Pharmaceutical Needs Assessments 2015 Birmingham Health and Wellbeing Board Pharmaceutical Needs Assessments (PNA) 2015 BIRMINGHAM V0.7 Pharmaceutical Needs Assessment 2015 Birmingham Health and Wellbeing Board Authors and main contributors to this report: Fatumo Abdi Public Health Registrar (Chair) Birmingham Public Health Elizabeth Griffiths Health and Wellbeing Programme Birmingham Public Health Manager Arun Ahluwalia Birmingham Public Health Public Health Registrar Hashum Mahmood Birmingham Public Health Evidence Base Manager Nicola Pugh Birmingham Public Health Data Analyst – Customer Insight Natalie Stewart Information Analyst Birmingham Public Health Karl Beese Project Support Officer Birmingham Public Health Shazia Akram Project Support Officer Birmingham Public Health Many thanks to the Steering Group for its discerning comments, notable suggestions and timely assistance in providing data for this document. This document builds on the three former Birmingham PCT’s PNA documents, therefore thanks to Arun Ahluwalia who wrote the original version of this report. Particular thanks to Hashum Mahmood, Nicola Pugh, Natalie Stewart and the Birmingham Public Health Intelligence Team whose support was key in this process We acknowledge the authors of the Birmingham PNAs in helping produce this document. Please note, data regarding pharmacies is accurate to August 2014. Fatumo Abdi February 2015 ii Pharmaceutical Needs Assessment 2015 Birmingham Health and Wellbeing Board CONTENTS List of Tables ............................................................................................................................ v List of Figures ........................................................................................................................... v Abbreviations.......................................................................................................................... vi 1. EXECUTIVE SUMMARY ............................................................................. 1 1.1 Overview ...................................................................................................................... 1 1.2 Access ........................................................................................................................... 2 1.3 Services ........................................................................................................................ 2 1.4 Conclusion .................................................................................................................... 4 1.5 Recommendations ........................................................................................................ 5 2. INTRODUCTION ........................................................................................ 7 2.1 Birmingham Health & Wellbeing Board .......................................................................... 7 2.2 Pharmaceutical Needs Assessment ................................................................................ 7 3. CONTEXT FOR THE BIRMINGHAM PNA ..................................................... 9 3.1 The evolution of PNAs ................................................................................................... 9 3.2 Circumstances in which the PNA should be revised or updated ....................................... 9 3.3 Scope of the PNA .......................................................................................................... 9 3.4 What is excluded from the scope of the overview? ...................................................... 13 3.5 Revisions or updates to the PNA .................................................................................. 13 3.6 Note on Maps ............................................................................................................. 13 4. BIRMINGHAM IN CONTEXT .................................................................... 14 4.1 Birmingham City Council population ............................................................................ 14 4.2 Lifestyle and health ..................................................................................................... 20 4.3 Birmingham’s strategic plan to improve health and wellbeing ...................................... 26 5. CURRENT PROVISION AND ASSESSMENT ............................................... 27 5.1 Services to be assessed ................................................................................................ 27 5.2 General current provision ............................................................................................ 27 5.3 Opening Hours ............................................................................................................ 32 5.4 Distance-Selling pharmacies ........................................................................................ 35 5.6 Essential Services ........................................................................................................ 35 5.7 Advanced Services ....................................................................................................... 38 iii Pharmaceutical Needs Assessment 2015 Birmingham Health and Wellbeing Board 5.8 Enhanced Services and Locally Commissioned Services ................................................. 41 6. CONSULTATION AND ENGAGEMENT ...................................................... 60 Consultation Summary ........................................................................................................... 62 7. CONCLUSIONS AND RECOMMENDATIONS ............................................. 65 CONCLUSIONS ........................................................................................................................ 65 RECOMMENDATIONS ............................................................................................................. 67 APPENDICES ................................................................................................. 69 Appendix 1 – Steering Group Membership & Terms of Reference ............................................ 69 Appendix 2 - The PNA development process ........................................................................... 71 Appendix 3 – Maps showing burden of disease in Birmingham ................................................ 77 Appendix 4 – Consultation results ........................................................................................... 81 Appendix 5 - Ward profiles for Birmingham ............................................................................ 90 Appendix 6– Details of all pharmacies operating in Birmingham .............................................. 92 Appendix 7 – Appliance Contractors ..................................................................................... 118 iv Pharmaceutical Needs Assessment 2015 Birmingham Health and Wellbeing Board List of Tables Table 1 – Enhanced Services delivered through community pharmacies in Birmingham.................... 12 Table 2 - Locally Commissioned Services through community pharmacies in Birmingham................. 12 Table 3 – Households that have English as a main language ................................................................ 19 Table 4 – Prevalence of chronic diseases in Birmingham (QOF)........................................................... 22 Table 5 – Outcomes from chronic diseases .......................................................................................... 22 Table 6 – Pharmacies open on Saturdays and Sundays ........................................................................ 34 Table 7 – Number of consultations in pharmacies providing MAS, by year ......................................... 41 Table 8- List of pharmacies that provide advice to the following Care and/or Residential Homes ..... 57 Table 9 – Detail regarding each step of development of the PNA ....................................................... 72 Table 10 - Birmingham electoral wards and corresponding districts ................................................... 74 Table 11 - Consultation responses ........................................................................................................ 86 List of Figures Figure 1 – Age structure of Birmingham compared to England (2012) ................................................ 15 Figure 2 – Population by Ethnic Group (Census 2011) ......................................................................... 16 Figure 3 – Map of Birmingham showing deprivation level at Lower Super Output Area (LSOA) level 17 Figure 4 – Religious beliefs of Birmingham’s population ...................................................................... 18 Figure 5: Projected percentage change in Birmingham population 2010 to 2030 by age groups ....... 20 Figure 6 - Locations of all Birmingham pharmacies and GP surgeries .................................................. 24 Figure 7 – Deaths under 75 from all causes (SMRs using national data) .............................................. 25 Figure 8: All Pharmacies in Birmingham with a 400m buffer zone ....................................................... 28 Figure 9- Map of all Birmingham pharmacies showing deprivation level at Lower Super Output Area (LSOA) level ........................................................................................................................................... 29 Figure 10 – Number of pharmacies per 100,000 population in the West Midlands Region29 ............. 31 Figure 11 – Number