draft 2015 PNA for consultation Hartlepool Health and Wellbeing Board Pharmaceutical Needs Assessment Version control HWB Version Date of this version Hartlepool Consultation draft F2 28.10.14 Final publication date: by 1st April 2015 (Statutory) Latest date of publication of subsequent full review 1st April 2018 (Statutory; unless superseded) Page 1 of 159 draft PNA Hartlepool 2015 draft 2015 PNA for consultation Welcome and Introduction Pharmacies have a major role to play in improving the health and wellbeing and reducing health inequalities among the population of Hartlepool as outlined in the Hartlepool Health and Wellbeing Strategy. Pharmacies are a key partner in plans to address the prevention of ill health which can only be achieved through integrated working. Pharmacies are often placed in the very heart of communities close to where Hartlepool people live, work and shop, and provide easy access to services. Pharmacies increasingly support people in making healthier lifestyle choices and advise on and provide a range of treatments as well as signposting to other services. This Pharmaceutical Needs Assessment provides the opportunity for a basis on which NHS England decisions on the location and shape of local pharmaceutical services can be made. It outlines the varying needs of our population across Hartlepool both in terms of pharmacy services currently available and considering needs for the future. This draft made available for consultation is an important part of ensuring the PNA is developed through a wide consultation process with a range of professionals, service users and the public; to understand the views of stakeholders on the current availability and provision of pharmaceutical services locally and makes recommendations to inform decision-making. It is vital that the planning of pharmaceutical services provision should be considered alongside other health and social services available. The Health and Wellbeing Board has an overview of this based on the Joint Strategic Needs Assessment. The Health and Wellbeing Board, therefore, publishes this first draft document according to our statutory duty under the Health and Social Care Act 2012. It is hoped that you find it a useful basis for planning, development and commissioning of pharmaceutical services according to the needs of the people of Hartlepool. Christopher Akers-Belcher Chair, Health and Wellbeing Board Louise Wallace Director of Public Health, Hartlepool Borough Council Page 2 of 159 draft PNA Hartlepool 2015 draft 2015 PNA for consultation Contents 1.0 Executive Summary ........................................................................ 12 1.1 Background ....................................................................................... 12 1.2 Process ............................................................................................. 12 1.3 Conclusions ....................................................................................... 14 2.0 Introduction ..................................................................................... 19 2.1 What is a Pharmaceutical Needs Assessment? ................................ 19 2.2 What are Pharmaceutical Services? ................................................. 19 2.3 Why has the Health and Wellbeing Board prepared a PNA? ............ 21 2.4 Who has produced it? ....................................................................... 22 2.5 How will it be made available? .......................................................... 22 2.6 How often will it be completed? ......................................................... 22 2.6.1 Supplementary statements ........................................................................ 23 2.7 How will it be used? .......................................................................... 23 3.0 Background and Policy Context .................................................... 23 3.1 National policy ................................................................................... 23 3.2 Regulations- control of entry ............................................................. 25 3.3 Regulations- Market entry ................................................................. 25 3.4 Community Pharmacy Contractual Framework ................................. 26 3.4.1 Core and supplementary hours .................................................................. 26 3.4.2 Essential services ...................................................................................... 27 3.4.3 Community Pharmacy Advanced Services ................................................ 27 3.4.4 Community Pharmacy Enhanced Services ................................................ 29 3.5 Terms of Service for Appliance Contractors (DACs) and Dispensing Doctor practices ................................................................................ 30 4.0 Process ............................................................................................ 30 4.1 Timeline for development .................................................................. 31 4.2 Data Sources, Collection and Validation ........................................... 31 4.2.1 Demographic Information and Strategic Health Needs Information ............ 31 4.2.2 Defining localities ....................................................................................... 31 4.2.3 Demographic information at locality level ................................................... 33 4.2.4 Data collection for Community Pharmacies ............................................... 33 4.2.5 Dispensing Appliance Contractors (DACs) ................................................ 34 4.2.6 Dispensing practices ................................................................................. 34 4.2.7 GP practices .............................................................................................. 34 Page 3 of 159 draft PNA Hartlepool 2015 draft 2015 PNA for consultation 4.2.8 Rurality definition and maps....................................................................... 34 4.2.9 Designated neighbourhoods for LPS purposes .......................................... 34 4.3 Consultation and Engagement .......................................................... 34 4.3.1 Engagement .............................................................................................. 35 4.3.2 Consultation .............................................................................................. 36 5.0 Approval ........................................................................................... 37 6.0 Localities - definition and description ........................................... 37 6.1 Localities – definition ......................................................................... 37 6.2 Localities - population........................................................................ 43 6.2.1 Population and age/sex breakdown ........................................................... 43 6.2.2 Deprivation Profile: Index of Multiple Deprivation (IMD) 2010 .................... 45 6.2.3 Ethnicity ..................................................................................................... 47 6.2.4 Benefits ..................................................................................................... 48 6.2.5 Employment .............................................................................................. 49 6.2.6 Car ownership (need for public transport) .................................................. 50 6.2.7 Housing and households ........................................................................... 51 6.2.8 Older people .............................................................................................. 52 6.2.9 Children ..................................................................................................... 53 6.2.10 Educational attainment .............................................................................. 54 6.2.11 Population density and rurality ................................................................... 56 7.0 Local Health Needs ......................................................................... 57 8.0 Current Pharmaceutical Services Provision ................................. 63 8.1 Overview of pharmaceutical services providers ................................ 64 8.1.1 Community pharmacy contractors ............................................................. 66 8.1.2 Dispensing Doctors ................................................................................... 69 8.1.3 Dispensing Appliance Contractors (DACs) ................................................ 69 8.1.4 Other providers .......................................................................................... 69 8.2 Detailed description of existing community pharmacy providers of pharmaceutical services .................................................................... 70 8.2.1 Premises location: distribution in localities and wards of localities ............. 70 8.2.2 Premises environment ............................................................................... 74 8.2.3 Premises facilities ...................................................................................... 75 8.2.4 Workforce training and development ......................................................... 78 8.2.5 Pharmacy IT infrastructure ........................................................................ 78 8.2.6 Pharmacy opening hours ..........................................................................