Minutes

Thursday 11th September, Holiday Inn, Crest Way, Barnwood, Gloucester

Item / Actions
1. / Present:
T. Banning, A. Tolosa, D. Evans, F. Castle, L. Jardine, E. Beech, S. Williams, G. Barber, B.Sira, W. Ryan, A.Lane, P.Badham, V. Chelu-Walmsley, C.Gifkins, A. Bashir
Apologies:
R. Myers for morning (attended the afternoon session), M. Powis
Declarations of interest
No changes
2. / Minutes of the previous meeting
Accuracy
The minutes were accepted as a true record.
Items for redaction
None
Actions Update
CD guidance from Julie McCann, to be distributed via website and newsletter (LJ is awaiting response – will chase)
MDS quantities letter – FC to put together for LMC meeting.
ROTA payment negotiations - FC has had assurance from Fiona Davenport that fees will be paid in line with Wiltshire, not yet in writing. Review needed – no pharmacy should have to open twice on Christmas day.
Matters arising
CCG are producing a restricted COPD* formulary atthe end of September – this may affect NMS/MURs respiratory advice. / LJ
FC
4. / Upcoming Meetings
Finance sub-group
To support MP re budgeting, assigning cost centres etc.VC-W,WR, and AT volunteered.
CCG – Area Managers 17/9/14
FC will go plus VC-W, GB.
To encourage buy-in to HLP/URMS. FC to follow up non-attendees
Market Entry Training17/9/14
PB attending. Process needed for deciding on delegatesfor training. FC to schedule time on November agenda for sharing knowledge, using past examples. Post meeting note – following later executive group discussions (unminuted) Abdul Munim Bashir attended this training in replacement of Peter Badham
PSNC “Independent Living” 26/9/14
GLPC will not be represented as service development from scratch is not our focus for this year.
AT Liaison
AL reported that Jill Loader may attend SW LPC forum Nov.
LPN to be developed jointly with BSSSG under Jonathan Campbell which is a good outcome.
Recent conference call between the different local LPCs really helped preparation and impact in meeting. FC, CG to escalate to NHSE in Leeds that the AT is unhelpful.
LPC Conference 15/10/14
DE and FC will attend. Motions to propose accepted:
  • ETP and moving towards the paperless pharmacy;
  • How can we change the situation to get national commissioning of services e.g. flu, minor ailments?
/ FC, GB, VC-W
FC
FC
FC, CG
DE, FC
5. / PSNC update (Andrew Lane)
Still no outcome to financial negotiations. Unhelpful publiccomments by Jeremy Hunt - plus Simon Stephens is cutting budgets.
The shortages fight goes on and is aglobal problem. AL to speak at Tory conference to raise awareness among ministers.Contractors need to make a stand somehow. PSNC has negotiated the adoption of ‘explanation codes’ to help pharmacists in conversation with GPs.
There will be a one day audit next week – items not delivered and the effect on patients. FC to set up on PharmOutcomes, LJ to communicate to pharmacies. / FC, LJ
6. / Commissioned Services Review
Sexual Health:
  1. Ideally this would be just one service (not level 1 and 2) available at every pharmacy (any willing provider), with Centres of Excellence. Pharmacies in target areas should be guaranteed a minimum income from the service.
  2. Re-evaluate the current remuneration, this is below average and has never risen. The retention/sign-up fee just about covers current training and could be abandoned. Incentivise re larger consultation fee/bonus/minimum income.
  3. Move training online/self-accreditation as much as possible, in line with other counties. Top quality, LPC-run consultation skills training should be available regularly .
  4. Chlamydia kits need a redesign, take up large amounts of space value.
Rota:
  1. Provision is different in each locality, and we can’t advertise a consistent message.
  2. Sunday fee – does anyone get paid this? What patient need is it meeting?
  3. If two openings are required per day in a locality, it should be two different pharmacies.
  4. Service should be opened up to new providers via expressions of interest.
  5. Patients are not being referred.
  6. Should there be a service where there are 100h pharmacies?
Sharps:
  1. Hep B -should the pharmacy pay for vaccination of staff? LPC could provide signposting to Hep B vaccinators.
  2. Frequency of collection – should be able to call for a collection once boxes are full. If your needs have changed you can phone Fiona Davenport for a change of frequency.
  3. Clarification on SLA of sizes of boxes etc. to be accepted. Huge volume these day – might be worth running an audit?
Call out service:
  1. 17 pharmacists commissionedbut there’s no data on how well it’s working. Not many calls, anecdotally.
  2. Are the pharmacists still working at pharmacies on the specialist medicines list? Do the right people see the list? Police, OOH etc - might have dropped off their radar.
  3. Lone worker guidelines?
Not dispensed:
  1. PharmOutcomes works well, the SLA is good, the fee ok
  2. How many use it, and what savings do they achieve? If very cost effective – should we negotiate for more money?
  3. Database – some items missing e.g. dressings. This also needs clarifying re quantities.
  4. Could be better understanding of SLA. Refresh in newsletter – ‘what and why and how’.
  5. EPS may reduce need for the service?
  6. Recording reference back to pharmacy.
  7. FC to speak to Mark Gregory/Chris Llewellyn re automated messages about not dispensed for Practice Support Pharmacists.
/ FC
7. / Finance Subgroup
(members not involved in this sub-group participated in a Dementia Friends session lead by Thomas Banning)
Agreed that a business plan is necessary to then attach budget figures.
WR to supply templates/examples from other areas to FC who will create a draft for discussion at executive group and then full LPC
8. / Turning Point
Presentation by Sinead Pearce to introduce an information pack for pharmacists developed by Turning Point, and collect feedback.
LJ to add links/help info to the web site re Turning Point. / LJ
9. / CCG Lead issues
Healthy Living Pharmacy
43 working towards HLP status. 5 of these are ‘green’, 15 should be green in the next 2 weeks, and 14are unlikely due to various issues including no trained lead.
BW, FC, LJ to ensure that there is an ongoing, well publicised process for Champions training (existing and signed up pharmacies).
Leadership training will be provided by Pharmacy Thames Valley October 14.
Audit/toolkit/guidance etc. to ensure HLPs are maintaining activity e.g. health promotion campaigns - expectation that get better results out of HLPs.
Stoptober: proactively ask 100 people, funding for 25 scratchcards each.Packs need to go out ASAP. LJ to publicise number to ring for more materials.
Minor Ailments Scheme
Trial, looking for proof of concept, with 33 pharmacies in Gloucester. If get good evidence, service can be extended.
Remuneration is £4.50 + cost of medicines, recording on PharmOutcomes, all medicines OTC. No specific local training–CPPE Declaration of Competence form. Quality of consultation very important.
Possible barriers: GPs through apathy, lack of signposting.
LPC actions:Still questions e.g. can PharmOutcomes be used to audit repeat supplies; is there a maximum number of supplies? How best to identify exempt patients who’ve a prescription for OTC meds?
FC to ask Cheryl Ewing how to attend locality practice managers meetings.
Inform LMC at planned meeting on 18th September
Pfizer Right Route-Right Care
Pfizer sponsoring posters, scratch cards, pop up pharmacy in Gloucester. This will promote both Minor Ailments and Pharmacy MUR/NMS services / LJ
FC
10. / PNA Consultation
Essential that this is well worded – current draft has a negative tone and may be open to interpretation. Any further replies by email to FC by 18thSeptember. / All
11. / Officer’s Reports/issues
Hospital envelopes
Project taking place on four wards between end October andend of year.
Feedback essential - flag up issues, benefits.
Publicise in newsletter and on website. / EB, LJ
12. / Assorted other business
Dates and venue 2015
The LPC unanimously decided to try the Regency for three meetings, and to feed back to the Holiday Inn why we’re moving. HI would have to match the Regency at £25 per person to retain our business.
CD destruction, authorisation
FC to contact Julie McCann to formally chase on this. Small multiples and single pharmacies may need support from LPC. One or more individuals would need to be accredited to witness destruction on behalf of NHSE
‘Hard selling’ of EPS nomination
FC to write to multiple which has been reportedly giving an erroneous message to patients.