Pharmaceutical Needs Assessment 2015-2018 City of York March 2015 Author: Julie Hotchkiss Acting Director of Public Health City of York Health and Wellbeing Board Email: [email protected] PNA Page 2 Contents 1.0 Foreword .................................................................................................................................... 5 2.0 Background ................................................................................................................................ 6 3.0 Executive Summary ................................................................................................................... 9 4.0 Development of a PNA for York ............................................................................................... 13 4.1 The minimum requirements of a PNA ...................................................................................... 14 4.2 Reviewing the 2011 North Yorkshire and York PNA (NYYPNA) .............................................. 15 4.3 The 2013 Regulations and Department of Health Guidance –matters for consideration ....................................................................................................................................... 16 4.4 Action Planning and Questionnaire Development .................................................................... 17 4.5 Identifying Local Needs ............................................................................................................ 20 4.6 Mapping Current Provision ....................................................................................................... 22 4.7 Identifying unmet needs and priorities ..................................................................................... 23 4.8 Consulting on findings .............................................................................................................. 23 5.0 Control of Entry Application Process ........................................................................................ 24 5.1 Controlled localities (rural) ....................................................................................................... 25 5.2 Reserved locations ................................................................................................................... 26 6.0 Current of Provision Pharmaceutical Services ......................................................................... 27 6.1 Services provided in Community Pharmacy under the contractual framework ........................ 27 6.1.1 Essential services .................................................................................................................... 27 6.1.2 Advanced Services .................................................................................................................. 29 6.1.3 Enhanced services ................................................................................................................... 33 6.1.4 Essential Small Pharmacies Local Pharmaceutical Services contracts ................................... 34 6.1.5 Appliance Contract ................................................................................................................... 34 6.1.6 Distance Selling and Internet Pharmacies ............................................................................... 35 6.1.7 City of York Council .................................................................................................................. 36 6.1.8 Clinical Commissioning Groups ............................................................................................... 39 6.2 Community Pharmacy Contractors .......................................................................................... 39 6.3 Dispensing Activity ................................................................................................................... 40 6.4 Access to pharmaceutical services .......................................................................................... 43 7.0 Identified Health Needs ............................................................................................................ 44 7.1 Illness, disability and risk factors .............................................................................................. 53 7.2 Risks to health .......................................................................................................................... 56 7.3 Public Questionnaires .............................................................................................................. 60 7.4 Health and care professionals’ questionnaire .......................................................................... 63 7.5 Strategic stakeholder’s questionnaire ...................................................................................... 66 8.0 Matters considered in making this assessment ....................................................................... 71 9.0 Commissioning Intentions ........................................................................................................ 76 9.1 Vale of York CCG ..................................................................................................................... 76 PNA Page 3 9.2 City of York Council Public Health ........................................................................................... 77 10.0 Maintenance and Review of this PNA ...................................................................................... 78 10.1 Supplementary statements ...................................................................................................... 78 10.2 Maps ........................................................................................................................................ 78 10.3 PNA Revision ........................................................................................................................... 79 *** Acknowledgements .................................................................................................................. 80 11.0 Abbreviations used in this document ....................................................................................... 81 12.0 Appendices .............................................................................................................................. 82 Appendix 1 ‐ Terms of Reference ............................................................................................................ 82 Appendix 2 ‐ Community Pharmacies in the City of York ....................................................................... 83 Appendix 3 ‐ Community Pharmacies within NHS Vale of York Clinical Commissioning Group catchment area .......................................................................................................... 94 Appendix 5 – Pharmacy, dispensing GP practice and non‐dispensing GP practice locations .............................................................................................................................. 111 Appendix 6 – Controlled locality boundaries ........................................................................................ 112 Appendix 7 ‐ Questionnaires ................................................................................................................. 113 Pharmacy Users Questionnaire ....................................................................................................... 113 Health or social care service providers and practitioners questionnaire ................................... 120 Strategic Partners Questionnaire ..................................................................................................... 127 Appendix 8 ‐ Questionnaire distribution ............................................................................................... 143 13.0 References ............................................................................................................................. 144 PNA Page 4 1.0 Foreword The local community pharmacy is often the first port-of-call for members of the public when they require advice about health. These services are local, they are widely available and they are staffed by at least one qualified health professional at all times. York Health and Wellbeing Board is committed to developing a Healthy Living Pharmacy programme in the lifetime of this Pharmaceutical Needs Assessment (PNA). Producing a PNA is one of the duties of the Health and Wellbeing Board, and as Public Health transferred from the NHS to local authorities in 2013, production of the assessment is now incumbent upon councils. Local authorities know their areas and the local population very well and are ideally placed to coordinate a wide range of information, analyse and apply it to the local population and planned developments. Linsay Cunningham Chair of the York Health and Wellbeing Board Community Pharmacies are key parts of the primary care system in this country. Of course they dispense medicines prescribed by General Practitioners, but increasingly they are taking on health promotion and prevention activities such as support for attempts to quit smoking, providing Emergency Hormonal Contraception (often still mistakenly known as the “morning after pill” even though it can work up to 72 hours later) and in some cases even minor ailments treatment. The CCG is keen to work with local pharmacists to improve the health of their population. Mark Hayes Chief Clinical Officer NHS Vale