Westminster Pharmaceutical Needs Assessment 2015 - 2018 Date of Issue: April 2015 Date of Review: March 2018 Contents Contents .................................................................................................................................... 2 Table of figures .......................................................................................................................... 4 Acknowledgements ................................................................................................................... 6 Chapter 1 – Introduction ........................................................................................................... 7 Role of Pharmacies ............................................................................................................ 7 Purpose of the Pharmaceutical Needs Assessment .......................................................... 7 Policy Background Relating to the PNA ............................................................................. 8 Local health and wellbeing needs ..................................................................................... 9 Local health and wellbeing priorities .............................................................................. 10 Defining Localities............................................................................................................ 12 Westminster Wards ......................................................................................................... 13 Pharmacy Contractor Survey ........................................................................................... 14 Chapter 2 - Demographics & Health Need .............................................................................. 15 The Joint Strategic Needs Assessment ............................................................................ 15 Summary of Population Characteristics in Westminster ................................................ 15 Overall population of Westminster ................................................................................. 15 Age Structure ................................................................................................................... 17 Gender Structure ............................................................................................................. 19 Ethnicity and diversity ..................................................................................................... 20 Health and well-being in Westminster ............................................................................ 26 Patterns of ill health ........................................................................................................ 28 Mental Health .................................................................................................................. 36 Lifestyles .......................................................................................................................... 36 Protected Characteristics and Vulnerable Groups in Westminster ................................ 41 Changing Patterns of Need .............................................................................................. 45 Changing Population ....................................................................................................... 45 Chapter 3 – Location of Health Services .................................................................................. 48 Primary Care .................................................................................................................... 48 Dentists ............................................................................................................................ 48 Acute Care and Mental Health Care ................................................................................ 49 Community Services ........................................................................................................ 50 2 Pharmaceutical Needs Assessment 2015-18 – Westminster Chapter 4 –Access to pharmaceutical Services ....................................................................... 51 Pharmacy Distribution and Choice .................................................................................. 51 Transport Networks ......................................................................................................... 54 Opening times ................................................................................................................. 55 Appliance contractors ..................................................................................................... 61 Communication ............................................................................................................... 61 Consultation Rooms ........................................................................................................ 62 Disability Access .............................................................................................................. 62 Delivery of medication .................................................................................................... 63 Parking ............................................................................................................................. 63 Information Technology .................................................................................................. 63 Chapter 5 - Services Provided by Pharmacies ......................................................................... 64 Pharmaceutical Services .................................................................................................. 64 Summary of Categorisation of Services ........................................................................... 64 Essential Services ............................................................................................................. 65 Advanced Services ........................................................................................................... 66 Locally Commissioned Services ....................................................................................... 72 Improvements and better access: gaps in provision ....................................................... 76 Other Locally Commissioned Services (Schedule 1, paragraph 5) .................................. 77 Improvements and gaps in access to Public Health Services .......................................... 81 Necessary services: gaps in provision (Schedule 1, paragraph 2) ................................... 81 Other skills and services .................................................................................................. 82 Appendix A – Index to pharmacies with opening time information ....................................... 83 Appendix B – Index to pharmacy responses regarding Advanced Services ............................ 93 Appendix C – Index to pharmacies providing Public Health Services ................................... 102 Appendix E – Other Information ........................................................................................... 106 3 Pharmaceutical Needs Assessment 2015-18 – Westminster Table of figures Figure 1.1: Map of the City of Westminster .............................................................................. 7 Figure 1.2: Enabling "Better Care" in Tri-borough .................................................................. 11 Figure 1.3: Westminster Electoral Wards................................................................................ 14 Figure 2.1: Population Density in Westminster (GLA SHLAA Trend based Population Projection data 2013) .............................................................................................................. 17 Figure 2.2: Population Structure, 2010 ................................................................................... 18 Figure 2.3: Maps showing location of population groups in Westminster ............................. 19 Figure 2.4: Proportion of resident population by age-band, 2011, Westminster (Data source, ONS census 2011) .................................................................................................................... 20 Figure 2.5: Percentage of residents not born in UK (Census 2011) ........................................ 21 Figure 2.6: Distribution of black and ethnic minority groups (Census 2011) .......................... 22 Figure 2.7: Percentage of population whom English is not first language for anyone in the household (Census 2011) ........................................................................................................ 25 Figure 2.8: Life expectancy among males and females in Westminster (Greater London Authority calculations using Office for National Statistics data 2008 - 2012)......................... 27 Figure 2.9: Map showing deprivation and premature mortality (under 75) in Westminster 27 Figure 2.10: Number of births and deaths in Westminster .................................................... 28 Figure 2.11: Premature deaths by cause, 2011 ....................................................................... 29 Figure 2.12: Percentage of people whom day to day activities are “limited a lot” due to ill health ....................................................................................................................................... 30 Figure 2.13: Percentage of people claiming incapacity benefit rates per 1000 in Westminster ................................................................................................................................................