – this needs to be shared with the pharmacy manager so helps with performance management. Also offer help to those that have lower quit rates. Happy that during the visits that can give comparisons to other pharmacies if doing better or worse than competitors – don’t need to actually name the pharmacies. Page 3 of 13 Doncaster LPC minutes 11.11.15 Contact Ensure that include the LPC in communications and can include in the LPC bulletin and members can remind through their networks. Raised that if put a smoking service near gp service this is proved that it works to increase activity. Action: Members need to pass on contact details of companies if they wish to do rather than go directly to advisors. Actions: SWYFT – send through data on advisors to managers of pharmacies when had training and visits. Action: SWYFT - rather than contacting individual advisors, send to manager at each pharmacy branch re training dates etc. Action: Ensure Simon Lister is on the open meeting distribution list. 1 1.1 Apologies for absence Iraj Darbandi Emily Bellwood 1.2 Acceptance of the minutes from 9th September 2015 (Attachment A1) Proposed by RH and seconded by CH 1.3 Matters arising (not on the agenda) – Attachment A2 1.3.1 Work with CCG NH has sent through information on the inhaler technique service to Mark Randerson – not heard anything back yet. NH to remind Ian Carpenter to send through a list of community groups in Doncaster so that the LPC can organise to go out to these groups to give talks on pharmacy services. Action NH to contact Ian Carpenter and ask to send through a list of community groups in Doncaster so that the LPC can organise to go out to these groups to give talks on pharmacy services 1.3.2 Substance Misuse Information was included in the last LPC bulletin.
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