Somerset Health and Well-being Board

Pharmaceutical Needs Assessment 2015

Annexe 4

A4.1 Results of Pharmacy Survey June-July 2014.

A41.1 This Annexe summarizes the findings of this survey. Between 16 th June and 18 th July 2014, there were 63 responses from the following pharmacies:

Table A4 1: Pharmacies responding to June-July 2014 Survey

Contractor Code (ODS Code) Name of contractor Trading Name Address 11 Swain Street Watchet Somerset FA831 John Preddy Co LTD Quantock Pharmacy TA23 0AB 1-10 Paul Street Taunton Somerset TA1 FTP97 AS Watson Superdrug 3PF 19 Fore Street, Bridgwater, Somerset, TA6 FY731 AS Watson Superdrug 3NH FAP59 ASDA ASDA Pharmacy Preston Road, Yeovil BA20 2HB ASDA FROME, WARMINSTER ROAD, FPM71 ASDA PHARMACY ASDA PHARMACY FROME, SOMERSET. BA11 5LA FX748 ASDA taunton Asda Pharmacy Creechbarrow Road , Taunton Axbridge Square FHT28 Company Limited Axbridge Pharmacy The Square Axbridge Somerset BS26 2AR St James Medical Centre, Coal Orchard, fdn85 Boots Boots Taunton TA1 1JP 6 Market Square, South Petherton, FGT40 Boots Boots Somerset, TA13 5BT The Park Medical Practice, Cannards Grave FLV83 Boots Boots Road, Shepton Mallet BA4 5RT FNV27 Boots Boots the Chemist Cheapside Langport Somerset TA109PW FQV41 Boots Boots 39 , High Street, Glastonbury FX659 Boots Boots 2 High Street, Glastonbury, BA6 9DU FDG35 boots Boots The Chemist 34- 38 Fore Street Bridgwater 15 -17 High Street Burnham on Sea TA8 FEY11 Boots Boots 1NX Crown Industrial Est, Taunton, Somerset, FV860 Boots Boots TA2 8QY FH013 Boots local pharmacy Boots local pharmacy Upper Holway Road, Taunton, TA1 2QA FE699 Boots Pharmacy Boots Pharmacy 14-16 The Parade Minehead TA24 5UG Eddystone House, West Street, Somerton, FD004 Boots the Chemist Boots the Chemist somerset, TA11 7PR 37 Middle Street Yeovil Somerset BA20 FLY88 Boots the chemist Boots the chemist 1LS Unit 2b, Townsend Shopping Park, Shepton FXL36 Boots The Chemists Boots The Chemists Mallet, Somerset, BA45TZ FJ206 Boots UK Boots 1 Coopers Mill, Norton Fitzwarren TA2 6NX Vine Health Park, Hindhayes Lane, Street, FDV08 Boots UK Boots the Chemist Somerset, BA16 0ET FMG12 BOOTS UK BOOTS 64-65 High Street, Taunton, TA1 3PT Priory Health Park, Glastonbury Road, FRG76 Boots UK Boots UK Wells Somerset BA5 1XJ FDG35 Boots UK Boots the Chemist Dykes Way, Wincanton, Somerset, BA99FQ 1 French Weir Avenue, French Weir Health FF222 Boots UK let Boots Centre Taunton TA1 1NW FFL35 Boots UK Limited Boots 17-21 High Street Wells BA5 2AA FJ403 Boots UK Ltd Boots 29-31 High Street, Wincanton BA9 9JU Wellington Medical Centre, Mantle Street, FQ035 Boots UK Ltd Boots Wellington, TA218BD FTF48 Boots UK ltd Boots UK ltd Fore Street, Castle Cary, BA7 7BG FRG31 Boots UKL Boots UKL 5 Fore Street, Chard, Somerset TA20 1PH Bruton Pharmacy FVK07 Limited Bruton Phamracy 3 High Street, Bruton. BA10 0AB 1 Church Street Wedmore Somerset BS28 FY109 Celesio Lloydspharmacy 4AB CO operative pharmacy , co-operative FFA77 Priorswood, Taunton Pharmacy 5 Priorswood Place martock the chantry The Chantry, Church Street Martock TA12 FH826 co-operative 200293 6JL Abbey Pharmacy, 5a The Forum, Abbey FT109 Day Lewis Day Lewis Manor Park, Yeovil BA21 3TL fjg42 Day Lewis Pharmacy Day Lewis Pharmacy 72 Hendford Yeovil Somerset BA20 1UY 1 The Square Wiveliscombe Taunton TA4 FX068 Day Lewis Pharmacy Day Lewis Pharmacy 2JT Preston Grove Preston Grove Pharmacy Preston Grove FH355 J Preddy & Co Ltd Pharmacy Yeovil Somerset BA20 2BQ South Petherton FME12 John Ware LTD Pharmacy Bernard Way, South Petherton JOHN WARE - MERRIOTT FJ699 PHARMACY MERRIOTT PHARMACY 2 Broadway, Merriott TA16 5NQ Blackbrook Medical Centre, Lisieux Way, FAG80 Lloyds Pharmacy Lloyds Pharmacy Taunton. TA1 2LB 105 Fore Street, North Petherton, FC171 Lloyds Pharmacy Lloyds Pharmacy Bridgwater TA6 6RY Luson Surgery Car Park, 41 Fore Street, FFF46 Lloyds Pharmacy Lloyds Pharmacy Wellington TA21 8AG Somerset Bridge Medical Centre, fhd68 Lloyds Pharmacy Lloyds Pharmacy Stockmoor Park, Bridgwater Ta6 3Hu Unit 1, Stringfellow Garden, Holyrood St, FN897 Lloyds Pharmacy Lloyds Pharmacy Chard 22 Market Street, Highbridge Somerset Lloyds pharmacy Lloyds pharmacy TA9 3BT FL274 Morrisons Pharmacy Morrisons Stores PLC Priory Bridge Road, Taunton TA1 1DX FAL04 National Co-operative The Co-operative 67 St John's Road, Yeovil, Somerset, BA21 Chemists Ltd Pharmacy 5NJ National Co -operative The Co -operative 18 Victoria Street, BUrnham -on -Sea, TA8 FF236 Chemists Ltd Pharmacy 1AN National Co -operative The Co -operative 5 Priorswood Place, Eastwick Road, FFA77 Chemists Ltd Pharmacy Taunton, TA2 7JW National Co -operative The Co -operative Middle Path, Crewekerne, Somerset, TA18 FG726 Chemists Ltd Pharmacy 8BG National Co -operative The Co -operative The Chantry, Church Street, Martock, TA12 FH826 Chemists Ltd Pharmacy 6JL National Co -operative The Co -operative 2 Sunnyside Road, Clevedon, North FJ615 Chemists Ltd Pharmacy Somerset, BS21 7TA National Co -operative The CO -operative 205 Milton Road, Weston Super Mare, FP284 Chemists Ltd Pharmacy BS22 8EF National Co -operative The Co -operative 2 The Comeytrowe Centre, Pitts Close, FWH16 Chemists Ltd Pharmacy Galmington, TA1 4TN Hankrid ge Farm, Taunton Somerset TA1 FJ319 Sainsburys Pharmacy Sainsburys Pharmacy 2LR FX097 Street Pharmacy Ltd Street Pharmacy 82 High Street, Street FHG93 Superdrug pharmacy Superdrug pharmacy 5 Fore Street Wellington TA21 8AA FP032 Superdrug Pharmacy Superdrug Pharmacy 15 High Street Yeovil BA201RQ FDR89 Tesco Pharmacy Tesco Pharmacy Seaward Way Minehead Tout's Pharmacy, Tout's Budgens, Roynon FCW38 TOUT LIMITED TOUT'S PHARMACY Way, Cheddar, Somerset, BS27 3RB St Aldhelms a Fk642 Warwick ltd Pharmacy Enos way, Frome BA11 5FH

A4.2 Services

A4.2.1 Collection of Prescriptions from GP practices (not a commissioned service)

A4.2.2 All 63 pharmacies to have responded to the question collected prescriptions from GP practices.

A4.2.3 Delivery of dispensed medicine (not a commissioned service)

A4.2.4 Of the 62 pharmacies to respond to the question, 54 provided delivery of dispensed medicines, free on request. There were 50 replies to the question on delivery of dispensed medicine to selected patient groups, with 23 saying, ‘yes’, and 27, ‘no’. A small number made reference to delivery to the housebound, although generally saying that all were eligible. The answers suggest that there may have been some confusion between this and the previous question. There were 25 who said that they delivered to particular areas; those who described it referred to the local town such as Langport, Yeovil or Bridgwater. Only 6 out of 51 responses to the question stated that they charged for delivery.

A4.2.5 Non-commissioned services and willingness to provide Enhanced Services

A4.2.6 As coverage is not complete, and there appears to have been some uncertainty amongst some respondents as to the organization that had commissioned services, reporting is only at the county level rather than broken down into Federations. The PSNC survey, being national, included questions on all possible Enhanced Services; although some were described as commissioned by NHS England, CCG or Local Authority, it is to be assumed that these are provided here under other arrangements.

Table A4.2: Willingness to provide Enhanced Services

Not able Willing to or willing Currently provide the to Enhanced Service Providing service if provide commissioned the service Anticoagulant Monitoring Service 0 53 7 Care Home Service 7 38 15

Disease Specific Medicines Management Service 0 Allergies 0 55 5 Alzheimer’s/dementia 0 54 5 Asthma 0 54 5 Coronary Heart Disease 0 52 6 Chronic Obstructive Pulmonary Disease 0 53 5 Depression 0 54 5 Diabetes Type I 0 54 5 Diabetes Type II 0 55 5 Epilepsy 0 54 5 Heart Failure 1 53 5 Hypertension 2 53 4 Parkinson’s disease 0 53 4 In addition, one pharmacy stated a willingness to provide Malaria prevention for travellers. One of the pharmacies not able to provide enhanced services cited staffing levels as the explanation. Gluten-free food 2 48 8 Independent Prescribing Service 1 43 15 Language Access Service 6 37 18 Medication Review Service 30 35 2 Medicines Assessment and Compliance Support Service 3 52 4 Minor Ailment Scheme 29 20 2 Needle and Syringe Exchange Service 14 32 14 On Demand Availability of Specialist Drugs Service 1 47 9 Out of Hours Services 4 38 16 Patient Group Direction Service 13 40 6 Medicines cited (by 7 pharmacies) were: Levonorgestrel 1500mcg; Chloramphenicol; Sodium Cromogulate; Trimeheprim; Retapamulin; Aciclovir Cream 5% 2g, Clotrimazole 500mg Pessary, Clotrimazole 1% Cream 15g, Fluconazole Capsule 150mg, Loratadine Tablets 10mg, Miconazole Cream 2% Cream 30g; MAS; Anti malarial and flu vaccination; Chloramphenicol eye drops, fluconazole capsule, miconazole cream, sodium cromoglycate eye drops, trimethoprim tablets, ointment, nitrofurantoin capsules"; One respondent provides ‘Private seasonal flu vaccinations in conjunction with a PGD’ Prescriber Support Service 0 50 8 Schools Service 0 46 11 Screening Services 0 Alcohol 2 46 9 Cholesterol 0 54 4 Diabetes 4 52 4 Gonorrhoea 0 45 13 H. pylori 0 47 11 HbA1C 0 43 14 Hepatitis 0 39 19 HIV 0 40 18 In addition, one respondent stated ‘We as a business provide Blood pressure screening, diabetes and cholesterol screening as a service for our patients at a cost to our patients’

Stop Smoking Service 21 33 4 Supervised Administration Service 44 7 1 Supplementary Prescribing Service 0 46 14

A4.2.7 It is clear from the responses, that the pharmacists who did answer the questions thought about their ability or willingness to provide particular services, rather than giving blanket ‘yes’ or ‘no’ answers. The most frequent response was a willingness to provide services if commissioned. As might be expected, there was a concentration of answers in the ‘not willing or able to provide’ category in a small number of pharmacies, with seven contributing more than half of all ‘not willing or able’ responses. Most of these were parts of chains; they were distributed across the county.

A4.2.8 Locally Commissioned Services

Table A43: Willingness and ability to provide locally commissioned services

Willing to provide Not able or willing Locally Commissioned Currently the service if to provide the Service providing commissioned service Anti-viral Distribution 0 51 9 Service Chlamydia testing 19 39 3 service Chlamydia treatment 3 55 3 service Contraceptive service (not Emergency 14 37 3 Hormonal Contraception) Emergency Hormonal 49 18 1 Contraception Service Home Delivery Service 27 30 7 (not appliances) Medicines Use Review Plus/Medicines 2 51 5 Optimization Review Obesity Management 0 50 8 Phlebotomy Service 0 38 18 Seasonal Influenza 9 46 5 Vaccination Service Childhood Vaccinations 0 42 14 Hepatitis (at risk 0 42 16 workers or patients) Human papilloma virus 0 41 17 Travel Vaccines 0 50 9 Sharps Disposal Service 3 45 11

A4.2.8 The responses to questions on Locally Commissioned Services follow the same pattern as Enhanced Services, with a generally limited range of services provided, apart from Emergency Hormonal Contraception and Home Delivery. However, as with Enhanced Services, there is a willingness amongst the majority of pharmacies to provide series if commissioned, suggesting that there is no hindrance to the commissioning of these services in future if required.

A4.2.9 Other Services

A4.2.10 Access

A4.2.11 Of the 63 replies to the Pharmacies’ survey, 62 had a consultation room on site, one additionally off site and only one did not have access. The large majority of consultation rooms – 51 – were accessible by wheelchair.

Facilities

A4.2.12 Of the 62 replies, 36 had hand washing facilities in the consulting room and 17 close to the room; 9 had no hand washing facilities. The remainder did not reply. Of the 55 who replied to the question, 20 did have a toilet available to people attending consultations and 35 did not.

A4.2.13 Languages

A4.2.14 The most common language other than English to be spoken is Polish – with 4 having the language available, although dependent on the particular member of staff being present. There were also four who spoke French, although two described it as limited. Spanish and Hindi were spoken by two. Other languages, each only available from a single pharmacy, were Arabic, Chinese, Albanian, Russian, Lithuanian, Igbo, Tamil, Malayalam, Italian, Portuguese, Romanian and British Sign Language.

A4.2.15 Electronic Prescription Service

A4.2.16 Of the 62 responses, 2 were Release One enabled, 49 were Release Two enabled, and 5 were Release One and Two enabled. The remaining 6 said that they intended to become Release 2 enabled within the next 12 months.

A4.2.17 Dispensing Appliances

A4.2.18 Only one of the 61 responses to the question indicated that the pharmacy did not dispense appliances; 4 dispensed just dressings. There were 54 dispensing all types; a further 2 excluded stoma appliances (although one would in an emergency), and of these 2, one also did not dispense incontinence appliances.