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Pharmaceutical Needs Assessment

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Pharmaceutical Needs Assessment Pharmaceutical needs assessment A consultation report for Staffordshire October 2014 Contents Acknowledgements .................................................................................................... 3 Executive summary .................................................................................................... 4 1 Introduction .......................................................................................................... 9 1.1 What is a pharmaceutical needs assessment? ............................................. 9 1.2 How will the PNA be used? ........................................................................... 9 1.3 What are NHS pharmaceutical services? .................................................... 10 1.4 What has been the process for developing the Staffordshire PNA? ............ 11 1.5 Definition of localities for the PNA ............................................................... 12 2 What is the population of Staffordshire like? ...................................................... 14 2.1 Population structure .................................................................................... 14 2.2 Population projections ................................................................................. 16 2.3 Rurality ........................................................................................................ 18 2.4 Ethnicity ...................................................................................................... 18 2.5 Deprivation .................................................................................................. 19 3 What is health like in Staffordshire? ................................................................... 21 3.1 The health and wellbeing model .................................................................. 21 3.2 Life expectancy ........................................................................................... 22 3.3 Main causes of death .................................................................................. 26 3.4 Preventable mortality .................................................................................. 27 3.5 Health protection ......................................................................................... 28 3.6 Lifestyle risk factors ..................................................................................... 30 3.7 Long-term conditions ................................................................................... 33 3.8 Hospital admissions .................................................................................... 35 3.9 Health and wellbeing priorities for Staffordshire .......................................... 38 4 Current provision of pharmaceutical services .................................................... 39 4.1 Pharmaceutical provision in Staffordshire ................................................... 39 4.2 Essential pharmacy services ....................................................................... 43 4.3 Advanced pharmacy services ..................................................................... 46 4.4 Enhanced and locally commissioned pharmacy services ........................... 51 4.5 Healthy living pharmacies ........................................................................... 62 5 Access to pharmaceutical services .................................................................... 64 5.1 Geographical access ................................................................................... 64 5.2 Opening hours ............................................................................................. 65 5.3 Access to pharmaceutical services for protected groups ............................ 68 6 Are there any pharmaceutical gaps in Staffordshire? ........................................ 76 PNA draft consultation report for Staffordshire Page 2 Appendix 1: Summary of health and wellbeing issues for districts .......................... 80 Appendix 2: Access to pharmaceutical providers in Staffordshire by mode of transport ................................................................................................................... 85 Appendix 3: Individual pharmacy tables ................................................................... 88 Acknowledgements Working group members Amanda Alamanos Primary Care Lead, NHS England, Shropshire and Staffordshire Andrew Pickard Pharmacy Advisor, NHS England, Shropshire and Staffordshire Tania Cork Chief Officer, North Staffordshire Local Pharmaceutical Committee (LPC) Peter Prokopa Chief Operations Officer, South Staffordshire LPC Dr Gill Hall Service Development Officer, South Staffordshire LPC Dr Mani Hussain Chair – Pharmacy Local Professional Network Matthew Bentley Public Health Analyst, Staffordshire County Council Divya Patel Senior Epidemiologist, Staffordshire County Council Lucy Heath Consultant in Public Health, Staffordshire County Council Paul Trinder Senior Epidemiologist, Stoke-on-Trent City Council Authors Matthew Bentley Public Health Analyst, Staffordshire County Council Divya Patel Senior Epidemiologist, Staffordshire County Council Daniel Shrimpton Public Health Support Analyst, Staffordshire County Council Other contributions: . Staffordshire Public Health Intelligence, Staffordshire County Council . Insight Planning and Performance, Staffordshire County Council . Communications, Staffordshire County Council . Transport and the Connected County, Staffordshire County Council PNA draft consultation report for Staffordshire Page 3 Executive summary Introduction A pharmaceutical needs assessment (PNA) is a statement of the needs of pharmaceutical services for a specified population. The PNA looks at the current provision of pharmaceutical services across a defined area, makes an assessment to see whether this meets current and future population needs for Staffordshire residents and identifies any potential gaps in current services or improvements that could be made in future pharmaceutical service provision. The Health and Social Care Act 2012 transferred responsibility for the developing and updating of PNAs to health and wellbeing boards (HWBs). Every HWB has a statutory responsibility to publish and keep up to date a PNA for the population in its area through supplementary statements. The PNA will be used: . To identify areas where pharmacies can contribute to health and wellbeing priorities to improve population health and reduce health inequalities. As an evidence base for local commissioners to identify and commission services from community pharmacies as appropriate. By NHS England’s local area team to make decisions on any application for opening new pharmacies and dispensing appliance contractor premises or applications from current providers of pharmaceutical services to change their existing provision. What is the population of Staffordshire like? Staffordshire has a relatively older population compared with England. Tamworth is the only district that has a significantly younger population than the national average. The overall population for Staffordshire is projected to increase by 4% between 2013 and 2023. Staffordshire’s older population is growing faster than average and in particular in the very old age groups. The proportion of people from minority ethnic groups is growing but remains lower than the national average. The single largest minority group is ‘white other’. East Staffordshire has the largest proportion of people from a minority ethnic group. Around a quarter of residents live in rural areas. South Staffordshire (39%), Stafford (32%), Staffordshire Moorlands (30%) and Lichfield (29%) are particularly rural whilst Tamworth’s population is classified as all urban. Staffordshire is a relatively affluent area but has notable pockets of high deprivation in some urban areas and 9% of its population (79,400 people in 2012) living in the most deprived fifth of areas nationally. However some of the remote rural areas in Staffordshire do have issues with hidden deprivation, and in particular around access to services. This is coupled with almost one in five households not having access to a car (compared to 26% nationally). PNA draft consultation report for Staffordshire Page 4 What is health like in Staffordshire? Overall Staffordshire has shown large improvements in life expectancy and made significant progress in reducing overall mortality and preventable mortality over the last decade. However both men and women spend more time in poor health than the average retirement age and there remain large health inequalities across Staffordshire as evidenced by life expectancy and early death rates. Overall access to cancer screening programmes is good and the uptake of childhood immunisation is above average. However performance on prevention of serious illness could be improved as fewer adults attend for a health check to assess their cardiovascular risk and fewer Staffordshire residents over 65 take up their flu vaccination or their offer of a pneumococcal vaccine. Numbers of people smoking continue to reduce and more people quit smoking than average. However some areas and vulnerable groups have high smoking prevalence and poorer quit rates. More women in Newcastle die as a result of alcohol than the England average. Alcohol admissions in Staffordshire are high and continue to rise although provisional data for 2013/14 indicates a very slight reduction. Staffordshire is about average for successful completion of drug
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