Bexley Care Trust Pharmaceutical Needs Assessment Bexley Care Trust Pharmaceutical Needs Assessment 1 Bexley Care Trust Pharmaceutical Needs Assessment Version control Version Date Author 1.0 17th December 2010 Gianpiero Celino Supplementary statements Statement number Date of publication Comments Author 2 Bexley Care Trust Pharmaceutical Needs Assessment 1. EXECUTIVE SUMMARY ............................................................................................... 5 Summary of the assessment....................................................................................................................... 6 Conclusions................................................................................................................................................. 8 Next steps .................................................................................................................................................... 8 2. INTRODUCTION............................................................................................................ 9 Definition of a pharmaceutical services ..................................................................................................... 9 What is excluded from scope of the assessment .................................................................................... 12 Process followed in the development of the PNA.................................................................................... 12 Governance and steering group ............................................................................................................... 14 Consultation during the development of the PNA.................................................................................... 14 Regulatory consultation process and outcomes ..................................................................................... 14 Circumstances under which the PNA is to be revised or updated.......................................................... 14 3. BACKGROUND TO PHARMACEUTICAL NEEDS ASSESSMENTS......................... 15 Regulatory changes................................................................................................................................... 15 The duty on the Care Trust........................................................................................................................ 15 How the Care Trust has been divided into localities for the purposes of the PNA................................. 16 Presentation of data in the PNA document .............................................................................................. 17 4. THE CONTEXT FOR PHARMACY SERVICES IN BEXLEY....................................... 18 Bexley JSNA .............................................................................................................................................. 19 Population characteristics ........................................................................................................................ 19 Population forecast ................................................................................................................................... 20 Population change..................................................................................................................................... 20 Forecast change in population structure ................................................................................................. 21 Population structure by ward.................................................................................................................... 22 Ethnicity ..................................................................................................................................................... 23 Access........................................................................................................................................................ 24 Deprivation................................................................................................................................................. 25 Teenage pregnancy ................................................................................................................................... 28 Infant mortality........................................................................................................................................... 29 Burden of disease and ill health................................................................................................................ 30 Hospital admissions.................................................................................................................................. 31 Disease prevalence – QoF data................................................................................................................. 33 Lifestyle factors ......................................................................................................................................... 35 5. BEXLEY’S FIVE YEAR STRATEGY........................................................................... 38 6. INSIGHTS FROM PATIENTS AND THE PUBLIC....................................................... 42 Summary of responses ............................................................................................................................. 42 General Demographics.............................................................................................................................. 43 3 Bexley Care Trust Pharmaceutical Needs Assessment Use of Pharmacies..................................................................................................................................... 44 Most Recent Visit to a Pharmacy .............................................................................................................. 45 Access to Pharmacy Services................................................................................................................... 46 Consultations with Pharmacists ............................................................................................................... 47 Experiences of Getting a Prescription...................................................................................................... 49 Problems Experienced with Long-term Medicines................................................................................... 50 Getting New Medicines.............................................................................................................................. 51 Advice-giving by Pharmacists on Public Health Issues .......................................................................... 52 The Range of Pharmacy Services............................................................................................................. 53 Rating of Pharmacy Service Elements ..................................................................................................... 53 Conclusions............................................................................................................................................... 54 7. THE ASSESSMENT .................................................................................................... 56 Essential services...................................................................................................................................... 56 Distribution of pharmacies by locality...................................................................................................... 56 Benchmarking distribution of pharmacy services ................................................................................... 56 Essential Small Pharmacies Scheme........................................................................................................ 58 Local Pharmaceutical Services (LPS)....................................................................................................... 58 Opening hours ........................................................................................................................................... 58 Access to pharmacy services ................................................................................................................... 58 Dispensing services .................................................................................................................................. 61 Repeat dispensing..................................................................................................................................... 62 Advanced services .................................................................................................................................... 64 Enhanced pharmaceutical services.......................................................................................................... 70 APPENDIX 1: POLICY CONTEXT AND BACKGROUND PAPERS ................................. 80 APPENDIX 2: MEMBERSHIP OF THE STEERING GROUP ............................................ 85 APPENDIX 3: PHARMACIES AND GP PRACTICES IN BEXLEY.................................... 86 APPENDIX 4: OPENING HOURS OF PHARMACIES....................................................... 91 APPENDIX 5: SERVICES PROVIDED BY COMMUNITY PHARMACIES ........................ 94 APPENDIX 6: BENCHMARKING OF PHARMACY SERVICES IN BEXLEY.................... 97 APPENDIX 7: MAP SHOWING BEXLEY CARE TRUST PHARMACIES ....................... 100 APPENDIX 8: ABBREVIATIONS AND GLOSSARY......................................................