Ealing PNA Draft DRAFT Pharmaceutical Needs Assessment 2015 Ealing Health and Wellbeing Board This Draft Pharmaceutical Needs Assessment has been produced through the PNA Steering Group for Ealing Health and Wellbeing Board by Ealing Council with authoring support from Soar Beyond Ltd 1 Ealing PNA Draft Contents Contents .................................................................................................................... 2 Executive summary ................................................................................................ 10 Section 1: Introduction .......................................................................................... 14 1.1 Background ................................................................................................. 14 1.2 Purpose of the PNA ..................................................................................... 15 1.3 Scope of the PNA ........................................................................................ 15 1.3.1 Pharmacy contractors ........................................................................... 16 1.3.2 Dispensing appliance contractors ......................................................... 18 1.3.3 Local pharmaceutical service providers ................................................ 18 1.3.4 Dispensing GP practices ...................................................................... 19 1.3.5 Other providers of pharmaceutical services in neighbouring HWB areas . ............................................................................................................. 19 1.3.6 Other services and providers in Ealing HWB area, out of scope of the PNA ............................................................................................................. 19 1.4 Process for developing the PNA .................................................................. 20 1.5 Localities for the purpose of the PNA .......................................................... 23 Section 2: Context for the PNA ............................................................................. 25 2.1 Joint Strategic Needs Assessment .............................................................. 25 2.2 Joint Health and Wellbeing Strategy ............................................................ 25 2.3 Population characteristics ............................................................................ 26 2.3.1 Overview ............................................................................................... 26 2.3.2 Age ....................................................................................................... 26 2.3.3 Predicted population growth ................................................................. 31 2.3.4 Housing development ........................................................................... 32 2.3.5 Life expectancy at birth ......................................................................... 33 2.3.6 Fertility rate ........................................................................................... 35 2.3.7 Specific populations .............................................................................. 35 2.3.7.1 Ethnicity .............................................................................................. 35 2.3.7.2 Language ........................................................................................... 38 2.3.7.3 School children ................................................................................... 39 2.3.7.4 Children and adults in care ................................................................. 41 2.3.7.5 Older people ....................................................................................... 41 2 Ealing PNA Draft 2.3.7.6 Prison population ................................................................................ 43 2.3.7.7 Less-abled populations ....................................................................... 43 2.3.7.8 Homeless population .......................................................................... 45 2.3.7.9 Asylum seekers and refugees ............................................................ 45 2.3.7.10 Traveller population .......................................................................... 45 2.3.8 Deprivation ........................................................................................... 46 2.4. Other considerations ................................................................................... 47 2.4.1 Disease prevalence .............................................................................. 47 2.4.2 Hospital admissions .............................................................................. 48 2.4.3 Causes of death ................................................................................... 50 2.4.4 Palliative care ....................................................................................... 52 2.4.5 Lifestyle related morbidity ..................................................................... 53 2.4.6 Health issues ........................................................................................ 56 Section 3: NHS pharmaceutical services provision; currently commissioned 58 3.1 Community pharmacies ............................................................................... 58 3.1.1 Choice of community pharmacies ......................................................... 60 3.1.2 Intensity of current community pharmacy providers ............................. 60 3.1.3 Weekend and evening provision ........................................................... 60 3.2 Dispensing appliance contractors (DACs) ................................................... 62 3.3 Distance-selling pharmacies ........................................................................ 62 3.4 Access to community pharmacies ............................................................... 62 3.4.1 Routine daytime access to community pharmacies .............................. 62 3.4.2 Routine weekday evening access to community pharmacies ............... 63 3.4.3 Routine Saturday daytime access to community pharmacies............... 68 3.4.4 Routine Sunday daytime access to community pharmacies ................. 75 3.4.5 Routine Bank Holiday access to community pharmacies ..................... 77 3.4.6 Twenty-four hour provision ................................................................... 77 3.5 Advanced service provision from community pharmacies ........................... 77 3.6 Enhanced service provision ......................................................................... 78 3.7 Pharmaceutical service provision provided from outside Ealing HWB area 78 Section 4: Other services which may impact on pharmaceutical services provision .................................................................................................... 79 4.1 Local Authority commissioned services provided by community pharmacies in Ealing ....................................................................................................... 79 4.2 Clinical Commissioning Group (CCG) commissioned services ................... 79 3 Ealing PNA Draft 4.3 Other services provided from community pharmacies ................................. 79 4.4 Collection and delivery services .................................................................. 80 4.5 Language services ...................................................................................... 80 4.6 Services for less-abled people ..................................................................... 80 Section 5: Findings from the public survey ......................................................... 81 Section 6: Analysis of health needs and pharmaceutical service provision .... 84 6.1 Acton Central locality ................................................................................... 84 6.1.1 Necessary services: current provision .................................................. 84 6.1.2 Necessary services: gaps in provision .................................................. 84 6.1.3 Other relevant services: current provision ............................................ 85 6.1.4 Improvements and better access: gaps in provision ............................. 85 6.1.5 Other services ...................................................................................... 85 6.2 Cleveland locality ......................................................................................... 85 6.2.1 Necessary services: current provision .................................................. 86 6.2.2 Necessary services: gaps in provision .................................................. 86 6.2.3 Other relevant services: current provision ............................................ 86 6.2.4 Improvements and better access: gaps in provision ............................. 86 6.2.5 Other services ...................................................................................... 86 6.3 Dormer Wells locality ................................................................................... 87 6.3.1 Necessary services: current provision .................................................. 87 6.3.2 Necessary services: gaps in provision .................................................. 87 6.3.3 Other relevant services: current provision ............................................ 87 6.3.4 Improvements and better access: gaps in provision ............................. 88 6.3.5 Other services .....................................................................................