Secretary: Alison Ellis 100 Widecombe Lane Clifton Nottingham, NG11 9GY Tel: 07882289083 Fax: 0115 8379854 Email:secretary@nottinghamshirelpc.co.uk

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

Local Pharmaceutical Committee LPC

NOTTINGHAMSHIRE

THE 98TH MEETING OF THE COMMITTEE WAS HELD AT THE WHITE POST, OLLERTON ROAD, FARNSFIELD, NOTTINGHAMSHIRE, NG22 8HN

ON THURSDAY 19TH MARCH 2015 AT 9.30AM

Present In the Chair Rob Severn (RS)

Secretary: Alison Ellis (AE) Chief Officer: Nick Hunter (NH)

Members: Ketan Chandi (KC), Linda Ferguson (LF) (left at 12pm), Dave Fernley (DF), Gordon Heeley (GH),

Louise Keating (LK), Shammi Khosla (SK), Phil Kielthy (PK) (left at 12pm), Mary Lee (ML), Dayaram Mistry (DM), Ankish Patel (AP) (Left during the morning due to illness), Vijay Pujara (VP)

Attending

Claire Grainger, Healthwatch Nottinghamshire

Garry Myers, PSNC Regional Representative Apologies

Michelle Wykes, Everyone Health (Obesity Prevention and Weight Management provider in Nottinghamshire County)

Mindy Bassi, Assistant Director of Medicines Management, Nottingham City CCG

Chris Kenny, Director of Public Health, Nottingham City and Nottinghamshire County

Michelle Peet, Project & Business Change Manager, NHIS

Samantha Travis, Clinical Leadership Advisor, NHS England, North Midlands

Zameer Somani, LPC member

Jon Such, LPC member

Phil Kielthy, LPC member (pm)

1 Governance Items

1) LPC Self Evaluation – Attachment A (PDF version) The evidence and where members feel the LPC are working towards are documented on PharmOutcomes and a PDF copy of this will be added to the LPC website for contractors to review. PDF version of the self evaluation will be included in the April 2015 LPC documents for ratification before being published. Actions arising from the discussions were:

Action: Capture statement from the governance doc re conflict of interest – add onto the front page of the agenda. Are there any declarations of conflict of interest should be stated on the contracts section.

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Action: Members need to do brief summary from meetings to capture points – bullet points on the agenda template.

Propose: look into why the PSNC recommend increasing the reserves to 6 months money and GH to look at this during the budget exercise, once clarified from the PSNC, then bring back to the LPC committee meeting. Agreed by members Action: GH to email Mike Dent, Mike King and Steve Lutener.

GH to forward the expense claim template and AE to print off hard copies to be signed at each LPC meeting for audit trail.

Action is for members to contact their allocated contactors before LPC meetings to see if anything they wish to be raised

Action: AE to update PharmOutcomes template and PDF version of the self evaluation to be included in the April 2015 LPC documents for ratification before being published.

2

2.1 Apologies for absence

Zameer Somani

Jon Such

Phil Kielthy (pm)

2.2 Acceptance of the minutes from 19th February 2015 - Attachment B1 The minutes were agreed as an accurate record of the meeting on 19th February 2015 and also agreed that these can be published on the LPC website, by members present in February 2015. Proposed by LF and seconded by VP.

2.3 Action points from 19th February 2015 – Attachment B2 and B3 1 Self Assessment

Upskilling of members re audits, research and campaigns to be included on the strategy plan so ongoing. 2 LPC guide and contact cards

These still need to be completed – need members photographs taken – do this at the next meeting. AP and ZS to complete this and bring to the LPC for agreement before sending to print.

Action: AP and ZS to organise taking members photographs at the April LPC meeting – bring completed guide to the May LPC meeting for agreement before going to print.

3 CRI

NH reported the issues regarding communication to CRI and they should have been in contact with contractors.

4 Governance DF has been going through the governance documents but the sub-group have not met yet. DF also asked if the constitution had been sent to NHS England, AE confirmed that it had and had received a letter acknowledging recognition of the LPC.

Action: DF to organise a meeting for the governance committee members

5 Pharmacy Voice / MP visits

AE and NH are in progress of sending letters to the MP’s from members of the committee inviting to visit their pharmacies.

6 Training NH has spoken to ST regarding funding from LETB for training costs – they will not provide funding to cover

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costs for venue or catering.

7 PLT NH has raised why pharmacy staff are not invited to PLTs – ST is going to encourage them to do this but does not have the authority to mandate it – need to raise with individual CCGs.

Action: JS to ask at Rushcliffe Medicines Management meeting if pharmacy could have a stand at their next PLT event to promote and discuss pharmacy services to other primary care staff.

8 Emergency Supply Scheme

AE has contacted ST but not had any information back – chase this up with ST.

Action: AE to contact Sam Travis and ask for breakdown of emergency supply claims – how many claiming on a monthly basis.

9 Treasurer / Governance

GH and DF have not gone through the treasurer expense claims yet and DF still needs to check a selection of the LPC outgoings as part of the governance check. RS has spoken to the finance department at Well / Co-op and they are now up to date with the invoices for AP.

Action: GH to send through expense claims for treasurer work to DF/NH for governance purposes.

Action: DF to go through statement of account and the accounts produced by treasurer and check a selection of outgoings as a governance check.

10 Dementia friendly Newark

AE has emailed all Newark pharmacies asking how many staff members are trained as Dementia Friends and if would attend the training for Newark – received some replies back. ML and AE spoke to Robert Jenrick MP re the LPC helping to organise some training for local retailers to make Newark a Dementia Friendly town – the first steering group meeting is on 10/04/15. AE and RS attending

Action: AE and RS attending the steering group meeting on 10/04/15 with Robert Jenrick re making Newark a Dementia Friendly town.

11 Strategy plan

This needs to be forwarded to April LPC meeting

Action: NH, GH, RS and SK – meet at the office in Ruddington on an evening to go through the strategy plan and ideas and then report back to the LPC committee.

12 Area Team update

AE has not received the contact details for DBS checks from ST – once received will send out to contractors reminding them that the Domiciliary MUR paperwork needs to be completed for accreditation. Newsletter article on contractors ensuring that weekend staff are aware of the emergency supply service as there have been reports of sending patients to Walk in Centres and A&E.

Action: ST to forward the contact details for DBS checks, AE to then send these details out to all contractors reminding them of the Domiciliary MUR paperwork that needs to be completed for accreditation.

Action: Newsletter article on contractors ensuring that weekend staff are aware of the emergency supply service as there have been reports of sending patients to Walk in Centres and A&E.

Action: List of current pharmacies signed up to emergency supply service to be added to the service page on the LPC website, ST to send this list to AE for adding.

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13 Accountable officer info

New information re Controlled drugs has been added to the LPC website.

14 IPF webinar Some members reported that the last webinar on NHS BSA and making sure claim for prescriptions correctly was very interesting and advised others to go onto the website and access the downlaod . AE to forward the link for the webinar presentation to members.

Action: IPF webinar on 26.02.15 – AE to forward the link for the webinar presentations to members.

15 Boxing day opening

This has been included on the LPC website with relevant documents for contractors to apply for reduction of supplementary hours.

2.4 Declarations of Interest for any item on the agenda

If any member has any personal or pecuniary interest whatsoever in any matter, they should declare it or not actively contribute to the discussion unless asked by the rest of the committee to provide factual information to aid their understanding. In either case they should not vote on the item

3 NHS Contract Matters

A) (2015 Regulations) - Amendments to 2013 Regulations – Attachment 1

B) Control of Entry application summary SYB – Attachment 2

3.1 New contracts-Routine 3.1.1 Application for inclusion in the pharmaceutical list offering unforeseen benefits By: ePrescriptions Ltd At: Main Street, Farndon, Nottinghamshire, NG24 3SA Closing date 27th April 2015

Conflict of interest: ML, RS, (Well) GH (Lloyds) and SK (Boots) Not sure that Newark pharmacies have been notified by NHS England – LPC have sent through the application to inform them as advised by Steve Lutener. Application was originally sent in September and then this was recalled and put on hold while NHS England consulted on the rurality of Farndon

- A46 – no barrier as there is an underpass. - Mention that the PNA says there is no care home service being provided – there is no service

commissioned service. - Doesn’t identify the benefits to patients anywhere in the application - GP surgeries are in the town centre of Newark nothing in Farndon so no more convenient as they

need to access other services in the town. - PNA doesn’t state there is a need. - Already have choice in Newark pharmacies

Response: NH to put together a response from the above points and bring back to the April LPC meeting for discussion.

3.2 New contracts-Excepted 3.2.1 Application for inclusion in the pharmaceutical list in respect of a distance selling pharmacy By: Clickcarepharma Ltd

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At: Unit 18 Ashforth Business Centre, Ashforth Street, Nottingham, NG3 4BG Closing date 30th March 2015 LPC response to be discussed – Attachment 3

LPC members went through the points in the LPC response and made changes to the bullet points. AE to send the contract response through to NHS England.

Contract applications received from other areas Nothing received

3.3 Litigation Nothing received

3.4 Decisions Nothing received

3.5. Amendments 3.5.1 Amendment to pharmaceutical list - Change in supplementary Hours By: Boots UK Ltd T/A Boots Pharmacy At: Various below 1) 72 Ilkeston Road, nottingham, Ng7 3GQ (add supplementary hours from 8.30am – 9.00am (Mon - Fri)

from 02.04.2015 2) 234 Beckhampton Road, Bestwood Park, Nottingham, NG5 5PA (additional supplementary hours

from 5.30pm – 6.00pm (Thurs)) from 16.04.15 3) Middle Street, Beeston, Nottingham, NG9 1GA (additional supplementary hours from 8.00am –

8.30am (Mon, Wed & Thurs), 7.00am – 8.30am (Tues & Fri), 6.30pm – 6.30pm – 8.00pm (Mon)) from 13.04.15

4) St Albans Health Centre, Hucknall Lane, Bulwell , Nottingham, NG6 8AQ (additional supplementary hours from 8.00am -8.30am (Mon –Fri), 1.00pm – 6.30pm (Thurs) & 6.00pm – 6.30pm (Mon – Wed & Fri) from 13.04.15

5) 49 Main Street , Burton Joyce, Nottingham , NG14 5DX (additional supplementary hours from 8.30am – 9.00am (Mon - Fri)) from 20.04.15

6) 3-5 St. Wilfrids Square Calverton Nottinghamshire NG14 6FP (additional supplementary hours from 8.30am – 9.00am (Mon - Fri), 6.00pm – 6.30pm Mon –Fri) & 1.00pm – 5.00pm (Sat)) from 06.04.15

7) 19 Carlton Square Carlton Nottingham NG4 3BP (additional supplementary hours from 8.30am – 9.00am (Mon - Fri) & 1.00pm – 5.00pm (Sat)) from 20.04.15

8) 45 Greens Lane Kimberley Nottingham NG16 2PB (additional supplementary hours from 5.30pm – 6.00pm (Thurs)) from 13.04.15

9) Derby Road Medical Centre, 334 Derby Road Lenton Nottingham NG7 2DW(additional supplementary hours from 8.00am – 9.00am (Mon, Wed & Thurs), 7.30am – 9.00am (Tues & Fri) & 6.00pm -6.15pm (Mon – Fri) from 01.04.15

10) 2 Church Street Stapleford Nottingham NG9 8GA (additional supplementary hours from 9.00am – 5.00pm (Sat) from 13.04.15

11) 164 Bramcote Lane, Wollaton Nottingham NG8 2QP (additional supplementary hours from 8.00am - 9.00am (Mon – Fri), 6.00pm – 6.30pm (Mon – Wed & Fri), 5.30pm – 6.30pm (Thurs) & 1.00pm – 5.00pm (Sat)) from 13.04.15

3.5.2 Amendment to pharmaceutical list - Change in supplementary Hours By: L Rowland & Co (Retail) Ltd T/A Rowlands Phamacy At: 1 Salop Street, Daybrook, Nottingham, NG5 6HP additional supplementary hours from 1.00pm – 2.00pm (Mon – Fri) to 1.00pm – 1.20pm (Mon – Fri) & 5.30pm – 6.30pm (Thurs) from 27.04.15

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3.5.3 Amendment to pharmaceutical list – opening of pharmacy By: ePrescriptions Ltd T/A National Delivery Chemist At: 28a Sherwood Street, Warsop, Nottinghamshire, NG20 0LW From 09.03.15

3.5.4 Amendment to pharmaceutical list – closure of pharmacy By: Boots (UK) Ltd T/A Boots Pharmacy At: 90 Nottingham Road, Eastwood, Nottingham, NG16 3NP Closing 31.03.15

3.6.5 Amendment to pharmaceutical list – relocation By: N Rudolph Ltd T/A Vantage Pharmacy From: 407 Nuthall Road, Aspley, Nottingham To: Melbourne Park Medical Centre, Melbourne Road, Aspley, NG8 5HL From 23.03.15 3.5.6 Amendment to the pharmaceutical list – change of ownership From: Averroes Pharmacy Ltd To: Firstcare (UK) Ltd T/A Riverside Pharmacy At: Bulwell Riverside, Main Street, Bulwell, Nottingham, NG6 8QN From: 02.03.15

3.6 Responses received 3.6.1 Application for inclusion in the pharmaceutical list offering unforeseen benefits By: Nottingham CityCare Partnership CIC At: Seaton House, City Link, London Road, Nottingham, NG2 4LA) – Walk in Centre site Further responses due in by 23rd March 2015 Members have heard that an urgent care centre is opening at Seaton House in November 2015

4 Treasurer’s report – GH 4.1 Finances February 2015 – Attachment C1 Busy month so more expenses than usual. Including

- LPC ball – still 4 people who need to pay. - Joint exec meeting with Derbyshire and also the exec team met last month - Treasurer annual honorarium

Members asked about the amounts for travel - have limits set for travel and accommodation expenses Sharing costs – car share if more than one member going to the same event and more efficient to drive and share rather than have rail costs etc. 4.2 Cashflow– Attachment C2 £3,700 underspend for this year 4.3 Draft Budget 2015/16 - LPC newsletter distribution – Area Team can no longer fund printing and distribution A contractor has offered to print the newsletter in colour but would not be able to distribute – the problem is not with printing as AE could print off in colour but the cost of postage if NHS England are unable to send it for us. Looking at whether can send the newsletter via PharmOutcomes in the future – all contractors use this for services. Everything else is being sent by email – including payment advice so feel should be sent electronically

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Send to area managers for forwarding on for Boots rather than send to individual pharmacies.

Action: On the next newsletter state that it will be the last one that is printed and will be sent via email to save costs – ask contractors to contact AE if they wish to have a copy sent by post in the future.

Finance committee - meeting with DF, LK and LF to go through the budget for 2015 /16. Wait for answer regarding the amount of reserves that the LPC need to keep and then organise meeting to discuss the budget. NH raised that the budget could not be completed because of the PSNC levy invoice not arriving until later at the Regional PSNC meeting.

Action: GH to set up a meeting with DF, LK and LF to go through the LPC budget once he has received information back about the amount of reserves that the LPC should be keeping.

5 Chief Officer / Chair reports 5.1 Pilot Rheumatoid Arthritis campaign – Nottingham City CCG – Advertised on some bus shelters For information 5.2 Independent prescriber project – Attachment D1, D2, D3 and D4 Some feedback from medicines management teams – asking why they couldn’t be trained as IPs as part of the funding. ST explained that the funding was allocated for community pharmacy but they could contact LETB / Health Education England for funding for primary care pharmacists. LK will be involved in the project and become Independent Prescriber for N&S – will keep the committee updated.

6 Tenders and bids / Consultations / Service Opportunities 6.1 Smoking Cessation consultation – update JS attended Rushcliffe consultation meeting. 6.2 Nottinghamshire County and City Integrated Sexual Health Service consultation update -Attachment E1 and E2 Consulting on the proposed model and then will go out to formal tender. Pharmacy will be best placed as a sub-contractor for the amount of this service that is relevant to pharmacy. Members discussed the fee amounts and that they feel that sometimes pharmacy need to stand up and say that they are not providing the service unless fee is increased – need all contractors to do this as a profession and not have some contractors saying that they will do for that amount – needs to be a united decision. Feel that EHC will be a national service in the near future. 6.3 Alcohol tender for GPs in City GP’s only?? Asked members feedback – some have looked into this and don’t feel that pharmacy would wish to do this. Not enough value in this service for pharmacy to be involved and so felt that it was not needed to argue the case for pharmacy to do. 6.4 Flu service – national Will run on the same specification as the gp’s – will run alongside rather than pharmacy picking up the

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opportunistic patients.

7 Standing items / Items for discussion 7.1 Training - Feedback from IPF webinar on 26.02.15 – did members register on own or groups? Already discussed earlier in the meeting - Feedback from Diabetes training sponsored by BD and MSD – 18.03.15 Very good session - need some more training around insulin 7.2 Dementia training - Newark (Dementia Friendly Town) working with Robert Jenrick MP – meeting on 10.04.15 For information - Nottinghamshire Contractors training evening - 16.04.15 after the LPC meeting. Run by Derbyshire Health United. Contracted by NHSE funded by Health Education England. Feel that the School of Pharmacy, University of Nottingham is the right venue – good IT, food is good and it’s convenient. Agreed it was ok to go ahead and organise this event for all contractors. KC will contact sponsors for the event.

Action: AE to organise the venue, catering and set up the Eventbrite booking page for the Dementia session and liaise with KC regarding sponsors for the event.

7.3 Pharmacy First SLA & Service Spec – Attachment F1, F2, F3 and F4 NHS England are commissioning this service. Because they have taken over the commissioning of the current service the fee stayed the same - either do at the present fee or don’t sign up. Will ask if this will be reviewed in the future. Some members feel that the fee needs increasing - PharmOutcomes takes longer to do initial consultation but then only need to do once – fee is too low for the time at £2.60. NH acknowledged that it was not ideal but being rolled on rather than a new service. Trimethoprim has been taken off the formulary.

Query – Pharmacy First spec refers to Nottm City and County – thought Rushcliffe were not included in this - AE to contact Sam Travis and ask about this.

8 Commissioners reports NHS England sub regional teams 8.1.1 Notts / Derbys AT a) New proposals to protect pharmacy professionals from prosecution

The Department of Health is consulting on pharmacy dispensing errors and premises standards proposals, until 14 May 2015.

Asked members to look at this and respond if wish b) Joint Derbys and Notts Seasonal Flu Planning Meeting 2015-16 23/4/15 10-12 Birch House Mansfield – NH attending

8.1.2 Notts / Derbys Joint Pharmacy Liaison Committee

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No meeting 8.2.1 SY & Bassetlaw AT

a) Flu evaluation report – Attachment G

For information 8.2.2 SY LPCs joint meeting – No meeting LPNs 8.3 South Yorkshire and Bassetlaw LPN – Jan meeting cancelled – another due next week

8.4 Nottinghamshire / Derbyshire LPN – Minutes will be forwarded Discussion on changing the time scale for EHC from 72 hours to 96 hours differing views but keeping at 72 hours Local Authority 8.5 .1 Public Heath – Nottinghamshire a) C-Card pharmacy training day – 29th April 2015 10am – 4pm 8.5.2 Nottinghamshire County Health And Wellbeing Board

a) Stakeholder event for Cancer Early Diagnosis – 24.02.15 NH attended Need more pharmacist presence at these events – all commissioners / organisations pharmacy need to engage with are present at these meetings.

b) NH attended the HWB on 04.03.15 – feedback re PNA Being tweaked but they are live now – need to add to website

c) Summary of Health & Wellbeing Board meeting - February 2015 and March 2015 – Attachment H1

and H2 For information

d) Update on launch event of Obesity Prevention and Weight Management service

Putting some effort into the launch of this – Everyone Health (provider) led most of the session which was chaired by Joyce Bosnjak.

May be able to be involved more than signposting – but will not be a “large” service. Orlistat dispensing – have independent prescriber – only approximately 50 prescriptions a year

Next board meeting Wednesday 1st April 2015 2pm at County Hall, West Bridgford, Nottingham http://www.nottinghamshire.gov.uk/dms/Meetings.aspx

AE to attend 8.6.1 Public Health – City 8.6.2 Nottingham City Health And Wellbeing Board a) NH attended the HWB on 25.02.15 – feedback re PNA As above in Nottinghamshire County

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Next board meeting: Wednesday 27th May 2015 1.30pm at Loxley House, Station Street, Nottingham http://committee.nottinghamcity.gov.uk/ieListMeetings.aspx?CommitteeId=185

8.7. CCG’s – (minutes and agendas for board meetings are available at the links below)

8.7.1 Mansfield & Ashfield – KC

a) Mansfield & Ashfield prescribing sub group – KC

GPs feel CRI are under performing. Not receiving methadone prescriptions and being seen less often Lactulose – restricting use. Thick and Easy going to Nutrilis. Pregabalin – GP’s were getting annoyed that pharmacies sent them the info through – only doing what NHS England advised. Antimicrobial prescribing reducing by 10%.

Next CCG board meeting: Thursday 14th May 2015 12.30pm at Birch House, Mansfield http://www.mansfieldandashfieldccg.nhs.uk/index.php/board-meeting-dates

8.7.2 Nottingham North East CCG – VP

a) Nottingham North East Prescribing committee - VP

Steroid cards – would like community pharmacy to give out information with these. No additional costs or fees – stock will come from Standard Court. Said if they do this then would need to join up working / collaboration with the CCG and a training session will be organised.

Next CCG board meeting: Tuesday 19th May 2015 1.30pm – 3.30pm Gedling Civic Centre, Arnot Hill Park, Arnold, Nottingham NG5 6LU http://www.nottinghamnortheastccg.nhs.uk/index.php/meet-the-board/governing-body-meeting/

8.7.3 Rushcliffe – JS

a) Rushcliffe Medicines Management Meeting – 26.02.15 – JS- Attachment I No further information as JS was not present. Next CCG board meeting: Thursday 19th March 2015 1.30pm in Clumber Room, Easthorpe House, Loughborough Road, Ruddington , NG11 6LQ http://www.rushcliffeccg.nhs.uk/about-us-governing-body/8-about-us/80-governing-body-meetings

8.7.4 Nottingham City - DM /GH

a) Evaluation of the recent training event in the City CCG – Attachment J For information – members had read this report

Next CCG board meeting: Wednesday 25th March 2015 from 9.30am to 12.30pm in Boardroom, Standard Court, Park Row, Nottingham, NG1

8.7.5 Nottingham West CCG – PK/ZS

a) Nottingham West CCG MMG - 10th Feb.2015 (NC) – Attachment K1, K2, K3 and K4

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Similar to other CCGs – cost savings b) Nottingham West community pharmacy meeting – 21st April 2015 Places still available to be booked

Next CCG board meeting: Thursday 26th March 2015 1.30pm – 4pm at Stapleford Suite, Stapleford Care Centre, Church Street, Stapleford, NG9 8DB http://www.nottinghamwestccg.nhs.uk/index.php/meeting-dates-2014

8.7.6 Newark and Sherwood CCG - LK/ML

Similar to M&A Woundcare – moving to the same model as the City CCG (central hub) a) Senior Citizens Fair 20.02.15 – AE and ML attended

Needed local pharmacists to be present at these events to answer their patient’s queries. Need to attend more of the events to promote local pharmacy Mentioned in the Newark advertiser too

Next CCG board meeting: Wednesday 13th May 2015 5pm at Everyday Champions, Brunel Business Park, Jessop Close, Newark. NG24 2AG http://www.newarkandsherwood.nhs.uk/about-us/our-governing-body

8.7.7 Bassetlaw CCG – DF

a) Bassetlaw contractor meeting – 19th March 2015 7pm at The Lion Hotel, Worksop

Next board meeting: Tuesday 14th April 2015, 9am – 11am Collinson Board Room, Retford Hospital http://www.bassetlawccg.nhs.uk/about-us/governing-body/governing-body-meetings

8.7.8 Area Prescribing Committee – AP Next meeting – Thursday 19th March 2015 2pm – 4.30pm, Duncan Macmillan House, Conference Room 2 http://www.sample1.notts-his.nhs.uk/index.php/about-the-apc

8.8 LMC open meeting – Tuesday 31st March 2015 7.30pm – 5 Phoenix Place, Nottingham, NG8 6BA

AE attending

9 Members reports 9.1 Feedback contractors / member allocation lists Contact members before the April LPC meeting and ask them about: 1) DBS checks – emails 2) Emergency supply 9.2 Other meetings attended / members activities AP – Getting your message out there (04/02/15) – update on progress of LPC guide for approval. Agree time line for bringing to LPC committee for sign off.

Action: Forward to April LPC meeting update from AP re getting your message out there (04.02.15) and update on progress of sponsors for the LPC guide.

KC and LF – Bids and Business Cases (26.02.15) Asked to look at how much you would sell member of staff for 1 hour Pharmacist – Tech –

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Counter Assistant – Various amounts were suggested and pharmacy sell them self to low Need to learn to value at the correct level Very informative. PSNC contacting the LPCs that attended and asking what they have done with the learning

- Suggest put together a bid with and have a small pilot – who best relationship with and got money to spend. LPC members decided that M&A would be the best for putting in a bid as both LF and KC have contracts in that area and have previously asked for ideas from community pharmacy.

- PharmOutcomes is a good tool for reporting and payments

Action: KC and LF to work on a business case for M&A CCG – Dr James Mills –– look at plan on a page for the CCG. PSNC have a database of services and templates. Work on this on the afternoon of the next LPC meeting (April)

Also discussed provider companies.

Open meeting 2pm – 3pm 2pm – Claire Grainger, Healthwatch Nottinghamshire Presentation given on work that Healthwatch Nottinghamshire are currently doing and showed the template of their new informatics system. Healthwatch Nottinghamshire have statutory power to visit services if they feel there is some concern and indications and talk to people who use the service Nottinghamshire and Nottingham Healthwatch have the same informatics system template

- Patient feedback on their experiences - Evidence for Healthwatch – analyse all the data - feed in from social media (public) – search streams

set up. Asking providers companies to share information on services provide. - Go through quality assurance – moderate and code data

Received comments for various pharmacies already – pharmacy cannot reply back at the moment

Put an article on the newsletter letting pharmacies know that Healthwatch have got this site and to check the data held and explain that comments can be left.

10am – Garry Myers - PRIVATE Report from PSNC on margins. Announcement due this week on funding. Also reviewing CCG rebate schemes. During discussion comment was made that the RPS is a bit out of touch with community pharmacy – need a membership body just for community pharmacy as RPS don’t represent this well

10 Strategy plan 2nd part of the review – Look at fitting the actions / activities we are doing or wish to do into the plan

Need some lead members for the activity This was not completed this meeting and will be forwarded to the April LPC meeting.

Action: NH to send the review documents out to members and ask for comments before the next meeting

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11 Research (GH and JS) 11.1 Asthma Clinical Trial & pharmacy involvement – Attachment J Only received one comment back from members

Newsletter article – give contractors choice – NH to ask for information to be included in the newsletter

12 PSNC Members are advised that many PSNC communications are now communicated electronically and repeated on the PSNC website. It is recommended that members regularly visit the PSNC website ‘ LPC members’ area to access the latest information available on www.psnc.org,uk PSNC briefings / newsletters

12.1.1 LPC News: Summary on local pharmacy services; Employment law and personnel management training; Patient Safety Awards; LPOSS update

12.1.2 PSNC News: Prescription exemption checking; Essential Small Pharmacy support; Dispensing error consultation; Flu vaccine effectiveness report

12.1.3 NCSO/price concessions February 2015 (further update) 12.1.4 PSNC News: Prescription exemption checking; Essential Small Pharmacy support; Dispensing error

consultation; Flu vaccine effectiveness report 12.1.5 LPC Action Requested: Update on national Emergency Supply audit 12.1.6 LPC News Alert: National clinical audit - important update 12.1.7 PSNC News: National clinical audit update - important update; Special container tool;

Pregabalin guidance; Public happy with pharmacy health checks 12.1.8 Pharmacy alert: Important IG update on business continuity 12.1.9 PSNC Price Concessions March 2015 12.1.10 LPC News Alert: New dates for national audit announced 12.1.11 PSNC News: Important national audit update - new dates announced; Prescription charge increase;

Repeat Dispensing resources For information 12.2 PSNC regional meeting - 18th March 2015 – update from RS and NH Already covered in Garry Myers report

13 CCA / AIMp Communication 13.1 Pharmacy Voice / CCA

13.1.1 Pregabalin Guidance- Attachment K

NHS Guidance was discussed and noted that price at the moment is the same for generic and Lyrica

14 Other Communications 14.1 EPS a) - Deployment – Attachment L1 b) - Deployment report for SY&B – Attachment L2 c) – Reports from HSCIC - NH does not use the reports anymore – if queries then will look back at them but not proactively reviewing them. d) Michelle Peet, NHIS March update – Attachment L3 For information e) - Feedback on issues raised with the LPC - What more support is needed?

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Raised at regional meeting regarding EPS and care homes.

14.2 Healthwatch Nottinghamshire newsletter – Attachment M FOR INFORMATION

15 Any other business 15.1 none

16 Newsletter stories 16.1 Newsletter stories from topics discussed during the meeting Need to proof read it - ask LF

Details of future meetings All meetings will now have a open meeting section at 2pm – 4pm

16th April 2015 9.30 am – 5pm White Post Farnsfield

21st May 2015 – Invite past chairs and treasurers to lunch (buffet)

9.30 am – 5pm White Post Farnsfield

18th June 2015 9.30 am – 5pm White Post Farnsfield

16th July 2015 9.30 am – 5pm White Post Farnsfield

20th August 2015 9.30 am – 5pm White Post Farnsfield

17th September 2015 9.30 am – 5pm White Post Farnsfield

15th October 2015 9.30 am – 5pm White Post Farnsfield

19th November 2015 9.30 am – 5pm White Post Farnsfield

17th December 2015 (change with White Post)

9.30 am – 5pm White Post Farnsfield

Next meeting is on Thursday 16th April 2015 at The White Post Pub, Farnsfield, NG22 8HN – start time 9.30am. Minutes agreed as true and accurate record of the LPC meeting on Thursday 19th March 2015 Signed: Rob Severn, Chair, Nottinghamshire LPC