Salford Pharmaceutical Needs Assessment Published 1st April 2017 Document control Authors: Name Title/Responsibility Sarah Cannon PH Strategic Manager Liza Scanlon Senior Intelligence Analyst Siobhan Farmer Public Health Consultant Reviewers: This document has been reviewed by the following: Name Date Version Primary Care Pharmacy 18/11/2016 Version 2.4 contractors Greater Manchester LPC 18/11/2016 Version 2.4 Salford Healthwatch 21/11/2016 Version 2.4 NHS England 18/11/2016 Version 2.4 Salford CCG 18/11/2016 Version 2.4 Neighbouring CCGs 21/11/2016 Version 2.4 Salford Royal Foundation 21/11/2016 Version 2.4 Trust Salford council 18/11/2016 Version 2.4 Approval: This document was approved by: Name Date Version Salford Health and Wellbeing 28/03/2017 Version 3 Board (HWB) Table of Contents 1 Foreword and Executive Summary................................................................................................1 1.1 Introduction.................................................................................................................................1 1.2 How the assessment was undertaken........................................................................................2 1.3 Results .......................................................................................................................................2 1.4 Consultation ...............................................................................................................................3 1.5 Conclusions................................................................................................................................3 2 Purpose & Background of the Pharmaceutical Needs Assessment (PNA) ............................5 2.1 Purpose......................................................................................................................................5 2.2 General background...................................................................................................................5 2.3 Legislative background...............................................................................................................5 2.4 Wider context .............................................................................................................................7 3 Pharmaceutical services.................................................................................................................7 3.1 Scope of the PNA.......................................................................................................................7 3.2 Definition of Pharmaceutical Services........................................................................................7 3.2.2 Pharmaceutical Services Contractual arrangements..........................................................9 3.2.3 Locally commissioned services ........................................................................................11 3.3 Non-NHS commissioned added value community pharmacy services..................................12 3.4 Hospital pharmacy....................................................................................................................12 3.5 What is excluded from scope of the assessment?...................................................................13 3.5.1. Prison pharmacy...............................................................................................................13 3.5.2 Practice pharmacists ........................................................................................................13 3.6 PNA review process.................................................................................................................13 3.7 Matters for consideration..........................................................................................................14 3.8 Process followed for developing the PNA ................................................................................16 3.9 PNA consultation......................................................................................................................17 3.10 Localities for the purpose of the PNA..................................................................................19 4 Health and Wellbeing in Salford...................................................................................................20 4.1 Salford profile ...........................................................................................................................20 4.2 Salford demographics ..............................................................................................................20 4.2.1 Age of Population .............................................................................................................20 4.2.2 Demography considerations for pharmacies ....................................................................22 4.3 Life Expectancy........................................................................................................................23 4.3.1 Contribution to Life Expectancy Gap by Disease and gender ..........................................25 4.3.2 Deaths from all causes in Salford .....................................................................................26 4.3.3 Cancer ..............................................................................................................................27 4.3.4 Circulatory disease ...........................................................................................................27 4.3.5 Smoking............................................................................................................................28 4.4 Ethnicity....................................................................................................................................28 4.4.1 Ethnicity considerations for pharmacy ..............................................................................29 4.5 Deprivation ...............................................................................................................................30 4.6 Disability...................................................................................................................................32 4.7 Conclusion on population demography....................................................................................33 5 Locally Identified Health Need......................................................................................................35 5.1 The Salford Locality Plan .........................................................................................................35 5.2 Integrated Care in Salford ........................................................................................................40 5.3 Community pharmacy and Salford’s Strategic Priorities ..........................................................41 5.4 Neighbourhood Health Priorities ..............................................................................................42 5.5 Levels of service provided – overview......................................................................................42 5.5.1 Essential Services ............................................................................................................42 5.5.2 Advanced Services ...........................................................................................................43 5.5.3 Locally commissioned services ........................................................................................43 5.5.4 Public health services .......................................................................................................43 5.5.5 Public Health campaign plans in Pharmacies for 2017 ....................................................44 5.6 Community pharmacy services and their impact upon the Locality Plan .................................46 6 Current Pharmacy Provision and Services .................................................................................52 6.1 100 hour pharmacies................................................................................................................52 6.2 Change in number of Pharmacy contractors from 2014...........................................................52 6.3 Dispensing activity....................................................................................................................53 6.3.1 Dispensing of Salford prescriptions ..................................................................................53 6.4 Access to pharmacies by location............................................................................................56 6.4.1 Pharmacies per head of population ..................................................................................56 6.4.2 Pharmacies per locality.....................................................................................................58 6.4.3 Pharmacies per Ward .......................................................................................................58 6.4.4 Correlation with GP practices ...........................................................................................60 6.4.5 Access issues described in the Pharmacy Contractor survey ..........................................60 6.4.6 Neighbouring areas ..........................................................................................................60 6.4.7 Travel times to Pharmacies ..............................................................................................62