Stockport Health and Wellbeing Board Pharmaceutical Needs Assessment 2018 Version 0.4 Return to contents PNA Stockport – March 2018 Document Control Author: Name Title/Responsibility Eleanor Banister Public Health Intelligence and Early intervention and Prevention Lead Amendment History: Version Date Amendment History 0.1 14/09/17 Initial draft for planning 0.2 05/01/18 Second draft for review 0.3 12/01/18 Third draft for consultation 0.4 19/03/18 Final version This document has been reviewed by the following: Name Title/Responsibility Date Version PNA Project Group 05/01/18 V0.1 Dr S Watkins Director of Public Health (MBC) 09/01/18 V0.2 Dr V Owen Smith Deputy Director of Public Health (CCG) 09/01/18 V0.2 Dr D Sager Deputy Director of Public Health (MBC) 09/01/18 V0.2 Cllr T McGee Cabinet Member – Health 09/01/18 V0.2 Stockport Council CLT 23/01/2018 V0.3 Stockport Council Adults Social Care & Health Scrutiny committee 20/02/2018 V0.3 Stockport Health and Wellbeing Board 31/01/2018 V0.3 PNA Project Group 19/03/2018 V0.4 This document has been distributed for consultation to: Name Date Version Stockport Healthwatch 12/01/2018 V0.3 Primary Care Pharmacy Contractors 12/01/2018 V0.3 Greater Manchester LPC 12/01/2018 V0.3 Stockport LMC 12/01/2018 V0.3 NHS England – Greater Manchester Area Team 12/01/2018 V0.3 NHS Stockport CCG 12/01/2018 V0.3 Neighbouring Health & Wellbeing Boards 12/01/2018 V0.3 (Tameside, Manchester, Derbyshire and Cheshire East) Stockport NHS Foundation Trust 12/01/2018 V0.3 NHS Pennine Care 12/01/2018 V0.3 Stockport Neighbourhood Care 12/01/2018 V0.3 Viaduct Care 12/01/2018 V0.3 Mastercall 12/01/2018 V0.3 Stockport Council – Have your say - public consultation hub 12/01/2018 V0.3 Approval: This document will be approved by: Name Date Version Stockport Health and Wellbeing Board 11/04/2018 V0.4 Stockport Council Cabinet 24/04/2018 V0.4 2 Return to contents PNA Stockport – March 2018 Content list 1 Executive Summary ......................................................................................................................... 5 2 Introduction .................................................................................................................................... 6 2.1 Background ............................................................................................................................. 6 2.2 Legal duties ............................................................................................................................. 6 2.3 Definition of Pharmaceutical Services .................................................................................... 7 2.3.1 Essential Services ............................................................................................................ 7 2.3.2 Advance Services ............................................................................................................. 7 2.3.3 Locally Commissioned Services ....................................................................................... 7 2.4 Stockport’s PNA ...................................................................................................................... 7 2.4.1 2015 PNA Summary ........................................................................................................ 7 2.4.2 2018 PNA Governance .................................................................................................... 8 2.4.3 2018 PNA Scope .............................................................................................................. 8 2.4.4 2018 PNA Strategic Principles ......................................................................................... 9 2.5 Future Directions for Community Pharmacy Services ............................................................ 9 2.5.1 Stockport Together ......................................................................................................... 9 2.5.2 Greater Manchester Health and Social Care partnership ............................................. 10 2.5.3 Community Pharmacy Reform ...................................................................................... 11 2.5.4 Healthy Living Pharmacies ............................................................................................ 12 2.5.5 Greater Manchester LPC ............................................................................................... 13 2.5.6 Making the Most of Community Pharmacy - Scrutiny review ...................................... 13 3 Health and Wellbeing in Stockport ............................................................................................... 15 3.1 Stockport Profile ................................................................................................................... 15 3.2 Stockport Demographics ....................................................................................................... 15 3.2.1 Population trends and age structure ............................................................................ 15 3.2.2 Ethnicity and other protected characteristics .............................................................. 16 3.2.3 Deprivation.................................................................................................................... 17 3.3 Stockport Health Needs .................................................................................................... 18 3.4 Planned changes ................................................................................................................... 19 3.4.1 Planned changes in Stockport ....................................................................................... 19 3.4.2 Planned changes in Cheshire East ................................................................................. 21 4 Current Provision of Pharmaceutical Services .............................................................................. 22 4.1 Essential services – provided by all pharmacies ................................................................... 22 4.1.1 Hours of trading ............................................................................................................ 24 4.1.2 Home delivery ............................................................................................................... 25 4.1.3 Community Pharmacy Access – Language / Disability / Ethnic minority groups .......... 25 4.2 Advanced services ................................................................................................................. 25 4.2.1 Medicines Use Review (MUR) ....................................................................................... 25 4.2.2 New Medicines Service (NMS) ...................................................................................... 26 4.2.3 Flu vaccinations ............................................................................................................. 27 4.2.4 NHS Urgent Medicine Supply Advance Service (NUMSAS) ........................................... 27 4.2.5 Stoma Appliance Customisation (SAC).......................................................................... 28 4.2.6 Appliances Use Review (AUR) ....................................................................................... 28 4.3 Locally Commissioned Services – Stockport Council ............................................................ 28 4.3.1 Smoking cessation ......................................................................................................... 28 4.3.2 Supervised consumption of opiate substitute medication ........................................... 29 4.3.3 Needle & Syringe programme (NSP) ............................................................................. 30 3 Return to contents PNA Stockport – March 2018 4.3.4 Emergency Hormonal Contraception (EHC) .................................................................. 30 4.3.5 Healthy Living Pharmacies ............................................................................................ 30 4.4 Locally Commissioned Services – Stockport CCG .................................................................. 31 4.4.1 Minor ailments .............................................................................................................. 31 4.4.2 On demand availability of specialist drugs (Last Days of Life Prescribing) ................... 31 4.4.3 CCG Pharmaceutical Support Services .......................................................................... 31 4.5 Dispensing appliance contractors ......................................................................................... 32 4.6 Stockport NHS Trust Hospital pharmacy services ................................................................. 32 4.6.1 Admission & patient stay .............................................................................................. 32 4.6.2 Discharge of patients .................................................................................................... 32 4.6.3 Outpatients ................................................................................................................... 33 4.6.4 Clinical Pharmacy Services ............................................................................................ 33 4.6.5 Regional specialist services ........................................................................................... 33 4.7 Internet Pharmacy Provision ...............................................................................................