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CPWY Minutes CPWY Minutes Location: Village Hotel, Capitol Boulevard West, Tingley, Leeds, LS27 0TS Date: Wednesday 22nd November 2017 1.1 Present 1.2 Apologies Ian Ainsworth CCA IA Gulam Arsiwalla AIMp GA David Broome Independent DB Anne Cawdron Independent AC Helen Davis CCA HD Fiona Fox CCA FF Mohammed Hussain Independent MH Apologies Mohammed Ikhlaq Independent MI Bali Kaila CCA BK Shabnam Kosar CCA SK Sue Lee Independent SL Keith Sandhu CCA KS Adeel Sarwar Independent ASa Amanda Smith Independent ASm Beverley Thornton CCA BT 2.1 In Attendance 2.2 Apologies Ruth Buchan Chief Executive Officer RB Melissa Burnley Service Implementation Lead MB Darren De Souza Public Health and Engagement Lead DDS Kathryn Kelly Head of Operations and Support KK Lisa Meeks Service Implementation Lead LM am only 3.0 WELCOME TO THE MEETING • Apologies were received from Mohammed Hussain • Katie Linstead from Day Lewis Pharmacy, attending as an observer, was welcomed to the meeting. • Members were asked to observe meeting etiquette. 4.0 COMMITTEE GOVERNANCE Members were asked to note the contents of the LPC Code of Conduct and inform the Chair of any changes to their Declaration of Interests. Members were also asked to note the Competition Law Compliance Guidelines. 5.0 MINUTES OF THE LAST MEETING The minutes of the meeting on 13th September 2017 were proposed as a true record of the meeting by HD and seconded by ASa. These were signed by FF. 6.0 MATTERS ARISING AND REVIEW OF THE ACTION POINTS OF FROM THE MINUTES SL left the meeting during this session to take a conference call for around an hour. 6.1 6.1 – Electronic Repeat Dispensing (eRD) • Following feedback from HD and DB at the July meeting around their concerns about the key messages and knowledge of NHS Digital staff relating to eRD, this was fedback to MH. • RB advised that she is meeting with NHS Digital regarding potential training events. • HD had become aware of some work being done in Ilkley by Well around training pharmacists on the GP elements of eRD. BT reported that this was some work done locally with a GP practice who was reluctant to engage with eRD. BT advised that arrangements can be made for a local trainer to go into a practice for a week, if the GP funds this. • MB is working on a guide on how eRD works in both community pharmacy and GP practice. • An A4 “how to do” on the main systems and the pitfalls and troubleshooting has been completed. 6.2 6.2 – 7-Day Prescribing Guide MI has undertaken work on preparing a notification around 7-day prescribing. Work on this will continue and the document will be circulated Action: 7-Day Prescribing notification to be finalised and circulated to pharmacies. RB 6.3 6.7 – Pharmacy Integration Fund No additional suggestions have been received from members for topics for Pharmacy Integration funding bids. The following two suggestions from RB will be put forward: • Work around care navigators looking at better directing patients, possibly using mobile DoS • Using pharmacy integration funding for the community pharmacy referral scheme 6.4 7.3 – Sharps Returns Information regarding pharmacies who will accept sharps returned by patients has been received from the Area Team and has been updated on the Community Pharmacy West Yorkshire website. 6.5 15.3 - Rebate Schemes • RB has been in contact with Bolton LPC regarding rebate schemes as it was thought that these had been stopped in the area, however, this is not the case. • Following discussions at the previous meeting around FoI requests, PSNC have advised that they are looking into rebate schemes and have asked that no FoI requests are instigated. 6.6 15.4 – Healthwatch RB and DDS have made contact and are speaking with Healthwatch in the area. 6.7 15.6 – Bradford EHC No formal response has been received to the letter sent to Bradford Public Health around the termination of the EHC service in Bradford. It was felt that there is little other action which can now be taken to overturn this decision. 6.8 16.0 – Committee Skills Mapping Following on from the committee skills mapping exercise, a letter is to be prepared and circulated to all contractors detailing the committee members for each locality along with the members’ contact details. Action:- Letter of introduction to be drafted to be approved by the committee. RB 6.9 All other items have been completed or are agenda items. Page 2 of 10 7.0 NHS ENGLAND - NORTH (YORKSHIRE AND THE HUMBER) – Gill Sealy 7.1 Palliative Care • Work is continuing developing a West Yorkshire wide service. Three-months’ notice will be given for the current service and expression of interest letters will be sent out for the new service which is due to start on 1st April 2018. Work is ongoing to finalise the formulary. • RB highlighted that an IT platform is required for this service otherwise the SLA will need to be revisited around costs. • Members expressed concerns around the residual drugs for the terminated service. GS advised that she believed these would be paid for. Action: MW and MB to meet to discuss taking this forward. MW/MB 7.2 Bank Holiday NUMSAS Cover • Christmas cover for pharmacies providing NUMSAS is to be pushed forward. Information to be shared with MB later today. • Area team will write out to pharmacies in January 2018 asking for Bank Holiday coverage plans for the year. RB advised that the PharmOutcomes system would be a good way to capture this information should the Area Team be willing to fund a licence. Action: GS to discuss PharmOutcomes option with Anna Ladd. GS 7.3 NHSmail – Principles of Use • NHSE have email addresses for many community pharmacies and wish to look at moving to electronic communication. RB highlighted the need for principles of use to be in place prior to this becoming the preferred method of communication. • The importance of supporting pharmacies prior to these changes being implemented was highlighted. • Members discussed potential issues with this line of communication which included: ▪ Pharmacies not checking their emails on a regular basis and how to develop habits to ensure that this is done ▪ The need to be able to see that there are emails waiting to be read ▪ Area manager access to NHSmail ▪ Advice from PMR suppliers around not having emails due to the risk of viruses Action: RB to work with NHS England for a proposal to move from letter based RB communications to NHSmail communications. 7.4 CPAF The full CPAF questionnaire has been sent to 37 pharmacies to be completed. 14 of the pharmacies have accessed the questionnaire but not yet completed and 14 have not yet accessed it. Action: GS to share pharmacy information with KK so the pharmacies can be supported GS with this. 8.0 FREEDOM TO SPEAK UP GUARDIAN PSNC have produced template documents to allow LPC members to be a guardian. Following discussion at the last meeting members had concerns about being the representative for their own contractors. A proposal was put forward at the regional PSNC meeting to use a neighbouring LPC. Humber and North Yorkshire LPC had concerns around the number of pharmacies in West Yorkshire, but an option for Community Page 3 of 10 Pharmacy West Yorkshire to act for their contractors and the two LPCs to share the West Yorkshire contractors may be an alternative. Members expressed concerns about the risks to LPCs of undertaking this role and the training requirements to enable members to act appropriately. Members felt that this should be a role undertaken by NHS England and that Community Pharmacy West Yorkshire would support contractors going through the process. Action: RB to take this back to NHS England RB 9.0 PSNC CONFERENCE RB, FF, MI and DDS attended this year’s conference in Manchester. RB gave members an overview of the main discussion points: • Political engagement • The role of community pharmacy • Working across sectors • New ways of working – Primary Care Home • PSNC reductions in spending and LPCs working at a regional level • Pharmacy funding • The way forward 10.0 PRIMARY CARE HOME RB gave members an overview of primary care home. This is already active in Yeadon, with DB attending these meetings and in Armley with MB attending here. DB advised that the meetings are evolving to be GP focused and highlighted the need for the groups to see what community pharmacy can offer. MB stated that it is important to go to these meeting with an offer of what community pharmacy can do. Letters are to be sent out to pharmacies in Leeds and Bradford regarding alignment to neighbourhoods and expressions of interest to represent pharmacy at these meetings. Members again discussed the funding for contractors to attend these meetings. Action: RB to send DB details of the Medicines Optimisation service from Bath and ME RB Somerset to share with the Local Care Partnership, if relevant. 11.0 COMMUNITY PHARMACY WEST YORKSHIRE AWARDS DINNER DDS delivered a presentation to members around proposals for an awards dinner to celebrate what pharmacy does. The awards will be targeted at all members of the pharmacy team. Members were in support of this event and felt it should be held in February 2019. Funding and costings are still to be finalised. DB advised that he had been involved with the Community Pharmacy Humber’s event and would support the team with this. FF, AC ASm and BK also offered their support. Action: DDS to continue to work on the proposal. 12.0 SERVICE AND EVALUATION UPDATE – Lisa Meeks Key areas for update included: 12.1 Workplan Ref: 18 Page 4 of 10 LM advised members that despite an initial positive meeting with AWC CCG to discuss the extension of Pharmacy First, they have taken the decision to terminate the service from 8th February 2018.
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