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Pharmaceutical Needs Assessment (PNA) Office of Public Health Dudley, 2018-2021

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Pharmaceutical Needs Assessment (PNA) Office of Public Health Dudley, 2018-2021 Pharmaceutical Needs Assessment (PNA) Office of Public Health Dudley, 2018-2021 Produced in accordance with the National Health Service (Pharmaceutical Services and Local Pharmaceutical Services) Regulation 2013 60 day Consultation period: 12th December 2017 to 13th February 2018 Approved by Dudley Health and Wellbeing Board: Published: 5th April 2018 Supplementary statements will be issued in response to changes to pharmaceutical services since the publication of this PNA. Full revision – April 2021 Authors Jag Sangha, Pharmaceutical Adviser – Community Pharmacy and Public Health, Dudley CCG Laura Brennan, Senior Intelligence Analyst, Dudley MBC Acknowledgements Core Team (Steering Group) Jag Sangha, Pharmaceutical Adviser – Community Pharmacy and Public Health, Dudley CCG Laura Brennan, Senior Intelligence Analyst, Dudley MBC Dr David Pitches, Head of Service, Healthcare Public Health and Consultant in Public Health Medicine, Dudley MBC Dr Duncan Jenkins, Specialist in Pharmaceutical Public Health, Dudley CCG Pete Szczepanski, Chief Officer, Dudley Local Pharmaceutical Committee Michelle Dyoss, Public Health Practitioner, Dudley Local Pharmaceutical Committee Greg Barbosa, Senior Public Health Intelligence Specialist, Dudley MBC Brian Wallis, Contract Manager, NHS England West Midlands Area Team (until August 2017) Michelle Deenah, Contract Manager NHS England West Midlands Area Team (from September 2017) Rob Dalziel, Healthwatch Dudley (Public Engagement) Dr Timothy Horsburgh, Dudley Local Medical Committee Joanne Taylor, Commissioning Manager, Dudley CCG Dino Motti, Public Health Registrar, Dudley MBC (Vulnerable Childrens Medicines Needs Assessment, page 126) Susan Wheeler, Business Support Officer, Dudley MBC (Administration Assistance) Groups involved or consulted during development: Dudley MBC, Dudley CCG, Dudley community pharmacies, Substance Misuse Service (Change, Grow and Live), Let’s Get Healthy Team, Solutions 4 Health Ltd, NHS Health Checks, Sexual Health Service and the public (through HealthWatch Dudley). Many thanks to the steering group for their comments, notable suggestions and timely assistance in providing information for this document. This document builds on the Dudley Health and Wellbeing Boards first PNA published 1st April 2015. Please note data regarding community pharmacies are accurate to August 2017. 2 EXECUTIVE SUMMARY ...................................................................................................... 7 LOCAL CONTEXT .................................................................................................................... 8 PROCESS ............................................................................................................................... 9 CONCLUSION .......................................................................................................................... 9 INTRODUCTION ................................................................................................................ 13 WHAT IS A PHARMACEUTICAL NEEDS ASSESSMENT? ............................................................. 13 WHAT IS THE PURPOSE OF THE PNA? ................................................................................... 13 LEGISLATION ........................................................................................................................ 13 FUTURE PNAS AND SUPPLEMENTARY STATEMENTS .............................................................. 15 NATIONAL POLICY ................................................................................................................ 16 LOCAL POLICY ..................................................................................................................... 17 EXCLUSIONS FROM THE SCOPE OF THE ASSESSMENT ............................................................. 19 NHS PHARMACEUTICAL SERVICES ............................................................................... 20 LOCAL PHARMACY SERVICES ............................................................................................... 21 PUBLIC HEALTH SERVICES ................................................................................................... 21 CLINICAL COMMISSIONING GROUPS ...................................................................................... 24 OTHER SERVICES ................................................................................................................. 24 THE PRIORY PHARMACY (LOCAL PHARMACEUTICAL SERVICE) ............................................... 24 PROCESS FOLLOWED IN DEVELOPING THE PNA ......................................................... 25 DUDLEY BOROUGH .......................................................................................................... 26 ENVIRONMENT ...................................................................................................................... 27 ECONOMY ............................................................................................................................ 27 GEOGRAPHY ........................................................................................................................ 28 DEPRIVATION ....................................................................................................................... 31 DEMOGRAPHY OF DUDLEY ............................................................................................. 33 POPULATION ........................................................................................................................ 33 ETHNICITY ............................................................................................................................ 33 AGE ..................................................................................................................................... 33 LIFE EXPECTANCY ................................................................................................................ 35 HEALTH AND WELLBEING PRIORITIES .................................................................................... 36 LIFESTYLES .......................................................................................................................... 36 ACCESS TO COMMUNITY PHARMACIES AND PHARMACEUTICAL SERVICES ........... 37 3 PHARMACY ACCESS SCHEME ............................................................................................... 37 PHARMACY NUMBERS, WALKING TIMES AND GEOGRAPHICAL AND PHYSICAL LOCATION ............ 38 WALK TIME ZONES ............................................................................................................... 40 ACCESS FOR PEOPLE WITH DISABILITIES ................................................................................ 43 ASSESSMENT 1: GEOGRAPHICAL AND PHYSICAL LOCATION OF PHARMACIES ........................... 43 OPENING HOURS .................................................................................................................. 45 ASSESSMENT 2 – OPENING HOURS ....................................................................................... 46 COMMUNITY PHARMACY SERVICE PROVISION ........................................................................ 47 PROVISION OF ESSENTIAL SERVICES ..................................................................................... 47 DISPENSING ......................................................................................................................... 48 REPEAT DISPENSING/BATCH PRESCRIBING ............................................................................. 49 ELECTRONIC PRESCRIPTION SERVICE – RELEASE 2 (EPS R2) ................................................ 49 PROVISION OF ADVANCED SERVICES ..................................................................................... 50 MEDICINES USE REVIEW AND PRESCRIPTION INTERVENTIONS (MUR) ..................................... 50 ASSESSMENT 3: MEDICINE USE REVIEWS .............................................................................. 54 NEW MEDICINE SERVICE ....................................................................................................... 54 ASSESSMENT 4: NEW MEDICINE SERVICE .............................................................................. 58 APPLIANCE USE REVIEWS AND STOMA APPLIANCE CUSTOMISATION SERVICE ........................ 58 SEASONAL INFLUENZA VACCINATION .................................................................................... 59 ASSESSMENT 5: SEASONAL INFLUENZA VACCINATION ........................................................... 63 NHS URGENT MEDICINE SUPPLY ADVANCED SERVICE (NUMSAS) ........................................ 63 LOCAL ENHANCED SERVICES ................................................................................................ 67 MINOR AILMENTS SERVICE (MAS) ........................................................................................ 67 ASSESSMENT 6: MINOR AILMENTS SERVICE .......................................................................... 71 CHRISTMAS DAY, BOXING DAY AND EASTER SUNDAY ENHANCED SERVICES ........................... 71 DUDLEY CLINICAL COMMISSIONING GROUP (CCG) COMMISSIONED SERVICE .......................... 72 SPECIALIST PALLIATIVE CARE DRUGS SUPPLY SERVICE ........................................................ 72 ASSESSMENT 7: SPECIALIST PALLIATIVE CARE DRUGS SUPPLY SERVICE .............................. 74 PUBLIC HEALTH SERVICES ...........................................................................................
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