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/Strategy Meeting Wednesday 8 November 2017 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 Karen Bednarski CCA representative KB Manish Khanna Independent representative MK John Mackenzie Independent representative JEM Lisa McGowan CCA representative LMc David Miller CCA representative DM Karen Murden CCA representative/pharmacy Contract Support Lead KM Fiona Sitch AIMp representative FS Ian Woolley Independent representative IW Jon Whitelam CCA representative JW Matthew Greenwood CCA representative MG David Broome PSNC representative DB Anthony Bryce Health Integration Lead AB Joanne Carter LPC Office Manager JDC Janet M Clark LPC Chief Officer JMC Kate Knapik Observer Whitworths Chemist KK Neil Mowbray Observer - Day Lewis SM Apologies: Dana Field CCA representative DF Annette Maudar CCA representative AM Steve Mosley Strategic Implementation Pharmacist SM The meeting commenced at 9.30am. 1. Apologies for absence and introductions: Action 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 Lisa McGowan informed the meeting she would be moving from Tesco Pharmacy to Well Pharmacy on 11 December 2017, but would still remain a CCA representative on the LPC. Ian Wooley would be a director of Heswoo Investment Ltd by December Minutes of the last meeting :

2 Humber LPC minutes: Minutes of the last LPC meeting had been circulated prior to the meeting and were accepted as a true record with the following amendment: David Broome PSNC representative was present. 4. Matters arising from the last minutes: 4. A private flu PGD had not been sourced for the current season, however it will be on the agenda for David Burns had advertised the flu vaccine for community pharmacy. 2 MPs had been vaccinated in South Humber, the press was in attendance at one Provider Company networking meeting cancelled. 5. Finance report: David Miller led the meeting through the latest finance report. The finances were described at heavy during the last month which was due to 2 contractor levy not arriving before the cut-off point. The style of the report is likely to change for the next LPC meeting now Kashflow is fully operational. 6. Reports 6.1 The chief officers report would be used throughout the meeting. 6.2 PSNC representative David Broome informed the meeting he had not attended the conference in Manchester. Category M was down, concession prices going up and quantity going up. 15p for last month Contractors are encouraged to feed back to PSNC any issues so this can be shared with Department of Health, preferably via the spreadsheet as the single page doesn t give enough information. Work is on-going around prices/margins/branded generics. Ben Griffiths was the new Head of NECS Meds Management and based at Willerby, and covers all CCGs. The meeting felt a one on one meeting with Ben should be arranged to discuss waste. Paul Robinson to discuss new consultation with David Broome with regards to opting out. Controlled drugs would be on EPS imminently. Attention was drawn to GDPR legislation and FMD legislation as the new legislation could impact on contractors. Counterfeit medicines - contractor advised to double check and scan all meds to ensure full audit trail. Survey on EPS NHS digital work stream for urgent prices. David Broome will forward list containing order or priority to Janet Clark. Paul Robinson to contact Ben Griffiths. Paul Robinson to discuss with David Broome. David Broome to send list to Janet Clark Issues surrounding changes to funding which was imposed last December are still ongoing with VAT claims. 7. LPC work plan update Paul Robinson led the meeting through the work plan. 2

3 Pharmacy Visits The visits would be started following the awards evening, 2 subjects for discussion: HLP PODIS Flu vaccination and MPs Paul Robinson was meeting with Jane Evison on Monday 13 November PODIS Janet Clark gave a brief update to the meeting regarding Steve Mosley s absence. He was currently on long term sick and unsure of his return date at the present time. Following approval from Chair, Vice-Chair and Treasurer additional funds where authorized for additional resource in the short term to cover the absence period. Paul McGorry had been employed on a temporary contract. Paul McGorry was currently working on the reports for Hull PODIS. Awareness appears to be poor in the Hull area around this service and a refresher would be recommended. Engagement in the Hull service had been poor and dropping dramatically. The members were reminded to encourage the use of this service. East Riding PODIS would be going live imminently following a delay over paperwork. North East Lincs PODIS launches 1 December 2017 with a training event scheduled for 15 November A weekly case study was recommended to be present in the digest as a reminder, plus a reminder that the service does not have to be delivered by the pharmacist and furthermore it could be a lever into other services such as NMS. Contractors are encouraged to share best practice with LPC and this to be advertised in the digest. The meeting suggested a letter be drafted for the focus of Area Managers/Superintendents which holds key facts on the potential PODIS savings. PharmOutcomes training needs re-visiting to ensure capabilities. Flu Flu data was still not available to us, the meeting agreed to apply via a freedom of information to obtain figures. The meeting discussed feeding this information into Gordan at PSNC, the meeting also felt this was anticompetitive. National data suggested Pharmacy had provided 1 million flu vaccinations during the current season so far. Weekly case study. Best practice to be shared in digest.?? to draft letter?? PharmOutcomes training 8. Essential Services 94% (196) of our contractors met the gateway criteria Quality criteria Contracts claiming Total Points Value of points Patient Safety Safeguarding CPPQ HLP SCR

4 DOS Asthma Dementia friends Totals , Average per contract 42 2, We have achieved 42 of our targeted 75 points per contract at the first hurdle and helped contractors recouped 555,200 for contractors from their total funding cut of around 8 million. Healthy Living Pharmacy The RSPH published the list of pharmacies accredited by the RSPH as HPL level 1 to the last week in September Analysis of the figures for the Yorkshire & Humber region are as follows:- Humber NE Lincs 11 N Lincs 12 Hull 18 ERY 11 Total = 52 approx. 25% Yorkshire & Humber West Yorkshire 98 South Yorkshire 73 East (Humber) 52 North Yorkshire Advanced Services 9.1 MUR MUR statistics for April 2017 to May 2017 had been included in the Chief Officer s report for information. 9.2 NMS NMS statistics for April 2017 to May 2017 had been included in the Chief Officer s report for information. An increase in figures for both MURs and NMS had resulted in additional income of Flu Vaccination The meeting discussed this during point NHS Urgent Medication Supply Advanced Service (NUMSAS) Local implementation update NUMSAS had experienced a number of issues from a confusing roll out. Confusion over the different between PURNS and NUMSAS had been explained in the digest. Only NUMSAS accredited pharmacies will have received an from NHS111, PURMS accredited pharmacies profiles had been removed from NHS!!! To help solve confusion. The LPC to produce one page profile highlighting the differences between the services.?? to produce one page profile. 9.5 Contractor Events NE Lincs ACT Service 14 November 2017 Revised PGD being launched 1 December 2017 event to update of changes NE Lincs PODIS 15 November 2017 New service opportunity full training will be given 4

5 10. Enhanced Services 10.1 PODIS Hull & ERY Item discussed at point MRC/domMAR scheme This service was now on PharmOutcomes. New SLA would be available shortly, ER and Hull UMP to be combined for continuity of service, further issues surrounding the labels attached at hospital when patients discharged. Jon Whitelam expressed his interest at attending next meeting as 100 charge made every time on call pharmacist is called. The meeting briefly discussed the use of trays however this should only be via a commissioned service. Nick Hunter from neighbouring LPC had worked with trust pharmacy to gain more insight. Janet Clark to refer to PSNC Jon Whitelam to attend next meeting?? to contact Nick Hunter 11. PSNC 10.3 PODIS Hull This item was discussed earlier at point LPC Chairs/Chief Officer/LPC conference 31 October 2017/1 November 2017 Janet Clark and Paul Robinson gave an update of the meeting of the Chair and Chief Officer meeting and where joined by Karen Bednarski for the conference. CCG dispensing fee may got to CCG big risk is paying distance selling pharmacy lower fee Notification of appeal had been lodged against judicial review. An appeal was unlikely to go ahead but notification submitted as a precautionary measure. The judicial review had cost 900,000 so far. Advised when speaking to MP to keep the conversation positive Overall grim outlook contractor cash flow very low Consistent delivery of quality of care from each pharmacy essential Local negotiation is key for the near future A number of people were being interviewed to replace Sue Sharpe, if correct person is not found this position will remain available. New contract needed for the future community pharmacy, Ashbridge report commissioned by PSNC New concept - Primary Care Home, East Riding would like to deliver this way. Paul Robinson to research, a guidance pack would be available early Paul Robinson to research 11.2 Freedom to speak The meeting discussed PSNCs guidance to whistleblowing. A Whistleblowing policy is a term of service. According to the guidance, an individual has to be named as a speak up guardian; a neighbouring LPC would be preferred choice following refusal from CCG/NHSE/Area Team. The meeting discussed independent contractors from North Yorkshire/ Humber/ West Yorkshire sharing the role on an equal footing. Janet to progress. Janet Clark to progress. 12. CCGs 12.1 ERY CCG East Riding altogether better event Janet Clark and Paul Robinson had attended the events. This was aimed at a system wide approach focusing on community first approach. PR & JMC felt it 5

6 had been a worthwhile event and would look forward to the next steps Hull CCG No update brought to the meeting North Lincs CCG CCG currently in turn around North East Lincs CCG PODIS launch The PODIS launch event was arranged for 15 November and would launch 1 December Commissioning Support No information available. 14. Local Authorities 14.1 PNA East Riding 60 day consultation will start shortly and run between October November Hull, North East Lincs and North Lincs PNAs where in draft but would all be in place by 1 st April NHS England/STP 15.1 Community Pharmacy Assurance Framework contract monitoring survey Community pharmacy contractors are reminded that, in the coming weeks, some community pharmacies will be invited to complete the full Community Pharmacy Assurance Framework (CPAF) questionnaire. The full questionnaire will be available for selected pharmacies to complete between 1st November and 3rd December Pharmacy Integration Fund meeting NHS England is hosting an event for colleagues across pharmacy to provide updates on the Pharmacy Integration Programme. The meeting would explore how to spend extra cash some ideas as follows: Walk in my shoes AF bid Repeat dispensing Car navigation training Paul McGorry would be attending this event. There would also be a further opportunity for a Health Foundation bid around April Pharmacy Quality Points Guidance November 2017 PSNC had published guidance on completing the declaration., which can be found at CD Reporting Yorkshire & Humber regional team are looking to roll-out this a tool for reporting CD incidents, this had been developed by Greater Manchester CDAO team. It is anticipated this will be 1 st November 2017 but pharmacies will be sent a letter with the details. The LPC would not have access to the website. 16. Control of Entry/Exit & PCSE 6

7 16.1 Area Team/PCSE Unforeseen Benefits Medix AG Ltd Declaration of interest declared by Karen Murden, Jon Whitelam and Matthew Greenwood. The meeting agreed no sufficient evidence of unforeseen benefits had been submitted and therefore the LPC could not support the application Notification of Closures Lloyds Pharmacy, 475 Anlaby Road, Hull on Lloyds Pharmacy, 18a Dudley Street, Grimsby on CPPE 17.1 Update Joanne Lane updated the meeting as follows: CPPE Mental health campaign 5 challenges over 5 weeks, which includes 1 year membership of GPhC. Mary Secole Leadership programme, participants must be GPhC registered and will result in a recognized qualification. Patient safety - AF February 2018 Summer semester now being planned, and suggestions of workshops to be ed to Jo Lane. Ideas discussed at the meeting where HLP Diabetes HLP leadership still ongoing, collaborative events across Yorkshire area. Any suggestions of workshops to be ed to Joanne Lane by end November Jon Whitelam to share managers addresses with LPC office. 18. Miscellaneous Nothing brought to the meeting. 19. Any other Business HLP national register would be updated shortly, any contractors planning on submitting HLP should do so asap. Article for digest. 20 LPC Members only issues 20.1 Finance Report No further questions on the finances LPC meeting evaluation Paul Robinson reminded the meeting of the importance of the evaluation Executive Committee minutes October 2017 Minutes of the last LPC meeting had been circulated prior to the meeting and were accepted as a true record. Janet Clark to re-visit the constitution over member non-attendance. Joanne Carter to share evaluation following meeting. Janet Clark to consult constitution 20.4 LPC sub-groups Performance subgroup No progress had been made. A suggestion of a joint meeting with the Governance subgroup Governance subgroup Janet Clark updated the meeting with the progress from Ellis Whittam. The LPC office had an action plan to work though. The governance subgroup suggested a meeting with the LPC office to progress delegated authority flow chart. Joanne Carter to progress action plan. Joanne Carter to arrange meeting Risk Log 7

8 The meeting briefly discussed the risk log and high-lighted the need for succession planning Expiry date tracker Janet Clark explained the expiry date tracker to the meeting and ow it helps alleviate the risk of expired PGDs/SLAs LPC Office Roles review PCSL the meeting agreed this role was essential to keep driving services. An additional 250k had been earned in fees to pharmacies. Contractor visits and LPC presence where very well received. HIL the meeting agreed this role had been very successful. HLP needs to become a tangible commissioned service on the back of services. Excellent work with Public Health. HLP needs to be sustained. More focus to be directed at other CCGs as East Riding had been main focus. Both roles are to be extended until 31 March 2019, when they will be reviewed again. A full structure and office role review to be carried out and job roles molded slightly if required, to be in place by 1 April LPC size and structure Following the release of a PSNC briefing the meeting discussed the size and structure of Humber LPC and agreed the size and structure is fit for the future. A budged to be calculated based on requirement, and contractors able to pay sooner rather than later CPH Ltd Paul Robinson discussed the possibility of incorporating the LPC office and closing down CP Humber Ltd, following further discussions with PSNC. Paul Robinson and Janet Clark to take legal advice and advice around VAT. An update to be brought to the January meeting. 21 AOB The meeting had been informed Pharmacy 2 U had received a blanket commission to complete telephone MURs. Janet Clark to discuss with Helen Phillips. David Miller to produce budget Janet Clark and Paul Robinson to take legal advice. Janet Clark to contact Helen Phillips. The meeting closed at Future meeting dates: Wednesday 3 January Cottingham Parks, Golf Club, Cottingham Wednesday 7 March Cottingham Parks, Golf Club, Cottingham 8