GRAMPIAN AREA PHARMACEUTICAL COMMITTEE Minute of Meeting of the Area Pharmaceutical Committee held on Tuesday 10 th November 2015 in the Seminar Room, Summerfield House PRESENT Sue Callan Kim Cruttenden Douglas Forsyth Gwen Gray Lyn McDonald David Pfleger Fiona Raeburn Andy Porter Ann Smith (Chair) APOLOGIES Chris Dawson Lynne Irvine (Vice Chair) Laura Karim Liz Kemp Ken Manson Samantha Melrose In Attendance APPROVED Lesley Anderson, Personal Assistant Pharmacy & Medicines Directorate Gail Thomson, (Item 7) Item Subject 1. Apologies for Absence Apologies for absence were noted. 2. Note of the Meeting Held on 8 th September 2015 The Committee considered the minute for accuracy. The minute was accepted as accurate and was proposed by Lyn McDonald and seconded by Gwen Gray. 3. Matters Arising Prescription for Excellence Chair provided short summary of City project. 4. Pharmaceutical Scheme of Hours Draft Paper: The scheme of hours aims to set the core minimum hours a pharmacy is required to be open under their contract. The scheme of hours will give the Board the right to accept or reject requests for changes in opening hours by a pharmacy. NHS Grampian has been working in conjunction with the Contractors Committee to agree the scheme of hours to ensure pharmacies adhere to the core minimum hours required by them under their contract with the Board. At present current contractors can change their opening hours. However, introducing the scheme of hours will ensure contractors maintain a service under the core minimum hours required under their contract. Before the scheme of hours is adopted, the APC is required to be consulted 1
to obtain their agreement prior to the Board. The committee agreed in principle with the proposal. 5. Controlled Localities In 2014 amendments to the NHS (Pharmaceutical Services) (Scotland) Regulations came into effect. NHS Boards are required to define controlled localities. Scottish Government has set out criteria to be used when identifying controlled localities and the Board is required to adhere to this when designating controlled localities. Controlled localities are designated by a Board for a period of 3 years. If a pharmacy application is received for a new pharmacy contract in an area within a controlled locality, the viability of any dispensing doctor services within that controlled locality requires to be taken into consideration. Scottish Government Urban Rural Classifications provides a standard definition of rural areas that helps Boards identify whether an area is a settlement, a village, suburb or small town. Considering distance and travelling times to pharmacies for patients has also to be taken into consideration. The controlled localities are to be reviewed every three years and if required updated to take into consideration population changes. It was noted that controlled localities are only part of the Pharmaceutical Regulations, whereas dispensing doctor services are part of the GMS contract and should be dealt with separately. The APC agreed their support for the controlled locality paper, which will now be taken to the GP Sub for their consideration and finally to PCIMG for final approval. 6. Dispensing Doctor Review An update on the situation in Tarves was provided to the Committee. In April 2015, Haddo Medical Practice had their dispensing services reviewed and restricted to only being allowed to dispense medicines to patients with a serious difficulty in obtaining their medicines. However, Haddo now wish to discontinue being a dispensing doctor practice. There are another eight dispensing doctors within Grampian who will require to be reviewed and a set of principles require to be put in place prior to these reviews being undertaken. One criteria of the review may be the close proximity of a community pharmacy to a dispensing doctor. The principles of the review criteria need to be addressed and the draft procedure will hopefully be available ahead of the next APC meeting in January for consideration. It was confirmed once the procedure has been approved by the Board, this will be put in place and any dispensing doctor required to cease dispensing will be given a legal timescale to do so, approximately 6 months. All essential small pharmacies will be reviewed. 2
7. Presentation From Gail Thomson on The Baird Family Hospital and The ANCHOR Centre project An overview of the services to be provided from the Baird Family Hospital and the Anchor Centre was provided to the Committee. The Baird Family Hospital will cover: Maternity (47 maternity beds, birthing suite and annexe) Gynaecology (32 in-patient beds and 6 consulting rooms) Breast Services (8 consulting room and 8 in-patient beds) Neonatology (34 cots) Radiology Operating Theatres (6) Aberdeen Centre for Reproductive Medicine (8 consulting rooms) Research/Teaching Non-Clinical Support Services Whilst the Anchor Centre will cover: Oncology day and out-patients Haematology day and out-patients Aseptic Pharmacy Research/Teaching Non-Clinical Support Services 30 treatment chairs, 20 consulting rooms and teenage lounge provision Key milestone dates from 2015 2020 were noted by the Committee from the clinical strategy and reference design and initial agreement in 2015 to the commissioning of buildings in 2020. The clinical planning principles will include: Admission on Day of Surgery 100% surgical pre-assessment Patient Hotel Move towards ambulatory care where possible Tertiary services for North of Scotland Support families patient involvement ITU and HDU care Imaging MRI (Baird) and CT (Anchor) discussions All surgery to be carried out in Baird, including short-stay activity exception of neonatal surgery (RACH) Provide Stage 1 recovery in Theatre Plan for increase in research activity Utilisation 90% theatres, 80% out-patients, 85% in-patients Enhanced Recovery Pharmacy arrangements for both the Baird Family Hospital and the ANCHOR Centre were outline for the Committee. Public involvement in all stages of the process was also outline including, public/patient representatives being involved in most clinical workshops, 3
naming of facilities and being members of project groups. There will be two public consultation events to share concept designs. There will be meetings held with charities and patient support groups. Parking will be an integral part of the project and it was noted that there will be a covered walkway from the car park to the mail building once work is complete. Updates on progress will be conveyed via newsletters, awareness sessions and communication workshops. The current position includes: schedule of accommodation for both the Baird Family Hospital and the Anchor Centre are complete clinical brief (in sections) concept designs room data sheets technical brief OBC end of 20OJEU advert in March 2016 The update was found to be very informative and helpful. 8. PPC Hearing Outcome Regarding the Application by Motherwell Pharmacy to Establish a New Pharmacy in Blackburn, Aberdeenshire The Chair advised the Committee that the PPC had approved the application from Motherwell Pharmacy at their hearing on Thursday 15 th October and that the applicant and those interested parties attending the hearing had been notified of the outcome. The hearing report has also been published on the web as required under the Pharmacy Regulations. The closing date for any appeals against the decision is Monday 23 rd November 2015. 9. Impact on GP Practice Services in Aberdeen City The Chair provided an update on progress with the closure of Brimond medical practice. Two pharmacists have been employed in the interim to help with the transition of patients to the New Dyce Practice. There have been IT issues around the move, but these have now been resolved. 10. GPhC Consultation An email from the Chair with a web link to the consultation has been circulated previously. The Chair gave a brief outline on what the consultation covers. http://pharmacyregulation.org/rules-and-guidance-consultation 11. APC Constitution Update 4
The draft had been circulated to the Committee and the format of the constitution had also been updated. Comments on the updated constitution should be forwarded to the Chair prior to it being submitted to the Board for ratification. 12. AOCB Electronic Prescribing will be added to the agenda for January 2016. 13. DATE AND TIME OF NEXT MEETING Tuesday 12th January 2016 at 10am in the Seminar Room, Summerfield House. Chair s Signature: Date: 12 th January 2016 5