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Admin: PHARMACEUTICAL COMMITTEE Alison Ellis Chief Officer Nick Hunter  [email protected] ℡ 07882289083  [email protected] Fax: 0115 8379854 ℡ 07595 069178 Fax: 01455 634800 http://psnc.org.uk/doncaster-lpc/ http://psnc.org.uk/doncaster-lpc/

Doncaster Local Pharmaceutical Committee Meeting

LPC MEETING 1 Training Room, Weldricks Pharmcy, Ten Pound Walk, Doncaster On Wednesday 14 th January 2015 at 1pm

Present: In the Chair Dave Sharp (DS)

Secretary: Nick Hunter (NH)

Members: Mohammed Ahmed (MA) (arrived late), Chris Bland (CB), Paul Chatterton (PC), Emily Bellwood (EB), Richard Harris (RH), Catherine Hudson (CH), Seonaidh Innes (SI), Lynn Murrie (LM), Darren Powell (DP), Claire Thomas (CT), Richard Wells (RW) (arrived late)

Minutes: Alison Ellis (AE)

Attending

• Tony Jamieson, Clinical Lead for Medicines, & Humber Academic Health Science Network (TJ) • Emma Smith, Doncaster CCG (ES)

Observer Dale McVeigh, Weldricks Pharmacy (DM)

Apologies • Garry Myers, PSNC Regional Representative • Sheila Barnes, Healthwatch Doncaster • Ming Goh, LPC Member • Richard Wells, LPC Chair (attending late) • Mohammed Ahmed (attending late)

Open meeting guest speakers NH welcomed guests to the meeting

Tony Jamieson, Y&H Patient Safety Collaborative – Attachment 1, 2, 3, 4 (sent in separate email by NH)

Yorkshire & Humber Academic Health Science Network – remit implement the government transformation – Patient safety collaborative for Yorkshire & Humber one of the main projects – increase skills in developing safety skills

Human factors in healthcare and medicines optimisation

Page 1 of 13 Doncaster LPC mins 14.01.15 - Past behaviours / experiences - Understanding human psychology and how affects thinking - teamwork - Engineer safe and efficient practice – redesign pharmacy, medicines packaging etc - Make clinical human factors of routine practice

Pharmacy has 95% accuracy rate and still working to increase this. Other areas strive to get a 95% accuracy.

Within the project Pharmacies will decide what they wish to measure and set a baseline – implement a change and then compare results. Safer dispensing – could be addressing human factors within dispensing. Wish to have 20 teams to look at and report any near misses etc Working with Asda, Morrisons, and Boots currently at a head office level. Feel need to have a different groups rather than just the same company throughout.

Time commitment: - 2 hour introductory session (attended by lead pharmacist and 2 other staff) – continuity over the 24 weeks so 3 should cover this. - 1 full day where learn the theory - 2 x ½ day sessions - Visits to the pharmacy by the Y&H team - There is no backfill available - 20 weeks collecting data – send through once a day – tally charts

4 separate Sundays – flexible around dates and venue

Benefit to the pharmacy – teamwork, safer patients, knowledge & expertise, exemplars of patient safety, Queries from LPC members - Not sure that 24 weeks would be long enough to see a difference - How will this help pharmacy gain more time to do other things – suggested that it would increase more teamwork, communication, accuracy - SOPS -

First cohort – advised to contact head offices of multiples and independent chains

Asked if LPC would forward onto contacts and independent contractors. – agreed that we could do this

When: March, May, June, July Venue: Leeds (most central) but if in a certain area then will move (i.e. Doncaster)

Action: Support and encourage participatio n - Informa ti on to be sent to AE / NH and then forward the information to independent pharmacies and head office contacts + members.

Emma Smith, Doncaster CCG

MAS – Sonar system being looked at by CSU. Re-commissioning hopefully using PharmOutcomes. Looked at the proposal LPC given. Notice has been given to Sonar to finish 01/04/15.

Falls and Inhaler technique services – claims – only received from one pharmacy company. Members to look into this with their companies and check if claims should have been sent through and have not been received.

Inhaler technique – children’s scheme similar to Adult scheme. Aiming to stop emergency admissions Invited LPC to the asthma task and finish group – 29/01/15 – RH attending. Use the MUR model – clinical recommendations – query if pharmacy to be able to provide a Volumatic /

Page 2 of 13 Doncaster LPC mins 14.01.15 spacer without prescription

If this Project in Doncaster goes ahead then the [SCHAR] research taking place will need to move to a different area.

Falls Service Bid under Better Care fund – need to have a discussion around this – deadline is 2 nd February 2015. NH/CT Feedback from RDASH – referrals are very good and detailed – they have not had to send any back from pharmacy which is excellent. Quality is exceptional and all parties are very pleased with this service. Fee structure – willing to look at this – realise that this is not enough for the amount of work needed to complete. Doncaster CCG are helping with the business case to be put forward to Doncaster Council. Emma Smith has agreed to provide a statement about the quality of referrals and service that community pharmacy are providing.

2 2.1 Apologies for absence • Ming Goh • Richard Wells (attending late) • Mohammed Ahmed (attending late)

2.2 Acceptance of the minutes from 12 th November 2014 ( Attachment A ) The minutes for the meeting on 12 th November 2014 were accepted as a true and accurate record after the following amendments a) Page 3 - Low molecular weight heparin instead of low grade heparin b) Page 10 - Section 9.4 Harm minimisation / reduction group not Harmonisation group

Proposed by RH and seconded by LM

2.3 Matters arising (not on the agenda) 1 MDS Issues regarding MDS changes and 7 day prescribing - waiting for information from Kath Lindley – been in email contact with CCG/Kath Lindley / LPC CCG are in favour of the prescription being rewritten rather than changes to the MDS tray and resealing. Need more information from Kath Lindley

2 Substance Misuse clients in Police Cells Primarily led by commissioners. Sent through to Doncaster commissioners and still pending discussion re remuneration for the extra work

3 Low molecular weight heparin Palliative care service and whether can include low molecular weight heparin - RH has not heard anything from Steve Davies and Mark Randerson is currently off sick. Not been to the APC yet - RH to agenda this at the next APC meeting - ask the CCG to review the specification of the palliative care specification re including heparin and talk to the LPC.

Palliative care service is running but only in East Laithgate.

4 Patients with learning disabilities Waiting on information from Jayne Thompson re dates of meetings for NH and RW to attend and give a pharmacy talk re services and also regarding training for pharmacies on learning disabilities.

5 Governance

Page 3 of 13 Doncaster LPC mins 14.01.15 Review the members skills assessment and Strategy / Business plan at the March meeting – full day meeting Action: AE to add member s kills assessment and Strategy / Business plan review to the March 2015 LPC meeting agenda.

6 Minutes The minutes from the LPC meeting were sent out to members within 4 weeks of the meeting. Members reported that this was helpful as a reminder of action points. The full minutes were published on the website as agreed.

7 Expense Policy DP, RH and DS have arranged a meeting to discuss the changes to the expense policy and then to be added to the March LPC meeting agenda Action: RH to add in specific clause to the expense policy regarding splitting time and expenses between LPCs – DP, RH and DS to discuss and AE to add to the March LPC meeting agenda

8 Anticoagulants RH has spoken to Richard Daniszewski regarding running a training session on NOACs agreed to add this to the LPF training program.

9 LPC PR Stories on NH presenting at the Pharmacy Show and asked to do podcast and also C&D articles were included in the LPC bulletin.

10 PNA NH has sent through the LPC response to the Doncaster PNA.

11 Harm Reduction Group Not had a meeting yet – forward to next meeting

Action: NH to pick up Hepatitis B vaccinations at the next Harm Reduction Group meeting

12 SWYFT training SWYFT have agreed to fund staff attending training but not pharmacists

3 NHS Contract Matters

Control of Entry Spreadsheet – (nothing received)

Regulations Table – http://psnc.org.uk/nottinghamshire-lpc/lpc-members-private-page/

Regulations guidance – https://www.gov.uk/government/publications/nhs-pharmaceutical- services-assessing-applications

3.1 New contracts-Routine None received

3.2 New contracts-Excepted 3.2.1

Contract applications received from other areas None received

Page 4 of 13 Doncaster LPC mins 14.01.15 3.3 Litigation 3.3.1 SHA/17798 - Application for inclusion in the pharmaceutical list under Part 4, Regulation 24 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 - Relocation Resulting in No Significant Change, By: D&R Sharp (Chemists) Ltd From: 21 St David’s Drive, Doncaster, DN5 8NG To: Unit 4 Barnsley Road, , Doncaster, DN5 8QE Representations by 10 th January 2015 - Attachment B

3.3.2 SHA / Application for inclusion in the pharmaceutical list under Part 4, Regulation 24 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 - Relocation Resulting in No Significant Change, By: H I Weldrick Ltd From: 81 Sandringham Road, Intake, Doncaster, DN2 5JA To: Pharmacy Unit, Sandringham Road Health Centre, Doncaster, DN2 5JE Deadline – 12 th February 2015

Declarations: PC, DP, CH, CT, RH (Weldricks), DS (D&R Sharp),

Liaise with SI, LM, EB and CB, MA

Averroes are trading at the moment but not been able to agree a legal agreement for the lease but Weldricks have now. Regulation 31 still applies as there is still a pharmacy trading at present. The LPC represent Weldricks, Averroes and the other pharmacies in the area.

3.4 Decisions 3.4.1 Application for inclusion in the pharmaceutical list under Part 4, Regulation 24 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 - Relocation Resulting in No Significant Change, By: H I Weldrick Ltd From: 81 Sandringham Road, Intake, Doncaster, DN2 5JA To: Pharmacy Unit, Sandringham Road Health Centre, Doncaster, DN2 5JE Refused

Decisions from other areas None received

3.5 Responses received . 3.5.1

3.6 Amendment to Pharmaceutical List 3.6.1 Change in supplementary hours from 04.12.14 By: H I Weldricks T/A Weldricks Pharmacy At: The Orchard Centre, Marshlands Road, Moorends, Doncaster, DN8 4SB Hours on a Thursday changed from 8.30am – 8pm to 8.30am – 6.30pm

3.6.2 Change of ownership from 10.12.14 From: CSPC (Pharmacy) Ltd T/A Alchem To: Day Lewis PLC T/A Day Lewis Pharmacy At: The Vermuyden Centre, Fieldside, Thorne, Doncaster, DN8 4BQ

Page 5 of 13 Doncaster LPC mins 14.01.15 4 Treasurer reports 4.1 Finances for November / December 2014 RH has paid the PSNC invoice for the next 6 months

Asked if should give contractors a levy holiday as the amount in the bank account is increasing again. The LPC have a lot of work at the moment and meetings to attend – Child Asthma project, Falls Service business case at the moment.

On discussions around paying for CT and PC time around business cases etc it was then agreed to suspend the levy holiday until March meeting and discuss again to see how many work commitments are ongoing.

Action: AE to add levy holiday to the March LPC agenda.

4.2 Expense policy revision – Attachment C DS, RH and DP are meeting on Monday to review the expense policy. Things to include are – fuel rate increase to 45p and backfill, travel costs and accommodation costs need reviewing.

Action: DS, DP, RH meeting on 19.01.15 to discuss changes to the LPC expense policy. This will be reviewed at the March LPC meeting.

5 Secretary reports 5.1 Business / Strategy plan update - Attachment D (NH will provide printed copies) Relationships Local representative committees – tried to contact the LOC recently but not had anything back. LDC- had dialogue with Richard Allot re antibiotic prescribing issues. Secondary care – don’t think RW has met yet Age UK are wishing to attend a pharmacy – promote awareness and services available. No money from DMBC to fund the charities

Communications Public awareness - Ian Carpenter (CCG) is keen on utilisation of dispensing bags – public awareness money. Another campaign will be coming out in March Consultations – PNA and appeal response have been completed Contractor’s interests – switches – if they are a problem then need to talk to gp surgery but if still problems then raise with Med Man / NH. Pregabalin license – although generic imminent, patent protection continues for neuropathic pain. If supply generic pregabalin then face threat of legal action from Pfizer because they are supplying in breach of patent even though pharmacy may not actually know the diagnosis / reason for prescribing. DH is of the opinion that GPs are aware of the diagnosis and have ability to prescribe in accordance with patents and license.

Support for contractors Ongoing support for contractor re needle exchange – asked for more information at the Harm Reduction meeting. EPS – lots of things are happening at the moment. PSNC have information some FOI on unclaimed EPS 2 scripts. NHSBSA are aware of the amount of dispensed scripts that have not been claimed (95,000). Most software systems do have a reminder for script expiration for claims (180 days)

5.2 EPS - Deployment –Attachment E1 and E2 For information

Page 6 of 13 Doncaster LPC mins 14.01.15 5.3 PCC event - Creating the future of Primary Care 27.11.14 – Attachment F Main points Ian Dodge, Author of the 5 Year Forward View, talked about primary care as general practice which was picked up by CCG representatives on NH table. 5 Year forward view was meant to be the answer to the Call to Action – pharmacy not included in this and yet had the largest response to Call to Action.

Talks about population commissioning – for different services need to look at the optimum population and stick to that target. If go over then costs more money with no further population gain.

Some CCGs are working on some really innovative services. One service is - Consultations with consultants e.g. Patient goes to the gp, if the gp doesn’t know the answer because it’s not their speciality – instead of referring into secondary care the scheme enables the gp to have a list of consultants who are ‘on call’ . The GP just needs to ring a dedicated telephone number – if this is not answered within 15 seconds it then rings the next consultant on the list until one of the consultants on the list answers – this should be within 90 seconds. The cost for this service is less than a full referral which may not be needed and can be done with the patient in the consultation room. However, the GP said he doesn’t make any money on these new additional services and so has the same problems as pharmacy with engagement of gp’s due to not being able to replace income lost from elsewhere in the system

Discussion around A&E targets not being met and money being given to general practice to keep people out of hospital. Doncaster did not meet its targets for A&E.

Discharge – toolkit around referrals to pharmacy from hospital is available – Medication - conflicting letters will put pharmacy in danger of errors - takes a long time to clarify what medication needs to be prescribed. Hard to track down the information and consultant to do the checks.

Action: NH to put hospital discharges / referrals to pharmacy on t he agenda for LPN meeting

5.4 Antibiotic prescriptions - Attachment G RW and NH will take this briefing paper on the CPPE antibiotics booklet to Nick Tupper around reducing antibiotic prescribing. Look at feeding back when prescribed outside of formulary. Think there will be some changes – discussing treatments re which antibiotics currently used for urine infections. Working on some multidisciplinary training sessions.

5.5 Off-label medications Talked about earlier in the meeting

5.6 Substance misuse clients in cells – update (NH) Talked about earlier in the meeting

6 Chair reports Nothing to report

7 Future of LPC – updates Working collaboratively with other LPCs in the area

8 Topics for discussion

8.1 Ebola- consultation room use – PC /NH – Attachment H How practical is it for pharmacy to isolate in a consultation room. Wouldn’t be a threat to pharmacy as not infectious until further on into illness.

8.2 IPF webinars – 28/01/15 SCR and 26/02/15 processing scripts efficiently Approached to support them with webinars

Page 7 of 13 Doncaster LPC mins 14.01.15 Put on an event between Doncaster and Rotherham – 2 hour event with 1 hour webinar. Room at Ibis hotel in Rotherham which holds 30 people at most so limited places. Trialling to see how this works.

Aiming to run these once a month over the year.

8.3 Now More Than Ever – http://www.nuffieldtrust.org.uk/sites/files/nuffield/publication/now_more_than_ever.pdf

RPS Now or Never campaign previously – Nuffield reviewed this paper and asked what has been done about this – realised that it wasn’t much!!!!! Problem with the way funded – not paid enough for the extra services so still focus on the dispensing role. Advised all members to read the report – obligation to contractors to know and push forward when can.

When there are services that need contractors to be able to deliver – look at whether take on the service in the first place.

9 Members reports 9.1 Sexual Health Partnership meeting report (RH)

Tender – not been announced – awarded to is Trihealth (DBH and RDASH joint) HIV point of care testing – possibly extending to community pharmacy - ? problems with false positives in low risk groups – how would this be handled? Spot testing – could be used for Hepatitis testing. Pilot previously done by Lloyds but then NHS restructure stopped this going ahead. Amy Booth wishing to meet with LMP – 22 nd January 2015 (RH and NH). Spoke to her and Tina Proctor about marketing EHC – need in the communities – social marketing of sexual health services Project 3 – physical service for under 19s with risky behaviour – briefing paper will be coming out – RH will bring to the next meeting.

Chlamydia screening test – only Weldricks East Laithgate – 80 consultations and 13 kits sent off. Comments received were positive.

No indication on what the next step will be yet. Accepting declaration of competency in the future.

LPC to ask what coverage there is across Doncaster contractors and locum cover.

Signing off of the EHC PGD – Public Health need to insure against indemnity – asked NH and RH to do this – before signing need to check that they would be covering the insurance payment as RH will be signing on behalf of PH rather than Weldricks. Need to check when the new provider take over and see if can wait until then for a new PGD as they will have an employed pharmacist.

New provider will be presenting to the next meeting and outlining the service. Declaration of competency will remove a lot of barriers – e.g. if attended training elsewhere.

9.2 Falls prevention conference Full day. Only pharmacist there. Presented the Doncaster service Feedback from service was positive re pharmacy work.

Falls and fragility fracture prevention Still wanting people to be involved in a pilot information gathering scheme – complicated and not ideal to take part.

Falls Alliance meetings reports (CT) CT attended this morning and RH attended last week Looking at emergency admissions – compared to 2 years ago – fallen slightly Page 8 of 13 Doncaster LPC mins 14.01.15

3 different groups - Alliance - Task and finish - Prevention and pathway

Sharon Greenhall – providing a training event on falls prevention and CT wonders if could do a joint event re pharmacy service. If putting in a business case need the data to be active (currently not many pharmacies claiming).

Query whether the LPC can fund CT to buddy up with the pharmacies that are not completing the assessments currently to go through and increase confidence to do this and help with data.

Data collection – sharing information How many, people who have fallen, where fallen.

Could have some training on the falls service and include PharmOutcomes input – advice in the past from Pinnacle is that it is not worth doing training session – queries should be able to be answered via service guidance book. Feel that would be useful to show the system to pharmacists and show how much simpler it would be.

PharmOutcomes would sort out the claims especially as would have tiered structure and depending on the answers to questions then would automatically allocate the right fee.

Query whether LPC fund posters to be developed and send to all pharmacies asking if they have had a fall recently.

Action: NH, CT and RH to put the bid together for the Falls Prevention Service and incorporate funds for posters and Pharmoutcomes.

9.3 Falls service review (CT) – Better Care fund bid - Attachment I New tiered scheme. Barrier to service activity is fee structure and work needed.

If the DMBC do not go with the proposed service then the CCG are interested in carrying on the service but looking at the payment structure.

Members feel that increased fees will help with more pharmacies taking part but still need some more training to increase confidence.

9.4 Lithium, insulin passports and methotrexate monitoring booklets (PC) Audit on methotrexate booklets – should pharmacy be providing and if so then where do we get them from. Were given by secondary care.

GP surgeries ensure that had bloods every 3 months – ask for book from patient or contact pathology to get the results and input on the system. If not had a blood test in 3months then stop prescriptions.

Feel that pharmacy should not be giving out the booklets and that the hospital / gp should be doing this.

Action: RH will raise with APC who should be providing the booklets for Lithium, insulin passports and methotrexate

Page 9 of 13 Doncaster LPC mins 14.01.15 10 Research Previously talked about the Asthma in Children research

11 PSNC Communications Members are advised that many PSNC communications are now communicated electronically and repeated on the PSNC website. It is recommended that members regularly visit the PSNC website ‘ LPC members’ area to access the latest information available on http://psnc.org.uk/

11.1 Briefings / LPC newsletters – these are received by LPC members 11.1.1 November 2014 Price Concessions 11.1.2 19/11/2014: Pledge to become an Antibiotic Guardian; Company-led drug alert; Pharmacist views sought on AKI resources 11.1.3 08/12/2014: January start for cardiovascular MUR target group; Politicians pressed to back pharmacy; MCA Database; Drug Tariff changes 11.1.4 Price Concessions December 2014 11.1.5 Price Concessions December 2014 (updated) 11.1.6 23/12/2014: Use of antiviral medicines for influenza; December CPN online; Manufacturer opening hours; AMCo and GSK supply information 11.1.7 LPC Newsletter 08/01/2015: LPCs in the Spotlight; LPC vacancies; Employment law and personnel management; Provider companies guide 11.1.8 PSNC Newsletter 12/01/2015: PSNC letter to the Times; Important Cavilon Durable Barrier Cream changes; new repeat dispensing and vitamin D resources

Action: AE to send through the dates for PSNC events that are coming up and see if members wish to attend. Check with RH first re payments and then book places

11.2 PSNC Prescription check July 2014 – Attachment J For information

12 Communication 12.1 CCA LPC Bulletin 12.1.1 nothing received

12.2 Pharmacy Voice 12.2.1 New Manifesto for Community Pharmacy – Attachment K1 and K2

12.2.2 Pharmacy Voice: LPC leaders MP engagement discussion notes – Attachment L1 and L2

Suggest send pharmacy manifesto out to local MPs and arrange to meet with them in pharmacy. In the past had good dialogue with Rosie Winterton.

Recent communication from Weldricks offering flu jab and so LPC to follow up this.

Action: AE/NH to write to the MPs with the manifesto re pharmacy visits

12.3 Healthwatch 12.3.1 December 2014 newsletter – Attachment M For information

12.4 PCS/FHS Services Stakeholder Update November 2014 – Attachment N For information – impact on other parts of the NHS

12.5 Follow up to Your Voice event - NPA Talked about GPhC inspections – pressing for indication of what each standard looks like Falsified medicines directive – lobbying that scanning could be done at any point (in or out) so can put

Page 10 of 13 Doncaster LPC mins 14.01.15 into day to day processors Feel that should be a pharmacist on the premises at all times the pharmacy are open. EPS2 – quite a lot of issues Level of support is not sufficient Prescription direction – looking into taking legal safeguards rather than being bad practice.

Reports ( most items will be covered in the open meeting )

a. NHS Commissioning Board Area Team update i. Seasonal Flu update Meeting on 26.01.15 - over 6000 vaccination done across SYB. Doncaster not far below in figures

ii. Changes to NHS England regional and area responsibilities and senior appointments – Attachment O Will get more info re the restructure

iii. LPC Liaison meeting cancelled – new date 27.01.15 - items for the agenda Cancelled twice – Matt Auckland is only there 2 days a week and Victoria Lindon’s work has been in the main passed on to him too.

b. Local Authority update i. PNA final documents – Attachment P1 and P2 Meeting to review comments on consultation. There will be no changes to the PNA now.

ii. Pharmacy Remuneration Bullet Point Document – SWYFT – Attachment Q NH has contacted them recently regarding payments. Problem that the claims are not correct so having to check them all manually. Looking at system to help with the selection of products to avoid errors.

iii. Needle Exchange service training update Jane Mundin – re training email – guidance has now changed saying 3 ½ hours daytime meeting rather than 2 hours evening. This is because they have got a new training provider who can only deliver training between 9am – 5pm Monday to Friday. The new provider has said that they need more time for the training so increased. Explained that one of the issues was covering the costs of the pharmacy having to have a locum – asked if all staff need to attend training – pharmacy staff need to be aware of the service Are they contacting contractors to explain the changes to the training and back fill payments and how will they claim. Offering individual training to one pharmacy and wonder if they should provide the training on an individual basis to all pharmacies and then may have better results.

Action: NH to as k Jane Mundin - Are they contacting contractors to explain th e changes to the training and back fill payments and how will they claim. Action: NH to ask Jane Mundin - Offering individual training to one pharmacy and wonder if they should provide the training on an individual basis o all pharmacies and may have better results

c. CCG update i. Dementia meetings Dementia Alliance is a voluntary organisation facilitated by the Council. Need to keep up to date with the info but don’t need to attend all the meetings.

ii. Dementia Alliance Newsletter Nov/Dec 2014 – Attachment R For information

Page 11 of 13 Doncaster LPC mins 14.01.15

iii. MAS review (NH + PC) The CSU have been commissioned by the CCG to undertake a review of the LPC proposal and are wishing to meet with NH and PC - 26/01/15. Launching on 1 st April 2015 – no PGDs at the moment so self declaration.

iv. RW and NH meeting with Nick Tupper and Jeremy Bradley update Covered elsewhere in the meeting

v. Couriered medications - request for advice (NH email) Gill Bradley asked what the LPCs thoughts would be on using taxis to deliver the medication out of hours – if patient already given the prescription to the taxi driver then have to assume the patient has given consent and therefore by default has agreed that it is ok. RW suggested that if they have some money to fund a taxi courier service then maybe could use this to fund pharmacist going into the care home and providing checks as this would be more clinically useful.

vi. NOAC cards (NH email) Pharmacy do not know about NOAC cards – certain medication already has the card in the actual box.

d. LPN a) Feedback from stakeholder event on 19 th Nov.14

Next meeting is end of January 2015

13 East Midlands Region

- Next meeting planned for 18 th March 2015 - Consider items to be put forward for the agenda

• What are PSNC doing about the Now More Than Ever campaign

14 Any matters for discussion not on the agenda (AOB allocated to either open or closed session as appropriate)

14.1 Social – cancelled Better to hold after a LPC meeting – NH and AE will organise this.

14.2 Doncaster Deaf Childrens Society event (PC) – charity – affiliated to National Deaf Society 300 children across Doncaster - Represent them to go to the council etc Launch event – 1st February 2015

Are members willing to advertise this event by putting up posters in their pharmacies – all agreed and took a poster for their pharmacy

14.3 Hallam FM Wishing to work with local pharmacies across SY NH will send information to members by email.

The cost would be £31,000 for a whole year but this is to be divided across the whole of SY - £80 per pharmacy approx. RW feels this is a good opportunity for pharmacy to advertise services.

Need to pass on the details to area managers and then need some answers for the next meeting

Page 12 of 13 Doncaster LPC mins 14.01.15 No provision in the b udget but was looking at a Levy holiday but feel that needs to be done first so levy holiday on hold.

Action: NH to send the information re Hallam FM pharmacy advertising to members and members asked to pass this information onto their area managers, pharmacy owners and bring back thoughts to the next meeting.

15 Future meetings Dates Time Venue 11 th March 2015 9.30am - 5pm (2pm – Doncaster Rugby Football Club, 4pm open) Castle Park, Armthorpe Rd, Doncaster, DN2 5QB – Clubhouse Suite 13 th May 2015 3pm – 6pm (1pm – Board Room Sovereign House , Ten 3pm open) Pound Walk 8th July 2015 3pm – 6pm (1pm – Training Room , Weldricks 3pm open) 9th September 2015 3pm – 6pm (1pm – Board Room Sovereign House , Ten 3pm open) Pound Walk 11 th November 2015 3pm – 6pm (1pm – Training Room , Weldricks 3pm open)

The meeting ended at 6.15pm The next meeting will be held on Wednesday 11 th March 2015 at 9.30am

Amendments to minutes (if any):

Signed as a true and proper record:

Proposed by: Catherine Hudson Seconded by: Chris Bland

Approved by: original signed by R Wells and members present at the LPC meeting Richard Wells, Chairman. 11 th March 2015

Page 13 of 13 Doncaster LPC mins 14.01.15

Admin: DONCASTER PHARMACEUTICAL COMMITTEE Alison Ellis Chief Officer Nick Hunter  [email protected] ℡ 07882289083  [email protected] Fax: 0115 8379854 ℡ 07595 069178 Fax: 01455 634800 http://psnc.org.uk/doncaster-lpc/ http://psnc.org.uk/doncaster-lpc/

Doncaster Local Pharmaceutical Committee Meeting

LPC MEETING 1 Training Room, Weldricks Pharmcy, Ten Pound Walk, Doncaster On Wednesday 14 th January 2015 at 1pm

Present: In the Chair Dave Sharp (DS)

Secretary: Nick Hunter (NH)

Members: Mohammed Ahmed (MA) (arrived late), Chris Bland (CB), Paul Chatterton (PC), Emily Bellwood (EB), Richard Harris (RH), Catherine Hudson (CH), Seonaidh Innes (SI), Lynn Murrie (LM), Darren Powell (DP), Claire Thomas (CT), Richard Wells (RW) (arrived late)

Minutes: Alison Ellis (AE)

Attending

• Tony Jamieson, Clinical Lead for Medicines, Yorkshire & Humber Academic Health Science Network (TJ) • Emma Smith, Doncaster CCG (ES)

Observer Dale McVeigh, Weldricks Pharmacy (DM)

Apologies • Garry Myers, PSNC Regional Representative • Sheila Barnes, Healthwatch Doncaster • Ming Goh, LPC Member • Richard Wells, LPC Chair (attending late) • Mohammed Ahmed (attending late)

Open meeting guest speakers NH welcomed guests to the meeting

Tony Jamieson, Y&H Patient Safety Collaborative – Attachment 1, 2, 3, 4 (sent in separate email by NH)

Yorkshire & Humber Academic Health Science Network – remit implement the government transformation – Patient safety collaborative for Yorkshire & Humber one of the main projects – increase skills in developing safety skills

Human factors in healthcare and medicines optimisation

Page 1 of 13 Doncaster LPC mins 14.01.15 - Past behaviours / experiences - Understanding human psychology and how affects thinking - teamwork - Engineer safe and efficient practice – redesign pharmacy, medicines packaging etc - Make clinical human factors of routine practice

Pharmacy has 95% accuracy rate and still working to increase this. Other areas strive to get a 95% accuracy.

Within the project Pharmacies will decide what they wish to measure and set a baseline – implement a change and then compare results. Safer dispensing – could be addressing human factors within dispensing. Wish to have 20 teams to look at and report any near misses etc Working with Asda, Morrisons, and Boots currently at a head office level. Feel need to have a different groups rather than just the same company throughout.

Time commitment: - 2 hour introductory session (attended by lead pharmacist and 2 other staff) – continuity over the 24 weeks so 3 should cover this. - 1 full day where learn the theory - 2 x ½ day sessions - Visits to the pharmacy by the Y&H team - There is no backfill available - 20 weeks collecting data – send through once a day – tally charts

4 separate Sundays – flexible around dates and venue

Benefit to the pharmacy – teamwork, safer patients, knowledge & expertise, exemplars of patient safety, Queries from LPC members - Not sure that 24 weeks would be long enough to see a difference - How will this help pharmacy gain more time to do other things – suggested that it would increase more teamwork, communication, accuracy - SOPS -

First cohort – advised to contact head offices of multiples and independent chains

Asked if LPC would forward onto contacts and independent contractors. – agreed that we could do this

When: March, May, June, July Venue: Leeds (most central) but if in a certain area then will move (i.e. Doncaster)

Action: Support and encourage participatio n - Informa ti on to be sent to AE / NH and then forward the information to independent pharmacies and head office contacts + members.

Emma Smith, Doncaster CCG

MAS – Sonar system being looked at by CSU. Re-commissioning hopefully using PharmOutcomes. Looked at the proposal LPC given. Notice has been given to Sonar to finish 01/04/15.

Falls and Inhaler technique services – claims – only received from one pharmacy company. Members to look into this with their companies and check if claims should have been sent through and have not been received.

Inhaler technique – children’s scheme similar to Adult scheme. Aiming to stop emergency admissions Invited LPC to the asthma task and finish group – 29/01/15 – RH attending. Use the MUR model – clinical recommendations – query if pharmacy to be able to provide a Volumatic /

Page 2 of 13 Doncaster LPC mins 14.01.15 spacer without prescription

If this Project in Doncaster goes ahead then the [SCHAR] research taking place will need to move to a different area.

Falls Service Bid under Better Care fund – need to have a discussion around this – deadline is 2 nd February 2015. NH/CT Feedback from RDASH – referrals are very good and detailed – they have not had to send any back from pharmacy which is excellent. Quality is exceptional and all parties are very pleased with this service. Fee structure – willing to look at this – realise that this is not enough for the amount of work needed to complete. Doncaster CCG are helping with the business case to be put forward to Doncaster Council. Emma Smith has agreed to provide a statement about the quality of referrals and service that community pharmacy are providing.

2 2.1 Apologies for absence • Ming Goh • Richard Wells (attending late) • Mohammed Ahmed (attending late)

2.2 Acceptance of the minutes from 12 th November 2014 ( Attachment A ) The minutes for the meeting on 12 th November 2014 were accepted as a true and accurate record after the following amendments a) Page 3 - Low molecular weight heparin instead of low grade heparin b) Page 10 - Section 9.4 Harm minimisation / reduction group not Harmonisation group

Proposed by RH and seconded by LM

2.3 Matters arising (not on the agenda) 1 MDS Issues regarding MDS changes and 7 day prescribing - waiting for information from Kath Lindley – been in email contact with CCG/Kath Lindley / LPC CCG are in favour of the prescription being rewritten rather than changes to the MDS tray and resealing. Need more information from Kath Lindley

2 Substance Misuse clients in Police Cells Primarily led by Rotherham commissioners. Sent through to Doncaster commissioners and still pending discussion re remuneration for the extra work

3 Low molecular weight heparin Palliative care service and whether can include low molecular weight heparin - RH has not heard anything from Steve Davies and Mark Randerson is currently off sick. Not been to the APC yet - RH to agenda this at the next APC meeting - ask the CCG to review the specification of the palliative care specification re including heparin and talk to the LPC.

Palliative care service is running but only in East Laithgate.

4 Patients with learning disabilities Waiting on information from Jayne Thompson re dates of meetings for NH and RW to attend and give a pharmacy talk re services and also regarding training for pharmacies on learning disabilities.

5 Governance

Page 3 of 13 Doncaster LPC mins 14.01.15 Review the members skills assessment and Strategy / Business plan at the March meeting – full day meeting Action: AE to add member s kills assessment and Strategy / Business plan review to the March 2015 LPC meeting agenda.

6 Minutes The minutes from the LPC meeting were sent out to members within 4 weeks of the meeting. Members reported that this was helpful as a reminder of action points. The full minutes were published on the website as agreed.

7 Expense Policy DP, RH and DS have arranged a meeting to discuss the changes to the expense policy and then to be added to the March LPC meeting agenda Action: RH to add in specific clause to the expense policy regarding splitting time and expenses between LPCs – DP, RH and DS to discuss and AE to add to the March LPC meeting agenda

8 Anticoagulants RH has spoken to Richard Daniszewski regarding running a training session on NOACs agreed to add this to the LPF training program.

9 LPC PR Stories on NH presenting at the Pharmacy Show and asked to do podcast and also C&D articles were included in the LPC bulletin.

10 PNA NH has sent through the LPC response to the Doncaster PNA.

11 Harm Reduction Group Not had a meeting yet – forward to next meeting

Action: NH to pick up Hepatitis B vaccinations at the next Harm Reduction Group meeting

12 SWYFT training SWYFT have agreed to fund staff attending training but not pharmacists

3 NHS Contract Matters

Control of Entry Spreadsheet – (nothing received)

Regulations Table – http://psnc.org.uk/nottinghamshire-lpc/lpc-members-private-page/

Regulations guidance – https://www.gov.uk/government/publications/nhs-pharmaceutical- services-assessing-applications

3.1 New contracts-Routine None received

3.2 New contracts-Excepted 3.2.1

Contract applications received from other areas None received

Page 4 of 13 Doncaster LPC mins 14.01.15 3.3 Litigation 3.3.1 SHA/17798 - Application for inclusion in the pharmaceutical list under Part 4, Regulation 24 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 - Relocation Resulting in No Significant Change, By: D&R Sharp (Chemists) Ltd From: 21 St David’s Drive, Doncaster, DN5 8NG To: Unit 4 Barnsley Road, Scawsby, Doncaster, DN5 8QE Representations by 10 th January 2015 - Attachment B

3.3.2 SHA / Application for inclusion in the pharmaceutical list under Part 4, Regulation 24 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 - Relocation Resulting in No Significant Change, By: H I Weldrick Ltd From: 81 Sandringham Road, Intake, Doncaster, DN2 5JA To: Pharmacy Unit, Sandringham Road Health Centre, Doncaster, DN2 5JE Deadline – 12 th February 2015

Declarations: PC, DP, CH, CT, RH (Weldricks), DS (D&R Sharp),

Liaise with SI, LM, EB and CB, MA

Averroes are trading at the moment but not been able to agree a legal agreement for the lease but Weldricks have now. Regulation 31 still applies as there is still a pharmacy trading at present. The LPC represent Weldricks, Averroes and the other pharmacies in the area.

3.4 Decisions 3.4.1 Application for inclusion in the pharmaceutical list under Part 4, Regulation 24 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 - Relocation Resulting in No Significant Change, By: H I Weldrick Ltd From: 81 Sandringham Road, Intake, Doncaster, DN2 5JA To: Pharmacy Unit, Sandringham Road Health Centre, Doncaster, DN2 5JE Refused

Decisions from other areas None received

3.5 Responses received . 3.5.1

3.6 Amendment to Pharmaceutical List 3.6.1 Change in supplementary hours from 04.12.14 By: H I Weldricks T/A Weldricks Pharmacy At: The Orchard Centre, Marshlands Road, Moorends, Doncaster, DN8 4SB Hours on a Thursday changed from 8.30am – 8pm to 8.30am – 6.30pm

3.6.2 Change of ownership from 10.12.14 From: CSPC (Pharmacy) Ltd T/A Alchem To: Day Lewis PLC T/A Day Lewis Pharmacy At: The Vermuyden Centre, Fieldside, Thorne, Doncaster, DN8 4BQ

Page 5 of 13 Doncaster LPC mins 14.01.15 4 Treasurer reports 4.1 Finances for November / December 2014 RH has paid the PSNC invoice for the next 6 months

Asked if should give contractors a levy holiday as the amount in the bank account is increasing again. The LPC have a lot of work at the moment and meetings to attend – Child Asthma project, Falls Service business case at the moment.

On discussions around paying for CT and PC time around business cases etc it was then agreed to suspend the levy holiday until March meeting and discuss again to see how many work commitments are ongoing.

Action: AE to add levy holiday to the March LPC agenda.

4.2 Expense policy revision – Attachment C DS, RH and DP are meeting on Monday to review the expense policy. Things to include are – fuel rate increase to 45p and backfill, travel costs and accommodation costs need reviewing.

Action: DS, DP, RH meeting on 19.01.15 to discuss changes to the LPC expense policy. This will be reviewed at the March LPC meeting.

5 Secretary reports 5.1 Business / Strategy plan update - Attachment D (NH will provide printed copies) Relationships Local representative committees – tried to contact the LOC recently but not had anything back. LDC- had dialogue with Richard Allot re antibiotic prescribing issues. Secondary care – don’t think RW has met yet Age UK are wishing to attend a pharmacy – promote awareness and services available. No money from DMBC to fund the charities

Communications Public awareness - Ian Carpenter (CCG) is keen on utilisation of dispensing bags – public awareness money. Another campaign will be coming out in March Consultations – PNA and appeal response have been completed Contractor’s interests – switches – if they are a problem then need to talk to gp surgery but if still problems then raise with Med Man / NH. Pregabalin license – although generic imminent, patent protection continues for neuropathic pain. If supply generic pregabalin then face threat of legal action from Pfizer because they are supplying in breach of patent even though pharmacy may not actually know the diagnosis / reason for prescribing. DH is of the opinion that GPs are aware of the diagnosis and have ability to prescribe in accordance with patents and license.

Support for contractors Ongoing support for contractor re needle exchange – asked for more information at the Harm Reduction meeting. EPS – lots of things are happening at the moment. PSNC have information some FOI on unclaimed EPS 2 scripts. NHSBSA are aware of the amount of dispensed scripts that have not been claimed (95,000). Most software systems do have a reminder for script expiration for claims (180 days)

5.2 EPS - Deployment –Attachment E1 and E2 For information

Page 6 of 13 Doncaster LPC mins 14.01.15 5.3 PCC event - Creating the future of Primary Care 27.11.14 – Attachment F Main points Ian Dodge, Author of the 5 Year Forward View, talked about primary care as general practice which was picked up by CCG representatives on NH table. 5 Year forward view was meant to be the answer to the Call to Action – pharmacy not included in this and yet had the largest response to Call to Action.

Talks about population commissioning – for different services need to look at the optimum population and stick to that target. If go over then costs more money with no further population gain.

Some CCGs are working on some really innovative services. One service is - Consultations with consultants e.g. Patient goes to the gp, if the gp doesn’t know the answer because it’s not their speciality – instead of referring into secondary care the scheme enables the gp to have a list of consultants who are ‘on call’ . The GP just needs to ring a dedicated telephone number – if this is not answered within 15 seconds it then rings the next consultant on the list until one of the consultants on the list answers – this should be within 90 seconds. The cost for this service is less than a full referral which may not be needed and can be done with the patient in the consultation room. However, the GP said he doesn’t make any money on these new additional services and so has the same problems as pharmacy with engagement of gp’s due to not being able to replace income lost from elsewhere in the system

Discussion around A&E targets not being met and money being given to general practice to keep people out of hospital. Doncaster did not meet its targets for A&E.

Discharge – toolkit around referrals to pharmacy from hospital is available – Medication - conflicting letters will put pharmacy in danger of errors - takes a long time to clarify what medication needs to be prescribed. Hard to track down the information and consultant to do the checks.

Action: NH to put hospital discharges / referrals to pharmacy on t he agenda for LPN meeting

5.4 Antibiotic prescriptions - Attachment G RW and NH will take this briefing paper on the CPPE antibiotics booklet to Nick Tupper around reducing antibiotic prescribing. Look at feeding back when prescribed outside of formulary. Think there will be some changes – discussing treatments re which antibiotics currently used for urine infections. Working on some multidisciplinary training sessions.

5.5 Off-label medications Talked about earlier in the meeting

5.6 Substance misuse clients in cells – update (NH) Talked about earlier in the meeting

6 Chair reports Nothing to report

7 Future of LPC – updates Working collaboratively with other LPCs in the area

8 Topics for discussion

8.1 Ebola- consultation room use – PC /NH – Attachment H How practical is it for pharmacy to isolate in a consultation room. Wouldn’t be a threat to pharmacy as not infectious until further on into illness.

8.2 IPF webinars – 28/01/15 SCR and 26/02/15 processing scripts efficiently Approached to support them with webinars

Page 7 of 13 Doncaster LPC mins 14.01.15 Put on an event between Doncaster and Rotherham – 2 hour event with 1 hour webinar. Room at Ibis hotel in Rotherham which holds 30 people at most so limited places. Trialling to see how this works.

Aiming to run these once a month over the year.

8.3 Now More Than Ever – http://www.nuffieldtrust.org.uk/sites/files/nuffield/publication/now_more_than_ever.pdf

RPS Now or Never campaign previously – Nuffield reviewed this paper and asked what has been done about this – realised that it wasn’t much!!!!! Problem with the way funded – not paid enough for the extra services so still focus on the dispensing role. Advised all members to read the report – obligation to contractors to know and push forward when can.

When there are services that need contractors to be able to deliver – look at whether take on the service in the first place.

9 Members reports 9.1 Sexual Health Partnership meeting report (RH)

Tender – not been announced – awarded to is Trihealth (DBH and RDASH joint) HIV point of care testing – possibly extending to community pharmacy - ? problems with false positives in low risk groups – how would this be handled? Spot testing – could be used for Hepatitis testing. Pilot previously done by Lloyds but then NHS restructure stopped this going ahead. Amy Booth wishing to meet with LMP – 22 nd January 2015 (RH and NH). Spoke to her and Tina Proctor about marketing EHC – need in the communities – social marketing of sexual health services Project 3 – physical service for under 19s with risky behaviour – briefing paper will be coming out – RH will bring to the next meeting.

Chlamydia screening test – only Weldricks East Laithgate – 80 consultations and 13 kits sent off. Comments received were positive.

No indication on what the next step will be yet. Accepting declaration of competency in the future.

LPC to ask what coverage there is across Doncaster contractors and locum cover.

Signing off of the EHC PGD – Public Health need to insure against indemnity – asked NH and RH to do this – before signing need to check that they would be covering the insurance payment as RH will be signing on behalf of PH rather than Weldricks. Need to check when the new provider take over and see if can wait until then for a new PGD as they will have an employed pharmacist.

New provider will be presenting to the next meeting and outlining the service. Declaration of competency will remove a lot of barriers – e.g. if attended training elsewhere.

9.2 Falls prevention conference Full day. Only pharmacist there. Presented the Doncaster service Feedback from service was positive re pharmacy work.

Falls and fragility fracture prevention Still wanting people to be involved in a pilot information gathering scheme – complicated and not ideal to take part.

Falls Alliance meetings reports (CT) CT attended this morning and RH attended last week Looking at emergency admissions – compared to 2 years ago – fallen slightly Page 8 of 13 Doncaster LPC mins 14.01.15

3 different groups - Alliance - Task and finish - Prevention and pathway

Sharon Greenhall – providing a training event on falls prevention and CT wonders if could do a joint event re pharmacy service. If putting in a business case need the data to be active (currently not many pharmacies claiming).

Query whether the LPC can fund CT to buddy up with the pharmacies that are not completing the assessments currently to go through and increase confidence to do this and help with data.

Data collection – sharing information How many, people who have fallen, where fallen.

Could have some training on the falls service and include PharmOutcomes input – advice in the past from Pinnacle is that it is not worth doing training session – queries should be able to be answered via service guidance book. Feel that would be useful to show the system to pharmacists and show how much simpler it would be.

PharmOutcomes would sort out the claims especially as would have tiered structure and depending on the answers to questions then would automatically allocate the right fee.

Query whether LPC fund posters to be developed and send to all pharmacies asking if they have had a fall recently.

Action: NH, CT and RH to put the bid together for the Falls Prevention Service and incorporate funds for posters and Pharmoutcomes.

9.3 Falls service review (CT) – Better Care fund bid - Attachment I New tiered scheme. Barrier to service activity is fee structure and work needed.

If the DMBC do not go with the proposed service then the CCG are interested in carrying on the service but looking at the payment structure.

Members feel that increased fees will help with more pharmacies taking part but still need some more training to increase confidence.

9.4 Lithium, insulin passports and methotrexate monitoring booklets (PC) Audit on methotrexate booklets – should pharmacy be providing and if so then where do we get them from. Were given by secondary care.

GP surgeries ensure that had bloods every 3 months – ask for book from patient or contact pathology to get the results and input on the system. If not had a blood test in 3months then stop prescriptions.

Feel that pharmacy should not be giving out the booklets and that the hospital / gp should be doing this.

Action: RH will raise with APC who should be providing the booklets for Lithium, insulin passports and methotrexate

Page 9 of 13 Doncaster LPC mins 14.01.15 10 Research Previously talked about the Asthma in Children research

11 PSNC Communications Members are advised that many PSNC communications are now communicated electronically and repeated on the PSNC website. It is recommended that members regularly visit the PSNC website ‘ LPC members’ area to access the latest information available on http://psnc.org.uk/

11.1 Briefings / LPC newsletters – these are received by LPC members 11.1.1 November 2014 Price Concessions 11.1.2 19/11/2014: Pledge to become an Antibiotic Guardian; Company-led drug alert; Pharmacist views sought on AKI resources 11.1.3 08/12/2014: January start for cardiovascular MUR target group; Politicians pressed to back pharmacy; MCA Database; Drug Tariff changes 11.1.4 Price Concessions December 2014 11.1.5 Price Concessions December 2014 (updated) 11.1.6 23/12/2014: Use of antiviral medicines for influenza; December CPN online; Manufacturer opening hours; AMCo and GSK supply information 11.1.7 LPC Newsletter 08/01/2015: LPCs in the Spotlight; LPC vacancies; Employment law and personnel management; Provider companies guide 11.1.8 PSNC Newsletter 12/01/2015: PSNC letter to the Times; Important Cavilon Durable Barrier Cream changes; new repeat dispensing and vitamin D resources

Action: AE to send through the dates for PSNC events that are coming up and see if members wish to attend. Check with RH first re payments and then book places

11.2 PSNC Prescription check July 2014 – Attachment J For information

12 Communication 12.1 CCA LPC Bulletin 12.1.1 nothing received

12.2 Pharmacy Voice 12.2.1 New Manifesto for Community Pharmacy – Attachment K1 and K2

12.2.2 Pharmacy Voice: LPC leaders MP engagement discussion notes – Attachment L1 and L2

Suggest send pharmacy manifesto out to local MPs and arrange to meet with them in pharmacy. In the past had good dialogue with Rosie Winterton.

Recent communication from Weldricks offering flu jab and so LPC to follow up this.

Action: AE/NH to write to the MPs with the manifesto re pharmacy visits

12.3 Healthwatch 12.3.1 December 2014 newsletter – Attachment M For information

12.4 PCS/FHS Services Stakeholder Update November 2014 – Attachment N For information – impact on other parts of the NHS

12.5 Follow up to Your Voice event - NPA Talked about GPhC inspections – pressing for indication of what each standard looks like Falsified medicines directive – lobbying that scanning could be done at any point (in or out) so can put

Page 10 of 13 Doncaster LPC mins 14.01.15 into day to day processors Feel that should be a pharmacist on the premises at all times the pharmacy are open. EPS2 – quite a lot of issues Level of support is not sufficient Prescription direction – looking into taking legal safeguards rather than being bad practice.

Reports ( most items will be covered in the open meeting )

a. NHS Commissioning Board Area Team update i. Seasonal Flu update Meeting on 26.01.15 - over 6000 vaccination done across SYB. Doncaster not far below Sheffield in figures

ii. Changes to NHS England regional and area responsibilities and senior appointments – Attachment O Will get more info re the restructure

iii. LPC Liaison meeting cancelled – new date 27.01.15 - items for the agenda Cancelled twice – Matt Auckland is only there 2 days a week and Victoria Lindon’s work has been in the main passed on to him too.

b. Local Authority update i. PNA final documents – Attachment P1 and P2 Meeting to review comments on consultation. There will be no changes to the PNA now.

ii. Pharmacy Remuneration Bullet Point Document – SWYFT – Attachment Q NH has contacted them recently regarding payments. Problem that the claims are not correct so having to check them all manually. Looking at system to help with the selection of products to avoid errors.

iii. Needle Exchange service training update Jane Mundin – re training email – guidance has now changed saying 3 ½ hours daytime meeting rather than 2 hours evening. This is because they have got a new training provider who can only deliver training between 9am – 5pm Monday to Friday. The new provider has said that they need more time for the training so increased. Explained that one of the issues was covering the costs of the pharmacy having to have a locum – asked if all staff need to attend training – pharmacy staff need to be aware of the service Are they contacting contractors to explain the changes to the training and back fill payments and how will they claim. Offering individual training to one pharmacy and wonder if they should provide the training on an individual basis to all pharmacies and then may have better results.

Action: NH to as k Jane Mundin - Are they contacting contractors to explain th e changes to the training and back fill payments and how will they claim. Action: NH to ask Jane Mundin - Offering individual training to one pharmacy and wonder if they should provide the training on an individual basis o all pharmacies and may have better results

c. CCG update i. Dementia meetings Dementia Alliance is a voluntary organisation facilitated by the Council. Need to keep up to date with the info but don’t need to attend all the meetings.

ii. Dementia Alliance Newsletter Nov/Dec 2014 – Attachment R For information

Page 11 of 13 Doncaster LPC mins 14.01.15

iii. MAS review (NH + PC) The CSU have been commissioned by the CCG to undertake a review of the LPC proposal and are wishing to meet with NH and PC - 26/01/15. Launching on 1 st April 2015 – no PGDs at the moment so self declaration.

iv. RW and NH meeting with Nick Tupper and Jeremy Bradley update Covered elsewhere in the meeting

v. Couriered medications - request for advice (NH email) Gill Bradley asked what the LPCs thoughts would be on using taxis to deliver the medication out of hours – if patient already given the prescription to the taxi driver then have to assume the patient has given consent and therefore by default has agreed that it is ok. RW suggested that if they have some money to fund a taxi courier service then maybe could use this to fund pharmacist going into the care home and providing checks as this would be more clinically useful.

vi. NOAC cards (NH email) Pharmacy do not know about NOAC cards – certain medication already has the card in the actual box.

d. LPN a) Feedback from stakeholder event on 19 th Nov.14

Next meeting is end of January 2015

13 East Midlands Region

- Next meeting planned for 18 th March 2015 - Consider items to be put forward for the agenda

• What are PSNC doing about the Now More Than Ever campaign

14 Any matters for discussion not on the agenda (AOB allocated to either open or closed session as appropriate)

14.1 Social – cancelled Better to hold after a LPC meeting – NH and AE will organise this.

14.2 Doncaster Deaf Childrens Society event (PC) – charity – affiliated to National Deaf Society 300 children across Doncaster - Represent them to go to the council etc Launch event – 1st February 2015

Are members willing to advertise this event by putting up posters in their pharmacies – all agreed and took a poster for their pharmacy

14.3 Hallam FM Wishing to work with local pharmacies across SY NH will send information to members by email.

The cost would be £31,000 for a whole year but this is to be divided across the whole of SY - £80 per pharmacy approx. RW feels this is a good opportunity for pharmacy to advertise services.

Need to pass on the details to area managers and then need some answers for the next meeting

Page 12 of 13 Doncaster LPC mins 14.01.15 No provision in the b udget but was looking at a Levy holiday but feel that needs to be done first so levy holiday on hold.

Action: NH to send the information re Hallam FM pharmacy advertising to members and members asked to pass this information onto their area managers, pharmacy owners and bring back thoughts to the next meeting.

15 Future meetings Dates Time Venue 11 th March 2015 9.30am - 5pm (2pm – Doncaster Rugby Football Club, 4pm open) Castle Park, Armthorpe Rd, Doncaster, DN2 5QB – Clubhouse Suite 13 th May 2015 3pm – 6pm (1pm – Board Room Sovereign House , Ten 3pm open) Pound Walk 8th July 2015 3pm – 6pm (1pm – Training Room , Weldricks 3pm open) 9th September 2015 3pm – 6pm (1pm – Board Room Sovereign House , Ten 3pm open) Pound Walk 11 th November 2015 3pm – 6pm (1pm – Training Room , Weldricks 3pm open)

The meeting ended at 6.15pm The next meeting will be held on Wednesday 11 th March 2015 at 9.30am

Amendments to minutes (if any):

Signed as a true and proper record:

Proposed by: Catherine Hudson Seconded by: Chris Bland

Approved by: original signed by R Wells and members present at the LPC meeting Richard Wells, Chairman. 11 th March 2015

Page 13 of 13 Doncaster LPC mins 14.01.15