Pharmaceutical Needs Assessment 2015 South Gloucestershire Health and Wellbeing Board South Gloucestershire Pharmaceutical Needs Assessment 2015 Contents Executive summary .................................................................................................. 6 Section 1: Introduction .......................................................................................... 16 1.1 Background ................................................................................................. 16 1.2 Purpose of the PNA ..................................................................................... 17 1.3 Scope of the PNA ........................................................................................ 17 1.3.1 Pharmacy contractors ............................................................................... 18 1.3.2 Dispensing Appliance Contractors ............................................................ 20 1.3.3 Local pharmaceutical service providers .................................................... 20 1.3.4 Dispensing GP practices ........................................................................... 21 1.3.5 Other providers of pharmaceutical services in neighbouring HWB areas . 22 1.3.6 Other services and providers in South Gloucestershire HWB area, out of scope of the PNA....................................................................................... 22 1.4 Process for developing the PNA .................................................................. 23 1.5 Localities for the purpose of the PNA .......................................................... 27 Section 2: Context for the PNA ............................................................................. 28 2.1 Joint Strategic Needs Assessment .............................................................. 28 2.2 Joint Health and Wellbeing Strategy ............................................................ 28 2.3 Population characteristics ............................................................................ 29 2.3.1 Overview ................................................................................................... 29 2.3.2 Age ........................................................................................................... 29 2.3.3 Predicted population growth ..................................................................... 31 2.3.4 Life expectancy ......................................................................................... 33 2.3.5 Specific populations .................................................................................. 34 2.3.5.1 Ethnicity .............................................................................................. 34 2.3.5.2 Children and young people ................................................................. 36 2.3.5.3 Children in care .................................................................................. 36 2.3.5.4 Prison populations .............................................................................. 37 2.3.5.5 Disabled people .................................................................................. 37 2.3.5.6 Breastfeeding populations .................................................................. 38 2.3.5.7 Homeless populations ........................................................................ 39 2.3.5.8 Traveller population ............................................................................ 40 2.3.5.9 Students ............................................................................................. 41 1 South Gloucestershire Pharmaceutical Needs Assessment 2015 2.3.5.10 Carers ............................................................................................... 41 2.3.6 Deprivation ................................................................................................ 41 2.4 Causes of ill health ...................................................................................... 44 2.4.1 Cardiovascular disease ............................................................................ 46 2.4.2 Cancers .................................................................................................... 47 2.4.3 Diabetes.................................................................................................... 48 2.4.4 Chronic obstructive pulmonary disease .................................................... 48 2.4.5 Depression and mental health .................................................................. 49 2.4.6 Unintentional injuries ................................................................................ 49 2.4.7 Asthma...................................................................................................... 49 2.4.8 Obesity...................................................................................................... 49 2.4.9 Palliative care ........................................................................................... 50 2.4.10 Urgent care ............................................................................................. 50 2.4.11 The prevalence of diseases by locality ................................................... 51 2.5 Lifestyle issues ............................................................................................ 51 2.5.1 Drug and alcohol misuse .......................................................................... 51 2.5.2 Alcohol and related disease ...................................................................... 53 2.5.3 Sexual health and teenage pregnancy ..................................................... 54 2.5.3.1 Sexually transmitted infections ........................................................... 54 2.5.3.2 Chlamydia .......................................................................................... 54 2.5.3.3 Teenage pregnancy ............................................................................ 55 2.5.4 Smoking .................................................................................................... 55 2.5.5 Oral health ................................................................................................ 55 Section 3: NHS pharmaceutical services provision; currently commissioned 57 3.1 Community pharmacies ............................................................................... 57 3.1.1 Choice of community pharmacies ............................................................. 58 3.1.2 Intensity of current community pharmacy providers .................................. 58 3.1.3 Weekend and evening provision ............................................................... 59 3.2 Dispensing appliance contractors ................................................................ 60 3.3 Dispensing GP practices ............................................................................. 60 3.4 Distance-selling pharmacies ........................................................................ 61 3.5 Access to community pharmacies ............................................................... 61 2 South Gloucestershire Pharmaceutical Needs Assessment 2015 3.5.1 Routine weekday daytime access to community pharmacies and dispensing GP practices ............................................................................ 62 3.5.2 Routine weekday evening access to community pharmacies ................... 64 3.5.3 Routine Saturday daytime access to community pharmacies ................... 67 3.5.4 Routine Sunday daytime access to community pharmacies ..................... 67 3.5.5 Routine bank holiday access to community pharmacies .......................... 69 3.6 Advanced service provision from community pharmacies ........................... 69 3.7 Enhanced service provision ......................................................................... 72 3.8 Pharmaceutical service provision provided from outside South Gloucestershire HWB area .......................................................................... 72 Section 4: Other services which may impact on pharmaceutical services provision .................................................................................................... 74 4.1 Other services provided by dispensing GP practices .................................. 74 4.2 Local authority commissioned services provided by community pharmacies in South Gloucestershire ................................................................................. 76 4.3 Clinical Commissioning Group commissioned services ............................... 76 4.4 Other services provided from community pharmacies ................................. 76 4.5 Collection and delivery services .................................................................. 76 4.6 Language services ...................................................................................... 77 4.7 Services for less-abled people ..................................................................... 77 4.8 Electronic prescription service ..................................................................... 77 Section 5: Feedback on pharmaceutical service provision ................................ 78 5.1 Dispensing GP practice questionnaire ......................................................... 78 5.2 Pharmacy contractor questionnaire ............................................................. 78 5.3 Public survey ................................................................................................ 78 5.4 Consultation on