Admin: DONCASTER PHARMACEUTICAL COMMITTEE Alison Ellis Chief Officer [email protected] Nick Hunter 07882289083 [email protected] Fax: 0115 8379854 07595 069178 http://psnc.org.uk/doncaster -lpc/ Fax: 01455 634800 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. Not progressed with the training yet – NH to liaise with Louise Braisby – perhaps look towards February 2016. RW/NH have spoken with Stephen Davies and he is interested in using PharmOutcomes for the reporting
Action: Training – NH to liaise with Louise Braisby – February 2016.
1.3.3 Sexual Health Need a list of pharmacies who are providing the EHC service so this can be added to the LPC website enabling signposting from other pharmacies.
Action: AE/NH to contact Amy Booth and ask for a list of pharmacies who are providing the EHC service to be added to the LPC website.
1.3.4 PSNC levy This has been paid and now the 2nd half of the levy is due – agreed to pay in December 2015. CCA members reported that the CCA do not agree with LPCs withholding money.
1.3.5 Falls Service DMBC informed NH that the tender does not have any effect on the existing service – it will
Page 4 of 13 Doncaster LPC minutes 11.11.15 strengthen the service.
1.3.6 Dementia friends in Pharmacies Forward to the next bulletin
Action: Bulletin article asking pharmacies to contact DMBC and let them know how many Dementia Friends and champions etc they have within their pharmacies
1.3.7 Tobacco Control
Action: Bulletin article – asking contractors to report any local knowledge on fake cigarettes to trading standards at the Council
2 Governance Items a) Strategy Plan – Attachment B (NH bringing to meeting) Review as we go through the meeting and bring up outstanding items at the end of the meeting so all items are covered.
b) Update on LPC members EB has been in contact with NH to report that she has moved pharmacy and area and therefore has resigned as CCA member of the LPC. Currently have 1 AIMp place and 1 CCA place vacant – RW is reviewing the replacement for Claire Thomas at Weldricks with AIMp. NH will contact CCA to ask about replacement for EB.
Action: RW to contact AIMp and check if ok for Weldricks to replace the Weldricks place with Claire Thomas’ replacement or if they have other AIMp companies wishing to have a place on the LPC. Action: NH to contact CCA and ensure they are aware of Emily Bellwood’s resignation from the LPC and ask if they have a replacement organised.
3 NHS Contract Matters
Regulations Table –on the meeting documents page
Regulations guidance – https://www.gov.uk/government/publications/nhs-pharmaceutical- services-assessing-applications
a) Contracts spreadsheet for SYB – not received recently
3.1 New contracts-Routine None received
3.2 New contracts-Excepted 3.2.1
Contract applications received from other areas None received
3.3 Litigation 3.3.1 SHA/18038 – appeal Application for inclusion in the pharmaceutical list where the premises are not known with regard to current need. By: Muhammad Sattar
Page 5 of 13 Doncaster LPC minutes 11.11.15 At: Vicinity of West End Clinic / Kings Road, Rossington, Doncaster, DN11 0PW Appeal committee refused the application
3.3.2 SHA / 18150 Application for a no significant change relocation By: H I Weldrick Ltd T/A Weldricks Pharmacy From: 4 Finkle Street, Thorne, Doncaster, DN8 5DE To: The Vermuyden Centre, Fieldside, Thorne, Doncaster, DN8 4BQ Responses to appeal – further response from LPC – Attachment C
3.3.3 SHA / 18163 Application for inclusion in the pharmaceutical list – offering unforeseen benefits where premises are known By: H I Weldricks Ltd T/A Weldricks Pharmacy At: The Stables, High Street Norton, Doncaster, DN6 9EL Appeal response due by 10.12.15
Conflict of interest: PC, RH, CH, DP, RW (Weldricks) and SI (Boots)
NH to liaise by email with the members who have no conflict of interest and ask for comments to be sent back to him before 10.12.15
Action: NH to email DS, MA, CB and LM – comments on the application in Norton to be sent before 10.12.15
3.4 Decisions 3.4.1 Application for change of ownership From: Sainsbury’s Supermarkets Ltd T/A Sainsbury’s Pharmacy To: Lloyds Pharmacy At: Thorne Road, Doncaster, DN2 5PS Approved
3.4.2 Application for inclusion in the pharmaceutical list – relocation resulting in No significant change By: H I Weldricks Ltd T/A Weldricks Pharmacy From: 40-42 East Laith Gate, Doncaster, DN1 1HZ To: 10 Cavendish Court, South Parade, Doncaster, DN1 2DJ Approved
3.4.3 Application for inclusion in the pharmaceutical list – offering unforeseen benefits where premises are known By: H I Weldricks Ltd T/A Weldricks Pharmacy At: The Stables, High Street Norton, Doncaster, DN6 9EL Refused
3.4.4 Application for inclusion in the pharmaceutical list – relocation resulting in No significant change By: H I Weldricks Ltd T/A Weldricks Pharmacy From: 4 Finkle Street, Thorne, Doncaster, DN8 5DE To: The Vermuyden Centre, Fieldside, Thorne, Doncaster, DN8 4BQ Refused
Decisions from other areas None received
Page 6 of 13 Doncaster LPC minutes 11.11.15
3.5 Responses received. 3.5.1
3.6 Amendment to Pharmaceutical List 3.6.1 No significant change relocation By: D & R Sharp (Chemists) Ltd T/A Sharps Pharmacy From: 21 St David’s Drive, Scawsby, Doncaster, DN5 8NG To: Unit 4 Barnsley Road, Scawsby, Doncaster, DN5 8QE From 21.09.15
4 Treasurer reports 4.1 Finances for Sept / Oct 2015 – Attachment D1 Agreed to paying the 2nd part of the PSNC levy – agreed to pay December 2015
Healthy balance in account at present.
4.2 Signed annual accounts – member approval to send to NHSE and put on website – Attachment D2 To be added to the LPC website under finance section
5 Secretary reports 5.1 Chairs & Secretaries meeting – 03.11.15
- Sue Sharpe making more effort to engage with LPCs - Need to be aware of what LPNs are doing – Doncaster local LPN is ok (RH and NH are involved) – Devolution Manchester contacted the LPN re community pharmacy but this was only one person’s opinion that was given and was secondary care biased. - Over educating pharmacists to become independent prescribers – progress career out of pharmacy – salary banding – pharmacy need to be careful - Mandate compiled from the conference last year but there was no voting etc. Members felt that any mandates or decisions made after discussion at the conference should then go back to LPCs to vote on.
5.2 APPG inquiry into primary and community care services Invited NH – Alastair Burt MP attended – referred to primary care but not sure whether this meant gp’s or other health professionals in primary care. PSNC are fighting for more advanced services – local services are not working Healthy Living Pharmacies – depends how view!! Working on changing the pharmacy contract from dispensing to more service based. Also need to move from pharmacist doing all the services
5.3 Joint working across the LPCs in SYB Used to have regular meetings with SY LPCS – they have said that they will attend meetings if they are organised by the LPCs. Need to start driving the overall work and development across SY. Learning from Hallam FM – need to have someone to project manage to help organise and be better focused. Need to do more things together as it is more efficient. Organise the joint meetings – may need to put some money in a pot to fund time spent organising meetings etc so then this does not get left to one LPC organising it or if does then cost is covered.
Concerns from members - Don’t want it to be just secretaries meeting and them being the face of community pharmacy – need to ensure that they don’t see just one or two people as LPC- should be inviting LPC’s and then members decide who should attend. Need to meet regularly at SY level to be able to
Page 7 of 13 Doncaster LPC minutes 11.11.15 discuss cross working and attendance at meetings.
- There have been meetings discussing LRC’s representation by PSNC and NHS England recently.
Proposal 1: NH asked if the LPC would be willing to put in a sum of money that helps towards costs of joint meetings – administration and venues etc – to help schedule workload and events Include in the budget for next year – approx £250 per year. Where will the money be kept??
Proposal 2 – Have a written agreement that each chair / chief officer rotates and organises a meeting so each LPC covers the costs for that meeting. Agenda item at the next joint SY LPCs meeting
In principle Doncaster agree to fund the meetings and for the written agreement to be drafted regarding rotation of chair / chief officers organising the meetings.
Action: NH to agenda funding and rotation of organising meetings for the first item on the next SY LPCs meeting
5.4 Hallam FM update Commitment to get final report by 27.11.15 Seems to have worked very well- commissioners have heard the advert and more aware of pharmacy. Fresher weeks – interest in sexual health services and pharmacy.
5.5 Social Prescribing update NH to give presentation to the team to increase understanding of community pharmacy Joint press release was done for AYP week
6 Chair reports 6.1 Y&H LPCs meeting
Previous meetings have been SY & B but now the footprint for NHS England is Yorkshire & Humber and also for the Health Education England board. Alignment needs to be with this group to enable better working and funding opportunities. Met at Wakefield– - Opportunities for funded training - independent prescribers course Enough common interest to hold regular meetings (2 per year)
CB raised that the PSNC regional meeting is now not aligned to Doncaster and this needs to be raised at the next regional meeting on 02.12.15. Query whether can attend the East Midlands meeting and also the Yorkshire and Humber meeting??
Action: RW / DS / CB / NH to raise regional alignment of PSNC meetings at the next PSNC regional meeting
6.2 LPC conference – 04.11.15 – Attachment E (DS) It was noted that Sue Sharpe repeated the phrase that “it had been discussed previously the day before” – this was ok if you attended as chair / chief officer but not for other members who attended the conference.
6.3 LMC medical charity ball Saturday 6th February 2016 – black tie ball – Doncaster Racecourse. Cost is £45 Suggested that the LPC attend for the belated Christmas social?!
RW will circulate information to members and up to them if they wish to attend or if wish to have a table as an LPC (costs covered by individual members).
Page 8 of 13 Doncaster LPC minutes 11.11.15 6.4 Price concessions for November Acupan instead of Nefopam - £25. £33 is the cheapest that can get Members need to raise with PSNC if cannot get and if price is more than the £25
7 Tenders and bids / Consultations / Service Opportunities / LPC future - update 7.1 Falls Service – covered earlier in meeting – no effect on the existing service.
8 Topics for discussion
8.1 Letter to GPs about NMS and MURs- How best to use??- Attachment F (this has been sent to the CCG and LMC) GP’s are not going to read this document as it is 6 pages long. Are contractors in Doncaster struggling with MUR’s / NMS?? – no indication they are.
At a recent LRC meeting – Dentists and Optometrists stated they are aspiring to be as vocal as pharmacy.
Still need to investigate having a joint meeting with gp’s Monthly gp target meetings – NH to chase up the dates – 2 per month. Up to individual pharmacy contractors to organising attending but the LPC will provide the information.
Action: NH to ask for the monthly target meetings for GP’s and send these out to contractors
8.2 Palliative care LES- Attachment G1 SPC Draft Model & Palliative Care Triage Tool – Attachment G2 and G3 Tony Shaw, Weldricks East Laith Gate attended with NH. Criticism of pharmacy - Not having items in stock – change in formulary from CCG would be needed - How come only certain pharmacies do this – all 100 hour pharmacies originally were asked to do the Palliative Care service as they were open during Out of Hours.
Action: NH will keep pushing the CCG for changes to the service so all pharmacies are able to sign up, receive a retainer payment and reimbursement.
8.3 Keeping Safe - Everybody's Business - Keepmoat Stadium - Thursday 19th November 2015 - 9:30am - 4:30pm – Attachment H who can attend ??? No one available and unsure that it is worth the backfill costs.
8.4 SWYP smoking training – LM Covered earlier in the discussion with Simon Lister.
8.5 FGM reporting guidance – Attachment I No one was aware of this coming out. Mandatory to report instances if aware of this from 31.10.15 - if see that it has occurred – pharmacy are not going to be doing physical examinations so this does not apply. - Told that it has happened or may be receive information that makes think that it may be going to happen
Action: Bulletin article to ensure that all contractors are aware of this new mandatory reporting of FGM.
8.6 CVS Annual General Meeting & Awards Ceremony Fri 4th Dec – volunteers to support? Invited to be involved – market place to have stands promoting pharmacy.
Page 9 of 13 Doncaster LPC minutes 11.11.15 RW is attending the event and NH attending in the morning – registration and lunchtime. Asked members to help support
8.7 infection control in care homes – ref email Debra Eyre RDASH Reuse of measures is the problem – due to infection control Need more clarification on what the issues are Pharmacy legally have to supply a measure for each supply (bottle), for each patient.
8.8 Vulnerable Adults business case – update on work so far (PC) – Attachment J One in Barnsley and Nottingham – compared both services Barnsley – communication and how care in the home involves pharmacy Nottingham City – looking at discharge from hospital Point is to get patients back to self caring.
LPC to present the business case to Doncaster CCG +/- Doncaster Council
Mainly feel that the Barnsley scheme is best for Doncaster at present with parts of Nottingham scheme to make it more robust. Next step is to ascertain the level of interest in the CCG before going any further with the development.
Action: NH to check with CCG on their interest of vulnerable adults in care homes etc Action: PC – to create a overview of the proposed service to present to Doncaster CCG / DMBC
8.9 Vivitech Ltd - based in Retford and we supply IT safety checking systems for dispensing GP’s and pharmacies. Asked to attend and sponsor LPC meeting March??
Try and find out more information and then if relevant invite to LPC meeting in March (January 2016 meeting already has a sponsor).
Action: AE / NH to ask for more information on Vivitech Ltd and invite to sponsor the LPC meeting in March 2016.
9 Members reports 9.1 Flu meeting for SY GP’s concerned that patients may be double vaccinated – but was general lack of concern when a double vaccination report by a nurse was discussed saying that no harm would be caused.
Only Pfizer could provide the nasal spray – there was a shortage Children being targeted Year 1-4 this year Year 5-6 next year etc
There will not be enough vaccines to cover
Complaint received locally – pharmacy had applied to go into care home to vaccinate but had not informed the gp practice prior to this.
There are still patients that need vaccinating Flu vacs on Pharmoutcomes – 302k recorded. The total is more likely to be 450,000 with others that are not reporting onto PharmOutcomes.
10 Research 10.1 MMS Evaluation Members will recall from the initial discussion at the September LPC meeting that the LPC is being
Page 10 of 13 Doncaster LPC minutes 11.11.15 requested to contribute toward funding the evaluation of the Barnsley Managed Care Scheme. In summary each LPC in SY is being asked for Barnsley £402.74 Doncaster £592.71 Rotherham £524.32 Sheffield £972.64
To add to the £6k or so being contributed by the NPA. Please come prepared to make a decision as to whether the LPC funds this – you may need to consult your employer or representative body (CCA / AIMp)
PSNC were sceptical that it would show the outcomes needed – therefore changed the evaluation. Barnsley CCG are funding this work so LPCs do not need to assist
11 PSNC Communications Members are advised that many PSNC communications are now communicated electronically and repeated on the PSNC website. It is recommended that members regularly visit the PSNC website ‘ LPC members’ area to access the latest information available onhttp://psnc.org.uk/
11.1 PSNC newsletters 11.1.1 LPC News: Upcoming flu webinar; EPS masterclasses; Carer-Friendly Pharmacy evaluation; New CCA voting contacts 11.1.2 PSNC Announcement: Flu service specification is published 111.3 PSNC Announcement: Green light for national flu vaccination service 11.1.4 News: Flu webinar available on-demand; Our latest flu resources; Latest dispensing news; DoC e-workshops; Self Care Week returns 11.1.5 LPC News: Treasurers Day; Costing a service; Promoting pharmacy; Abstracts for NHS Health Check conference; Commissioning at the Pharmacy Show PSNC are organising a specific day just for treasurers to meet and go through issues and give advice on budgets etc – early 2016 11.1.6 NCSO/Price Concessions October 2015 11.1.7 LPC Reminder: deadline for RPS/NAPC consultation approaching 11.1.8 NCSO/Price Concessions October 2015 (update) 11.1.9 News: Pharmacy flu jabs update; New poster to combat prescription direction; PSNC responds to RPS consultation; Drug Tariff amendment; CPN online 11.1.10 LPC News: Toolkit for promoting flu service to MPs; Direction of prescriptions support; EPS nomination data 11.1.11 News: Pharmacies ace flu service; CPAF Reminder; EPS case studies; MHRA Safety Update 11.1.12 LPC News: Brilliant flu results; CPAF update; Summary Care Records; Public health events 11.1.13 NCSO/Price Concessions October 2015 (further update) 11.1.14 News: Latest flu vaccination news; Understanding your prescription business; Practice Payment change; CPAF deadline reminder; Public health resources 11.1.15 NCSO/Price Concessions October 2015 (further update) 11.1.16 NCSO/price concessions November 2015
11.2 PSNC Events 1) LPC Media Skills Training – 27th November 2015
2) LPC Support Training – Financial Management for LPC’s – 24th November 2015
3) LPC Members Day 2015 – 19th November 2015 & 1st December 2015
Members to let AE know if wish to attend any of the highlighted PSNC events.
Page 11 of 13 Doncaster LPC minutes 11.11.15 12 Other Communication
12.1 EPS - Deployment –Attachment K1 - October EPS report (HSCIC) – Attachment K2 and K3 35% of prescriptions are sent via EPS
For information
Reports (some items will be covered in the open meeting)
a. NHS Commissioning Board Area Team update I. SYB flu planning October meeting – Attachment L1 and L2 Already discussed II. Seasonal Flu operation meeting III. CPAF update Only 1 Doncaster contractor has not responded – Lloyds – LM to check Did not have generic emails for companies – sent through to individual pharmacies BSA asking for a corporate contact email so can send back the reports.
b. Local Authority update i. RW and NH meeting with Rupert Suckling, Director of Public Health Positive meeting. Interested in pharmacy. Public Health England Healthy Living Pharmacy event last Friday but Rupert Sucking did not attend.
Three levels for HLP – can self assess for Level 1 (get a badge) – aim to get 6000 HLP Not sure how this is viewed by GPhC re advertising your pharmacy as being better?! Regional events 01.12.15 – CB and NH attending There is no difference in services being provided only that they have poster up stating that they are healthy Living Pharmacies. May be that need to be HLP before can do future services
ii. DMBC Falls service – Training – after the LPC meeting tonight – 11.11.15
iii. Sexual Health Partnership meeting – NH update Still no SLA. Had a lot of verbal assurance that declaration of competence is acceptable but no paperwork to confirm this. RH has written the SLA but needs signing off and PGD’s done. Still waiting to do EllaOne proforma. Blood spot testing for HIV, Hep B and C– Claire Ryan is the clinician pharmacy need to speak to. Kit to be provided – if that gets used and sent back then paid for this. Are pharmacies interested in this? – need to have the other parts of the sexual health service sorted and clarified. Tri-health is the commissioner Need to invoice as not on PharmOutcomes – remind contractors – details on the LPC website Need to contact TriHealth and state that you are competent and express interest.
Received letter from DRI re payments – 90 days Not sure how much of a problem this is as it is not high amounts and it will only be 2 months with no payments and then monthly again.
iv. Substance misuse mystery shopper – Attachment N1, N2 and N3 Needle exchange - this has started in Doncaster – it has been done in other areas and pharmacy usually come out ok it is other parts of the service that normally highlight issues.
c. CCG update i. Respiratory task and finish group – NH to give verbal report
Page 12 of 13 Doncaster LPC minutes 11.11.15 Interested / enthusiastic that pharmacy have something in place Priority area for them Will see how it progresses – if like Lung Health where CCG led on it then could be useful Inhaler technique – still £25,000 left in the pot – keen to open it up to children. Meant to be on PharmOutcomes in April 2015 but not done yet. Ask if NH would be able to set up the service on PharmOutcomes and then invoice for time – may get more sign up of pharmacies if easier to report.
Action: NH to ask Doncaster CCG if they would agree to him setting up the Inhaler Technique service on PharmOutcomes and then invoice for time to do this – aware that CCG are struggling with time to do this and will also help sign up of more pharmacies as easier to report and claim.
ii. End of Life care – verbal report Covered earlier in the meeting
iii. MAS – if you have access to PharmOutcomes and send declaration of competency through then you can provide the MAS and they are paying for the activity done
There will be a random audit and if there is any unusual data that claimed for then this would be looked into.
d. LPN a) Verbal update of 10th Nov meeting Peter is at a meeting today and is asking what support NHSE will give LPNs in the future as currently not able to sustain.
e. Area Prescribing Committee (PC) i. Medicines Optimisation NICE NG5: Baseline assessment tool & Feedback for APC Baseline assessment tool - looking for feedback on what wish to do on medicines optimisation – communication between secondary and primary care causes most problems (transfer of care) RW tried to get meeting with Andrew Barker, Mark Randerson and Steve Davies – nothing organised yet. CCG have PharmOutcomes locally and so could use this to upload the information and then pharmacy access this.
Action: PC to take back to the APC regarding using PharmOutcomes to communicate between pharmacy and secondary care
ii. Biosimilars – Attachment O APC come up with principles in changing over from reference product to biosimilar products - asking for LPC opinion - Practical side is issues with fridge storage space - Need to state that some pharmacies will not be able to stock these so that there may be a delay in receiving.
iii. Shared Care Protocols for DMARDS in GI
iv. Transgender Dysphoria Hormonal medication that are not licensed – pharmacist needs to be aware of risks
v. Medicines update - Melatonin CR - Longtec/Oxycodone liquid - Orphenadrine - Haloperidol MCS potentially 11/16 – alternative Levomepromazine 6.25mg
Page 13 of 13 Doncaster LPC minutes 11.11.15 Guidance is going out
13 East Midlands Region 13.1 Special meeting with Garry Myers – Thur 19th Nov @ 7pm AE to message members to confirm attendance at this meeting and organise for pizzas to be ordered and collected.
13.2 Regional Meeting 2nd December 2015 – Agenda items
1) Raise regional alignment of PSNC meetings
Members to send through any agenda items they wish to be raised.
14 Strategy Plan Any outstanding items not covered on the agenda
Everything that was highlighted to be discussed had been covered in the meeting.
15 Any matters for discussion not on the agenda (AOB allocated to either open or closed session as appropriate) – to be informed to the chairman at the start of the meeting
No other business was raised.
16 Future meetings
Dates Time Venue 13th January 2016 3pm – 6pm (1pm – Training Room , Weldricks 3pm open) 9th March 2016 10am – 6pm (2pm – Training Room , Weldricks 4pm open) 11th May 2016 3pm – 6pm (1pm – Weldricks not available so need to 3pm open) book alternative meeting venue 13th July 2016 10am – 6pm (2pm – Training Room , Weldricks 4pm open) 14th September 2016 3pm – 6pm (1pm – Training Room , Weldricks 3pm open) 9th November 2016 3pm – 6pm (1pm – Training Room , Weldricks 3pm open)
The meeting ended at 6pm The next meeting will be held on Wednesday 13th January 2016 at 1pm
Amendments to minutes (if any):
Signed as a true and proper record:
Proposed by: Chris Bland Seconded by: Lynne Murrie
Approved by: DSharp and members present at the LPC meeting Dave Sharp, Vice Chair, Doncaster LPC 13th January 2016
Page 14 of 13 Doncaster LPC minutes 11.11.15