Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

Cumbria Pharmaceutical Needs Assessment Appendices 2014

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Contents

1. Terms of Reference...... 3 2. Pharmacy Questionnaire...... 5 3. Community Pharmacy Services ...... 12 4. Community Pharmacy opening times ...... 19 5. NHS England Commissioning Intentions ...... 26 6. Time To travel map ...... 27 7. Other relevant services ...... 28 8. Sexual Health & Contraception clinics ...... 29 9. Public survey ...... 33 10. Stakeholder list ...... 44 11. Consultation responses ...... 45 12. Dispensing practice opening times ...... 52 13. Access and Opening Times ...... 56

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

1. TERMS OF REFERENCE

Pharmaceutical Needs Assessment Steering Group

TERMS OF REFERENCE

1. Name of Group PNA Steering Group

2. Connectivity Health and Wellbeing Board Intelligence (this group reports to:) Group

Committees / individuals None reporting to this group

3. Chair Team leader – Information & Intelligence – Cumbria County Council

Vice Chair

4. Members of Group  H&WB sponsor  Public Health  CCG  Local Pharmaceutical Committee  Local Professional Network  Healthwatch  Communications  Public Health Intelligence  NHS England  Dispensing GP rep Others co-opted as required by the needs of the project

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

5. Function of the Group (Terms of Reference)

 To produce a pharmaceutical Needs Assessment for the Cumbria Health and Wellbeing Board that fufils the statutory requirement

 To identify and report any risks to the Health and Wellbeing Board that might jeopardise the production of PNA.

6. Quorum 1/3 of the group

7. Review date for ToR November 2014

8. Frequency of Meetings As required to ensure production of the product

9. Other Matters

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

2. PHARMACY QUESTIONNAIRE

Pharmacy PNA Questionnaire 2014

1. Which district is your pharmacy or dispensing practice in?

 Allerdale

 Barrow

 Carlisle

 Copeland

 Eden

 South Lakeland

2. What is the postcode of your pharmacy or dispensary?

______

Consultation facilities

3. Which of the following statements best describes your access to consultation facilities?

 I have a consultation room on-site with wheelchair access

 I have a consultation room on-site without wheelchair access

 I have access to an off-site consultation facility

 I have plans to establish a consultation room within the next 12 months

 I do not have access to a consultation room and have no plans to establish this within 12 months

Electronic prescription service (EPS)

4. Please tick the statements about EPS below that apply to your pharmacy (you can tick more than one statement)

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

 We are Release 1 enabled

 We are Release 2 enabled

 We are planning to introduce Release 1 within 12 months

 We are planning to introduce Release 2 within 12 months

 We do not currently have plans for EPS

Services

5. Please select the appropriate statement about your pharmacy and dispensing of appliances

 We dispense all types of appliances

 We dispense but excluding stoma appliances

 We dispense but excluding incontinence apliances

 We dispense but excluding stoma and incontinence appliances

 We only dispense dressings

 Other (please state) ______

6. Do you provide these advanced services?

Yes No - intend to provide No - do no intend to within 12 months provide in the next 12 months

Medicine review    service

Appliance review    service

Stoma appliance    customisation service

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

7. Which of these enhanced services do you provide or would be willing to provide?

Currently Willing and able if Willing if Not looking to providing comissioned commissioned but provide service need training

Anti coagulant     monitoring service

Anti viral     distribution service

Care home     service

Chlamydia     Testing Service

Chlamydia     Treatment Service

Disease Specific     Medicines Management Service - Allergies

Disease Specific     Medicines Management Service - Alzheimer's dementia

Disease Specific     Medicines Management Service - Asthma

Disease Specific     Medicines Management Service - CHD

Disease Specific     Medicines

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

Management Service - COPD

Disease Specific     Medicines Management Service - Depression

Disease Specific     Medicines Management Service - Diabetes type I

Disease Specific     Medicines Management Service - Diabetes type II

Disease Specific     Medicines Management Service - Epilepsy

Disease Specific     Medicines Management Service - Heart Failure

Disease Specific     Medicines Management Service - Hypertension

Disease Specific     Medicines Management Service - Parkinson's disease

Emergency     Hormonal Contraception

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

Service

Gluten Free Food     Supply Service (i.e. not via FPlO)

Home Delivery     Service (not appliances)

Independent     Prescribing Service

Language Access     Service

Medication     Review Service

Medicines     Assessment and Compliance Support Service

Minor Ailment     Scheme

MUR plus Service    

Needle and     Syringe Exchange Service

NHS health check     programme

Obesity     management (adults and children)

On Demand     Availability of Specialist Drugs Service

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

8. Which of these enhanced services do you provide or would be willing to provide?

Currently Willing and able if Willing if Not looking to providing comissioned commissioned but provide service need training

Oral     contraceptive service

Out of hours     service

Phlebotomy     service

Prescriber     support service

Schools service    

Screening service     - Alcohol

Screening service     - Cholesterol

Screening service     - Diabetes

Screening service     - Gonorrhoea

Screening service     - H. pylori

Screening service     - HbA1C

Screening service     - Hepatitis

Screening service     - HIV

Seasonal     influenza vaccination service

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

Childhood     vaccination

HPV    

Travel     vaccinations

Sharps disposal     service

Stop smoking     service

Supervised     administration service

9. Does your pharmacy provide any of these non NHS funded services? (tick all those you provide)

 Collection of prescriptions from surgeries

 Delivery of dispensed medicines (free of charge on request)

 Delivery of dispensed medicines (charged for service)

10. Any comments you would like to make for the draft PNA?

______

11. Name of person completing this form

______

12. Contact telephone number of person completing this form

______

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

3. COMMUNITY PHARMACY SERVICES

EHC

Scheme

Palliative Care Palliative

NHS health checks health NHS

Appliance use review use Appliance

Stop smoking service smoking Stop

Medicine Use Review Use Medicine

MiNr Ailment Scheme Ailment MiNr

Access to IV antibiotics to IV Access

New Medicines Service Medicines New Gluten Free Food Free Gluten

Unique exchange syringe and Needle Stoma Appliance customisation Appliance Stoma Identifier Pharmacy Name Address 1 Town Vaccination Influenza Seasonal P1 Alston Pharmacy Front Street Alston Y Y Y Y Y Y P2 Boots the Chemists Unit 8-9 Ambleside Y * * Y Y Y Y Y P3 Thomas Bell (Chemists) Ltd Lake Road Ambleside * * Y P4 Your Local Boots Pharmacy 11 Boroughgate Appleby Y Y Y Y Y Y P5 Rowlands Pharmacy 38 The Promenade Arnside * * Y Y Y Y West Street Health P6 Your Local Boots Pharmacy Centre Aspatria Y Y Y Y Y Y P7 ASDA Pharmacy Asda Superstore Barrow-in-Furness Y Y Y Y Y Y Y P8 Boots the Chemists 15-17 Portland Walk Barrow-in-Furness Y Y Y Y Y P9 Cowards Pharmacy 52 Hartington Street Barrow-in-Furness Y Y P10 J N Murray Ltd 62 Rawlinson Street Barrow-in-Furness Y Y Y Y P11 J N Murray Ltd 56 Settle Street Barrow-in-Furness Y Y Y Y Y P12 J N Murray Ltd 108 Duke Street Barrow-in-Furness Y Y Y Y P13 J N Murray Ltd 176 Roose Road Barrow-in-Furness Y Y Y Y Y P14 J N Murray Ltd 168 Dalton Road Barrow-in-Furness Y Y Y Y Y P15 J N Murray Ltd Community Centre Barrow-in-Furness Y Y Y Y Y P16 J N Murray Ltd 3 Anchor Road Barrow-in-Furness Y Y Y P17 J N Murray Ltd 44 Middlefield Barrow-in-Furness Y Y Y Y Y Y Y Y

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

EHC

Palliative Care Palliative

syringe exchange syringe

NHS health checks health NHS

Appliance use review use Appliance

Stop smoking service smoking Stop

Medicine Use Review Use Medicine

MiNr Ailment Scheme Ailment MiNr

Access to IV antibiotics to IV Access

New Medicines Service Medicines New Gluten Free Food Scheme Food Free Gluten

Unique and Needle Stoma Appliance customisation Appliance Stoma Identifier Pharmacy Name Address 1 Town Vaccination Influenza Seasonal P18 J N Murray Ltd 68 Dalton Road Barrow-in-Furness Y Y Y Y Y Y P19 J N Murray Ltd 32 Warwick Street Barrow-in-Furness Y Y Y Y Y Y Y Y P20 Tesco Instore Pharmacy Tesco Extra Barrow-in-Furness Y Y Y Y Y Y Y Y P21 Your Local Boots Pharmacy 54-56 Dalton Road Barrow-in-Furness Y Y Y Y Y P22 Your Local Boots Pharmacy 8 Risedale Road Barrow-in-Furness Y Y Y Y Y Y P23 H Jobson Chemist Market Place Brampton Y Y Y Y Y Y Y Y P24 ASDA Pharmacy Asda Stores Carlisle Y Y Y Y Y Y Y Y Y P25 Boots the Chemists 43-49 English Street Carlisle Y Y Y Y Y Y Y P26 Dalston Pharmacy Ltd 7 Central Avenue Carlisle Y Y Y Y Y Y Y Y Y P27 Dalston Pharmacy Ltd Arnside House Carlisle Y Y Y Y Y Y P28 LloydsPharmacy 76 Warwick Road Carlisle Y Y Y Y Y P29 LloydsPharmacy 46-50 Warwick Road Carlisle Y Y Y Y Y Y P30 Sainsbury's Pharmacy Sainsbury's Store Carlisle Y Y Y Y Y P31 Sawyers Pharmacy 31/33 Fisher Street Carlisle Y Y Y Y Y P32 Superdrug Pharmacy Unit 1 Carlisle Y Y Y Y Y Y P33 Tesco Instore Pharmacy Warwick Road Carlisle Y Y Y Y Y Y P34 The Co-operative Pharmacy 28 Blackwell Road Carlisle Y Y Y Y Y Y P35 The Co-operative Pharmacy 59 Orton Road Carlisle Y Y Y Y Y Y Y P36 The Co-operative Pharmacy 29 Stonegarth Carlisle Y Y Y Y Y Y Y

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

EHC

Food Scheme Food

Palliative Care Palliative

NHS health checks health NHS

Appliance use review use Appliance

Stop smoking service smoking Stop

Medicine Use Review Use Medicine

MiNr Ailment Scheme Ailment MiNr

Access to IV antibiotics to IV Access

New Medicines Service Medicines New Gluten Free Free Gluten

Unique exchange syringe and Needle Stoma Appliance customisation Appliance Stoma Identifier Pharmacy Name Address 1 Town Vaccination Influenza Seasonal P37 The Co-operative Pharmacy 55 Wigton Road Carlisle Y Y Y Y Y Y Y Y P38 The Co-operative Pharmacy The Surgery Carlisle Y Y Y Y Y Y Y P39 The Co-operative Pharmacy 33B Scotland Road Carlisle Y Y Y Y Y Y Y Y P40 The Co-operative Pharmacy Fusehill Medical Centre Carlisle Y Y Y Y Y Y P41 The Co-operative Pharmacy 139 Denton Street Carlisle Y Y Y Y Y Y Y Y P42 Your Local Boots Pharmacy 6 Petteril Bank Road Carlisle Y Y Y Y Y Y Y Cleator Moor Health P43 J N Murray Ltd Centre Cleator Moor Y Y Y Y Y P44 Boots the Chemists 56-58 Main Street Cockermouth Y Y Y Y Y Y Cockermouth Community Hospital and Health P45 Castlegate Pharmacy Centre Cockermouth Y Y Y Y Y Y Y P46 J W W Allison & Sons Ltd 31 Main Street Cockermouth Y Y Y Y Y Y Y Y P47 Dalston Pharmacy Ltd 2 Vicars Cottages Dalston Y Y Y Y Y Y Y P48 LloydsPharmacy 75-77 Market Street Dalton-in-Furness Y Y Y P49 J N Murray Ltd 31 Market Place Egremont Y Y Y Y Y Y Y Y Y P50 Your Local Boots Pharmacy 67-68 Main Street Egremont Y Y Y Y Y Y P51 Vantage Pharmacy 1 Market Street Flookburgh Y Y Y Y Y P52 Your Local Boots Pharmacy 6 Main Street Frizington Y Y Y Y Y Y P53 The Co-operative Pharmacy Kents Bank Road Grange-over-Sands Y * * Y Y Y

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

EHC

Review

Palliative Care Palliative

NHS health checks health NHS

Appliance use review use Appliance

Stop smoking service smoking Stop

Medicine Use Use Medicine

MiNr Ailment Scheme Ailment MiNr

Access to IV antibiotics to IV Access

New Medicines Service Medicines New Gluten Free Food Scheme Food Free Gluten

Unique exchange syringe and Needle Stoma Appliance customisation Appliance Stoma Identifier Pharmacy Name Address 1 Town Vaccination Influenza Seasonal P54 Co-operative Pharmacy Main Street Grange-over-Sands * * Y Y Y Y P55 Grasmere Pharmacy 1 Oakbank Grasmere Y * * Y Y Y Y Y Y Y P56 Collins and Butterworth Ltd The Pharmacy Hawkshead Y * * Y Y Y Y Y Y P57 ASDA Pharmacy Asda Superstore Kendal Y * * Y Y Y Y Y P58 Boots the Chemists Unit 10 Kendal Y * * Y Y Y Y P59 L Rowland & Co (Retail) Ltd The Gillingate Centre Kendal * * Y Y P60 LloydsPharmacy Station House Kendal Y * * Y Y 18a Westmorland P61 Superdrug Pharmacy Shopping Centre Kendal Y * * Y Y Y Y (Captain French P62 The Co-operative Pharmacy Pharmacy) Kendal Y * * Y Y Y Y P63 The Co-operative Pharmacy Maude Street Pharmacy Kendal Y * * Y Y Y Y Y P64 The Co-operative Pharmacy Helme Chase Surgery Kendal Y * * Y Y Y Y Y Y P65 Boots the Chemists 31 Main Street Keswick Y Y Y Y Y Y Y Y P66 J N Murray Ltd 15 - 17 Station Street Keswick Y Y Y Y P67 Keswick Pharmacy 25 Main Street Keswick Y Y Y Y P68 Your Local Boots Pharmacy 2 & 4 Market Square Kirkby Lonsdale Y * * Y Y Y The Green Tree Pharmacy P69 Ltd 8 Market Street Kirkby Stephen Y Y Y Y Y Y Y P70 Your Local Boots Pharmacy 16 English Street Longtown Y Y Y Y Y Y Y

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

EHC

Vaccination

Palliative Care Palliative

NHS health checks health NHS

Appliance use review use Appliance

Stop smoking service smoking Stop

Medicine Use Review Use Medicine

MiNr Ailment Scheme Ailment MiNr

Access to IV antibiotics to IV Access

New Medicines Service Medicines New Gluten Free Food Scheme Food Free Gluten

Unique exchange syringe and Needle Stoma Appliance customisation Appliance Stoma Identifier Pharmacy Name Address 1 Town Influenza Seasonal P71 A F Norman 55 Senhouse Street Maryport Y Y Y Y Y Y P72 Alneburgh Pharmacy Limited Alneburgh House Maryport Y Y Y Y Y P73 H S Dobie Dispensing Chemist Maryport Y Y Y Y Y Y Y P74 Boots The Chemists 48/52 Wellington Street Millom Y Y Y Y Y Y Y P75 Rowlands Pharmacy 43 - 45 Wellington Street Millom Y Y Y Y Y Y Y P76 Rowlands Pharmacy 1 Haverflatts Lane Milnthorpe * * Y Y Y Y P77 Boots the Chemists Unit 3 Penrith Y Y Y Y Y Y Y P78 Joseph Cowper Limited 49 - 50 King Street Penrith Y Y Y Y Y Y Y Penrith Health Centre P79 Pharmacy Bridge Lane Penrith Y Y Y Y Y Y Y Y Sainsbury Instore P80 Sainsbury's Pharmacy Pharmacy Penrith Y Y Y Y Y Y P81 The Co-operative Pharmacy 8 Middlegate Penrith Y Y Y Y Y Y Y Y P82 Wm Morrisons Pharmacy Brunswick Road Penrith Y Y Y Y Y Y Y P83 Seascale Pharmacy Gosforth Road Seascale Y Y Y Y Y Y P84 Your Local Boots Pharmacy 48-50 Main Street Sedbergh Y * * Y Y Y Y P85 The Co-operative Pharmacy 1-3 Station Road Silloth Y Y Y Y Y Y Y Y P86 Silverdale Pharmacy Ltd 18 Emesgate Lane Silverdale Y P87 Staveley Pharmacy The Pharmacy Staveley Y * * Y Y Y Y Y P88 Boots the Chemists 32/34 Market Street Ulverston Y * * Y Y Y Y

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

EHC

Palliative Care Palliative

NHS health checks health NHS

Appliance use review use Appliance

Stop smoking service smoking Stop

Medicine Use Review Use Medicine

MiNr Ailment Scheme Ailment MiNr

Access to IV antibiotics to IV Access

New Medicines Service Medicines New Gluten Free Food Scheme Food Free Gluten

Unique exchange syringe and Needle Stoma Appliance customisation Appliance Stoma Identifier Pharmacy Name Address 1 Town Vaccination Influenza Seasonal P89 J N Murray Ltd Ulverston Health Centre Ulverston * * Y Y P90 J N Murray Ltd 10 Market Place Ulverston * * Y Y Y Y P91 Boots the Chemists 26 King Street Whitehaven Y Y Y Y Y Y Y P92 Mirehouse Pharmacy 59 Meadow Road Whitehaven Y Y Y Y Y Y Y Y P93 Seacliffe Pharmacy High Road Whitehaven Y Y Y Y Y Y Y Y P94 Tesco Instore Pharmacy Bransty Row Whitehaven Y Y Y Y Y P95 W Fare Limited 71 - 73 Market Place Whitehaven Y Y Y Y Y Y Y Whitehaven Late Night P96 Pharmacy Unit1 - Lowther Buildings Whitehaven Y Y Y Y Y Y Y P97 Wm Morrisons Pharmacy Morrisons Ltd Whitehaven Y Y Y Y Y Y Y Y P98 The Co-operative Pharmacy 14 King Street Wigton Y Y Y Y Y Y Y Y P99 The Co-operative Pharmacy Wigton Medical Centre Wigton Y Y Y Y Y Y P100 Boots the Chemists 10-12 Crescent Road Windermere Y * * Y Y Y Y David Carter (Disp Chemist) P101 Ltd 16 Crescent Road Windermere * * Y Y Y Windermere Health Centre P102 Pharmacy Ltd Goodley Dale Windermere * * Y Y Y Y P103 ASDA Pharmacy Asda Store Workington Y Y Y Y Y Y Y P104 Boots the Chemists 29 Murray Road Workington Y Y Y Y Y Y Y P105 F C Whelan Chemist 72 John Street Workington Y Y Y Y Y

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

EHC

Scheme

Palliative Care Palliative

NHS health checks health NHS

Appliance use review use Appliance

Stop smoking service smoking Stop

Medicine Use Review Use Medicine

MiNr Ailment Scheme Ailment MiNr

Access to IV antibiotics to IV Access

New Medicines Service Medicines New Gluten Free Food Food Free Gluten

Unique exchange syringe and Needle Stoma Appliance customisation Appliance Stoma Identifier Pharmacy Name Address 1 Town Vaccination Influenza Seasonal P106 Harrington Pharmacy 25 Church Road Workington Y Y Y Y Y Y Y P107 J H Sandham (Chemists) 64 - 66 Harrington Road Workington Y Y Y Unit 6 Moorclose P108 Moorclose Pharmacy Roundabout Workington Y Y Y P109 Seaton Pharmacy 91 Main Road Workington Y Y Y Y Y Y Y Workington Community P110 Tuschem Limited Hospital Workington Y Y Y Y Y Y P111 W Gourlay (Chemists) 25 - 27 Oxford Street Workington Y Y Y Y

* Approval for service to be commissioned has been given by CCG.

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

4. COMMUNITY PHARMACY OPENING TIMES

Unique Additional Identifier Pharmacy Name Address 1 Town Mon Tues Wed Thu Fri Sat Sun closures 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P1 Alston Pharmacy Front Street Alston 17:30 12:30 17:30 17:30 17:30 12:30 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- 10:30- P2 Boots the Chemists Unit 8-9 Ambleside 18:30 18:30 18:30 18:30 18:30 18:00 17:30 09:30- 09:30- 09:30- 09:30- 09:30- 09:30- P3 Thomas Bell (Chemists) Ltd Lake Road Ambleside 17:30 17:30 17:30 17:30 17:30 17:30 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P4 Your Local Boots Pharmacy 11 Boroughgate Appleby 18:30 18:30 18:30 18:30 18:30 17:00 Closed Closed 13:00 38 The 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- to 13:20 P5 Rowlands Pharmacy Promenade Arnside 17:30 17:30 17:30 17:30 17:30 17:00 Closed mon-fri West Street 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P6 Your Local Boots Pharmacy Health Centre Aspatria 18:30 18:30 18:30 18:30 18:30 12:00 Closed Barrow-in- 08:00- 07:00- 07:00- 07:00- 07:00- 07:00- 11:00- P7 ASDA Pharmacy Asda Superstore Furness 23:00 23:00 23:00 23:00 23:00 22:00 17:00 15-17 Portland Barrow-in- 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P8 Boots the Chemists Walk Furness 17:30 17:30 17:30 17:30 17:30 17:30 Closed 52 Hartington Barrow-in- 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P9 Cowards Pharmacy Street Furness 18:00 18:00 18:00 18:00 18:00 12:30 Closed 62 Rawlinson Barrow-in- 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P10 J N Murray Ltd Street Furness 18:00 18:00 18:00 18:00 18:00 12:30 Closed Barrow-in- 09:00- 09:00- 09:00- 09:00- 09:00- P11 J N Murray Ltd 56 Settle Street Furness 17:30 17:30 17:30 17:30 17:30 Closed Closed Barrow-in- 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P12 J N Murray Ltd 108 Duke Street Furness 17:30 17:30 17:30 17:30 17:30 17:30 Closed Closed 11:45- Barrow-in- 08:30- 08:30- 08:30- 08:30- 08:30- 08:30- 13:00 on P13 J N Murray Ltd 176 Roose Road Furness 18:00 18:00 18:00 18:00 18:00 17:00 Closed Saturday. Barrow-in- 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P14 J N Murray Ltd 168 Dalton Road Furness 17:30 17:30 17:30 17:30 17:30 17:30 Closed Community Barrow-in- 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P15 J N Murray Ltd Centre Furness 18:00 18:00 18:00 18:00 18:00 17:00 Closed

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

Unique Additional Identifier Pharmacy Name Address 1 Town Mon Tues Wed Thu Fri Sat Sun closures Barrow-in- 08:30- 08:45- 08:45- 08:45- 08:45- 08:45- Closed 1-2 P16 J N Murray Ltd 3 Anchor Road Furness 17:30 17:30 17:30 17:30 17:30 17:30 Closed for lunch. Barrow-in- 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P17 J N Murray Ltd 44 Middlefield Furness 17:30 17:30 17:30 17:30 17:30 12:30 Closed Barrow-in- 08:30- 08:30- 08:30- 08:30- 08:30- 09:00- P18 J N Murray Ltd 68 Dalton Road Furness 18:00 18:00 18:00 18:00 18:00 17:00 Closed Barrow-in- 08:30- 08:30- 08:30- 08:30- 08:30- 09:00- P19 J N Murray Ltd 32 Warwick Street Furness 18:30 18:30 18:30 18:30 18:30 17:00 Closed Barrow-in- 08:00- 06:30- 06:30- 06:30- 06:30- 06:30- 11:00- P20 Tesco Instore Pharmacy Tesco Extra Furness 22:30 22:30 22:30 22:30 22:30 22:00 17:00 54-56 Dalton Barrow-in- 08:45- 08:45- 08:45- 08:45- 08:45- 08:45- P21 Your Local Boots Pharmacy Road Furness 18:00 18:00 18:00 18:00 18:00 17:00 Closed Barrow-in- 08:45- 08:45- 08:45- 08:45- 08:45- 09:30- P22 Your Local Boots Pharmacy 8 Risedale Road Furness 18:30 18:30 18:30 18:30 18:30 17:30 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P23 H Jobson Chemist Market Place Brampton 18:00 17:30 18:00 17:30 18:00 15:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 08:30- 10:00- P24 ASDA Pharmacy Asda Stores Carlisle 21:00 21:00 21:00 21:00 21:00 21:00 16:00 43-49 English 08:30- 08:30- 08:30- 08:30- 08:30- 08:30- 10:30- P25 Boots the Chemists Street Carlisle 18:00 18:00 18:00 18:00 18:00 18:00 16:30 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P26 Dalston Pharmacy Ltd 7 Central Avenue Carlisle 17:45 17:45 17:45 17:45 17:45 17:30 Closed 08:30- 08:30- 08:30- 08:30- 08:30- P27 Dalston Pharmacy Ltd Arnside House Carlisle 18:00 18:00 18:00 18:00 18:00 Closed Closed 08:30- 08:30- 08:30- 08:30- 08:30- P28 LloydsPharmacy 76 Warwick Road Carlisle 18:00 18:00 18:00 18:00 18:00 Closed Closed 46-50 Warwick 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P29 LloydsPharmacy Road Carlisle 18:00 18:00 18:00 17:30 18:00 17:30 Closed 08:00- 07:00- 07:00- 07:00- 07:00- 07:00- 10:00- P30 Sainsbury's Pharmacy Sainsbury's Store Carlisle 23:00 23:00 23:00 23:00 23:00 22:00 16:00 31/33 Fisher 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P31 Sawyers Pharmacy Street Carlisle 17:30 17:30 17:30 17:00 17:30 17:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P32 Superdrug Pharmacy Unit 1 Carlisle 17:30 17:30 17:30 17:30 17:30 17:30 Closed 08:00- 08:00- 08:00- 08:00- 08:00- 08:00- 10:00- P33 Tesco Instore Pharmacy Warwick Road Carlisle 20:00 20:00 20:00 20:00 20:00 20:00 16:00

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

Unique Additional Identifier Pharmacy Name Address 1 Town Mon Tues Wed Thu Fri Sat Sun closures 28 Blackwell 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P34 The Co-operative Pharmacy Road Carlisle 17:30 17:30 17:30 17:30 17:30 15:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P35 The Co-operative Pharmacy 59 Orton Road Carlisle 17:30 17:30 17:30 17:30 17:30 15:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P36 The Co-operative Pharmacy 29 Stonegarth Carlisle 17:30 17:30 17:30 17:30 17:30 15:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P37 The Co-operative Pharmacy 55 Wigton Road Carlisle 17:30 17:30 17:30 17:30 17:30 12:30 Closed 08:45- 08:45- 08:45- 08:45- 08:45- 09:00- P38 The Co-operative Pharmacy The Surgery Carlisle 18:00 18:00 18:00 18:00 18:00 12:30 Closed 33B Scotland 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P39 The Co-operative Pharmacy Road Carlisle 17:45 17:45 17:45 17:45 17:45 17:00 Closed Fusehill Medical 08:30- 08:30- 08:30- 08:30- 08:30- P40 The Co-operative Pharmacy Centre Carlisle 18:00 18:00 18:00 18:00 18:00 Closed Closed 139 Denton 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P41 The Co-operative Pharmacy Street Carlisle 17:30 17:30 17:30 17:30 17:30 17:30 Closed 6 Petteril Bank 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P42 Your Local Boots Pharmacy Road Carlisle 18:00 18:00 18:00 18:00 18:00 13:00 Closed Cleator Moor 08:00- 08:00- 08:00- 08:00- 08:00- 08:00- P43 J N Murray Ltd Health Centre Cleator Moor 20:00 20:00 20:00 20:00 20:00 13:00 Closed 56-58 Main 08:30- 08:30- 08:30- 08:30- 08:30- 09:00- P44 Boots the Chemists Street Cockermouth 18:00 18:00 18:00 18:00 18:00 17:30 Closed Cockermouth Community Hospital and 07:00- 07:00- 07:00- 07:00- 07:00- 07:00- 10:00- P45 Castlegate Pharmacy Health Centre Cockermouth 22:00 22:00 22:00 22:00 22:00 22:00 20:00 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P46 J W W Allison & Sons Ltd 31 Main Street Cockermouth 17:30 17:30 17:30 17:30 17:30 16:00 Closed 2 Vicars 08:30- 08:30- 08:30- 08:30- 08:30- P47 Dalston Pharmacy Ltd Cottages Dalston 18:00 18:00 18:00 18:00 18:00 08:30:12:00 Closed 75-77 Market Dalton-in- 08:30- 08:30- 08:30- 08:30- 08:30- 09:00- P48 LloydsPharmacy Street Furness 18:30 18:30 18:30 18:30 18:30 17:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P49 J N Murray Ltd 31 Market Place Egremont 18:30 18:30 18:30 18:30 18:30 17:00 Closed 67-68 Main 09:00- 08:30- 08:30- 08:30- 08:30- 09:00- P50 Your Local Boots Pharmacy Street Egremont 18:30 18:30 18:30 18:30 18:30 12:30 Closed

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

Unique Additional Identifier Pharmacy Name Address 1 Town Mon Tues Wed Thu Fri Sat Sun closures 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P51 Vantage Pharmacy 1 Market Street Flookburgh 18:00 18:00 18:00 17:30 18:00 13:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P52 Your Local Boots Pharmacy 6 Main Street Frizington 18:00 17:30 17:30 18:00 17:30 12:30 Closed Grange-over- 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P53 The Co-operative Pharmacy Kents Bank Road Sands 18:00 18:00 18:00 18:00 18:00 17:00 Closed Grange-over- 09:00- 09:00- 09:00- 09:00- 09:00- P54 Co-operative Pharmacy Main Street Sands 17:30 17:30 17:30 17:30 17:30 Closed Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P55 Grasmere Pharmacy 1 Oakbank Grasmere 17:30 17:30 17:30 13:00 17:30 12:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- 11:00- P56 Collins and Butterworth Ltd The Pharmacy Hawkshead 18:00 18:00 18:00 17:30 18:00 17:00 16:00 08:00- 08:00- 08:00- 08:00- 08:00- 08:00- 10:00- P57 ASDA Pharmacy Asda Superstore Kendal 21:00 21:00 21:00 21:00 21:00 21:00 16:00 08:30- 08:30- 08:30- 08:30- 08:30- 08:30- 10:30- P58 Boots the Chemists Unit 10 Kendal 18:00 18:00 18:00 18:00 18:00 17:30 16:30 The Gillingate 09:00- 09:00- 09:00- 09:00- 09:00- Closed 13:00 P59 L Rowland & Co (Retail) Ltd Centre Kendal 18:30 18:30 18:30 18:30 18:30 Closed Closed to 13:20 08:30- 08:30- 08:30- 08:30- 08:30- P60 LloydsPharmacy Station House Kendal 18:00 18:00 18:00 18:00 18:00 Closed Closed 18a Westmorland 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P61 Superdrug Pharmacy Shopping Centre Kendal 17:30 17:30 17:30 17:30 17:30 17:30 Closed (Captain French 08:45- 08:45- 08:45- 08:45- 08:45- P62 The Co-operative Pharmacy Pharmacy) Kendal 18:00 18:00 18:00 18:00 18:00 Closed Closed Maude Street 08:30- 08:30- 08:30- 08:30- 08:30- P63 The Co-operative Pharmacy Pharmacy Kendal 17:30 17:30 17:30 17:30 17:30 Closed Closed Helme Chase 07:00- 07:00- 07:00- 07:00- 07:00- 08:00- 08:00- P64 The Co-operative Pharmacy Surgery Kendal 23:00 23:00 23:00 23:00 23:00 18:00 18:00 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- 10:00- P65 Boots the Chemists 31 Main Street Keswick 18:00 18:00 18:00 18:00 18:00 18:00 17:00 15 - 17 Station 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- Closed - P66 J N Murray Ltd Street Keswick 17:30 17:30 17:30 17:30 17:30 17:30 Seasonal 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P67 Keswick Pharmacy 25 Main Street Keswick 17:30 17:30 17:30 17:30 17:30 12:30 Closed 2 & 4 Market Kirkby 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P68 Your Local Boots Pharmacy Square Lonsdale 17:30 17:30 17:30 17:30 17:30 17:30 Closed

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Unique Additional Identifier Pharmacy Name Address 1 Town Mon Tues Wed Thu Fri Sat Sun closures The Green Tree Pharmacy Kirkby 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P69 Ltd 8 Market Street Stephen 17:30 17:30 17:30 17:00 17:30 13:00 Closed 16 English 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P70 Your Local Boots Pharmacy Street Longtown 18:00 18:00 18:00 18:00 18:00 17:00 Closed 55 Senhouse 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P71 A F Norman Street Maryport 17:30 17:30 17:30 17:30 17:30 17:30 Closed 09:00- 09:00- 09:00- 09:00- 09:00- P72 Alneburgh Pharmacy Limited Alneburgh House Maryport 18:00 18:00 18:00 18:00 18:00 Closed Closed Dispensing 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P73 H S Dobie Chemist Maryport 17:30 17:30 17:30 17:30 17:30 12:30 Closed 48/52 Wellington 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P74 Boots The Chemists Street Millom 18:30 18:30 18:30 18:30 18:30 14:00 Closed 43 - 45 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P75 Rowlands Pharmacy Wellington Street Millom 18:30 18:30 18:30 18:30 18:30 12:30 Closed 1 Haverflatts 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P76 Rowlands Pharmacy Lane Milnthorpe 18:30 18:30 18:30 17:30 18:30 13:00 Closed 08:30- 08:30- 08:30- 08:30- 08:30- 08:30- 12:00- P77 Boots the Chemists Unit 3 Penrith 17:30 17:30 17:30 17:30 17:30 17:30 17:00 49 - 50 King 08:45- 08:45- 08:45- 08:45- 08:45- 08:45- P78 Joseph Cowper Limited Street Penrith 17:30 17:30 17:30 17:30 17:30 17:30 Closed Penrith Health Centre 09:00- 09:00- 09:00- 09:00- 09:00- P79 Pharmacy Bridge Lane Penrith 18:00 18:00 18:00 18:00 18:00 Closed Closed Sainsbury Instore 08:00- 07:00- 07:00- 07:00- 07:00- 07:00- 10:00- P80 Sainsbury's Pharmacy Pharmacy Penrith 23:00 23:00 23:00 23:00 23:00 22:00 16:00 08:45- 08:45- 08:45- 08:45- 08:45- 08:45- P81 The Co-operative Pharmacy 8 Middlegate Penrith 17:30 17:30 17:30 17:30 17:30 17:30 Closed 08:00- 08:00- 08:00- 08:00- 08:00- 08:00- 10:00- P82 Wm Morrisons Pharmacy Brunswick Road Penrith 20:00 20:00 20:00 21:00 21:00 19:00 16:00 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P83 Seascale Pharmacy Gosforth Road Seascale 18:00 18:00 18:00 18:00 18:00 13:00 Closed 48-50 Main 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P84 Your Local Boots Pharmacy Street Sedbergh 17:30 17:30 17:30 17:30 17:30 13:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P85 The Co-operative Pharmacy 1-3 Station Road Silloth 18:00 18:00 18:00 18:00 18:00 17:00 Closed 18 Emesgate 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P86 Silverdale Pharmacy Ltd Lane Silverdale 17:00 13:00 17:00 17:00 17:00 13:00 Closed

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

Unique Additional Identifier Pharmacy Name Address 1 Town Mon Tues Wed Thu Fri Sat Sun closures 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P87 Staveley Pharmacy The Pharmacy Staveley 18:00 18:00 18:00 17:00 18:00 12:30 Closed 32/34 Market 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P88 Boots the Chemists Street Ulverston 17:30 17:30 17:30 17:30 17:30 17:30 Closed Ulverston Health 08:45- 08:45- 08:45- 08:45- 08:45- Closed 1-2 P89 J N Murray Ltd Centre Ulverston 18:30 18:30 18:30 18:30 18:30 Closed Closed for lunch. 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P90 J N Murray Ltd 10 Market Place Ulverston 17:30 17:30 17:30 17:30 17:30 17:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P91 Boots the Chemists 26 King Street Whitehaven 17:30 17:30 17:30 17:30 17:30 17:30 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P92 Mirehouse Pharmacy 59 Meadow Road Whitehaven 17:30 17:30 17:30 17:30 17:30 12:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P93 Seacliffe Pharmacy High Road Whitehaven 17:30 17:30 17:30 17:30 17:30 12:00 Closed 08:30- 08:30- 08:30- 08:30- 08:30- 08:30- 10:00- P94 Tesco Instore Pharmacy Bransty Row Whitehaven 19:00 19:00 19:00 19:00 19:00 19:00 16:00 71 - 73 Market 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P95 W Fare Limited Place Whitehaven 17:30 17:30 17:30 17:30 17:30 17:30 Closed Whitehaven Late Night Unit1 - Lowther 07:00- 07:00- 07:00- 07:00- 07:00- 09:00- 12:00- P96 Pharmacy Buildings Whitehaven 23:00 23:00 23:00 23:00 23:00 21:00 20:00 08:30- 08:30- 08:30- 08:30- 08:00- 08:00- 10:00- P97 Wm Morrisons Pharmacy Morrisons Ltd Whitehaven 19:00 19:00 19:00 19:00 19:00 18:00 16:00 08:45- 08:45- 08:45- 08:45- 08:45- 08:45- P98 The Co-operative Pharmacy 14 King Street Wigton 17:30 17:30 17:30 17:30 17:30 17:30 Closed Wigton Medical 09:00- 09:00- 09:00- 09:00- 09:00- P99 The Co-operative Pharmacy Centre Wigton 18:30 18:30 18:30 18:30 18:30 Closed Closed 10-12 Crescent 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P100 Boots the Chemists Road Windermere 17:30 17:30 17:30 17:30 17:30 17:30 Closed David Carter (Disp Chemist) 16 Crescent 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P101 Ltd Road Windermere 17:30 17:30 17:30 17:30 17:30 13:00 Closed Windermere Health Centre 09:00- 09:00- 09:00- 09:00- 09:00- P102 Pharmacy Ltd Goodley Dale Windermere 18:00 18:00 18:00 18:00 18:00 Closed Closed 08:00- 07:00- 07:00- 07:00- 07:00- 07:00- 11:00- P103 ASDA Pharmacy Asda Store Workington 23:00 23:00 23:00 23:00 23:00 22:00 17:00 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- 11:00- P104 Boots the Chemists 29 Murray Road Workington 17:30 17:30 17:30 17:30 17:30 17:30 16:00

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Unique Additional Identifier Pharmacy Name Address 1 Town Mon Tues Wed Thu Fri Sat Sun closures 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P105 F C Whelan Chemist 72 John Street Workington 18:00 18:00 18:00 18:00 18:00 12:30 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P106 Harrington Pharmacy 25 Church Road Workington 17:30 17:30 17:30 17:30 17:30 12:30 Closed 64 - 66 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P107 J H Sandham (Chemists) Harrington Road Workington 18:00 18:00 18:00 18:00 18:00 17:00 Closed Unit 6 Moorclose 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P108 Moorclose Pharmacy Roundabout Workington 18:00 18:00 18:00 18:00 18:00 13:00 Closed 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P109 Seaton Pharmacy 91 Main Road Workington 18:00 18:00 18:00 18:00 18:00 12:00 Closed Workington Community 09:00- 09:00- 09:00- 09:00- 09:00- P110 Tuschem Limited Hospital Workington 17:30 17:30 17:30 17:30 17:30 Closed Closed 25 - 27 Oxford 09:00- 09:00- 09:00- 09:00- 09:00- 09:00- P111 W Gourlay (Chemists) Street Workington 18:00 18:00 18:00 18:00 18:00 17:00 Closed

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5. NHS ENGLAND COMMISSIONING INTENTIONS

NHS England commissioning intentions are detailed below. All services are under review and may change in the future.

Local Scheme 4: Gluten Free Food scheme – pharmacies provide gluten free foods to those patients who have a written referral from either a GP or dietician (originally contracted to NHS Cumbria). Under this scheme pharmacies provide advice and support on the range and quantities of gluten free foods available, agreeing a standard monthly order with each customer according to local guidelines. This is currently in operation in 4 of 6 localities (NB. The CCG has plans in hand to roll out this scheme to the remaining two. They currently hold the budget for this)

Local Scheme 6: Medication Administration Record (MAR sheets) – pharmacies aim to support domiciliary care workers by preparing a MAR sheet when a patient’s prescription is presented, and to provide a medicines management service for these patients. This was a time limited pilot in Barrow in Furness. The CCG possibly have future plans to roll out a pilot in Carlisle in 2014 (there is no further detail on this).

Local Scheme 10: Effective Intervention Scheme - pharmacies identify prescription interventions and communicate this information to GP practices. Such interventions are designed to identify cost savings, waste reduction and quality medicine management issues over and above those traditionally highlighted during the dispensing process. This ended on 31 March 2014. The CCG has recommended this should not be re-commissioned.

Out of Hours – pharmacies are directed to open on particular bank holidays as deemed necessary.

The following schemes for the commissioning of IV antibiotics and palliative care drugs is not a clearly defined process at present and NHS England are currently reviewing these services.

Local Scheme 5: Intravenous Antibiotics - pharmacies supply intravenous antibiotics with the contractor stocking a locally agreed range of specialist medicines. Pharmacies also provide information and advice to the user, carer and clinician and may also refer to specialist centres, support groups or other health and social care professionals where appropriate.

Local Scheme 9: Palliative Care - pharmacies supply palliative care medicines, and carry a locally agreed range of specialist medicines. Pharmacies are also required to commit to ensuring service users have prompt access to medication during opening hours. There is also a requirement for pharmacies to provide information and advice to users, carers and clinicians, to make referrals to specialist centres, or other health and social care professionals, as appropriate.

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6. TIME TO TRAVEL MAP

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7. OTHER RELEVANT SERVICES

The following pharmaceutical services have been considered as other relevant services:

• North Cumbria University Hospitals NHS Trust provides an inpatient and outpatient pharmacy dispensing service to the CCG population from two sites; West Cumberland hospital, Whitehaven and Cumberland Infirmary, Carlisle. The hospital pharmacy also supplies medicines to the CCG community hospitals and community clinics, Cumbria Health On Call (GP Out of hours service), Cumbria Partnership Foundation Trust and Eden Valley Hospice. This medicine supply service to other providers is due to terminated on 31st January 2015.

• University Hospital of Morecambe Bay NHS Trust provides an in-patient and out-patient pharmacy dispensing service to the CCG population from two sites; Furness General Hospital, Barrow-in-Furness and Westmoreland General Hospital, Kendal. The hospital pharmacy also supplies medicines to the CCG community beds and community clinics, Cumbria Health On Call (GP out of hours service), Cumbria Partnership Foundation Trust and the NHS Treatment Centre, Kendal. The medicine supply service to other providers is under review (no further details available).

• Cumbria Partnership NHS Foundation Trust provides mental health services for most of the CCG population.

Cumbria CCG commissions North of England Commissioning Support Unit (NECSU) to provide: Wound management supply service from Community Services clinics Medication supply on Patient Group Direction from Minor Injuries Units and in HMP Haverigg Prescribing advice to GPs Medication reviews for specific groups identified by the practices (may include Care home patients) Clinical pharmacy service to community hospitals Pharmacist Supplementary and independent prescribing clinics Language Access Service

• Cumbria Health on Call (CHOC) provides out of hours medication supply

• Cumbria CCC commissions: Sexual Health Services including emergency contraception and chlamydia screening Smoking cessation clinics Substance misuse treatment

• Lloyds Pharmacy (Dalton-in-Furness) provides dispensing services to HMP Haverigg

• Murray Pharmacy (Ulverston) provides dispensing services to St Mary’s Hospice, Ulverston

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8. SEXUAL HEALTH & CONTRACEPTION CLINICS

Sexual Health Clinics

Carlisle

Solway Clinic, Centre for Sexual Health Hilltop Heights, London Road, Carlisle, CA1 2NS Tel: 01228 608989

General Drop -in Clinics

All clinics in the county will be closed Wednesday morning for staff training, other than by booked clinic in Carlisle. Reception staff will be available as usual.

Mon-Fri 8.30am - 11.30am Wed 5.30pm - 7.00pm 1st Sat every month 10.00 - 12noon

Under 20's Drop -in Clinics - Mon - Fri 3.30pm - 5.30pm

Workington

Workington Community Hospital, Park Lane, CA14 2RW Tel: 01900 705050

All clinics in the county will be closed Wednesday morning for staff training, other than by booked clinic in Carlisle. Reception staff will be available as usual.

Walk-In: Mondays and Tuesdays 1.30pm - 5pm, Fridays 1.30pm - 3pm Appointments: Mondays am & pm, Wednesdays pm, Fridays am

Whitehaven

Flattwalks Health Centre, 3 Castle Meadows, Catherine Street, Whitehaven, CA28 7Q Tel: 01900 705050

All clinics in the county will be closed Wednesday morning for staff training, other than by booked clinic in Carlisle. Reception staff will be available as usual.

Walk-In: n/a Appointments: Thursdays pm

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Kendal

Kentwood Clinic, Gillinggate Centre, LA9 4JE Tel: 01539 716706

All clinics in the county will be closed Wednesday morning for staff training, other than by booked clinic in Carlisle. Reception staff will be available as usual.

Appointments: Monday,Tuesday and Wednesday

Walk In: CaSH 19yrs and under Monday,Tuesday and Wednesday 330-5pm

Friday: under 25's 10-2pm

Barrow

Birchwood Clinic, Furness General Hospital, LA14 4LF Tel: 01229 404464

All clinics in the county will be closed Wednesday morning for staff training, other than my booked clinic in Carlisle. Reception staff will be available as usual.

Appointments: Monday,Tuesday,Thursday and Friday

Walk-in: CaSH 19yrs and under Monday, Tuesday, Wednesday and Thursday 330-5pm

Friday: under 25's 12-2pm

Contraception clinics

Carlisle

Solway Clinic, Centre for Sexual Health Hilltop Heights, London Road, Carlisle, CA1 2NS Tel: 01228 608989

Drop -in Clinics

Mon-Fri 8.30am - 11.30am Wed 5.30pm - 7.00pm 1st Sat every month 10.00 - 12noon

Under 20's Drop -in Clinics

Mon - Fri 3.30pm - 5.30pm

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Allerdale

Inspira - Advice Centre (formerly Connexions), 213 Vulcans Lane, Workington CA14 2BT

Drop in Clinics (under 20's): Tuesdays & Thursdays 3pm - 5pm

Workington Community Hospital, Park Lane, Workington CA14 2RW Tel: 01900 705000

Appointments (Over 20's): Wednesdays pm

Copeland

Inspira - Advice Centre (formerly Connexions), Roper Street, Whitehaven CA28 7AR

Drop in Clinics (under 20's): Mondays, Wednesdays and Thursdays 3pm - 5pm

Flatts Walk Health Centre, 3 Castle Meadows, Whitehaven CA28 7QE Tel: 01946 68600

Appointments (Over 20's): Mondays pm

Eden

Tel: 01228 608989

Newton Rigg College - Penrith, Cumbria CA11 OAH

Drop in clinics: Tuesday 11.30am - 1.30pm (term time only)

Kendal

Kentwood Clinic, Gillinggate Centre, LA9 4JE Tel: 01539 716706

Appointments: Monday,Tuesday and Wednesday Walk-in: CaSH 19yrs and under Monday, Tuesday and Wednesday 3.30-5pm Friday: 10am - 2pm

Kendal College, Milnthorpe Rd Kendal, Cumbria LA9 5AY

Drop in clinics: Contraception Wednesdays 12noon - 2pm(term time only)

Ulverston Health Centre, Stanley St, Ulverston LA12 7BT

Appointments: Contraception Thursdays 6pm - 8pm

Ulverston Children's Centre, Lund Terrace, Ulverston Cumbria LA12 9BE

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Drop in clinics: Contraception Mondays 3:45pm - 5pm

Barrow

Birchwood Clinic, Furness General Hospital, LA14 4LF Tel: 01229 404464

Appointments: Monday and Wednesday

Walk-in: CaSH 19yrs and under Monday, Tuesday, Wednesday and Thursday 330-5pm

Friday: under 25's 12-2pm

Network Centre, Millom School, Salthouse Rd, Millom, Cumbria LA18 5AB

Drop in clinics: Thursdays 11.30am - 1.30pm

Atkinson Health Centre, Market Street, Barrow-In-Furness LA14 2LR

Drop in clinics: Tuesdays 3.30pm - 5.30pm

Barrow Sixth Form, Rating Lane, Barrow-in-Furness LA13 9LE

Drop in clinics(term time only): Mondays 12noon - 2pm

Furness College, Channelside, Barrow-in-Furness, Cumbria LA14 2PJ

Drop in clinics(term time only): Mondays and Wednesdays 12noon - 2pm

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Cumbria Pharmaceutical Needs Assessment 2014 - Appendices

9. PUBLIC SURVEY

Background/Method

As part of the development of the draft Pharmaceutical Needs Assessment (PNA) an early phase public consultation was carried out. The consultation ran from the 1 May to 30 May 2014. The consultation was conducted online using Cumbria County Council’s dedicated website. Awareness was raised by issuing press releases and making posters and leaflets available to pharmacies to inform their users.

140 responses were received. This report only summarises the data and opinions provided by respondents regarding services provided by their pharmacy. No attempt has been made to cross reference respondents opinions/perceptions against actual services commissioned/available.

Due to rounding some percentage totals in tables and charts may not add up to 100.

Results

Q1. How often do you use a pharmacy?

As can be seen from Figure 1, 60% of respondents stated they used a pharmacy at least monthly and 98% at least once in the last year.

Figure 1: How often respondents stated they used a pharmacy (base 139)

60.0

50.0

40.0

30.0 52.0 Percentage 20.0 27.0 10.0 8.0 11.0 2.0 0.0 At least once At least Once At least 3 At least once Have not used a week a month times a year a year a pharmacy in the last year

Q2. How far is your pharmacy from you?

Figure 2 shows that 73% of respondents live less than 2 miles from their nearest pharmacy.

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Figure 2: How far respondents stated their nearest pharmacy was from them (base=138)

Q3. How do you normally travel to your pharmacy

The overwhelming majority of respondents indicated they travelled to their pharmacy either by car (52%) or by walking (44%). Only 2% stated they normally used a bus. 87% of those who live one mile or more away from their pharmacy use a car. 72% of those who live less than one mile walk. 23% of those who live less than one mile away use their car.

Figure 3: How respondents normally travel to their pharmacy (base=138)

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Q4. Access/travel options to the nearest pharmacy

Figure 4 shows that the significant majority stated there was available car parking nearby (117) with 90 stating there was a nearby bus stop, however, only 37 respondents indicated there was a bus route from their home. Only 22 felt there was a safe cycle route from their home and just over half (74) indicated their pharmacy has disabled access.

Figure 4: Travel/Access options respondents indicated their pharmacy had

Respondents were asked to provide further comments regarding travel and access to their pharmacy. The main issues have been bullet pointed below.

 Car parking issues

 Health centres with car parking could disadvantage town centre pharmacies

 Perceived poor public transport especially in rural areas

 No disability access to a named pharmacy

 Home delivery services ‘removes’ the need to travel

 Claimed no home delivery service in Wigton

 Distance to nearest pharmacy/dispensing GP surgery

 Inadequate opening times

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Q8. Pharmacy services that are used

Figure 5 shows that most respondents use pharmacies for prescription dispensing (124 respondents) with a high number prescription collection services (75) and minor aliment services (56). More than a third of respondents (46) also use the medicine disposal service. A small number of respondents indicated that they used the more specialist services: Weight management advice, emergency contraception, stop smoking advice, alcohol support services, screening services and needle and syringe exchange.

Figure 5: Services respondents indicated they have used

Q9. Services respondents feel are important

Respondents were asked how important or not important a number of services were to them. Figure 6 shows the numbers of respondents that indicated which of these services were either very important or somewhat important. Mirroring what services people use prescription dispensing with 123 respondents indicating this as being important more than any other service. Late opening times moves higher as the second most important aspect (82 respondents).

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Those who stated they use a pharmacy monthly were almost twice as likely to indicate prescription collection services were very important compared to those who use pharmacies less than monthly (36%). The same group are also significantly more likely to indicate medicine disposal as important to some degree, 55% compared to 37% of all respondents.

Figure 6: Services that respondents indicated as being important

Prescription dispensing 123 Late opening times (after 6pm) 82 Prescription collection services 80 Minor aliment services 65 Early opening times (before 9am) 55 Old or unwanted medicine disposal 49 Online prescription services 42 Flu vaccination 41 Medicine use review 36 Blood pressure check 32 Cholesterol check 27 NHS health chack for 40+ 22 Screening services for specific services 21 Emergency contraception 20 Advice on healthy living 19 Home delivery 19 Weight management advice 17 Stop smoking adivce 16 Needle exchange 13 Alcohol support services 12 0 20 40 60 80 100 120 140 Frequency

Respondents were given the opportunity to provide further detail about services available from their pharmacy. There were a number of comments regarding what was considered to be poor prescription dispensing services, with comments relating to long delays in drug availability (72 hours and 7 days quoted) with one respondent stating that they had to drive to Lancaster as no out of ours pharmacy had prescription available. There were also some criticism of queues and waiting times within pharmacies. There was some strong support for some local pharmacy citing excellent service.

There was some commentary regarding tracking and tracing of prescriptions. Suggestion that online technologies should be used, requests that notifications to be sent out when prescriptions are ready and GP’s and pharmacies to improve communications so doctors know what medications are available.

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Suggestions that services could be improved by extending the number of pharmacies that provide additional services such as treatment of minor ailments, improving waiting facilities, the availability of card payment facilities, more extended opening times and addressing concerns around privacy/confidentially within the pharmacy.

Some respondents raised concerns about the distance they had to travel to access an out of hours pharmacy.

One comment was received relating to language, from a respondent who’s first language is not English. They raised the issue that not all information is available in different languages.

Some felt that those extended services should be better promoted.

Q12. Factors in deciding which pharmacy to use

Being near to home (117) and quality of service are (107) were most frequently indicated as important factors in deciding which pharmacy to use. Weekend opening times (93), late opening times (81) and being near to GP (80) were also significant factors. Being on a bus route was lowest with 26 respondents stating tis was important.

Those respondents aged under 35 years are more likely to consider early and late opening times as important factors in choosing a pharmacy compared to those 35 and over (61% to 47% and 83% to 73% respectively).

Figure 7: factors respondents indicated as being important in choosing which pharmacy to use

Near to home 113 Quality of service 107 Weekend opening times 93 Late opening times 81 Near to my GP 80 Near to work 74 Car parking 72 Services available 66 Early opening times 63 Near or in a shopping area 43 Near or in a supermarket 43 Disability access 29 On bus route 26 0 20 40 60 80 100 120 Frequency

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Q11 & 13. Which pharmacy respondents use

When asked if they used their nearest pharmacy 77% of respondents said yes. However, when given a series of statements about which pharmacy they used, only 45% selected the statement ‘I normally use the pharmacy nearest my home’ (see Figure 8).

Figure 8: Percentage agreement with statements about pharmacy choice (base=138)

50 45 40 35 30 25 45 20

Percentage 15 25 10 15 5 5 8 1 0 I normally I normally I normally Any The first Other use the use the use the pharmacy pharmacy I (please pharmacy pharmacy pharmacy I that is open see when I state) nearest my nearest my see when I when I need am out and home GP am out it about shopping

Q14. Barriers to using nearest pharmacy

Respondents were asked if there were any barriers to using their nearest pharmacy. Their responses have been coded in Table 1. Opening hours is the most common concern.

Table 1: Coded responses to barriers to using their nearest pharmacy

Coded response Frequency Opening hours 15 Customer service/Drug availability 8 Distance/transport issues 6 Car parking 4 Online ordering system 2 Access to building 1 No card payment 1 Language issues 1 Drug/Alcohol services not segregated 1

Q15. Other comments

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Respondents were invited to give any further commentary regarding pharmacy services. The issues have been bullet pointed below.

 Prescriptions and other items not always available

 Repeat prescriptions not always ready

 Poor customer service

 Happy with customer service

 Inconvenient opening times reported as an issue

 Lack of home delivery service (Wigton) – (Note - there is home delivery service available in Wigton)

 Call to protect pharmacies in rural areas

 GP’s should send prescriptions to pharmacy of patient choice

 Maintain and increase minor ailment services

 Drug services users causing problems for other customers

 Product information not suitable for those with impaired vision

 Poor communication between GP surgery and pharmacy

Respondent profile

Figure 9: Percentage of respondents by district (base=139)

35.0

30.0

25.0

20.0

15.0 32.0 Percentage 10.0 21.0 16.0 12.0 5.0 9.0 10.0

0.0 Allerdale Barrow Carlisle Copeland Eden South Lakeland

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Figure 10: Percentage of respondents by gender (base=138)

40 73

Percentage 30

20 27 10

0 Male Female

Figure 11: Percentage of respondents who consider themselves disabled (base=135)

100 90 80

60 50 93

40 Percentage 30 20 10 7 0 Yes No

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Figure 12: Respondent profile by age (base=138)

20 34 Percentage 15

10 21 14 15 5 12 4 0 25-34 35-44 45-54 55-64 65-74 75+

Figure 13: Respondent profile by employment status (base=138)

40 65

30 Percentage 20

10 15 14 3 2 2 0 Full time Part-time Self Retired Homemaker Currently employed employed employed not working

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Figure 14: Respondent by ethinticity (base=135)

120

100

60 96 Percentage 40

20 3 1 1 0 White - British White - Other Black/Black Asian/Asian British - Carribean British - Other

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10. STAKEHOLDER LIST

Organisation Local Pharmaceutical Committee LPC genreic LPN Local Medical Committee LMC generic NHS england commissioned pharmacies in HWB Healthwatch Other patient consumer or community group Partnership trust North cumbria university hosptials North west Anbulance service NHS trust University Hospital of Morecambe Bay NHS England CCG Cumbria Lancashire helath and wellbeingboard Northumberland H&WBB Dumfries and Galloway NHS board North Yorkshire health and wellbeing board Durham health and wellbeing board requests All Pharmacies In HWB/CCG area All Dispensing Practices in HWB/CCG area

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11. CONSULTATION RESPONSES

Responder Comment Response 6 We believe this to be correct- No change to assessment required dispensing practices provide an essential service to some of the most rural and remote patients in the area. 8 Current levels of provision of New wording for section 6.2: There are pharmacy services in S. Lakes two ESPLPS contractors in Cumbria; are threatened by the they are located in Grasmere and withdrawal of the ESSENTIAL Hawkshead. There is also an ESPLSP in SMALL PHARMACY SCHEME Silverdale which is in not in Cumbria from march 2014. This helps HWB area but is in Cumbria CCG area. make small pharmacies viable The pilot scheme aiming to make small in rural areas, where a pharmacies viable in rural areas was pharmacy has been deemed originally scheduled to end in 2011. The necessary by former NHS ESPLPS pilot scheme ends on 31 March authorities. At least two 2015; NHS England is currently pharmacies in S. Lakes are considering the options surrounding the threatened. future of these contractors. 9 (i) Rowlands Pharmacy in Arnside NHS England have confirmed timings 9- is open until 530 and now 17:30 mon-fri closed 13:00 to 13:20, provides stop-smoking and amendments made to assessment. EHC services. Enhanced service confirmed and necessary amendments to assessment.

NHS England have confirmed timings Rowlands Pharmacy in Kendal 8:30 to 18:30 mon-fri , closed 13:00 to is open 0830-630 M-F and 13:20, necessary amendments made to now offers EHC assessment. Enhanced service confirmed and necessary amendments to assessment.

Rowlands Pharmacy in Enhanced service confirmed and Milnthorpe now offers the necessary amendments to assessment. stop-smoking service.

As a result of the above the Considered as part of the necessary gaps identified in the PNA amendments to assessment section will need to be amended. 9 (ii) This survey is unhelpful in its Consider in future consultations how layout as it requires responses can be gathered in contractors with more than alternative ways suitable for all one pharmacy to identify responders. No amendments to

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which districts their assessment necessary. pharmacies are in and have the PNA open when responding 11 Approval has been given for amendments made to assessment for Gluten Free service to be Gluten free service in South Lakeland providede by Community and Minor Ailment scheme in South Pharmacy from April 2014. A Lakeland paper will be taken to January 2015 executive meeting to gain approval to implement a Minor Ailments Scheme across all 26 pharmacies in S Lakes. 3 Alston Pharmacy is no longer Alston removed from essential small on the Essential Small pharmacy list in assessment Pharmacy list as stated in section 6.2 and 8.5.6. We are now on the standard pharmaceutical list as our numbers were above the threshold for the ESP scheme. 4 Just been looking at the NHS England have confirmed timings details you have for this 9am to 18:00, necessary amendments pharmacy within Maryport made to assessment. Health Services. Please note The commissioning of IV antibiotics and the pharmacy is open until palliative care drugs is not a clearly 6pm in line with the surgery defined process at present and NHS and as far as I am aware we England are currently reviewing these are not commissioned to services, necessary amendments made provide IV antibioics to assessment. 13 Amendment to Co-Op NHS England have confirmed timings service/opening hour info: are yet to be approved and no amendments to assessment necessary. P34 Blackwell Road, Carlisle: Enhanced services confirmed and does not offer Influenza necessary amendments made to Vaccination; assessment.

Opening hours: Mon-Fri 08:30-18:30, Sat 08:30-17:00

P40 Fusehill MC, Carlisle: does not offer Influenza Vaccination

P99 Wigton MC, Carlsile: does The commissioning of IV antibiotics and not offer Influenza palliative care drugs is not a clearly Vaccination, Access to IV defined process at present and NHS antibiotics England are currently reviewing these services, necessary amendments made to assessment. 10 The Minor Ailments Scheme Amendments made to assessment with has been commissioned form addition of minor ailment scheme and

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all pharmacies from Gluten free service in Furness. Spetmeber 2014. The Gluten Free scheme will be implemented across Furness locality by April 1st following approval at Furness locality CCG executive meeting in December 2014. A serious gap in Already detailed in assessment. pharmaceutical service provision exists in Millom where there is no service from lunchtime on Saturday and no provision on Sundays -the nearest pharmacies available are Barrow or Copeland which is a significant limitation to new urgent care services being provided locally in millom. 12 Page 101 (8.6.6)states Eden in Necessary amendment made to second paragraph which assessment. should be S Lakes. 14 David Carter Dispensing NHS England confirmed and necessary Chemists (not J Carter as amendments made to assessment listed) is accredited to provide MURs and has an approved consulting room. Patient support and advice is provided but no claims have been made for MURs. They will be Not relevant for assessment claimed in future. MDS is provided for patients in the community and those in residential homes Medicines management in residential homes is also provided. 15 (i) Figure 7 and subsequent Necessary amendment made to Health Profiles are pasted in assessment poor quality to make good reading page 29 you could refenrence Amendment made to assessment or highlight the locations and Does not affect the assessment findings pharmacies that are open past as it has already been considered. 6:00 this could also be done for all the ditrict details so it can be clear that their is provsion within the ditrict and perhaps not necessarily within The commissioning of IV antibiotics and every ward palliative care drugs is not a clearly

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pg 30 IV antibiotics and defined process at present and NHS Palliative care forms part of England are currently reviewing these reponse in Appendices under services, necessary amendments made other to assessment. 15 (ii) pg47 could it be made clearer No further details are available at this where the public will find time. details as to when the super centre will open and which locality, ward or part of the district it is goibg to be set up or built 15 (iii) good detail and highlights all No response required the points particular to current but also future potential and what comissioning intentions are being drawn up and relevent for the populations from Pharmacies due to the advantages of access and service for the public

15 (iv) was enough time and notice LPC have confirmed time provided was given for contractors to adequate. complete the questinnaires pg27 section 5 local scheme 5 and 9 also The commissioning of IV antibiotics and mentioned in the document, palliative care drugs is not a clearly may need double checking to defined process at present and NHS see if they are actually England are currently reviewing these comissioned services and services, necessary amendments made currently in operation and to assessment. possibly not q8 this figure should be shown in the same format as the others in number term A smaller number of Wording amended to reflect the respondents (<6) have shown appropriate number and services are to use weight management, deemed specialist. EHC etc or highlight individual data sets Also not sure if 5% stacks up even when rounding Also would be good to highlight that collectively (total 155) have said to have used Pharmacy for Professional Services (Minor Ailment / Medicines Use Review / Flu Services used by largest number of Vaccination / Blood Pressure responders already highlighted no Check / NHS health check / amendment necessary.

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Cholseterol Check / Weight Managemnt / Emergency Contraception / Stop Smoking / Alcohol Support / Screening / Needle Exchange

15 (v) Exec Summary is most often Executive summary highlights the the most viewed element of importance of community pharmacy such lengthy and detail and dispensing practices in documents so a strong understanding and assessing the suggestion woould be to pharmaceutical need in Cumbria no perhaps incorporate a bit amendment necessary. more detail, prhaps an overall summarry of findings and conclusions from each district and highlighting the profound impact of dipensing GP's on the number of Pharmacies per 100,000 population against the England average of 22 / 100,000 Need to make it clear that services provision for any No amendment necessary to locality / ward is not a factor assessment not relevant to the needs that could potentially be assessment. factores into a possible new contract as well as the costs of setting up a new pharmacy contract Some great insights into how Pharmacy will need to play a part with future No response required commissioners around stop smoking / weight issues / an ageing population and potential for domiciallry services to prevent hospital admissions and also via winter pressures etc figure 4 pg 14 could be expanded slightly to include all No change required – other pharmacies pharmacies and disp doctors close to border used by Cumbria that can be seen outside of residents has been considered within the border but within the map assessment but the assessment in terms parameters as it mentions of premises (is those mapped) is these in some of the distrcit focussed on those in the HWB area. cross border patient access pg 16 (and subsequent reference) clarify is the rollout of HLP via CCG or PH? It is a collaborative with PH leading – PG 18 6.6 need to make it assessment amended accordingly

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clear that currently there is no distance selling phrmacy Assessment amended with additional within Cumbria border comment pg 19 second to last paragraph use detail from appendices plus need to highlight that Wording amended to highlight the these services can be classed lower number is not poor use but as specialist services for anticipated due to type of service. individuals and threfore the percentage use is not reflective with the number and type of respondants so not easy to read a population view

From HWB discussion 4-11-14 extracted from draft minutes:

The Board discussed the documents and suggested that a guide as to where provision was needed be included.

The distances given to the nearest pharmacy provision in the document was also misleading, as it assumed everyone had a car and could get there in 5 minutes. There were a lot of people who relied on public transport to get to the nearest pharmacy and in some cases this could involve a 2 hour bus journey.

There was a request for a flowchart to be produced on the commissioning arrangements for PNA.

Response:

There is considered to be adequate provision therefore no provision needed statement required

Geographical barriers to services have been considered in section 4.5. For the assessment car travel was considered the most reliable way of assessing access due to the changing picture of public transport. The assessment has been amended to ensure the car travel time is reflected as a minimum travel time.

Diagram of commissioning responsibility added to assessment

From organisation via email:

In the appendices, it quotes a customer comment I think saying that there is no delivery service in Wigton.

This is factually inaccurate as a delivery service is in operation twice a week from both pharmacies. This has been in operation now for 18 months.

Response: Note added to the appendix highlighting the correct information, but delivery is not a commissioned service and therefore not included in the assessment

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I note that in the appendices, it states that the pharmacies were asked about delivery and collection services as a ‘non-NHS service’ but no-where in the PNA is there any information about the outcome of those questions apart from this comment. If this is so important (because the question is asked), why is the outcome not published? Also why is the comment included when it is obviously factually incorrect (should have been picked up from the response to the pharmacy question) without a note to that effect.

Response: It is not a commissioned service therefore referred to but not included in assessment. Note added to the appendix highlighting the correct information

Response: Assessment amended to add clarity of added of desire for enhanced services at community pharmacies near to Botcherby.

Response: This note is included in consultation response appendix.

Additional steering group comments:

8.1.10 – update wording for all districts to better describe current situation – Assessment amended

P49 remove apostrophe for Sunday

P80 incorrect wording of final paragraph of section 8.4.11 –

Response: Assessment amended accordingly

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12. DISPENSING PRACTICE OPENING TIMES

Unique Additional GP Details Practice Name Address 1 Town Mon Tue Wed Thu Fri Sat Sun ID details Closed Dr S L Mills & Dr M Alston Medical 08:30- 08:30- 08:30- 08:30- 08:30- D1 The Surgery Alston Closed Closed 12:30-13:30 T Hanley Practice 18:30 16:30 18:30 16:30 18:30 on Thursday. 10:00- 10:00- 10:00- 10:00- 11:00 11:00 11:00 11:00 2 Parklands Askam in 10:00- D2 Dr PR Jain The Surgery & & & & Closed Closed Drive Furness 11:00 17:00- 17:00- 17:00- 17:00- 18:00 18:00 18:00 18:00 Dr J Royle & Brampton Medical 08:00- 08:00- 08:00- 08:00- 08:00- 08:00- D3 4 Market Place Brampton Closed Partners Practice 18:30 18:30 18:30 18:30 18:30 10:45 Dr P M Spencer & 08:00- 08:00- 08:00- 08:00- 08:00- D4 Caldbeck Surgery Friar Row Wigton Closed Closed Partners 18:30 18:30 18:30 18:30 18:30 Closed Dr K T Sutton & Dr I 08:15- 08:15- 08:15- 08:15- 08:15- 12:00-12:45 D5 Court Thorn Surgery Low Hesket Carlisle Closed Closed M Grainger 18:00 18:00 18:00 18:00 18:00 Tuesday for training. Cockermouth Dr A R Mason & Derwent House Community 08:00- 08:00- 08:00- 08:00- 08:00- D6 Cockermouth Closed Closed Partners Surgery Hospital & 18:30 18:30 18:30 18:30 18:30 Health Centre Dr S Fisher & Dr K Coniston Medical Wraysdale 08:00- 08:00- 08:00- 08:00- 08:00- D7 Coniston Closed Closed G Frey Practice House 18:30 18:30 13:00 18:30 18:30 Dr R C Reed & Dalston Medical Townhead 08:30- 08:30- 08:30- 08:30- 08:30- D8 Dalston Closed Closed Partners Group Road 18:30 18:30 18:30 18:30 18:30 Dr E J Bater & Hinnings Road 09:00- 09:00- 09:00- 09:00- 09:00- D9 Hinnings Road Distington Closed Closed Partners Surgery 18:00 18:00 18:00 13:00 18:00

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Unique Additional GP Details Practice Name Address 1 Town Mon Tue Wed Thu Fri Sat Sun ID details Glenridding Health 08:00- 08:00- 08:00- 08:00- 08:00- D10 Dr J K L Smith Glenridding Closed Closed Centre 18:30 18:30 18:30 18:30 18:30 Dr SD Milligan & Dr Grange over 08:00- 08:00- 08:00- 08:00- 08:00- D11 Cartmel Surgery Haggs Lane Closed Closed HM Lovatt Sands 18:30 18:30 18:30 18:30 18:30 Closed Dr R Scott & Station House 08:30- 08:30- 08:30- 08:30- 08:30- 13:30-14:00 D12 Station Road Kendal Closed Closed Partners Surgery 18:30 18:30 18:30 18:30 18:00 on Thursdays. Dr A G MacKenzie The James Cochrane Helme Chase 08:00- 08:00- 08:00- 08:00- 08:00- D13 Kendal Closed Closed & Partners Practice Surgery 19:30 19:30 19:30 19:30 19:30 Dr T M Hooper & Castlehead Medical Ambleside 08:00- 08:00- 08:00- 08:00- 08:00- D14 Keswick Closed Closed Partners Centre Road 18:30 20:00 18:30 18:30 18:30 Dr JJ Noblett & 08:00- 08:00- 08:00- 08:00- 08:00- D15 The Croft Surgery Kirkbride Closed Closed Partners 18:30 18:30 18:30 18:30 18:30 Closed Dr N L Hall & Dr L A Duddon Valley Kirkby in 08:00- 07:30- 08:00- 08:00- 08:00- D16 Askew Gate Closed Closed 13:00-17:00 Wilson Medical Practice Furness 18:00 18:00 18:00 18:00 18:00 Thursdays. Dr PJI Hall & The Lunesdale 08:00- 08:00- 08:00- 08:00- 08:00- D17 Kirkby Lonsdale Closed Closed Partners Surgery 20:00 18:30 18:30 18:30 18:30 Dr S Huck & Upper Eden Medical The Health 08:30- 08:30- 08:30- 08:30- 08:30- D18 Kirkby Stephen Closed Closed Partners Practice Centre 18:30 18:30 18:30 18:30 18:30 08:00- 08:00- 08:00- 08:00- 08:00- D19 Dr K T Sharpe Kirkoswald Surgery Kirkoswald Closed Closed 18:30 18:30 13:30 18:30 18:30 Dr JH Gorrigan & 08:00- 08:00- 08:00- 08:00- 08:00- D20 Stoneleigh Surgery Police Square Milnthorpe Closed Closed Partners 18:30 18:30 18:30 18:30 18:30 Dr K M Illsley & Seascale Health 08:00- 08:00- 08:00- 08:00- 08:00- D21 Gosforth Road Seascale Closed Closed Partners Centre 18:00 18:00 18:00 18:00 18:00 Dr W Lumb & Dr CF Sedbergh Medical 08:15- 08:15- 08:15- 08:15- 08:15- D22 Station Road Sedbergh Closed Closed Hunt Centre 18:30 18:30 18:30 18:30 18:30

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Unique Additional GP Details Practice Name Address 1 Town Mon Tue Wed Thu Fri Sat Sun ID details Thursday afternoon Dr H A Dunning & Shap Medical Shap Health 08:30- 08:30- 08:30- 08:30- 08:30- D23 Shap Closed Closed only Partners Practice Centre 18:30 18:30 18:30 13:00 18:30 available by telephone. Dr H Jervis & Temple Sowerby Temple 08:30- 08:30- 08:30- 08:30- 08:30- D24 Linden Park Closed Closed Partners Medical Practice Sowerby 18:30 18:30 18:30 18:30 18:30 Haverthwaite 08:00- 08:00- 08:00- 08:00- 08:00- D25 Dr J R Adams Backbarrow Ulverston Closed Closed Surgery 18:30 18:30 12:00 18:30 18:30 Trinity House 08:45- 08:45- 08:45- 08:45- 08:45- D26 Dr T Ickes 17 Irish Street Whitehaven Closed Closed Surgery 18:00 19:30 17:00 18:00 17:45 Dr P Burns & 08:00- 08:00- 08:00- 08:00- 08:00- D27 St Mary's Surgery Applethwaite Windermere Closed Closed Partners 18:30 18:30 18:30 18:30 18:30 Workington Dr M V English & Solway Health 08:00- 08:00- 08:00- 08:00- 08:00- D28 Community Workington Closed Closed Partners Services 18:30 18:30 20:00 18:30 18:30 Hospital Bentham Medical 08:00- 08:00- 08:00- 08:00- 08:00- D29 Dr Howlett Grasmere Drive Lancaster Closed Closed Practice 18:30 18:30 18:30 18:30 18:30 08:15- 08:15- 08:15- 08:15- 13:15 13:15 12:45 12:45 Dr J Royle & Brampton Medical 08:15- D30 Corby Hill Corby Hill & & & & Closed Closed Partners Practice 12:45 15:30- 14:45- 13:15- 15:00- 18:30 17:30 16:30 17:30

08:00- 08:00- 08:30-

13:00 13:00 13:00 Dr J Royle & Brampton Medical 08:30- 08:30- D31 Wetheral Wetheral & & & Closed Closed Partners Practice 13:00 13:00 14:00- 14:00- 14:00-

18:30 17:30 18:30

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Unique Additional GP Details Practice Name Address 1 Town Mon Tue Wed Thu Fri Sat Sun ID details 09:00- 12:30 Dr K M Illsley & Seascale Health 09:00- 09:00- 09:00- 09:00- D32 Bootle Bootle & Closed Closed Partners Centre 12:30 12:30 12:30 12:30 16:00- 18:00 Closed Dr N L Hall & Dr L A Duddon Valley Broughton in 09:00- 08:30- 09:00- 09:00- 09:00- 12:30-13:00 D33 Broughton Closed Closed Wilson Medical Practice Furness 17:00 17:00 12:30 17:00 17:00 Monday - Friday Dr A G MacKenzie The James Cochrane 08:00- 08:00- 08:00- 08:00- 08:00- D34 Maude Street Kendal Closed Closed & Partners Practice 17:00 17:00 17:00 17:00 17:00

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13. ACCESS AND OPENING TIMES

Area Latest Opening Approximate Distance Approximate Travel Pharmacy In Area to Nearest Pharmacy Time by Car with later opening times Allerdale Aspatria Monday – Friday 6.30pm 8 miles Maryport 10 minutes Saturday 12pm 8 miles Wigton 10 minutes 9 miles Cockermouth 17 minutes Cockermouth Monday-Saturday 10pm 27 miles Carlisle 41 minutes Sunday 8pm 14 miles Whitehaven 25 minutes 8 miles Workington 15 minutes Keswick Monday-Saturday 6pm 14.2 miles Penrith 25 minutes Sunday 5pm 14 miles Cockermouth 21 minutes 27 miles Whitehaven 40 minutes Maryport Monday-Saturday 7 miles Cockermouth 14 minutes 5.30pm 6 miles Workington 10 minutes 15 miles Whitehaven 25 minutes Silloth Monday-Friday 6pm 18 miles Cockermouth 35 minutes Saturday 5pm 24 miles Carlisle 41 minutes Wigton Monday-Friday 6.30pm 14 miles Carlisle 25 minutes Saturday 5.30pm 16 miles Cockermouth 23 minutes Workington Monday-Friday 11pm 36 miles Carlisle 1 hour Saturday 10pm 9 miles Whitehaven 15 minutes Sunday 5pm 8 miles Cockermouth 12 minutes Barrow-in-Furness Barrow-in- Monday-Friday 11pm Furness Saturday 10pm Sunday 5pm Dalton-in- Monday-Friday 6.30pm 3 miles Barrow 10 minutes Furness Saturday 5pm Carlisle Longtown Monday-Friday 6pm 9 miles Carlisle 15 minutes Saturday 5pm Brampton Monday, Wednesday, 9 miles Carlisle 15 minutes Friday 6pm 26 miles Penrith 35 minutes Tuesday, Thursday 5:30pm Saturday 3pm Dalston Monday-Friday 6pm 5 miles Carlisle 15 minutes Saturday 12pm Carlisle Monday-Friday 11pm 21 miles Penrith 25 minutes Saturday 10pm Sunday 4:30pm Copeland Cleator Moor Monday-Friday 8pm 4 miles Whitehaven 10 minutes Saturday 1pm 3 miles Egremont 7 minutes 12 miles Workington 20 minutes Egremont Monday – Friday 6.30pm 6 miles Whitehaven 8 minutes Saturday – 5pm 13 miles Workington 20 minutes Seascale Monday – Friday 6pm 9 miles Egremont 15 minutes

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Saturday 1pm 15 miles Whitehaven 25 minutes Whitehaven Monday – Friday 11pm 44 miles Penrith 1 hour Saturday – 9pm 9 miles Workington 15 minutes Sunday 8pm Millom Monday – Friday 6:30pm 23 miles Barrow 45 minutes Saturday 2pm 32 miles Whitehaven 58 minutes Eden Alston Monday & Wednesday - 20 miles Penrith 40 minutes Friday 5.30 pm Tuesday & Saturday 12.30 pm Appleby Monday – Friday 6.30 pm 11 miles Penrith 20 minutes Saturday 9am to 5pm Kirkby Stephen Monday – Wednesday & 12 miles Appleby 20 minutes Friday 5.30 pm, Tuesday 5 26 miles Penrith 40 minutes pm 27 miles Kendal 35 minutes Saturday 1 pm Penrith Monday – Friday 11 pm 21 miles Carlisle 25 minutes Saturday 10 pm Sunday 5 pm South Lakeland Ambleside Monday – Friday 6.30 pm 4 miles Windermere 7 minutes Saturday 6 pm 13 miles Kendal 20 minutes Sunday 5:30 pm Arnside Monday – Wednesday & 12 miles Kendal 25 minutes Friday 5.30 pm Thursday 12:30 pm Saturday 5 pm Bowness & Monday –Friday 6 pm 11 miles Kendal 20 minutes Windermere Saturday 5:30 pm Grange over Monday – Friday 6 pm 13 miles Kendal 20 minutes Sands Saturday – 5 pm Grasmere Monday – Wednesday & 13 miles Keswick 20 minutes Friday 5.30 pm 9 miles Windermere 15 minutes Thursday 1 pm 17 miles Kendal 30 minutes Saturday 12 pm Hawkshead Monday – Wednesday & 19 miles Kendal 40 minutes Friday 6:00 pm Thursday 5:30 pm Saturday 5 pm Sunday 4 pm Kendal Monday – Friday 11 pm 28 miles Penrith 35 minutes Saturday 9 pm Sunday 6 pm Kirkby Lonsdale Monday – Saturday 5.30 13 miles Kendal 20 minutes pm Sedbergh Monday – Friday 5.30 pm 13 miles Kendal 20 minutes Saturday 1 pm Ulverston Monday – Friday 6.30 pm 9.4 miles Barrow 20 minutes Saturday 5:30 pm

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