Stoke-on-Trent Pharmaceutical Needs Assessment March 2015 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 Stoke-on-Trent PNA? ........ 11 1.5 Definition of localities for the PNA ............................................................... 12 2 What is Stoke-on-Trent like?.............................................................................. 13 2.1 Population ................................................................................................... 13 2.2 Ethnicity ...................................................................................................... 16 2.3 Socioeconomic context ............................................................................... 17 3 The health of people in Stoke-on-Trent ............................................................. 19 3.1 Life expectancy ........................................................................................... 19 3.2 Major killers ................................................................................................. 21 3.3 Cancer ........................................................................................................ 22 3.4 Circulatory disease ...................................................................................... 22 3.5 Respiratory disease .................................................................................... 23 3.6 Infant mortality ............................................................................................. 24 3.7 Teenage pregnancy .................................................................................... 25 4 The lifestyles of people in Stoke-on-Trent ......................................................... 26 4.1 Smoking ...................................................................................................... 26 4.2 Four-week smoking quitters ........................................................................ 27 4.3 Smoking during pregnancy.......................................................................... 28 4.4 Breastfeeding .............................................................................................. 29 4.5 Alcohol admissions ..................................................................................... 31 4.6 Obesity ........................................................................................................ 31 4.7 Physical activity ........................................................................................... 33 5 Current provision of pharmaceutical services .................................................... 34 5.1 Pharmaceutical provision in Stoke-on-Trent ............................................... 34 5.2 Essential pharmacy services ....................................................................... 37 5.3 Advanced pharmacy services ..................................................................... 40 5.4 Enhanced and locally commissioned pharmacy services ........................... 44 5.5 Healthy living pharmacies ........................................................................... 54 Stoke-on-Trent Health and Wellbeing Board Page 2 6 Access to pharmaceutical services .................................................................... 56 6.1 Geographical access ................................................................................... 56 6.2 Opening hours ............................................................................................. 57 6.3 Access to pharmaceutical services for protected groups ............................ 60 7 Are there any pharmaceutical gaps in Stoke-on-Trent? ..................................... 67 Appendix 1: Pharmacies in Stoke-on-Trent .............................................................. 71 Appendix 2: Results from the PNA consultation ....................................................... 75 Appendix 3: 2014 wards in Stoke-on-Trent .............................................................. 98 Appendix 4: Access to pharmaceutical providers in Stoke-on-Trent by mode of transport .................................................................................................................. 99 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 Main 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 Paul Trinder Senior Epidemiologist, Stoke-on-Trent City Council Other contributions: . Staffordshire Public Health Intelligence, Staffordshire County Council . Insight Planning and Performance, Staffordshire County Council . Planning & Transportation Policy Team, Stoke-on-Trent City Council . Marketing and Communications Team, Stoke-on-Trent City Council Stoke-on-Trent Health and Wellbeing Board 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 Stoke-on-Trent 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 (HWBB). Every HWBB 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 Stoke-on-Trent like? The city of Stoke-on-Trent is made up of six towns (Tunstall, Burslem, Hanley (the city centre), Stoke, Fenton, Longton) and a resident population of around 250,200. The city has a relatively young population. The overall population for Stoke-on-Trent is projected to increase by 3% between 2013 and 2023. The projections suggest there will be large increases among children aged under 15, increases among people in their 30s and 50s, and large increases among older people aged 70 and over. The proportion of people from minority ethnic groups is growing but remains lower than the national average. The largest ethnic minority groups locally were Pakistanis (4.2%) followed by White Other (2.2%). Stoke-on-Trent is ranked as the 16th most deprived local authority area in England (of 326) and the third most deprived area in the West Midlands Region. Almost three in ten people in the city live in the most deprived tenth of areas nationally with another fifth of the population falling in the second most deprived decile nationally. Across a range of other dimensions of deprivation (such as income, education, health) the city faces many challenges. Stoke-on-Trent Health and Wellbeing Board Page 4 What is health like in Stoke-on-Trent? Whilst overall levels of health continue to improve in Stoke-on-Trent, the health of local people remains generally worse compared with England. For instance, life expectancy at birth for males and females in the city remains significantly below the national average, whilst the gap in life expectancy at birth between males living in the most deprived and most affluent areas of Stoke-on-Trent is 10.1 years, compared with 6.3 years among females. Mortality rates for cancer, circulatory disease and respiratory disease (the city’s three major killers) remain significantly higher than the national average, and across a range of lifestyle indicators, outcomes in Stoke-on-Trent are poorer. Many of these poorer outcomes are a reflection of the high