Draft for approval DRAFT Pharmaceutical Needs Assessment 2018-2021 DRAFT Newcastle Pharmaceutical needs assessment 2010-2011–Executive SummaryNovember 1 2017 Table of Contents Executive summary .................................................................................................... 1 Newcastle PNA Key Recommendations .............................................................. 3 Introduction ................................................................................................................. 5 What is a pharmaceutical needs assessment? ........................................................ 5 1.1 Healthcare Landscape ........................................................................................ 5 1.2 Objectives ........................................................................................................... 5 1.3 Newcastle City Council Public Health Priorities .................................................. 5 1.4 Newcastle Gateshead CCG ................................................................................ 6 1.5 Community Pharmacy ........................................................................................ 6 1.6 National Community Pharmacy Representation ................................................. 7 1.7 Local Leadership ................................................................................................ 7 1.8 Utilisation of Community Pharmacy by Commissioners ..................................... 8 1.9 Pharmacy NHS Services: ................................................................................... 8 Pharmaceutical needs assessment process ......................................................... 10 2.1 Identification of health need .............................................................................. 10 2.2 Assessment of current pharmaceutical service provision ................................. 10 2.3 Public and Healthcare Engagement ................................................................. 11 2.4 Localities ........................................................................................................... 12 Identified health needs ............................................................................................. 13 3.1 Population profile .............................................................................................. 13 3.1.1 Ethnicity ..................................................................................................... 14 3.1.2 People with long term health problems or disability .................................. 14 3.1.3 Carers ....................................................................................................... 15 3.1.4 Older people .............................................................................................. 15 3.2 Deprivation ........................................................................................................ 16 3.3 Life expectancy and disease prevalence .......................................................... 17 3.4 Lifestyle risk factors .......................................................................................... 19 3.4.1 Smoking .................................................................................................... 19 3.4.2 Substance Misuse – Alcohol ..................................................................... 20 3.4.3 Substance Misuse – Drugs ....................................................................... 20 3.4.4 Substance Misuse - Young People ........................................................... 21 3.4.5 Obesity ...................................................................................................... 22 3.4.6 Sexual health ............................................................................................ 22 3.4.7 Teenage conceptions ................................................................................ 23 3.5 Immunisation and Vaccinations ........................................................................ 23 3.6 Holiday and Travel in Newcastle ...................................................................... 23 3.7 Housing ............................................................................................................. 24 Current Provision of Baseline Pharmacy Services ............................................... 25 4.1 Current Provision of Essential Pharmaceutical Services .................................. 25 4.1.1 Pharmacy opening hours .......................................................................... 27 4.1.2 Disability access ........................................................................................ 30 4.1.3 Consultation rooms ................................................................................... 30 4.1.4 Quality Payments ...................................................................................... 31 4.1.5 Pharmacy Access Scheme (PAS) ............................................................. 32 4.1.6 Electronic Transfer of Prescriptions (EPS) ................................................ 32 4.2 Current Advanced Services .............................................................................. 33 4.2.1 Medicines Use Review (MUR) .................................................................. 33 4.2.2 New Medicines Service (NMS) ................................................................. 34 DRAFT Newcastle Pharmaceutical Needs Assessment 2018-21 4.2.3 NHS Urgent Medicine Supply Advanced Service (NUMSAS) ................... 35 4.2.4 Flu Vaccination Service ............................................................................. 36 4.2.5 Appliance Use Reviews (AUR) ................................................................. 37 4.3 Dispensing doctors ........................................................................................... 38 4.4 Dispensing appliance contractors ..................................................................... 38 4.5 Distance Selling Pharmacies ............................................................................ 38 4.6 Hospital Pharmacy Services in Newcastle ....................................................... 39 Current provision of local commissioned services .............................................. 40 5.1 Think Pharmacy First (minor ailments) ............................................................. 40 5.2 Alcohol and Drug Misuse Services ................................................................... 43 5.2.1 Alcohol ...................................................................................................... 43 5.2.2 Needle exchange ...................................................................................... 43 5.2.3 Supervised Consumption .......................................................................... 45 5.3 Sexual Health Services ..................................................................................... 47 5.3.1 Emergency Hormonal Contraception ........................................................ 47 5.3.2 Chlamydia Testing and Treatment Service ............................................... 49 5.3.3 Long Acting Reversible Contraception (LARC) ......................................... 49 5.4 Stop Smoking Services ..................................................................................... 50 5.5 NHS Health Checks .......................................................................................... 53 5.6 Specialist Drug Access Service ........................................................................ 54 5.7 Care Home Advice Service ............................................................................... 54 5.8 Community Pharmacy Referral Service (CPRS) .............................................. 55 5.9 Transfer of Care (ToC) ..................................................................................... 55 Non–commissioned services .................................................................................. 56 Key Considerations - Future Service Provision .................................................... 57 7.1 Consideration of PNA Identified Health Needs ................................................. 57 7.2 Consideration of Essential Pharmaceutical Service provision in Newcastle .... 58 7.3 Consideration of Advanced Pharmaceutical Service provision in Newcastle ... 60 7.4 Consideration of Dispensing Doctor provision in Newcastle ............................ 61 7.5 Consideration of Appliance provision in Newcastle .......................................... 61 7.6 Consideration– Public Satisfaction with Pharmacy ........................................... 62 7.7 Consideration of Local Commissioned Service provision in Newcastle ........... 62 7.8 Consideration of national and local strategic initiatives relating to pharmacy services ................................................................................................................... 65 Conclusion ................................................................................................................ 68 Equality impact assessment ................................................................................... 70 Acknowledgements .................................................................................................. 71 Appendices ............................................................................................................... 72 Appendix 1: Location