Humber Local Pharmaceutical Committee Representing Pharmacy Contractors in East Riding of Yorkshire, Hull and North & North East Lincolnshire

Transcription

1 Humber Local Pharmaceutical Committee Representing Pharmacy Contractors in East Riding of Yorkshire, Hull and North & North East Lincolnshire Open/Closed Meeting Wednesday 9 November 2016 Held at Cottingham Parks Golf Club, Cottingham This meeting was conducted in line with the LPC Code of Conduct and Accountability Present: Paul Robinson Chair Employed Chair PR Joanne Lane Vice Chair Independent representative JL David Miller CCA representative DM Fiona Sitch AIMp representative FS Ian Woolley Independent representative IW John Mackenzie Independent representative JEM Karen Murden CCA representative KM Manish Khanna Independent representative MK Caroline Hayward Professional Development Pharmacist CJH Janet McDonald Clark LPC Chief Officer JMC Joanne Carter LPC Office Manager JDC Kate Stark LPC Administrator KS Steve Mosley LPC Treasurer / Strategic Implementation Pharmacist SM Dale McVeigh observer Weldricks DMc Apologies: Annette Maudar CCA representative AM Glenn Miller CCA representative GAM Jonathan Whitelam CCA representative JW Karen Bednarski CCA Representative KB Paul McGorry CCA representative PMc David Broome PSNC representative DB The meeting commenced at 09.30am. 1. Apologies for absence and introductions: Action Paul Robinson welcomed Kate Stark, new LPC administrator. Apologies as above. 2. Committee Governance: 2.1 i. Members to note the contents of the LPC Code of Conduct & inform the Chair of any changes to their declarations of interests ii. Competition Law Compliance Guidelines Noted by all members 3. Minutes of the last meeting : Humber LPC minutes: Minutes of the last LPC meeting had been circulated prior to the meeting and were accepted as a true record with following some corrections of point 16

2 CPPE update. New CPPE materials recently launched: NMS e-course Influenza e-learning Autumn / Winter semester local workshops available: Polypharmacy 13 Sept Holiday Inn, Marina, Hull Facilitator support 4 October Sheffield full day event Consultation skills full day event 29 September York Epilepsy 18 September Hull Antibacterials 16 November Tickton Grange nr Beverley E-course under development to support contractors with self-assessment framework for HLP Declaration of competence process has been reviewed and updated on the website, includes a short video introduction 4. Matters arising from the last minutes: 2. Janet Clark confirmed she had contacted Phil Maslin at Lloyds to inform of the CCA vacancy due to the resignation of Lisa Brydon. 7. John Mackenzie queried the providers of the Yorkshire Ambulance Service Flu Service (YAS). Steve Mosley explained the selection process had been done by YAS on a geographic context. Feedback from Paul Robinson regarding the YAS service was it should have been promoted more by YAS as there had only been 30 provisions. 11. David Miller informed the meeting he had not received the SLA or contract for East Riding Minor Ailments scheme and had contacted Mark Etherton regarding this but had received no response. David Miller to contact Mark Etherton and copy LPC office. 5. Finance report: Steve Mosley gave an explanation of the current finance report. LPC members may have noticed a slight change to the July figures which was due to a late reconciliation. SM also explained 2 levies show in September which us due to banking dates, this would level out in October when no levies would be received. Going forward there would be an overspend on rent, by approximately 1500 which was proposed to be due to a mis-calculation on the moving budget. John Mackenzie questioned the rates value going into the next financial year. 6. Chief Officer report Joanne Carter to confirm office move budget. Joanne Carter to check rates value. Janet Clark asked for the committee opinion on the format of the Chief Officer report and whether the committee found it useful. The meeting agreed it was highly useful. Ian Woolley stated he would have preferred it portrait format as appose to landscape, Janet Clark had explained why it wouldn t work that way. 7. LPC work plan update Manish Khanna arrived during this discussion. Paul Robinson explained about the a monthly team meeting to update the work plan and the main objective is to help keep focus on the plan for the year. 2

3 Website review This had been re-scheduled due to more urgent matters. Diabetes Caroline Hayward was still working on this and liaising with commissioners/pharma. North East Lincolnshire was a possible initial area to consider. Respiratory This had been delayed due to uncertainty around the continuation of the MUR service. More information may come in the Murray Report. PSNC confirmed at conference it may be moved to be an enhanced service rather than advanced service. Further discussions to be had during the strategy meeting. Prescription Intervention East Riding Paul Robinson had dialogue with Gina Palumbo, but issues still to be tackled. Hull Steve Mosley had dialogue with Geoff Day, but had received no further contact. Meeting or conference call to be arranged. Audit Paul Robinson explained how the audit carried out had received criticism but the information was extremely useful. Paul Robinson gave brief explanation of the audit results. Steve Mosley made comparison between audit results and Scunthorpe LPS intervention scheme. The meeting felt an incentivised scheme would work better. CPH academy role Job description and person specification almost completed but suggestions over a title name to be made. HLP This was to be discussed in the strategy meeting NHS Health checks - Hull On track, a number of issues regarding funding which Steve Mosley had been rectifying with Pinnacle and the PharmOutcomes platform. Paul Robinson to contact Gina Palumbo. Steve Mosley to contact Geoff Day Steve Mosley to share audit results Paul Robinson to follow up with North and North East Lincolnshire. LPC members to Janet Clark Steve Mosley to follow up and complete Fiona Sitch had received no further contact regarding North Lincolnshire health checks. Advanced services and proposed contractor events This would be discussed during the members only section Flu vaccination The meeting would receive an update later in the meeting NEL MAS Eligible feedback had been received on this service. Platform working well, all pharmacies except one was currently signed up. NL Varenicline Training event had gone well. Contracts where ready and service to launch imminently. 3

4 NL Sexual health This was now up and running and first captured data had been shared with commissioners. 8. Essential Services 8.1 SCR Janet Clark informed the meeting currently 33% had signed up, excluding multiples this was 30%. 200 sign up fee would stop end March Everyone to be encourage to sign up as increasing SCR usage is part of quality payments. All staff encouraged to watch part 1, then part 2 of the PSNC/NPA SCR webinars. Part 1 includes tips of use of SCR and part 2 includes liability issues. Link to webinars included on Chief Officers report. All LPC members encourage sign up of SCR. Janet Clark informed the meeting of smart card issues. It had come to light the inbox was unmanned and therefore issues where not being dealt with. Jeanette Dove had been authorized by Helen Phillips to approve set up NHS mail accounts as requests where received from pharmacies. NHS mail accounts required as part of quality payments. 8.2 CPCF The meeting discussed the update to community pharmacy contractual frame work, this was to be discussed in further detail in the strategy meeting Quality Payments The meeting discussed the workings of the quality payments in brief, this would be covered later in the strategy session Pharmacy Access Scheme information only item On 20th October 2016, as part of the two-year final funding package imposed upon community pharmacies in England, the Department of Health (DH) had confirmed the introduction of a Pharmacy Access Scheme (PhAS), with the stated aim of ensuring that a baseline level of patient access to NHS community pharmacy services is protected. DH stated that the PhAS would protect access in areas where there were fewer pharmacies with higher health needs, so that no area would be left without access to NHS community pharmaceutical services. Qualifying pharmacies would receive an additional payment, which meant those pharmacies would be protected from the full effect of the reduction in funding from December Criteria A pharmacy is eligible for the PhAS if it met all of the following criteria: The pharmacy is more than a mile away from its nearest pharmacy (measured by road distance); and, The pharmacy is on the pharmaceutical list as at 1 September 2016; and, The pharmacy is not in the top 25% largest pharmacies by dispensing volume. The DH guidance on PhAS provides detailed information on the scheme (10- pages) see link opposite. (Janet Clark gave details on the Pharmacy Access scheme (PhAS) application form and 3 month deadline to complete. 27 Pharmacies on the list, from Humber area. Any pharmacies receiving PhAS will incur less of a loss, not actual extra payments) Pharmacy Integration Fund information only item In the Government s letter from 17th December 2015 entitled Community 4

5 pharmacy in 2016/17 and beyond, the Department of Health (DH) had announced that it would consult on a Pharmacy Integration Fund (PhIF) to help transform how pharmacists and community pharmacy would operate in the NHS. The Fund would be the responsibility of NHS England and was separate to any negotiations related to the Community Pharmacy Contractual Framework (CPCF). It would be used to validate and inform any future reform of the CPCF going forward. The aim of the PhIF was to support the development of clinical pharmacy practice in a wider range of primary care settings, resulting in a more integrated and effective NHS primary care patient pathway. In particular, the PhIF was intended to drive the greater use of community pharmacy, pharmacists and pharmacy technicians in new, integrated local care models. The fund would be worth 42 million over the following two years, and would cover the costs of an Urgent Medicine Supply Service pilot and an urgent minor illness care pilot. There would also be educational grants for community pharmacists to access postgraduate clinical pharmacy education and training courses up to diploma level from April NHS England had said that it intends to use some of the fund in later years to fund pharmacists working in care homes and urgent care centres; neither of which would necessarily benefit community pharmacies. NHS England had also committed to spending at least 10% of the fund on the evaluation of services. NHS England was planning to publish further details about the PhIF in October Advanced Services 9.1 MUR MUR statistics for April 2016 to June 2016 had been included in the Chief Officer s report for information. Paul Robinson confirmed the figures showed a decline in provision. 9.2 NMS NMS statistics for April 2016 to June 2016 had been included in the Chief Officer s report for information. Paul Robinson confirmed the figures had increased and this was very positive. 9.3 Flu Steve Mosley informed the meeting just under vaccinations had been provided in the Humber area to date with highest achievers being: Day Lewis, Hornsea 650 vaccinations Birmingham Chemist, Grimsby 600 vaccinations Holme Pharmacy 450 vaccinations Day Lewis, Hull 250 vaccinations Joanne Carter/Kate Stark to share update in digest. Paul Robinson informed the meeting the press release had not been published by Hull Daily Mail due to content being almost an advertisement. Final push was discussed as the GP clinics are coming to an end for Flu vaccinations. Many independent pharmacies had not participated this year, clarity from contractors needed as to the reasons maybe a survey? 9.4 Contractor Events Steve Mosley gave information to the meeting on the information drop in clinics which were arranged for the following dates. Tuesday 15 November - Scunthorpe Joanne Carter to obtain clarity from contractors. Steve Mosley to produce presentation Steve Mosley to liaise with 5

6 Thursday 17 November Beverley Tuesday 22 November Anlaby Thursday 24 November Grimsby Joanne Carter for support materials. Steve Mosely to give presentation during the evening and produce support materials. 10. Enhanced Services 11. PSNC NE Lincolnshire Minor Ailments Service Caroline Hayward gave an update on the success of the North East Lincolnshire minor ailments training and services. Feedback was excellent, currently 21 out of 33 pharmacies were active with 134 provisions. Results so far show 74% of patients would have gone to their GP of the MAS scheme had not been available Finance Workshop Paul Robinson informed the meeting Steve Mosley wanted to give up the treasurer role, and Glenn Miller had put himself forward to take this role. Joanne Lane officially proposed to the meeting for Glenn Miller to be Treasurer of the LPC; David Miller second this, passed by a majority verdict with one abstention. The meeting also agreed for Glenn Miller and Joanne Carter to attend the PSNC training for the LPC finances. Joanne Carter to book places for training event Media Skills training Steve Mosley explained the media skills training he had arranged at Lincolnshire LPC. This would be held around 17 January 2017 and ideally would need around delegates. Lincolnshire LPC happy to share cost of training with Humber. Joanne Lane informed the meeting this had been discussed by the subgroup and an agreement of up to 4 people could attend from the LPC. This was ratified by the LPC. Paul Robinson and Caroline Hayward interested in attending LPC conference Paul Robinson gave an update of the LPC conference and Chairs Chief Officers meeting. No new information was shared at either meeting. PSNC were massively disappointed to have been in this position and may still proceed with a legal challenge for the imposition. New regulations are to be laid to allow mergers of pharmacies that do not leave to ensure no gaps in PNA to avoid new applications. PSNC had relayed the message that local commissioning is the way forward. Only one positive note from the minister who stated relations are only fractured at least as far as he was concerned and there was some attraction towards the Scottish model. Any further suggestions on the way forward should be directed to Sue Sharpe via the LPC. Suggestions sent to LPC 12. CCGs 12.1 ERYCCG Janet Clark seeked the approval of the LPC to respond to the Urgent Care review in ERoY in the same format as the Hull response. The committee Janet Clark to respond. 6

7 discussed a slightly more detailed response which involved this is what we could do if we had 12.2 ERYCCG PTL meeting Paul Robinson gave an update from the Protected Time for Learning (PTL) meeting. Paul would request progress update next Monday at meeting with Gina Palumbo/Mike Rymer. Paul felt the meeting was a worthwhile event, but very much work in progress. Paul Robinson progress update on prescribing budget savings. 13. Commissioning Support No update brought to the meeting. 14. Local Authorities North Lincolnshire Varenicline Update was given earlier in the meeting. 15. NBHS England 15.1 Full CPAF Janet Clark informed the meeting 12 pharmacies would have to complete full CPAF questionnaire, between 1 November and 4 December OSC ERY Paul Robinson gave a brief update on the previous OSC meeting in January The topics have been agreed beforehand for the February 2017 meeting as follows: Workforce Waste & repeat dispensing Budget and funding cuts Bank Holidays NHS England would be directing Easter/May/August bank holidays. Proposal discussed and LPC to feedback to NHS England. 16. Primary Care Support Services 16.1 Recent decisions Janet Clark informed the meeting the relocation application of Superdrug/Jhoots had been declined, based upon it not serving the same patient groups. The relocation application from Lloyds Hornsea had gone to an oral hearing to be held on 13 December Changes of Ownership Janet Clark informed the meeting of Garners pharmacy sale to Day Lewis, but currently it was not official until notification received by NHS England Concerns with Primary Care Support England (PCSE) Janet Clark gave a verbal update of issues with PCSE, who were refusing to pay pre-reg grants until GPhC training record was provided. This is not a requirement. Any issues with pre-reg grants inform Janet. 17. CPPE LPC members to inform Janet Clark of any issues with pre-reg grant payments. Joanne Lane gave an update from CPPE CPPE have received enquiries relating to quality indicators announced for 2017/18. CPPE intend to prepare a briefing document to highlight 7

8 resources available within the portfolio which may include: Dementia focal points Safeguarding level 2 refresh of safeguarding materials planned for early 2017 Inhaler technique workshop available SCR workshop development requested by other LPCs HLP leadership day JL shared details of a Pharmacy Technician event and the future of Technicians in conjunction being organized by Health Education England on 16 November 2016, in Leeds. Other locations across the country technicians have received invitation to book onto these events. Joanne Lane to share briefing document once ready for circulation Current campaign running for anti-bacterial awareness and promotion of anti-biotic amnesty to return unused medicine courses to community pharmacy details on CPPE website. Anti-bacterial workshop at Tickton Grange still has places available. Palliative care workshop running at Cottingham Parks on 28/2/ Miscellaneous 18.1 LPC Awards event Joanne Carter and Paul Robinson gave an update on the progress of the awards event. The meeting had agreed that following the awards a review discussion would be had at the next Executive meeting. Joanne Carter to add to Exec agenda The meeting agreed all attending LPC members/staff would hold a 50 budget per table to enable the provision of a drink for the attendees PwC Report The meeting discussed the PwC report, and agreed it was a good positive report and campaign highly recommended reading. Joanne Lane requested we made reference to the report at every opportunity. 19. Any other Business STP Paul Robinson informed the meeting he had met with Andrew Burnell with regards to out of hospital care and he had a hard copy of the presentation but was yet to receive it electronically, as this had been embargoed. Paul Robinson to share electronic copy once available. The meeting discussed workforce challenges around Pharmacy workforce, Paul Robinson had been in contact with work force work stream lead to advice of the shortness of Pharmacists in the Humber area. The section ended 12:30 The members only section commenced 13:30 20 LPC Members only issues 20.1 PSNC Update No update due the absence of David Broome 20.2 CP Humber Ltd the way forward Ian Woolley updated the meeting about the directors meeting which had helped to decide the way forward. The meeting agreed CP Humber Ltd needed a dedicated resource to the company In order for it to move forward. Tender opportunities to be sort. Janet Clark to look into capacity for staff member and expressions of interest to be sent to Paul Robinson. Joanne Carter/Kate Stark to produce survey monkey. Expressions of interest to be sent to Paul Robinson 8

9 The meeting agreed a survey monkey be produced to share with contractors to gain insight into what contractors want and would like. Katie Stark to produce/share survey monkey. Ian Woolley tendered his resignation from CH Humber Ltd with immediate effect and the meeting agreed Paul Robinson to take this role as the Director appointed by the LPC. Paul Robinson led the meeting through a proposal for CP Humber Ltd as followed: Host PharmOutcomes licences saving the VAT cost although access to the platform would remain the same. Steve Mosley to illustrate risks and flow chart. Provide services/materials to CPH members for a fee eg Bespoke business services. LPC office would manage data, agreed in principal to start 1 April Delivery role pharmacist required on a short term or possible seconded contract to work 2 days per week to encourage and coach pharmacies LPC meeting evaluation Good evaluation received from the previous meeting. The meeting agreed the chief officers report should be shared with the LPC members prior to the meeting via Performance management group update This report was for information only and would be added to January 2017 LPC meeting for discussion. Joanne Carter to share future CO reports Add performance paper to exec agenda Executive Committee minutes October 2016 Minutes of the last LPC executive meeting had been circulated prior to the meeting and were accepted as a true record. 21 AOB Janet Clark informed the meeting that correspondence had been received from NHS England regarding direction for opening during Easter/May/August bank holidays, the LPC agreed that they had been consulted (reference item 15.3). The meeting closed at 14:20 Future meeting dates: Wednesday 4 January Cottingham Parks, Golf Club, Cottingham Wednesday 1 March Cottingham Parks, Golf Club, Cottingham 9