Cumbria LPC

Supporting Community

Pharmacy across Cumbria

Annual Report

and

Financial Statement

April 2015 to March 2016

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Contents

Chair’s Report

Committee Membership

Achievements

LPC Strategic Plan

Locally Commissioned Services

Finance Statement

New for 2016/17

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Overview

John Murtagh

Chair

Cumbria LPC has continued to lead, encourage and support contractors through another challenging year. Our achievements are listed in the following pages, along with the LPC strategic plan.

2016 sees the retirement of our Treasurer, Geoff Silburn, who has provided his services to the LPC for many years. Geoff will be a great loss to the LPC as his experience as a pharmacist and contractor have been a valuable asset, as has his willingness to support the LPC in the role of treasurer. Under his guidance I think the LPC has a sound financial footing, which balances the contractor levy with the needs of the LPC committee, and accurately and clearly accounts for the monies the LPC now receives from various sources. He has been very generous in shadowing Ben Merriman, our new Treasurer, for the last few months to ensure as smooth a transition as possible. I am sure that I speak for all the committee and contractors of Cumbria when I wish Geoff a long and happy retirement.

When looking at the strategic plan, I think we have by and large achieved what we set out to do over the last 12 months. Cumbrian contractors have seen commissioned services continue, which in itself is better than other parts of the country, but the volume of service provision has grown which is very pleasing.

A new flu season is almost upon us and again the LPC has worked tirelessly to ensure this service is as successful as possible. Despite the last minute confusion over last years SLA, Cumbrian pharmacies provided flu vaccinations to at risk patients across the county. This year I would again encourage all pharmacies to get involved with this service, as it puts us clearly in the public eye as a service provider and demonstrates to commissioners that pharmacy can deliver.

Our current list of commissioned services is topped by the Minor Ailment Scheme. This has been a great success, and I would like to congratulate all pharmacies and their staff who provide this service. The service is designed to support GP practices in managing their workload, and the feedback is currently very positive. The recording of all Minor Ailment consultations on Pharmoutcomes gives both the LPC and commissioners very good data on several levels, and it reinforces the value of a uniform recording system to underpin service delivery.

I am pleased to announce two more Independent Pharmacist Prescribers have now started working in the Furness area from Community Pharmacies. This service has been developed following the success of the MAS in the area, and I hope the close working relationships between pharmacies and surgeries will lead to other opportunities in the future.

Healthy Living Pharmacies have also performed well this year. In the current climate of potential cutbacks and reductions in remuneration, HLP is an example of how pharmacies offer more than the core dispensing service. Public Health Promotion can have a very positive effect, and the training of HLP champions has encouraged support staff to take the initiative in several campaigns. Cumbrian Pharmacies are the only pharmacies in the country who have received funds from MacMillan Cancer Support as part of the ACE initiative.

This funding was achieved due to the proven track record of patient engagement in Cumbrian Pharmacies.

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Overview continued

John Murtagh

Chair

The Health Check Service has continued to underperform, and it is likely that this service will

be decommissioned. The difficulty in client recruitment is the main reason, with little or no

referrals being received from other HCP. This is an example of service commissioning being

dependent on service delivery, and should serve as a reminder to contractors of the need to

engage with services once they are available.

Finally I would like to thank everyone involved with Cumbria LPC for their support and

involvement over the last year. A particular mention must go to both Jeff Forster and Lynn

McFarlane for their efforts in keeping Cumbrian contractors at the forefront of service

delivery. Having two officers of the LPC who can attend meetings and develop services is key

to the success the LPC has had in maintaining and then growing the services commissioned

from us. On the training front, Lynn works tirelessly as can be seen from the list of LPC

achievements. Not only attending all the meetings and preparing all the supporting

materials, but also in being a positive voice and advocate for what pharmacy can offer, to

our support staff and other agencies. She is well like by all, and her enthusiasm for Pharmacy

is always evident. Her previous experience in the NHS continues to be a great benefit to the

LPC.

As ever, there are storm clouds ahead. It is not clear at the moment what path the

Government is going to take following its letter to PSNC last December. It is the case though,

that Pharmacy can provide solutions, and in some cases we have data to prove this thanks to

the reporting contractors have completed via Pharmoutcomes. I would encourage all

contractors to engage with commissioned services and go the extra mile, have a HLP

champion and support public health promotions. Change brings opportunity, be ready!

John John Murtagh

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Committee Membership

The committee consists of 16 representatives, 6 elected by independent contractors

2 AIM(p) members (appointed by the Association Independent Multiple Pharmacies) and 8

appointed by the Company Chemist Association (CCA)

Over 2015-16 Cumbria has lost a CCA members— Siobhan Brewer and Richard Reeves.

We are pleased to announce that David Padkin and Jamie Perkins have now been elected

by the CCA.

John Murtagh Chairman AIM(p)

Claire McGuire Vice Chair CCA-Well

Jeff Forster Chief Officer Independent

Geoff Silburn Treasurer Independent

John Urwin Independent

Mark Stakim Independent

Anothai Chareunsy Independent

Jeff Forster Independent

Ben Merriman AIM(p)

Jamie Perkins CCA- Boots

Catherine Alderson CCA- Boots

Mubasher Ali CCA- Boots

Chris Edwards CCA- Well

David Padkin CCA- Lloyds

Morag McMeekin CCA—Boots

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Achievements Month Services and Campaigns Training LPC members meetings

April RPS visits pharmacies Area Prescribing Committee

(APC)

May HLP Champion Network meeting

Stop Smoking Training

LPC meeting

Regional LPC

Regional Flu meeting

Local Liaison Group (LLG)

June Stop Smoking Training

Health Check

HLP Champion training—Bowel

Cancer

Area Prescribing Committee

(APC)

July ACE Bowel Cancer Campaign

via HLP pharmacies

PLT—MAS reception staff

Stop Smoking Update

Accelerate, Coordinate,

Evaluate (ACE) Programme

LPC meeting

Local Pharmaceutical

Network (LPN)

Regional Flu meeting

August Flu training Area Prescribing Committee

(APC)

Local Liaison Group (LLG)

Septem-

ber

National Flu Service launched

Flu training

Lung Cancer—HLP

MAS Training Allerdale

Cumbria LPC AGM

Local Liaison Group (LLG)

October Allerdale Minor Ailment

Scheme Launch

ACE -HLP Lung Cancer

Area Prescribing Committee

(APC)

November HLP Accreditation Visits

Transfer of Care Launch

RSPH Champion Training LPN

December HLP Accreditation Visits

PERMSS

January

2016

HLP Champion Meeting

PLT—MAS GP reception staff

Regional LPC

LPC, LLG

February

2016

Carlisle and Eden Minor

Ailment Scheme Launch

MAS training

HLP Champion Meeting

Stop Smoking Meeting

PLT—MAS reception staff

Area Prescribing

Committee (APC)

March

2016

RSPE Champion Training SCR meeting

Gluten Free

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Strategic Plan

Strategic plan is developed by the members every two years and will be reviewed Autumn

2016. It plans covers all developments and commissioning and is reviewed regularly

throughout the two years.

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Locally Commissioned Services

Cumbria Pharmacy contractors are commissioned to deliver 11 services from various

organisations

Service Commissioner

Minor Ailment Scheme Cumbria CCG

Gluten Free Service Cumbria CCG

Pharmacist Prescribing Service Cumbria CCG

Pharmacy Emergency Repeat Medication

Supply Service

Cumbria CCG

Health Checks Cumbria County Council

Healthy Living Pharmacy Cumbria County Council

Emergency Hormonal Contraception Cumbria County Council

Stop Smoking Service Cumbria County Council

STI prescription voucher Cumbria County Council

Flu Vaccination— For Cumbria County Council

employees

Cumbria County Council

Transfer of Care North Regional Acute Hospitals

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Locally Commissioned Services

Minor Ailment Scheme

After the successful launch of this scheme in 2014/15, Cumbria CCG has commissioned

the service across Cumbria. 108 out of 112 pharmacies provided the service in 2015/16

registering over 13,000 patients and carried out approx 15,000 interventions. From

these interventions only 1% required an urgent referral with 2% none urgent referral.

From the patient survey, patients would have visited other HCP for advice or treatment if

this service was not available. Figures show that 90% of these patients would have

visited their GP surgery with 4% visiting Out of Hours service and 1% A&E.

This service continues to show that patients can be treated effectively within community

pharmacy and any referrals can be directed quickly to the appropriate organisation .

Cumbria CCG and GP practices are continuing to encourage patients to visit the

pharmacy first in order to alleviate pressure on appointments.

Gluten Free Service

This service is now totally commissioned by Cumbria CCG after it was transferred back

from NHS England at the end of 2015. Nearly 500 new patients registered in 2015/16.

This service enables patients to order Gluten Free products against a formulary in line

with Coeliac UK guidance and in turn help them manage their own condition, with help

and support from the pharmacy staff.

Pharmacist Prescribing Service

This service is available via one pharmacy in Middlefield Barrow. More pharmacists are

being trained and hopefully in 2016/17 two more pharmacies will be able to offer the

service. This is locally funded by Furness locality.

Pharmacy Emergency Repeat Medication Supply Service

Only commissioned for a short period of time between December 2015 to March 2016

as Cumbria CCG commissioned the service at very short notice due to the floods around

the county. 1065 supplies were made over this period.

There are no plans at present to recommission the service but a process for

recommissioning in the event of a disaster such as the floods are being reviewed .

Health Checks

Again this year it has been increasingly difficult to recruit patients. Extensive training was

undertaken by the pharmacies commissioned to deliver the service.

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Locally Commissioned Services

Healthy Living Pharmacy (HLP)

Champions continue to attend the quarterly networking sessions around Cumbria. Over the last

year they have become Dementia Friends, Carer Champions, involved in the ACE programme to

promote the early detection of bowel and lung cancer as well as continue to update health zones

on a monthly basis. Public Health promotion is very important and all HLP champions work hard

to produce a display that is eye catching to the public and the patients visiting the pharmacy.

22 out of 40 pharmacies received their HLP status at the end of 2015 with the others working to-

wards the accreditation.

Nearly 14,000 interventions have been recorded, 47% had been given a leaflet, 13% have been

offered smoking advice with 6% being referred into the Stop Smoking Service. Public health advice

given over the last year has been around healthy eating, physical activity, alcohol, weight

management and sexual health.

In November 2015 another 12 HLP champions received their RSPE accreditation.

Well done to all , please carry on the good work.

Emergency Hormonal Contraception

Over 4,500 supplies last year. This service will continue to be provided by pharmacies under the

Cumbria County Council contract. Chlamydia screening kits are available and are offered to all

14 to 25 year olds.

Stop Smoking Service

Community Pharmacy is still the only provider of this service within the Cumbria. Update

training sessions for this service continued throughout the year with 2,500 registrations during

2015/16.

Flu Vaccinations

102 pharmacies across Cumbria signed up to deliver the first national flu service. Over 16,000 flu

vaccinations were administered to patients. This represented 31% of all vaccinations delivered

across the Cumbria and North East region and meant that Cumbrian pharmacies delivered the

service more effectively than pharmacies in any of the other 6 regional LPC areas.

PharmOutcomes played an important part in recording the data and as the service has been

re-commissioned in 2016/17 will be used again to report each vaccination to the GP surgery.

Flu Vaccination Vouchers — For Cumbria County Council employees

Vouchers had been made available to Cumbria County Council employees via their managers.

Proof of identify via a CCC ID badge would ensure a vaccination would be given.

Transfer of Care

Cumbrian pharmacies are now receiving electronic referrals from Newcastle upon Tyne

Hospitals and North Cumbria University Hospitals NHS trust. Referrals are transmitted via a

referral template using PharmOutcomes. Hospital pharmacy staff are using the system

successfully across North Cumbria to refer patients to their community pharmacist if

considered beneficial after leaving hospital. This service improves medicine adherence,

improves patient safety and improves patient outcomes via services—MUR and NMS etc.

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Finance Statement

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Finance Statement continued

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Finance Statement continued

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New for 2016/17

Cumbria LPC are constantly working with other health organisations to promote,

improve and deliver excellent health services.

Services for 2016/17

Recommissioned National Flu Service

Access to Palliative Care Medication Scheme

Respiratory pilot

HIV pilot

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Cumbria LPC

5E Lakeland Business Park

Lamplugh Rd

Cockermouth

Cumbria

CA13 0QT

Telephone and Fax 01900 821703

Email Cumbria.lpc@gmail.com

Website—

http://psnc.org.uk/cumbria-lpc/