City and Hackney LPC
Minutes: OpenPart
DATE: 16th April 2015
TIME: 2 to 5 pm
WHERE: Tomlinson Centre Queens bridge road
Attendance:
Member Name / Initials / AttendanceP=Present,
A=Absent,
Aa= Apologies sent. / Attendance this financial year
Raj Radia(chair) / RR / P / 1 of 1
Mukhtar Manji / MM / P / 1 of 1
Stewart Evans / SE / P / 1 of 1
Kirit Shah / KS / Aa / 0 of 1
Peter Muska / PM / P / 1 of 1
Christopher Ashton / CA / P / 1 of 1
Anish Patel / AP / P / 1 of 1
Gwyn Williams / GW / P / 1 of 1
Andrew Gordon / AG / P / 1 of 1
Sunil Patel / SP / Aa / 0 of 1
In Attendance
Hitesh Patel (CEO) / HP / P
Stuart Brown (Minutes) / SB / P
Councillor Jonathan McShane (Hackney Council – Haggerstonward – Health,Social Care and Culture) / JM / P
1. COUNCILLOR MCSHANE TO DISCUSS HEALTH MATTERS IN HACKNEY
RR welcomed JM to the meeting.
HLP:
JM made the following points:
- JM chairs the HWB and makes cases for Pharmacy at these meetings.
- JM also chairs the Public Health System group.
- JM haschairedone meeting of the Pharmacy public Health Forum – this forum has talked about HLP development.
- HLP is an easy to understand concept – commissioners and the public can grasp the concept easily.
- JM hopes to see the doubling of the number of HLPs in hackney over the next 12 months.
- JM is beginning to understand some the tensions between different organisations who currently interact with Pharmacy.
HP stated that most of the Pharmacies in C&H are keen to become HLPs.
HP asked JM who should be approached for funding for the development of HLPs in Hackney.
JM stated that funding would be forthcoming from the Public Health team – however he did not know a timescale and he did not know how City HLPs would become different to Hackney ones.
JM stated that staff becoming Health Champions have enjoyed the increased level of responsibility and job satisfaction as well as an increase in pay.
JM stated that Pharmacy should be pro-active in highlighting these changes to the terms and conditions of the staff becoming Health Champions.
JM reminded thatthe council is currently moving towards being a London living wage employer – and this would apply to the Health Champion role.
RR stated that this would be looked at re. HLP development, and in particular business viability for Pharmacies.
Interaction with CCG and its boards:
HP asked JM whether he currently had any influence re. The CCG’s decisions to utilise Pharmacy services.
HP and RR stated that the CCG had not engaged with Pharmacy as yet and worse still services such as the ‘dressings supply’ service had been taken away from local pharmacies without proper consultation.
RR added that further stripping of these services could lead to some pharmacies closing due to their business’ becoming unviable.
HP stated that CCGs across the country currently have a difficult relationship with Pharmacy.
JM stated that he would try and positively influence the local CCG; however he could not make any promises.
Public Health:
HP stated that current engagement with the Public Health team has been good, frequent and positive.
HP stated that the C&H Provider Company would hope to relieve PH of some of the management responsibilities for some of the services.
JM stated that this would be a good time for Pharmacy to work with a PH team (who is currently new to public health matters) to create a new name and approach for Pharmacy’s progression.
HP stated that services such as ‘stop smoking’ would be being managed by City of London directly; historically Hackney would be involved in that also.
Pharmacist –Councillor Meetings:
JM suggested that meetings could take place between local councillors and pharmacies in their wards–actually at the contractor’s pharmacies.
JM added that he had already floated this idea with his colleagues – so the LPC should make a move to contact these councillors.
Action no. / Description / Who to action1 / To Send HP and RR the contact details for the councillors in order to set up meetings with Pharmacists in their wards. / JM
Outreach work:
JM suggested that Pharmacy should look into ways of getting out into the community to provide Health advice, through services, or through education.
RR suggested that this work could take place at Family friendly festivals or contained in children’s centres (e.g. Stop Smoking day).
JM’s wish is to make Pharmacy a visible part of the local community.
JM also stated that Pharmacists have a job in alerting and signposting patients to services (particularly for adult social care).
HP suggested that Pharmacists could undergo ‘safeguarding’ training.
GP held patient records:
HP stated that Pharmacy would currently like to access patient records, however GPs are currently reluctant to give Pharmacy access – fearing that the information would be used for commercial purposes.
HP & RR asked JM to try and help get traction with this request.
JM stated that he would take this message away.
Wanted Public Health Services:
JM asked the meeting what PH services they currently wish could be commissioned in the area.
HP and RR answered that a 5 day EHC service would be a welcome addition.
HP added that an alcohol awareness and intervention service (building on the alcohol scratch card initiative) would also help the public in C&H.
GW asked about the legislation surrounding the fact that some services could only be commissioned from HLPs going forward.
JM stated that there are currently no plans to discriminate pharmacies depending on whether they would be HLPs or not.
SE asked whether there is currently funding set aside for advertising and marketing the HLP model.
JM replied ‘NO’, however he did recognize that funding would have to be made available to make HLPs a success in C&H (As per the pilot in Portsmouth).
JM asked that the LPC and Pharmacy should keep coming up with ideas to take to commissioners.
HP stated that his emails were not currently getting through to JM, he asked him to check that the mail wasn’t going into spam.
RR thanked JM for his attendance and JM took a picture of the meeting members for him to post on Twitter.
2.DECLARATION OF INTERESTS
There were no declarations of interest noted.
3. To Approve Minutes from LPC meeting of 6th March 2015
HP stated that he had auctioned AG’s suggestion of only going through the action points that are not already on the agenda.
DBS Checks:
Action no. / Description / Who to action2(previous action) / To obtain a list of all C&H contractors who are currently DBS checked. / HP
Action no. / Description / Who to action
3 (previous action) / To discover whether NHS E would pay for enhanced DBS checks / HP
Action no. / Description / Who to action
4 (previous action) / To discover how many contractors currently do sexual health services and domiciliary MURs. / HP
PURMS:
Action no. / Description / Who to action5 (previous action) / To compile a list of governance actions for the proper use of NHS.net (for the PURM service) to give to contractors. / HP & GW
Contractor support (contract development):
SE commented that re. the previous action to “download MUR figures for C&H contractors and then advertise and encourage contractors to attend the evening MUR workshops”, SE had downloaded the figures for every C&H contractor for the last 6 months, so that the fewest providers could be determined.
SE, MM, SP & CA would then decide whether to set up MUR workshops.
Accounts:
KS was absent at this meeting – so couldn’t comment on this action point.
Action no. / Description / Who to action6(previous action) / To find out exact details of Nat West’s current “user” fees and “bank line” fees to report back. / KS
Meeting Venues:
Action no. / Description / Who to action7(previous action) / To enquire as to if St. Leonards could be used as a meeting venue – with the view to sourcing a free venue – to ask Laura Sharp. / HP
8(previous action) / To source alternative venues (attached to restaurants) for evening C&H LPC meetings. / HP/KS
Blood born virus service:
Action no. / Description / Who to action9(previous action) / To write to CQC to get in writing a definitive answer on whether this BBV service is CQC registerable. / HP
Action no. / Description / Who to action
10(previous action) / To find out how Chlamydia testing is currently different (in terms of registration) to the BBV testing. / HP
HP stated that he heard mixed messages re. the answer to the above action point.
GW suggested that a “point of care” testing kit for HIV (doesn’t test for Hep B and C) could be used which would enable Pharmacies to get round the CQC issue.
Cell Structures:
Action no. / Description / Who to action11(previous action) / To distribute cell structure lists to members. / HP
The minutes were signed off as an accurate record.
4.PURMS
AP gave the meeting an example of a referral being sent to his pharmacy, without there being a phone call from the PURM centre to inform the pharmacist of this incoming service opportunity.
All the members agreed that there were many flaws in this service pilot.
HP stated that there had been reports that the Out of Hours service had been inundated with patients over the Easter weekend – Dr. Victoria Holt had been disappointed with the failure of the PURM service over this period.
Diamorphine Service:
HP added that Dr. Holt had suggested that Pharmacy could provide a service where they would give out diamorphine 24 hours a day/ 7 days a week.
HP stated that a similar service exists in Harrow and highlighted its details:
- A pharmacist who currently delivers the service is asked to participate every 8 weeks.
- A pharmacist would be on call 24/7.
- A pharmacist must be able to get to their pharmacy in 20 mins.
- The payment is currently £200, whether calls are received or not.
- Receiving a call and attending the Pharmacy to dispense the drugs would pay a further £100 + the cost of the prescription.
HP state that he had been part of this service for 10 years and he had been called out 3 times.
SE stated that there was currently a similar service in Havering, although the call –out rate there was currently £250.
The members agreed that this service should be developed.
The members agreed to work up a draft SLA for this service before building a survey monkey to gauge contractor’ s interest in such a service.
SE agreed to get the SLA from Havering, HP would get the SLA from Harrow.
SE agreed to set up a working group to develop this service.
Action no. / Description / Who to action12 / To obtain SLAs for the diamorphine service in Havering and Harrow / SE & HP
GW suggested that a Palliative care SLA should be developed in conjunction with this service – to utilise late opening pharmacies in the City.
MM stated that a Palliative care service (a very old service) is currently in operation.
Action no. / Description / Who to action13 / To obtain SLA for existing (old) Palliative Care service. / MM/SE
5. City of London –Healthy Behavoiurs Service
HP reminded that this was currently divided into two sections – Stop Smoking and Substance Misuse.
Stop Smoking:
HP reminded that the Provider Company could sub-contract for this service.
HP stated that discussions with Boots are currently taking place to see if they would become a provider – and to discuss the SLA for this service.
All the members agreed that the current target of 600 sign-ons and 300 quitters is manageable and that the proposed rate of 1000 sign-ons and 500 quitters would be very difficult to achieve.
HP reminded the meeting that the provision of e-cigarettes could be built into the SLA.
SE reminded the members of the penalties for not achieving the KPIs.
HP stated that negotiations and discussions would continue re. this service.
6. ONE HACKNEY –REPORTS FROM QUADRANT LEADS
SE:
SE stated that he had had no contact with his co-ordinator.
AP:
AP stated that Sybil had attended his pharmacy a month ago.
SP:
Not present.
KS:
Not present.
HP stated that the leads SE, AP, SP & KS should set up meetings with their co-ordinators.
The members agreed that those who attend meetings should send back a short report on the meeting to the LPC Chair or CEO.
Action no. / Description / Who to action14 / To add a disclaimer to the claim form (for displacement costs for attending a meeting) this would state that a short report should be made for the attention of the LPC. / HP
7. training
NPA – Seminar on GPHC inspections:
HP stated that the NPA were currently willing to send a speaker out (at their own expense) to provide training on GPHC inspections (LPC would have to fund a venue) for any and every contractor.
Action no. / Description / Who to action15 / To find and fund a venue for NPA Seminar on GPHC inspections. / HP
PSNC – EPS training:
HP suggested that system specific webinars could be created with the PSNC to help educate and troubleshoot on endorsement, claims and downloading EPS issues.
GW suggested that system specific problems could be tackled using closed email groups.
AP stated that he would set up these email groups.
Action no. / Description / Who to action16 / To look into producing system specific webinars with the PSNC to help educate and troubleshoot on endorsement, claims and downloading EPS issues. / HP
Action no. / Description / Who to action
17 / To set up closed email groups for the discussion of problems for the different EPS systems. / AP
CPPE – HLP leadership training:
HP stated that MissYinkaKuye (CPPE trainer for the Hackney area) had been in touch with the LPC re. available training. HLP leadership training will be provided by CPPE.
GW asked whether the local Council would pay for covering locum costs to attend the day long training for this.
Action no. / Description / Who to action18 / To approach the council to ask whether they would pay for displacement costs for the full day HLP leadership training will be provided by CPPE. / HP
DoC (Declaration of Competency):
HP asked for the members’ endorsement of the push to get Public Health to accept DoCs for all services to solve cross-border problems when Pharmacists move into new areas to work.
The members approved of this.
SE and HP reminded the meeting that there is a substantial amount of work involved for the pharmacist when completing a DoC.
GW suggested that DoCs should be built into SLAs from now on.
SE stated that the LPC or PSP would be the bodies who would have to fund this training.
Action no. / Description / Who to action19 / To push to get Public Health to accept DoCs for all services to solve cross-border problems when Pharmacists move into new areas to work. / HP
8. PUBLIC HEALTH SERVICE UPDATES
Smoking – Champix training issues:
HP stated that two or three people still need to be trained for the Champix PGD, despite there having been three training sessions to attend during the last few months.
GW suggested that a rolling training plan should be developed for all services.
HP suggested that this rolling plan for PGDs should be taken up with Public Health.
Action no. / Description / Who to action20 / To suggest that a rolling training plan for PGDs should be taken up with Public Health. / HP
BBV, EHC, Weight Management:
HP stated that training sessions for Weight management (Orlistat PGD) would take place on the 28th & 29th April 2015.
This training would be for Pharmacists only.
HP stated that the SLA for this service currently mentions that trained staff can deliver this service (not the PGD), therefore he is currently seeking an external trainer to do this job (to be funded by the LPC).
GW asked whether CPPE could provide this training - HP stated that they would only currently train Pharmacists and technicians.
HP stated that he had approached the group “Buttercups” to put together a quote for the training.
GW suggested that CPPE (YinkaKuye) could be paid to provide this training for this service to Health Care Assistants – funded by the LPC.
Action no. / Description / Who to action21 / To contact YinkaKuye to see if CPPE could be paid to provide weight management training for this service to Health Care Assistants. / HP
HP stated that that the Erythromycin PGD is still yet to be updated.
Action no. / Description / Who to action22 / To check on the update status of the Erythromycin PGD. / HP
9. A.O.B.
Medicines Optimisation Service & Pharmacy first service:
HP stated that these services would be moving to the NE London CSU (SumanBarhaya leading) – SLA will be revised and top-up training will be being organised.
Post Forwarding Service:
HP stated that the “Greenlanes” forwarding service has been poor over the last few months (late and lost deliveries).
HP recommended that a more reliable Royal Mail P.O. Box be set up (at a cost of £250 per year).
The mail would be forwarded to HP’s home address.
The members approved this recommendation.
It was decided that a transition period be set up as the old and new addresses will be phased in and out.
HP stated that the PSP mail was currently being delivered to the accountants.
Action no. / Description / Who to action23 / To set up a P.O. Box for the LPC mail. / HP
C+D awards:
HP stated that the apprenticeship programme had shortlisted for a C+D award and asked if someone from the LPC should be sent to the awards dinner. The cost of the ticket would be £215.
The members decided that HP should attend the awards dinner – funded by the LPC.
10. Next Meeting
28th May 2015 – 19.30
RR drew this OPEN section of the meeting to a close.
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