Minutes of LPC Meeting 20 th May 2010

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Dennis Eaton
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1 Minutes of LPC Meeting 20 th May 2010 ATTENDEES: Len Dalton, Zainab Mohammed, Carol McNidder, Hilary Kijak, Davan Eustace, Brijesh Chopra, Paul Lowe, Sheila Richardson, Elaine Aldham, Heather Elliott Item Discussion Action Who/When 1 Apologies Ross Flavell 2. Minutes of Previous Meeting 25 th March 2010 Proposed by Davan seconded by Hilary and agreed. 3. Matters Arising Dressings Scheme Pilot Although it was thought that this scheme had started, it had seemed to have little impact so far (other than some nurses bemoaning the lack of what they can prescribe). The formulary had still not been sent out. Asthma Audit This had bee delayed (or put on hold) due to Irfan leaving the Care Trust. All otther matters arising were dealt with under agenda items E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 1

2 4 Election of Officers Sheila and Hilary had attended the PSNC seminar for new LPC members where it had been confirmed that officers can be elected for a period of 12 months only. Also Hilary and Brijesh had attended a CCA seminar where it was stressed that companies must allow sufficient time for nominated CCA reps to fulfil all their responsibilities and roles within the LPC and if the companies do not allow their employees to do so this must be reported back to the CCA. CCA representative s first responsibility is to the community pharmacies around and not to their own companies. Len made the point that he felt that a disproportionate amount of his time had been spent on LPC business over the past 12 months considering he had only three contracts out of 41 in Solihull (although Pandemic Flu had occupied a large proportion of that and he was grateful to Elaine for the times she had deputised). The following were elected as Officers Chairman Len prop Davan, sec Hilary Secretary Carol prop Hilary, sec Davan Treasurer Ross prop Carol, sec Elaine E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 2

3 5 LPC Leads PNA Len Contract Applications (Functions Committee) - Len/Sheila/Elaine LES Working Group Len/Carol HEC Elaine/Hilary SAM Sheila/Ross Waste & IC Len CPWG Sheila/Elaine Hilary/Davan Len/Carol 6 Community Pharmacy Working Group It was announced at the meeting that Irfan would be leaving his post at the end of May and that this would result in the postponement of the Contract Monitoring, although the self assessment questionnaire would be sent out before Irfan left. It became apparent that the lack of an immediate replace for Irfan would impact on several other areas of the pharmacy contract such as the public health campains and audit. Devolution of Pharmacy Global Sum The LPC had raised the DH guidance that that PCTs should not promote branded prescribing where the price of the branded product is less than that of the generic as this inhibits the reduction of generic prices and destabilises pharmacy income. E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 3

4 LES There had still been no discussion re LES payments as there was still no decision with reference to uplift values. An LES working group, a sub group of the PEC has been put in place. This will have representation from the LPC,LMC,LDC and LOC and will be forum for proposals and discussion for future LESs. Public Health Campaigns The Public Health deparment would need to organise the campaigns in future. The You+ shop has a number of health trainers who would like to develop links with community pharmacies in the North of the borough.. Asthma Audit Delayed due to Irfan leaving SAM Meeting to be arranged between members of the Bridge, CT and LPC and problems to be brought to the attention of Nigel Barnes. 7 Pharmaceutical Needs Assessment The Care Trust have gone back to Webstar to assist with the development of the PNA. Len had attended meetings from the start and was aware that although in many cases the CT did not have answers to the microlevel required but Webstar did. Two questionnaires were due to be finalised, a contractor questionnaire and a patient questionnaire which should inform needs for local population pockets. It was expected that the contractor questionnaire would be sent out late May and in early June a meeting held between contractors, the CT and E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 4

5 Webstar to explain the requirements of the PNA and how it would be in contractors best interests to complete the questionnaire.irfan had already done a lot of work around data sets aand Westar would be using this to inform them in the production of the PNA document. The PNA must make reference to Solihull as a whole but can refer to services in adjoining localities and Webstar must get the demographics correct so it is up to them to ensure the patient participation is representative. Once the document is produced there is a 60 day consultation period and it was agreed the LPC should facilitate a meeting in September/October during this period. 8.1 Chlamydia Screening To date there had been limited uptake of the new service with only 5 pharmacies out of 23 submitting claims. It was considered that the existing posters as distributed by the sexual health dept were too arty farty with no specific mention of Chlamydia testing and would not encourage the target population to enter a pharmacy for Chlamydia testing. Although it was to be hoped that the service would not be pulled as a cost cutting exercise as it is a national priority with clearly defined targets it is for Solihull contractors to show they can make a real success of the new LES. There was discussion around what we can do as an LPC to promote the service, concentrating on incentives both for contractors and for clients E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 5

6 undertaking the test. It was agreed that it was necessary to supply clear information that it was completely normal for all yr olds to take a test, ie pick up info from a basket and exchange at the counter for a test. It was agreed that the LPC would allocate 3000 over the next financial year to facilitate the delivery of services in particular Chlamydia screening. It was agreed that a new poster (and leaflets) should be designed and pharmacists should go into sixth forms in schools and colleges to promote the availability of the service in pharmacies. A subcommittee of Sheila, Heather, Davan and Carol was set up to take this forward. Len to enquire of communications at CT and Education Dept Davan to talk to college re poster design Carol to enquire of PSNC whether new NHS logo can be used if desired LD DE CM 8.2 HEC The numbers being done by Boots, Mell Square had now increased back to the previous levels. During the transfer of the budget from Medicines Management ( Sam Robinson responsible for payment) to Public Health (Hema Patel0 one of the locums had been left off the list of accredited persons and 25 supplies were not being paid for this was incorrect. Currently the budget was overspent resulting in the financial departments of the CT advocating an age cap as in adjoining areas as a cost cutting exercise whereas the clinicians were arguing against currently no change. E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 6

7 8.3 NE/SAM A meeting had been held with Sheila and Alison representing the LPC and giving the pint of view of the contractors, Mary and Irfan from Medicines Management, Chris Clarke from Commissioning, admin staff and Dr George from the Bridge and Nigel barnes from the SHA. s had been sent to irfan before detailing and giving evidence to allow informed discussion. Problems were arising around Bank Holiday Rxs, in many cases if pick up was on a Monday the last working day was on a previous prescription, incorrect dosing 40,40,80 etc not agreeing with written dosage and pick-up instructions, the Bridge issuing green FP10 interim and correction prescriptions instead of corrected blue ones, lack of a swift response from the Bridge to queries, poor communication, unable to communicate with the Bridge after 4.30 on a Friday, interim Rxs being given direct to patients so two valid Rxs are in circulation leading to double dosing, the printing of the statement about daily pickup going right across the Rx impinging on the endorsing area. Representatives from the Bridge were rather defensive and thought most of these issues were a fuss over nothing, also they were adamant that the computer could not be adjusted to make alterations to the dosage schedule. It was pointed out that most pharmacists are prepared to step over the line for the benefit of the patient when they have exhausted all avenues of enquiry however it is too much to expect them to legally compromise themselves and put E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 7

8 themselves at risk of a criminal offence. Nigel Barnes agreed to send out someone from the IT department in Birmingham to explain how to adjust the computer for amended Bank holiday dosing and to prevent the statement going across the right hand side of the Rx. It was agreed that Rxs on a weekly or twice weekly pickup should not have a Monday start date. Nigel Barnes enquired how urgent it was that a dose should be changed, the clinician stated that was his clinical decision however it was conceded that in most cases it was not often clinically necessary within less than two days allowing time for a corrected Rx to be sent to the pharmacy. There was brief discussion around the them and us problems arising between the Bridge staff and contractors, it was suggested that if Dr George had issues with contractors he should contact the LPC. Also it was requested that an LPC member attend their inhouse meetings to try to prevent problems escalating. It was requested that the statement re picking up less on subsequent days if the patient did not attend on the specified pickup day be put on all blue Rxs. Chris Clarke suggested that the Bridge should phone back on queries within a certain time frame to enable contractors to give a specific time to clients. Sheila ( as a pharmacist dealing with a large number of SAM clients) to monitor the changes prior to attending the next meeting Request in newsletter for contractors to report back SR CM E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 8

9 to the LPC any issues in order to collate information to give a greater body of evidence. 8.4 OOH/Rota There will be a significant questionnaire coming out as part of the PNA, both a pharmacy and patient questionnaire, it is important current contract hours are accurately recorded at the Care Trust. It is necessary to remind the Care Tust to remind Dentists and Opticians not to display the complete list of OOH providers with private mobile numbers. 8.5 Smoking Cessation Elaine, who had been unable to attend the initial training evening where the paperwork was distributed, had offered to obtain the paperwork to enable her to take part in the scheme but Alison Trout had suggested that this was unnecessary as her local surgery did not run a clinic. Remind Care Trust CM 9 Waste Management The volume of waste had rocketed over the previous 12 months leading to an increase in costs. It was recognised that any tinkering with increased treatment periods of prescriptions could only lead to massively increased waste. 10 Infection Control There had been no meetings and no new developments with respect to Community Pharmacy 11 Finance The 1 st instalment of the annual PSNC levy had been E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 9

10 paid 12 Contract applications The appliance contractor within Solihull had changed from a sole proprietor to a limited company and was now known as RCare Ltd. 13 Annual and Future Strategic Plan The CT plan in a nutshell is to increase life expectancy by 10 years over the next 10 years. The LPC should tailor future developments to integrate with the local Joint Strategic Needs Assessment as detailed in the CT strategic plan as determined by the PNA when established. Maintenance of all LESs, sharing of ideas with LES Group Improve awareness of existing LESs and facilitate increased delivery of existing LESs Improve awareness of pharmacy services Continue positive interaction with the Care Trust and other professional bodies. Encourage interprofessional relationships with other statutory bodies Keep contractors informed of all developments in Solihull within a suitable timeframe. Increase awareness of and uptake of Chlamydia screening service. Develop Weight Management service Develop Vascular Screening service Aim for a Health Trainer in every pharmacy Develop additional services around Diet, Alcohol, Smoking E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 10

11 14 LPC Self Evaluation The self evaluation tool was amended to reflect decisions made at the meeting particularly with reference to Business and Strategic Planning Dates of Next Meetings Thursday 16 th September 2010 SIMTR Thursday 18 th November 2010 SIMTR E:\Documents\Pharmacy\LPC\Website\Website Download\meeting_20may10.doc 11

Coventry and Warwickshire PNA

Premises Details Contractor Code (ODS Code) Coventry and Warwickshire PNA Community Pharmacy Survey Name of contractor (i.e. name of individual, partnership or company owning the pharmacy business) If