3 October 2019 REF: SHA/22113 APPEAL AGAINST NHS ENGLAND
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3 October 2019 REF: SHA/22113 Arena Point Merrion Way APPEAL AGAINST NHS ENGLAND DECISION TO REFUSE Leeds AN APPLICATION BY ASCENT HEALTHCARE LTD FOR LS2 8PA INCLUSION IN THE PHARMACEUTICAL LIST OFFERING UNFORESEEN BENEFITS UNDER REGULATION 18 Tel: 0203 928 2000 WITHIN 150M OF MORRISONS SUPERMARKET, Fax: 0207 821 0029 BELLONA DRIVE, STANGROUND, PETERBOROUGH, PE2 Email: [email protected] 8GP 1 Outcome 1.1 The Pharmacy Appeals Committee (“Committee”), appointed by NHS Resolution, quashes the decision of NHS England and redetermines the application. 1.2 The Committee determined that the application should be refused. Arena Point REF: SHA/22113 Merrion Way Leeds LS2 8PA APPEAL AGAINST NHS ENGLAND DECISION TO REFUSE AN APPLICATION BY ASCENT HEALTHCARE LTD FOR Tel: 0203 928 2000 INCLUSION IN THE PHARMACEUTICAL LIST OFFERING Fax: 0207 821 0029 UNFORESEEN BENEFITS UNDER REGULATION 18 Email: [email protected] WITHIN 150M OF MORRISONS SUPERMARKET, BELLONA DRIVE, STANGROUND, PETERBOROUGH, PE2 8GP 1 A summary of the application, decision, appeal and representations and observations are attached at Annex A. 2 The Committee held an oral hearing at the Queensgate Hotel, 5-7 Fletton Avenue, Peterborough PE2 8AX. The Committee comprised of Mrs S. Hewitt [Chairman], Mrs L. Summers, and Mr. M. Beaman [Pharmacist member]. Each declared that they had no conflicts of interest. 3 Attendees were as follows: 3.1 APPLICANT/APPLICANT 3.1.1 Mr. Qammar Nazir (Ascent Healthcare) and Mrs. Saira Nazir 3.2 INTERESTED PARTIES 3.2.1 Emma Griffiths-Mbarek (Well Pharmacy) 3.2.2 Wayne Clark (Well Pharmacy) 3.2.3 Shabbir Damani (Repeat Prescription Orderline Limited) 3.2.4 Matt Cox (Lloyds Pharmacy) 3.2.5 Anil Sharma (Cambs and Peterborough LPC) 3.2.6 Karen Cox (Cambs and Peterborough LPC) 3.3 DECISION MAKING BODY 3.3.1 Sharon Grey, Contract Manager Pharmacy and Optometry (NHS England) 3.4 OBSERVING 3.4.1 Fiona Richardson (Primary Care Appeals) 4 Site Visit 4.1 Before the hearing commenced, the Committee conducted a site visit which was read out to the parties. There were no corrections or observations made upon it. 4.2 At 10am the Committee set off from the location of the hearing, the Queensgate Hotel, Peterborough. It travelled into Fletton Avenue, and reached the Stanground Community Centre. This had a busy car park and a nursery school at the side. A patron spoken to said it was always in use by various community groups including for children’s parties etc. 4.3 From there we went along Whittlesey Road and the A605 to the Cardea Housing Development. We walked around the central hub of the development surrounding a substantial car park. We noted the Cardea Community and Sports Pavilion and a large Morrison’s Supermarket. On one side of the car park was a row of 7 small retail units, two of which were vacant. The occupied units were two take away food outlets, a barber shop, a charity shop and a hair and beauty salon. 4.4 We were told that currently no buses drop off or pick up at the Morrison’s site, although a staff member of Morrison’s and the driver of a parked bus, Stage Coach 5, told us this was to change in the near future. The nearest bus stop from Morrison’s was approximately 400 metres away and was served by the Stage Coach No. 5 bus to Peterborough City Centre. We noted that it runs every 20 minutes from Monday to Saturday and hourly on Sundays. We noted a pub/restaurant called “Apple Cart” on the boundary of the Morrison’s car park. 4.5 The Committee returned to Morrison’s and began its walk towards the Stanground Surgery and the Well Pharmacy. We walked past St Michael’s Church School, along Apollo Avenue. We turned on to a path which leads to Oakdale School, which appears to mark the edge of the Cardea estate. 4.6 The Cardea estate comprised a combination of detached and terraced houses and flats. They were well kept and the pavements and paths were in very good condition with dropped kerbs, and are well lit. There were 5 mph speed limits visible and most houses had off street car parking and many had cars parked in them. 4.7 From there we went along Oakdale Avenue, which comprises of older housing, almost all with off street parking and with many cars visible. The pavements were flat and wide. 4.8 At the junction with Whittlesey Road, we saw the No 5 bus en route. We turned left and noted that the pavement was separated by white markings for pedestrians and a cycle route, wide enough to take both. Following the pathway, we entered the Stanground Surgery and the Well Pharmacy. There was a pharmacy sign in the car park, which was of a good size, with plenty of spaces available. The walk had taken us 25 minutes at average pace. Well Pharmacy was located within the GP surgery and shared the same waiting area. Opening hours reflected those of the Surgery, a seven GP practice, these being 8.30-6pm Monday- Fridays. There was reasonable amount of seating and capacity and disabled access was good. 4.9 From there we continued along the pathway back to Whittlesey Road and noted Halls the Chemist, a short distance along. It had parking for approximately 8 cars, and there were spaces free at the time of inspection. The pharmacy hours were 9am-6pm Monday-Friday and 9am-1pm on Saturday. It advertised a free collection and delivery service. 4.10 From there we took the car back, going via Kingston Park Industrial Estate, which contained some large distribution warehouses including Amazon, DHL and Debenhams, and a number of medium sized units, some very new. There was space for further development. The distance from Morrison’s was such that the Committee was of the view that employees of this estate would be unlikely to frequent the Morrison’s hub during their working day. 4.11 From the industrial estate we continued by car to the Old Fletton Surgery and Odedra Pharmacy, purpose build c.2009. 4.12 The car park was full but spaces were coming free regularly. The Surgery is a six GP dispensing surgery, open from 8am-6pm Monday-Friday, and the pharmacy opens 8.30am-6.15pm Monday-Friday. Disabled access was good and there was ample capacity. This pharmacy also did free deliveries. 4.13 The Site visit finished at the Old Fletton Surgery and returned to the Queensgate Hotel, Peterborough. 5 Oral Hearing Submissions 5.1 The Chairman confirmed with all parties that they had been previously been served with the document bundle consisting of 260 pages. As a preliminary matter, Mr Damani of Halls the Chemist, wished to circulate a letter dated 11 September 2019 from the Chairman of the Patient Group at Halls, opposing the appeal. As there were no objections from the parties, this was done and it appears below within Mr Damani’s submissions. 5.2 Mr Nazir asked for permission to circulate an email of support dated 13 September 2019 from Councillor Ray Bisby. This too is reproduced below. 5.3 The Chairman indicated that there was no need to address the Committee on Regulation 31. 5.4 Ascent Healthcare, the Applicant was represented by Mr Qammar Nazir, accompanied by his wife, Mrs Saira Nazir, also a pharmacist. 5.5 Supporting email provided by Mr. Nazir: 5.5.1 From: Cllr Bisby Ray Sent: 13 September 2019 08:17 To: Qammar Nazir Dear Mr. Nazir I am one of the Councillors for Stanground South, Peterborough that covers Cardea. I am in support of a new pharmacy in Cardea for the following reasons: 1 The CCG and local surgery did not take up the option to build a new surgery in Cardea for the 1800+ homes on the development. 2 The local surgery is planning an extension but have had issues over a small area of land that is preventing the extension being progressed. 3 The two chemists/Pharmacy are located in and very close to the doctor’s surgery. 4 These Pharmacy/chemist is well away from some areas and people who need medication but have no transport find it hard to get there, especially if ill. 5 A pharmacy in Cardea, would enable people in the Cardea and Park Farm areas to get prescriptions and medical advice for minor ailments. 6 The continued population growth is putting pressure on the Doctors surgery until such times as there is capacity from the extension. 7 Cardea has shopping facilities that would be a draw for people and make a pharmacy a logical addition and convenience for the public even after the Doctors surgery extension. 8 The health and wellbeing of the local public is paramount and this addition would be in my opinion, a welcome addition. Kindest regards Cllr R Bisby Stanground South Peterborough 5.6 Mr. Nazir handed out colour maps of the local area in A2 size. 5.7 By way of introduction, he stated that Stanground is a residential area in the south east of Peterborough. The area is made up of the two wards – Fletton & Stanground and Stanground South. The total population of Stanground was approximately 18,500 in 2016 and the population is estimated to increase to around 22,000 in the next 2 years (2021). This area of Peterborough has seen a significant population increase. The majority, if not nearly all of this population increase is due to the Cardea development, within Stanground South.