Shropshire Local Pharmaceutical Committee

Transcription

1 Shropshire Local Pharmaceutical Committee Minutes of the meeting held on Tuesday 16 th May 2017, at NHS Telford, Halesfield at 9am. Committee Present: J Davies, R Nagra, G Kaur, R Alman, Y Patel, M Lunt, A Reeves, A Shilcock, J Gentle, B Patel, J Gentle, M Taylor, P Ryan In the Chair: L Deavin In attendance: L Fairbrother Guests: S Rooprai (observer), C Pugh (Shropdoc), H Patel (Telford CCG) 1. APOLOGIES M Lunt, T Lally 2 MINUTES Approved. 3 MATTERS ARISING TL absence the Secretary has contacted him and awaits a formal response. 4 COMMUNITY PHARMACY CAMPAIGN Action update since last meeting: PSNC & NPA judicial reviews have been heard. Announcement still awaited. PSNC advising LPCs to contact parliamentary candidates during the election campaign. 5 DECLARATIONS OF INTEREST M Taylor re discussion of oral hearing on the appeal of RJR Chem against NHS England (see later). 6 Service Development & Chair s report Carpel tunnel service ML has met with the commissioners. Suggested to use Pharmoutcomes to record activity P Prokopa asked to investigate. Activity anticipated to be 900 per year. Urgent and emergency care work progressing, training provider booked, diagnostic kits sourced. Awaiting receipt of monies into LPC account before proceeding further. Training booked for 20 th September, Expressions of Interest will be asked of contractors across Shropshire, Staffordshire & Stoke and Telford. Minor ailments new SLA for impetigo and UTI distributed. Awaiting more marketing materials. The Committee heard from Sab Rooprai who owns Conway Pharmacy in Shrewsbury and has the highest rates of activity for general MAS service. He explained his success was due to telling all customers, word of mouth and training the staff to deliver so that the service is not dependent on the pharmacist. NUMSAS the national 111 referral service to community ACTION ML / SR

2 pharmacy is yet to be launched locally. Hold ups due to lack of NHS premises e mails issued to providers. P Ryan raised a matter of referral by W Midlands 111 to his Asda store. He had to provide under the local emergency scheme as NUMSAS not live. To report incidence to A Pickard at NHS England. STP a diabetes pilot is planned for Oswestry. Nothing further to report. PNA the standard PSNC questionnaire will be circulated for comment. Meetings are planned for both Shropshire and Telford. 7 FINANCE PSNC taking the government to judicial review. LPC has contributed W Mids provider arm the Treasurer has paid the first instalment of the LPC loan to support set up of the company ( 3185). 50k following payments to provider arm and PSNC. LPC to query whether any monies remain from judicial review payment. 3 rd stage of provider loan will be required shortly. 8 CONTROL OF ENTRY & REGULATORY An oral hearing regarding the appeal of NHS England s decision against RJR Chem at Crown St Medical Practice will take place on 20 th June. LPC, Dudley Taylor, NHS England and Charles Russell representing RJR Chem will attend. The Secretary has been asked to determine actual distances between pharmacies and the surgery to quantify access to services. Also to confirm opening hours and collection/delivery facilities provided by existing contractors in the area, plus bus routes and costs. 9 HLP & Quality Payments The LPC has replied to a letter received from Lloydspharmacy asking for payment to cover training carried out by them for their own employees. The Committee agreed unanimously that no payment could be made at this moment in time as more funds would be spent on ongoing training and that all Lloyds employees could attend any of the training should they wish, as with any other contractor. No reply back from Lloyds as yet. Three successful health champion and one leadership training courses have been provided. Two mop us sessions are to be provided over the next 2 months, after which we will assess demand for the November declaration date and provide further training in autumn if necessary. Health champion training is booked for 13/6 at Shrewsbury, provided by Keele. HLP leadership training is booked for 3/7 with CPPE. 10 Telford CCG H Patel Dressings Hitesh reported that for a number of years the CCG had, had a project looking at the reduction of waste in dressing supplied via DNs against a formulary. PR//L D JG JD HP

3 The figures for dressing prescribed in GP Practice for 2012/13 was 30k and for 2015/16 42k. This increase was due to patients being discharged earlier from hospital. The projected running costs for 2013/14 were 103,000 and projected costs for 2016/17 was 108,000, this being due to an increase in ordering from GPs. The CCG in conjunction with Shropshire CGG wish to extend the project and will in the next 6-9 months be engaging in a tender process. The LPC need to be made aware to enable the newly formed Provider company to bid. Suggestions at the meeting were that EMIS could flag up if the dressing were not on the formulary, the process could go via the POD, that Pharmacist need to be aware of the formulary and that some patients do buy their own dressings. Continence Project There are 5 Practice sites across Telford & Wrekin and the patient would contact the Call Centre coloplast who would take their order and if there were any problems these would be passed to a continence nurse at the Community Trust who would assess the order and pass to the Pharmacy or Dispensing Appliance Contractor. POD The POD was now operational in Dawley, Oakengates, Donnington and Wellington and would be going live with Teldoc including Trinity sites on 5 th June There were currently 4 call handlers and 3 more were being trained. To date 3730 items had gone through the POD with 1442 per week for a population of 51,000. The busiest time for the POD being Monday mornings. The POD was operating 9am 5pm Monday Friday, it was suggested the opening times should be extended to cover a Saturday or Sunday morning. It was also agreed that the Chair would Shropshire CCG and suggest that they should visit Pharmacies prior to sites going live. Over the Counter Medicines A poster had been sent to all GP Practices. Pharmacy First It was noted that the CCG has received complaints that whilst pharmacies were showing as signed up to deliver Pharmacy First Emergency Supply, Common Ailments, UTI and Impetigo this was not always the case when the patient presented. It was agreed to ask Andy Pickard for an updated list that the Chair would circulate to contractors to enable them to check their status and if there were any discrepancies these could be followed up with him or the contractors Head Office. It was also noted that it was up to the contractor to ensure that a locum was aware of the services offered. 11 WM Provider Arm Company YP will circulate the dates of Oversight & Scrutiny Committee to enable other Committee members to attend. Directors have YP

4 been appointed. The Committee signed the loan agreement between Shropshire LPC and Central Health Service Ltd (M Lunt & J Davies on behalf of Shropshire LPC). The original and full contact details of all committee members has been sent to CHS Ltd, with a copy retained for the record. CHS have asked for detail of all current commissioned services in order to build a database across the W Mids. It was noted that CHS were awaiting approval for the name of the company from the Minister and that they were looking for potential sources of income It was agreed to fund the 150 for one year only as the LPC contribution to the meeting room costs. 12 Shropdoc C Pugh attended to explain the work of Shropdoc and to discuss ways of better working with pharmacy. They have 10 bases across Shropshire & Powys, providing out of hours GP services. Services also include a call centre in Shrewsbury and provision of care co-ordinators for patients moving in and out of hospital. The LPC Committee raised concerns about the use of palliative care boxes. These should be made available to patients early on rather than last minute. It was suggested that Shropdoc could commission pharmacies to provide an OOH on call rota for emergency medicines. CP to report to Shropdoc. OOH providers will soon convert to EPS which will support a better service, eradicating the use of faxes which can be unreliable. CP offered a visit to the call centre for the Committee. The Secretary will co-ordinate dates. All agreed continued dialogue was very useful. 13 GP Clinical Pharmacists YP attended the last meeting. A full costing will be worked up to enable pharmacists to be shared across practices and the CCG if required. Shropdoc will seek to act as provider, employing pharmacists and providing sessional workers. Other sources of funding will be pursued. The Committee will ask M Hussain to attend the next meeting to provide an update. 14 ANY OTHER BUSINESS 2017 meeting dates: 27/6 Shropshire 1/8 Telford 5/9 Shropshire note date has changed 24/10 Telford CP YP

5 5/12 - Shropshire Next meeting LPC Committee 27/6/17 9am Shropshire SECC.