Pharmaceutical Needs Assessment · Chronic Obstructive Pulmonary Disease (COPD) COPD is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic

Batley and Spen

Dewsbury and Mirfield

Huddersfield

Kirklees Rural

Pharmaceutical Needs Assessment2018-2021Consultation Document

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PNA 2018-21 CONSULTATION http://www.kirklees.gov.uk/pna

This document can be made available in other languages and formats (large print, Braille, audio and easy read as appropriate). For further information, Please contact: Public Health Intelligence Team 2nd Floor South Civic Centre 3 Market Street Huddersfield, HD1 2EY Telephone: (01484) 221000 Email: [email protected]

Ref No

Version : ONE

Ratified by:

Date ratified:

Names of

Authors:

Nicki Bush: Public Health Pharmaceutical Advisor; Owen Richardson (Public Health Intelligence Senior Project Officer); Andrew Fitzpatrick (Research Officer); Sarah Thurgood (Public Health Intelligence Senior Project Officer)

Director of Public Health:

Rachel Spencer-Henshall

Date Issued:

Review Date: 31 March 2021

VALIDITY STATEMENT

Only the electronic copy of this document is guaranteed to be the currently valid version. Downloaded versions must be regularly checked for validity; this is the responsibility of the individual user.

http://www.kirklees.gov.uk/pna

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Contents

GLOSSARY ................................................................................................................................................... 5

1 EXECUTIVE SUMMARY ...................................................................................................... 12

Summary of Gaps in Provision at Electoral Ward Level .................................................................... 14

2 BACKGROUND ............................................................................................................................. 16

PNA Development in Kirklees .......................................................................................................................... 16

Market Entry by Means of Pharmaceutical Needs Assessment ...................................................................... 18

Definition of Pharmaceutical Services ............................................................................................................. 19

Community Pharmacy Services in Kirklees ...................................................................................................... 25

Determination of Wards .................................................................................................................................. 27

Matters Considered when Conducting the Assessment .................................................................................. 27

Kirklees Overall Profile ..................................................................................................................................... 28

Public Surveys: Kirklees Council Current Living in Kirklees (CLiK) Survey ........................................................ 29

Future Housing Plans: The Kirklees Local Plan ................................................................................................. 30

Partnership Involvement and Engagement ..................................................................................................... 31

3 ANALYSIS OF PHARMACEUTICAL SERVICES PROVISION BY WARD ........................................... 32

Outline of Analysis by Ward ............................................................................................................................. 32

Section Definitions ........................................................................................................................................... 32

Figure One: District Committees and Wards in Kirklees .................................................................................. 34

Batley and Spen ............................................................................................................................................... 35

Batley East ........................................................................................................................................................ 36

Batley West ...................................................................................................................................................... 38

Birstall and Birkenshaw .................................................................................................................................... 40

Cleckheaton ..................................................................................................................................................... 42

Heckmonwike .................................................................................................................................................. 44

Liversedge and Gomersal ................................................................................................................................. 46

Dewsbury and Mirfield ................................................................................................................................... 48

Dewsbury East ................................................................................................................................................. 49

Dewsbury South ............................................................................................................................................... 51

Dewsbury West ................................................................................................................................................ 53

Mirfield ............................................................................................................................................................ 55

Huddersfield .................................................................................................................................................... 57

Almondbury ..................................................................................................................................................... 58

Ashbrow ........................................................................................................................................................... 60

Crosland Moor and Netherton ......................................................................................................................... 62

Dalton .............................................................................................................................................................. 64


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Greenhead ....................................................................................................................................................... 66

Lindley .............................................................................................................................................................. 68

Newsome ......................................................................................................................................................... 70

Kirklees Rural ................................................................................................................................................... 72

Colne Valley ..................................................................................................................................................... 73

Denby Dale ....................................................................................................................................................... 75

Golcar ............................................................................................................................................................... 77

Holme Valley North .......................................................................................................................................... 79

Holme Valley South .......................................................................................................................................... 81

Kirkburton ........................................................................................................................................................ 83

Appendices

One: Pharmaceutical Needs Assessment (PNA) Steering Group Terms of Reference ........................ 85

Two: Copy of Pharmacy PNA Questionnaire ....................................................................................... 87

Three: Description of Community Pharmacy Commissioned Services .................................................. 87

NHS England Services……………………………………………………………………………………………………………………….……95 Public Health Services, Figures Two to Four……………………………………….…………………………………………100-104

Four: Summary of Other Relevant Pharmaceutical Services Considered When Preparing the Pharmaceutical Needs Assessment ................................................................................... 105

Five: Population Projection–Kirklees ................................................................................................ 107

Six: Population Ageing ..................................................................................................................... 108

Seven: Overview of Deprivation in Kirklees, Figures Eight and Nine .......................................... 110 - 112

Eight: Indicators of Health Need for Pharmacy Services in Kirklees ................................................... 113

Indicators of Health and Deprivation by Electoral Ward .......................................................... 114

Nine: Current Living in Kirklees (2012) Survey ................................................................................... 119

Ten: List of Organisations/Individuals Consulted ............................................................................ 120

Eleven: Table of Community Pharmacy Hours, Figures Ten and Eleven ........................................ 121-139

Twelve : Number of Pharmacies per 100,000 Population by Ward ....................................................... 140

Thirteen: Table of Locally Commissioned Community Pharmacyl Services by Ward .............................. 141

Table of NHS England Commissioned Enhanced and Advanced Services by Ward ................. 151

Fourteen: Links to National Information for Potential Future Developments in Community Pharmacy

Services. .................................................................................................................................... 159

Fifteen: Data Sources.. ........................................................................................................................... 164

Sixteen: Current Provision Maps Provided Separately because of their size .......................................... 167


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GLOSSARY

100 Hours Pharmacy A pharmacy that was granted an NHS contract under a control of entry exemption requiring it to open for at least 100 hours per week.

Advanced Services

Five services within the NHS Community Pharmacy Contract that Pharmacists can choose to provide as long as they meet the requirements set out in the Secretary of State Directions.

Any Qualified Provider

A procurement model that commissioners can use to develop a register of providers accredited to deliver a range of specified services within a community setting.

Appliance Use Review (AUR)

An Advanced Service provided either by a pharmacist or dispensing appliance contractor health professional to improve the patient’s knowledge and use of specified appliances.

Buprenorphine (see also Methadone)

Buprenorphine is a medicine which is used in the treatment of patients dependent on opioids (e.g. heroin).

Buprenorphine supervised consumption service

A Locally Commissioned Public Health Service where individuals on a buprenorphine programme take their medication under supervision in a private room within the pharmacy.

Census The official process of counting the number of people in the country and collecting information about them. This document refers to the 2011 census.

Chronic Obstructive Pulmonary Disease (COPD)

COPD is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have difficulties breathing, primarily due to the narrowing of their airways. This is called airflow obstruction.

Commissioning

A continuous cycle of activities that underpins and delivers the overall strategic plan for healthcare provision and health improvement of the population. These activities include stakeholders agreeing and specifying services to be delivered over the long term through partnership working, as well as contract negotiation, target setting, providing incentives and monitoring.

Community pharmacy contractor

A pharmacy that is included in the Pharmaceutical List for the Health and Wellbeing Board’s area, held by NHS England. See the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013.

Community pharmacy contractual framework

The nationally agreed NHS pharmacy contract that community pharmacies operate under when providing NHS services.

Controlled locality An area which has been determined to be ‘rural in character’.

Coronary Heart Disease (CHD) The term that describes what happens when the heart's blood supply is blocked or interrupted by a build-up of fatty substances in the coronary arteries.

Dispensing Compliance An NHS contractor that specialise in the supply (on


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Contractor (DAC) prescription) of appliances, notably stoma and incontinence appliances. There are no DACs that are included in the Pharmaceutical List for the Health and Wellbeing Board’s area, held by NHS England.

Dispensing doctor

A GP that may dispense NHS prescriptions for their own patients who live in a controlled locality and live more than 1.6 km (1 mile in a direct line) from a pharmacy.

DWP Department for Work and Pensions.

ePACT

Electronic Prescribing Analysis and Cost. A service which provides analysis of prescribing data held on the NHS Prescriptions Services prescribing database.

EHC

Emergency Hormonal Contraception. EHC is supplied under a patient group direction (PGD) and is a Locally Commissioned Public Health Service, commissioned from pharmacists accredited to provide EHC to females aged 13 years and over.

Electoral Ward A Ward is a subdivision of a Local Authority area, typically used for electoral purposes.

Enhanced Service Services commissioned locally by NHS England in response to the needs of the local population.

Gluten free

Gluten is a protein that is found in three types of cereal; wheat, barley and rye. Some people who have autoimmune reactions to gluten (known as coeliac disease) cannot eat foods that contain gluten. Gluten free food enables individuals to eat foods that normally would contain gluten e.g. pasta, breakfast cereals and most type of bread.

Independent/ Non-Medical Prescriber

Independent/ Non-medical prescribers are responsible and accountable for the assessment of patients with undiagnosed and diagnosed conditions and for decisions about the clinical management required, including prescribing.

Nurse and pharmacist Independent Prescribers are able to prescribe any medicine for any medical condition within their competence, including any controlled drug in Schedule 2,3,4 or 5 of the Misuse of Drugs Regulations (2002), as amended.

Optometrist Independent Prescribers can prescribe any licensed medicine for ocular conditions affecting the eye and surrounding tissue, but cannot prescribe any controlled drugs.

Physiotherapists and podiatrists or chiropodists can prescribe any licensed medicine provided it falls within their individual area of competence and respective scope of practice as independent prescribers, but cannot prescribe any controlled drugs at the time of writing.

Immunisation Immunisation or vaccination is usually given by an injection and makes the body's immune system produce antibodies that will fight off a virus.

Index of Multiple Deprivation (IMD)

The Indices of Deprivation 2015 provide a relative measure of deprivation at small area level across England. Areas are ranked from least deprived to most deprived on seven different dimensions of


http://en.wikipedia.org/wiki/Administrative_subdivision

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deprivation and an overall composite measure of multiple deprivation. The domains used in the Indices of Deprivation are: income deprivation; employment deprivation; health deprivation and disability; education deprivation; crime deprivation; barriers to housing and services deprivation; and living environment deprivation. The PNA has focused on overall deprivation and barriers to housing and services.

Joint Strategic Needs Assessment (JSNA)

The JSNA describes a continuous process that identifies current and future health and wellbeing needs in the light of existing services, and informs future service planning taking into account evidence of effectiveness. In Kirklees, the JSNA has been rebranded as the Kirklees Joint Strategic Assessment (KJSA, http://observatory.kirklees.gov.uk/jsna).

Healthwatch England

Healthwatch England is the national consumer champion in health and care. It has significant statutory powers to ensure the voice of the consumer is strengthened and heard by those who commission, deliver and regulate health and care services.

LMC

Local Medical Committee. The local representative organisation for General Practitioners (GPs) in a local health economy area, e.g. within a Clinical Commissioning Group. They represent all GPs in their geographical area on clinical and professional matters.

LTC (Long term condition)

Those conditions (e.g. diabetes, asthma, Chronic Obstructive Pulmonary Disease - COPD and arthritis) that cannot, at present, be cured but for which progress can be managed and influenced by medication and other therapies.

LPC (Local Pharmaceutical Committee)

Local Pharmaceutical Committees are the local representative organisations for Pharmacies within a Health and Wellbeing Board area. It represents all Community Pharmacies in its geographical area on clinical and professional matters, NHS matters and commissioned services.

LSOA

Lower Super Output Area. Units of geographic boundary developed by the Office for National Statistics that are aggregations of Output Areas. Output Areas are subdivisions of Electoral Wards and each contains approximately 125 households (300 residents). LSOAs are the next largest area up and each contains a minimum population of 1,000 persons and on average, contains a population of 1,500 persons. There are a total of 32,844 LSOAs in England.

Market Entry and Exit by Means of Pharmaceutical Needs

Assessment

The process by which NHS pharmacy contracts are considered to be granted for inclusion on, or removed from, the pharmaceutical list held by NHS England.


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Medicines Use Review and Prescription Intervention Service

The medicines use review (MUR) service is an Advanced Service structured review that is undertaken by an accredited pharmacist, in premises that have been accredited, to help patients to manage their medicines more effectively and provide patients with appropriate information and advice about their medicines. The purpose of carrying out a MUR is to improve the person’s knowledge, understanding and use of the medicines that they have been prescribed.

Methadone (see also Buprenorphine)

Methadone hydrochloride is a medicine which is used as a substitute for an opioid drug (e.g. heroin). Methadone can be used in two ways: withdrawal therapy, where the doses of medication are gradually reduced over time before the treatment is withdrawn, and maintenance therapy, where regular doses of medication are received on a long-term basis. It can also be used to relieve moderate to severe pain.

Minor ailments scheme

NHS scheme that enables pharmacists to advise and treat people with illnesses that can be treated at home, e.g. colds, stomach upsets etc, avoiding the need to see a GP.

Minor Injuries Unit

Examples of minor injuries are cuts, bruises, scalds and suspected closed limb fractures. The role of a minor injury unit or service would be to provide treatment for such minor injuries. Kirklees currently has one minor injuries unit at Dewsbury District General Hospital.

Necessary service Essential service

Non Controlled Area An area that has been determined by NHS England as urban and non-rural in nature.

ONS Office for National Statistics.

Oral contraceptive A contraceptive in the form of a pill containing oestrogen and/or progestogen to inhibit ovulation and so prevent conception/pregnancy.

Out of hours (OOH) service

Healthcare cover provided outside the normal working hours of community health care professionals. The OOH service in Kirklees is open from 6.30pm-8am Monday to Friday and 24 hours during weekends and Bank Holidays.

Palliative care Supportive service for those who are living with a disease that is not curable e.g. cancer, COPD, end stage heart failure, multiple sclerosis.

Patient Group Direction

Patient Group Directions (PGDs) are documents permitting the supply of prescription-only medicines (POMs) to groups of patients, without individual prescriptions.

Pharmaceutical List A list of NHS pharmacy contractors and DACs held by NHS England for the area of each Health and Wellbeing Board.

Pharmacy (“Chemist”) A regulated retail location for the provision of


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pharmaceutical services.

Prescribing support service (Medicines management, medicines optimisation)

Advice to all prescribers on clinical and cost effective prescribing and legal requirements relating to this.

Prescription

An order provided by a prescriber (e.g. doctor, nurse, pharmacist, allied health professional) advising of the type and dose of medication for the treatment of illness that is available only with written instructions from a prescriber.

Prescription Intervention service See Medicines Use Review.

Primary care

Services provided by family doctors, dentists, pharmacists, optometrists and ophthalmic practitioners together with district nurses and health visitors, with administrative support.

PSNC

Pharmaceutical Services Negotiating Committee. The body recognised by the Secretary of State for Health as the representative of community pharmacy on NHS matters.

(The) Regulations

All un-cited uses of the term “regulations” in the document refer to the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013, SI 2013/349.

Example: “regulation 6(2)(a)” refers to regulation 6, paragraph 2, subparagraph a of SI 2013/349.

NHS Urgent Medicine Supply Service (NUMSAS)

A Service to facilitate appropriate access to repeat medication Out-of-Hours (OOH) via NHS 111, enabling patients to access an urgent supply of their regular prescription medicines when appropriate. This service is a pilot service from 1 December 2016 to be reviewed 31 March 2018.

Quintile

Deprivation quintiles divide areas into fifths according to some measure of deprivation, and can be used to analyse variations in health between deprived and affluent sections of the population regardless of where they live. They can be of varying size, e.g. Local Authority or enumeration districts. Here they have been mainly used at Electoral Ward level.

Schedule

All un-cited uses of the term “Schedule” refer to Schedules to the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013, SI 2013/349. Example: “paragraph 26, Schedule 2” refers to paragraph 26 of Schedule 2 to the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013, SI 2013/349.

Screening service A service that, through a simple test, can diagnose potential illness at various stages of development. Screening can be carried out for various conditions,


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e.g. Chlamydia and other sexually transmitted diseases.

Sexual health service

A service that provides advice on sexual health and family planning, medical treatment and the promotion of sexual health and wellbeing to men, women and adolescents.

Standardised Admission Ratio (SAR)

In epidemiology, the standardised admission ratio or SAR, is a quantity quantifying greater or lesser hospital admission rates of a specified population with respect to the general population, in this case the population of England. Values above 100 indicate a higher level of admission than the England average and values below 100 indicate a lower level of admission.

Standardised Mortality Ratio (SMR)

In epidemiology, the standardised mortality ratio or SMR, is a quantity quantifying greater or lesser mortality of a specified population with respect to the general population, in this case the population of England. Values above 100 indicate higher mortality than the England average and values below 100 indicate lower mortality.

Statistical significance

Statistical significance refers to whether any differences observed between groups being studied are likely to be "real" or whether they may be due to chance. Here comparisons are made against England and Kirklees averages.

Stoma

A stoma is an artificial opening of an internal organ on the surface of the body created surgically. They are typically used to treat some types of cancer within the abdominal area where the end of the colon can be re-routed and an external pouch (stoma pouch) is attached to the opening to collect waste products.

Stoma appliance customisation (SAC)

The customisation of stoma appliances as described above.

Stop smoking/ smoking cessation service

A Locally Commissioned Public Health Service provided to people who want to stop smoking. Services include the use of medication, group support and counselling.

Substance misuse The misuse of addictive substances such as drugs and alcohol.

Supplementary prescribing service

With the agreement of an independent prescriber and the patient, a clinical management plan for treatment is established and followed by a supplementary prescriber.

Vascular disease Vascular disease is a form of cardiovascular disease affecting the blood vessels.

Sustainability and Transformation Partnerships

(STPs)

Local partnerships (including NHS organisations and local councils) that are working together to develop shared proposals to improve health and care (Sustainability and Transformation Plans). There are 44 STP areas covering all of England. STPs are designed around the needs of whole areas, not just individual organisations.

Urgent Care Centre A place where people can receive a range of urgent care services as commissioned locally by Clinical Commissioning Groups including: treatment of minor


http://en.wikipedia.org/wiki/Epidemiology

http://en.wikipedia.org/wiki/Epidemiology

http://en.wikipedia.org/wiki/Mortality_rate

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injuries e.g. cuts, bruises, scalds and suspected closed limb fractures; minor non-life threatening illnesses; out of hours services.

Walk in Centre (WIC)

NHS WICs offer convenient access to a range of treatments dealing with minor illnesses and injuries. WICs are managed by Clinical Commissioning Groups. People in Kirklees have access to two nurse led WICs at the Dewsbury District General Hospital (Dewsbury West Ward) and the Park Community Practice in Halifax (neighbouring HWBB area).

Weight management service

A Locally Commissioned Public Health Service provided to overweight people who want to become healthier by losing weight. Services include exercise and diet advice, group support and counselling.


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1 EXECUTIVE SUMMARY A Pharmaceutical Needs Assessment (PNA) is a statement of the need for pharmaceutical services. Pharmaceutical services are provided from Pharmacies, Dispensing Appliance Contractors, Dispensing Doctors and Local Pharmaceutical Services. The PNA states the number of people needing pharmaceutical services and maps the current provision and demography. The PNA is a stand-alone document that is integrated with the Joint Strategic Needs Assessment and provides an overview of the risks to health and well-being. As a statement of “need”, the PNA analyses the population’s health needs, identifies gaps in service provision and provides intelligence to create and improve access.

From 1st April 2013, the Health and Social Care Act 2012 established the Health and

Wellbeing Boards (HWBBs) and transferred responsibility to develop and update PNAs

from the Primary Care Trusts (PCTs) to the Health and Wellbeing Boards (HWBBs).

The Health and Social Care Act 2012 also transferred market entry determinations from

PCTs to NHS England.

Kirklees HWBB has prepared this PNA in accordance with the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013, SI 2013/349 (“the Regulations”). This summary sets out the background to the development of the PNA in Kirklees. An overview of the Regulations and an overview of the range of pharmaceutical services that are currently provided can be found in Sections 2 and 3. For this PNA, services have been reviewed at District Committee level and by Electoral Ward. Patients’ views of community pharmacy services were obtained from the Current Living in Kirklees (CLiK) Survey conducted in 2016 (See Appendix Nine). A comprehensive range of sources has been used to identify the social and health profile of the Kirklees population (See Appendix Eight) and this document provides full details at Electoral Ward level of:

Population demographics - age, income, deprivation, health needs;

Number and location of community pharmacies and dispensing doctor practices;

Analysis of any gaps in necessary services;

Analysis of any gaps in improved services or access to services.


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Conclusions reached in the PNA are derived taking into account a number of factors:

The health needs assessment, the risks to health and wellbeing of people and the health burden within the profile areas (Section 3 Pages 35-84 and Appendix Eight Pages 113-118);

The number of pharmacies per 100,000 population (Appendix Twelve-page 140). Note: Although distance selling pharmacies have not been included in these calculations, as these pharmacies serve populations within and without of the Kirklees area, the values listed in this Appendix are likely to be higher than those presented in the table;

Whether a service which should have equity of access is available and accessible within an Electoral Ward (Appendix Eleven Pages 123-139; Appendix Thirteen Pages141-158; Figures Ten and Eleven Pages 121-122);

Where the local services are positioned (e.g. GP OOH, Minor Injuries Units) and whether there are sufficient pharmaceutical services to support these services (pages 35-84, Appendix Eleven-pages 123-139). Note attention has been paid in this Assessment to the location of and accessibility to 100 hour pharmacies and pharmacies providing extended (supplementary) hours. Consideration has also been made to the availability of a limited supply of urgent and immediate medicines via the GPOOH service outside of these pharmacies’ opening hours;

Availability of similar services commissioned by other providers (e.g. General Practitioners);

Extended GP hours and whether there are sufficient pharmaceutical services to support these services (pages 35-84, Appendix Eleven-pages 123-139). Note: GP Extended Hour services are under continuous review and as such, Commissioners of these services should be mindful of the availability of pharmaceutical services to support these GP Extended hour services;

Engagement with commissioners of services.

Overall Findings

There is a reasonable and adequate choice of pharmacies in all areas of Kirklees.

Pharmacies in Kirklees reflect their local populations across Kirklees and have made adjustments to support access of those with protected characteristics (See Appendix Two Page 87).

There are no gaps in Necessary Service provision, in accordance with Regulations, in any Electoral Wards (See “Summary of Gaps” table below).

There are no gaps which, if filled, would lead to improvements and better access in accordance with Regulations in any Electoral Wards (See “Summary of Gaps” table below).

There is inequity of access to the Minor Ailments Enhanced Service. This service is commissioned on a limited basis across Kirklees. 79% (77/98) pharmacies responding as part of the community pharmacy questionnaire indicated that they would consider providing the Minor Ailment Service should the commissioning of this service be expanded. If the service was made more widely available, this would improve access to this service (See Appendix Eight Page 113). Where needs are identified in accordance with Regulations that if addressed, could result in improvements and better access to pharmaceutical services, it would be the intention of NHS England to seek to commission these from existing providers of pharmaceutical services and other providers. As required by the Regulations, Kirklees Health and Wellbeing Board (HWBB) is publicly consulting on this PNA for a period of 60 days between 2 October 2017 and 1 December 2017. The HWBB will approve the publication of this PNA and the draft PNA amendments paper on 29 March 2018.


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Summary of Gaps in Provision at Electoral Ward Level As Defined By Regulations

Electoral Ward Gaps in Necessary

Provision As Defined By Regulations

Improvements and Better Access As Defined By Regulations

Batley and Spen

Batley East None None

Batley West None None

Birstall and Birkenshaw None None

Cleckheaton None None

Heckmondwike None None

Liversedge and Gomersal None None


Dewsbury East None None

Dewsbury South None None

Dewsbury West None None

Mirfield None None

Huddersfield

Almondbury None None

Ashbrow None None

Crosland Moor and Netherton

None None


15 PNA 2018-21 CONSULATION http://www.kirklees.gov.uk/jsna

Electoral Ward Gaps in Necessary

Provision As Defined By Regulations

Improvements and Better Access As Defined By Regulations

Dalton None None

Greenhead None None

Huddersfield (Continued)

Lindley None None

Newsome None None

Kirklees Rural

Colne Valley None None

Denby Dale None None

Golcar None None

Holme Valley North None None

Holme Valley South None None

Kirkburton None None

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2 BACKGROUND

2.1. This Pharmaceutical Needs Assessment (PNA) is published by the Kirklees Council Health and Wellbeing Board (HWBBB) to fulfil the requirements of the Regulations (“Regulations” in the document refer to the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013, SI 2013/349).

2.2. The Health Act 2009 provided the powers needed to require Primary Care Trusts (PCTs)

to develop and publish PNAs and use them as the basis for determining market entry to National Health Service (NHS) pharmaceutical services provision subject to further Regulations.

2.3. The first PNA was published in February 2011 by NHS Kirklees PCT as a statutory duty

under the National Health Service (Pharmaceutical Services and Local Pharmaceutical Services) (Amendment) Regulations 2010, SI 2010/914.

PNA Development in Kirklees 2.4. The Kirklees virtual PNA Group was responsible for overseeing the development of this

PNA in 2017/2018. The Terms of Reference and membership of this group are included in Appendix One.

2.5. A Community Pharmacy Questionnaire agreed by Kirklees Council and the Local

Pharmaceutical Committee (LPC) taking into account an example published by the Pharmaceutical Services Negotiating Committee was sent to all Kirklees community pharmacy contractors in May 2017. Responses were collated in June and July 2017. A copy of the questionnaire and results of the questionnaire are included in Appendix Two. The draft PNA was then developed based on information held by Kirklees Council, NHS England and the Clinical Commissioning Groups (CCGs), Providers and responses received from the questionnaire.

2.6. The 60 day consultation for the draft PNA will start on 2 October 21017 and will close on

1 December 2017 in accordance with the Regulations. 2.7. A report was made to the Kirklees Health and Well Being Board prior to consultation on

28 September 2017.

2.8. The final version of the PNA will be published on 1 April 2018,

2.9. In accordance with paragraph 1 of regulation 6 the HWBB will, as a minimum, publish a revised PNA within 3 years of the publication of this document.

2.10. Paragraph 2 of Regulation 6 requires the HWBB to make a new assessment of pharmaceutical need sooner than this, should it identify any changes to the availability of pharmaceutical services that have occurred since the publication of this PNA. This will be undertaken only where, in the HWBB’s view, the changes are so substantial that the publication of a new assessment is a proportionate response.

2.11. In accordance with Paragraph 3 of Regulation 6, a Supplementary Statement explaining

changes to the availability of pharmaceutical services since the publication of this PNA will be issued whenever:

a. there has been a change to the availability of pharmaceutical services; and b. this change is relevant to the granting of applications to open a new pharmacy,

to relocate or to provide additional services; and c. the HWBB is satisfied that the publication of a revised PNA would be a

disproportionate response.


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The responsibility for issuing Supplementary Statements will be coordinated by a PNA Group. This Group will be chaired by the Director of Public Health on behalf of the HWBB. Supplementary Statements will be a statement of fact and will not make any assessment of the impact of the change on the need for pharmaceutical services within a Ward. All Supplementary Statements will be published with the PNA at: http://www.kirklees.gov.uk/pna



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Market Entry by Means of Pharmaceutical Needs Assessment

2.12. The Health Act 2009 requires that NHS England Area Teams (previously Primary Care Trusts) use PNAs as the basis for determining market entry to NHS pharmaceutical services provision (known as the “Market Entry test”). The detail of the basis for applications is covered by the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013. This gives the regulatory framework under which applications should be made to the NHSE local area Teams and how they should determine those applications. This supersedes the “Control of Entry” test which had previously been the method for determining pharmacy applications. The average pharmacy earns 90–95% of its income from NHS services. Community pharmacy is part of the NHS.

2.13. There are two types of application that can be made by pharmacy or dispensing appliance contractors within the 2013 Regulations:

Routine applications;

Excepted applications.

A brief outline of these is provided in 2.14 and 2.15 below. 2.14. Routine applications will:

meet an identified current or future need or needs;

meet identified current or future improvements or better access to pharmaceutical services; or

provide unforeseen benefits, i.e. applications that offer to meet a need that is not identified in a PNA but which the NHS England Areas Team is satisfied would lead to significant benefits to people living in the Area Team footprint.

2.15. Excepted applications will cover:

Relocations that do not result in significant change to pharmaceutical services provision;

Change of ownership applications;

The above combined;

Distance selling pharmacies. These pharmacies provide all the essential services within the pharmacy terms of service but without making face to face contact with the patient.

Consolidations (Mergers). Amendments to the 2013 Regulations from 5 December 2016 facilitate NHS pharmacy businesses to apply to consolidate the services provided on two or more sites onto a single existing site. Consolidations may be granted by NHSE where there is continuity of additional services provided and where the HWBB does not consider that a gap in pharmaceutical service provision will be created as a consequence of the consolidation. If the HWBB considers that there is no gap, a Supplementary Statement must be published alongside the PNA recording its view. This Regulatory change allows protection against a new pharmacy application where no gaps have been created by the consolidation.

2.16. NHS England will remove any contractor from its pharmaceutical list who repeatedly fails

to meet the terms of the exemption under which the application was approved without good cause, or if a serious breach led to patient safety being put at risk.


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Definition of Pharmaceutical Services

2.17. When carrying out this assessment of need for pharmaceutical services the HWBB has, in accordance with Regulation 3, firstly considered all the pharmaceutical services that are provided under arrangements made with NHS England.

2.18. For community pharmacy contractors in Kirklees, the HWBB, with NHS England, has

considered as pharmaceutical services all Essential Services, all Advanced Services and those Enhanced Services as set out in Directions and outlined in the Community Pharmacy Contractual Framework. These have been used in this document to assess the adequacy of provision of pharmaceutical services.

2.19. Essential (Necessary)Services

Essential Services are a range of “core activities” that patients can expect from every Community Pharmacy and include:

Dispensing of medicines;

Repeat dispensing (subject to GP Practice agreement);

Destruction of unwanted medicines;

Public health advice on healthy living;

Signposting to other health services;

Support for self-care;

Operating within a clinical and practice quality framework.

2.20. Advanced Services Community pharmacies may also offer (but are not obliged to offer) Advanced Services as defined by the Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013. Currently there are five Advanced Services:

Seasonal Influenza Vaccination During the seasonal influenza vaccination campaign period, pharmacy staff will identify people who fall within the nationally agreed target groups, who are a priority for influenza vaccination and will encourage them to be vaccinated;

Medicines Use Review and Prescription Intervention Service Underlying purpose is, with agreement with the patient, to improve the patients’ knowledge and use of drugs. Community pharmacies are restricted to undertaking a maximum 400 MURs each year;

New Medicine Service Underlying purpose is to promote the health and wellbeing of patients prescribed with new medicines for long term conditions;

Appliance Use Review (only in pharmacies providing an appliance dispensing service);

Stoma Appliance Customisation (only in pharmacies providing an appliance dispensing service);

NHS Urgent Medicine Supply Advanced Service Pilot (NUMSAS) Patients contacting NHS 111 to request access to urgently needed medicines or appliances will be referred to a pharmacy that is providing this service for assessment. A pharmacist can supply a prescription only medicine (POM) without a prescription to a patient who has previously been prescribed the requested POM. This is a pilot project to be reviewed 31/08/2018.

A fuller definition of these services is included in Appendix Three.


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2.21. Enhanced Services The Enhanced Services listed below, as defined by the Pharmaceutical Services (Advanced and Enhanced Services) (England) Directions 2013, are services that can be locally commissioned by NHS England according to the needs of the population except where services are provided elsewhere as locally commissioned services (see 2.22 below). The full list of Enhanced Services is listed below.

Anticoagulant Monitoring Service

Care Homes Service

Disease Specific Medicines Management Service

Gluten Free Food Supply Service

Home Delivery Service

Independent Prescribing Service

Seasonal Influenza Vaccination

Language Access Service

Medication Review Service

Medicines Assessment and Compliance Support Service

Minor Ailments Scheme

Needle and Syringe Exchange Service

On Demand Availability Of Specialist Drugs Service

Out of Hours Service

Patient Group Direction (PGD) Service

Prescriber Support Service

Schools Service

Screening Service

Stop Smoking Service

Supervised Administration Service (e.g. methadone, buprenorphine and directly observed tuberculosis drugs service – known as “DOTS”.)

Supplementary Prescribing Service A more detailed explanation of the above services has been included in Appendix Three.

The services listed above, and other services, as required according to the needs of the population, may be commissioned directly by, or co-commissioned jointly by Commissioners e.g. Local Authorities, Clinical Commissioning Groups, NHS England. However, only NHS England has the authority to commission the above services as “Enhanced Services”. The services listed in section 2.22 are commissioned through pharmacy contractors in Kirklees by Kirklees Council. Published evidence shows the value (net benefits) to the NHS, public sector, patients and wider society of specific services commissioned through pharmacies e.g. supervised consumption, emergency hormonal contraception provision, minor ailments, delivering prescriptions and managing drug shortages (See Appendix Fourteen).

2.22. Local Authority Commissioned Public Health Services

Needle and Syringe Exchange Service

Supervised Administration Service (buprenorphine, methadone)

Patient Group Direction (PGD) Service (Emergency hormonal contraception)

Smoking Cessation Service


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2.23. Other Relevant Services The HWBB has identified and considered pharmaceutical services and medicines management services provided by other providers including:

GPs;

NHS Hospital Trusts;

NHS Foundation Trusts;

CCGs;

Community Service providers;

Private Providers. A summary of the services identified and considered can be found in Appendix Four.

2.24. Community Pharmacy Quality Payments Scheme In February 2017, the Department of Health (DH) introduced a Quality Payments Scheme as part of the Community Pharmacy Contractual Framework in 2017/18. This will involve payments being made to community pharmacy contractors meeting certain gateway and quality criteria, with funding taken from the overall funding for 2017/18 of £2.592 billion. Gateway criteria To be eligible to collect the points necessary to claim a Quality Payment, the contractor must meet four gateway criteria:

provision of at least one specified Advanced Service;

have their NHS Choices entry up to date;

have the ability for staff to send and receive NHS mail;

ongoing utilisation of the Electronic Prescription Service.

Meeting the gateway criteria does not, in itself, attract a Quality Payment; it is subject to the Contractor meeting one or more of quality criteria listed in a table of domains; criteria; and review points. (See Appendix Fourteen).

2.25. The Healthy Living Pharmacy The Healthy Living Pharmacy (HLP) is a nationally recognised concept enabling pharmacies to help reduce health inequalities within the local community, by consistently delivering high quality health and well-being services, promoting health and providing proactive health advice. Key elements of the HLP service include:

Promoting healthy living and wellbeing as a core activity (rebranding);

Having a proactive innovative and friendly team that supports health and wellbeing and offers advice on a range of health issues;

As a “Community Hub”, has the ethos of the communities’ health at the centre of what it does;

Trained health champions on site;

Being identifiable by the public and other healthcare professionals by having HLP branding on / in the pharmacy;

Making every contact count to provide medicines optimisation and self-care and lifestyle interventions;

Tailoring HLP services to the local community catering to the PH needs of the community;

A team that proactively promotes health and wellbeing and will be proactive in stakeholder engagement within the local community.


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Healthy Living Level 1 Pharmacy Status is one of the quality criteria included in the Community Pharmacy Quality Payments Scheme (section 2.24 above) within the Public Health Domain (See Appendix Fourteen for table of Domains and links to Healthy Living Pharmacy Assessment and Registration). Pharmacies must declare their status to receive payments and may do so under this Domain in three ways:

The pharmacy has undertaken a self-assessment and has an entry on the Royal Society for Public Health (RSPH) online registry;

The pharmacy was accredited as an HLP level 1 locally between 1 December 2014 and 28 April 2017 and has a copy of the signed and dated documentation that demonstrates this;

Accredited as a HLP level 1 locally prior to 1 December 2014 and has a copy of the signed and dated documentation that demonstrates this. The pharmacy has also undertaken a self-assessment that it meets the requirements of a level 1 HLP, as defined by PHE.

There are a total of 34 pharmacies in Kirklees that are HLPs. A number of Pharmacies are working towards their RSPH accreditation to become HLPs in the near future.

2.26. Pandemic Planning The distribution of antiviral medication to patients urgently requiring them is the responsibility of NHS England through contracts in line with the Local and National Pandemic Plans.

2.27. Future Developments in Community Pharmacy In England, 438 million visits are made to community pharmacies every year (average 14 visits per person/ year), more than any other NHS setting. Over the term of the last 2015-2018 PNA, there have been many publications detailing plans, strategies, and visions for improving the public’s health. Over the 3-year term of this PNA (2018-2021), there is potential for community pharmacy services to be further developed in line with local and national strategies and frameworks. Some of the areas for future developments in community pharmacy are summarised in Appendix Fourteen and in sections 2.28-2.29 below. The Community Pharmacy Forward View, published by Pharmaceutical Services Negotiating Committee and Pharmacy Voice, with the support of the Royal Pharmaceutical Society English Pharmacy Board, on 30th August 2016, sets out the organisations’ shared ambition for the sector, focused on three key roles for the community pharmacy of the future:

As the facilitator of personalised care for people with long-term conditions;

As the trusted, convenient first port of call for episodic healthcare advice and treatment;

As the neighbourhood health and wellbeing hub.

2.28. Pharmacy Integration Fund; Integrating Pharmacy into Urgent Care

Following the announcement of the Department of Health’s new Community Pharmacy Contractual Framework and associated funding (comprising a package of proposals for 2016-2018) on 20 October 2016, NHS England announced a £42m Pharmacy Integration Fund (PhIF) to support pharmacy to transform how it operates across the NHS for the benefit of patients over the next two years as it develops new clinical pharmacy services, working practices and digital platforms to meet the public’s expectations for a modern NHS community pharmacy service (See Appendix Fourteen). The Pharmacy Integration Fund is the responsibility of NHS England and is separate to any negotiations related to the Community Pharmacy Contractual Framework (CPCF). It will be used to validate and inform any future reform of the CPCF going forward. The key


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areas for the operational delivery of the Five Year Forward View (See Appendix Fourteen) will be used as the guiding principles for deployment of the Fund. The aim of the PhIF is to support the development of clinical pharmacy practice in a wider range of primary care settings, resulting in more integrated and effective NHS primary care for patients. It will aim to shift the balance of funding from dispensing activity towards clinical activity, putting pharmacists’ skills, as well as those of other pharmacy professionals and their teams, to better use. This will improve access for patients, relieve the pressure on GPs and accident and emergency departments, ensure best use of medicines, drive better value and improve patient outcomes.

2.29. Community Pharmacy in 2016/17 and Beyond: The Pharmacy Access Scheme The Pharmacy Access Scheme (PhAS) was introduced by the Department of Health (DH) as one of the elements of the Community Pharmacy reform package implemented from December 2016. As part of this final package, the Government introduced two-year

funding cuts on community pharmacy (Link). The aim of the PhAS is to ensure that a

baseline level of patient access to NHS community pharmacy services is protected in areas where there are fewer pharmacies with higher health needs. Pharmacies in the PhAS will receive fixed monthly payments, in addition to other fees and allowances. The PhAS is to run from 1 December 2016 to 31 March 2018. Eligibility for the PhAS was calculated nationally, based on the pharmacy satisfying all of the following criteria:

The pharmacy is more than a mile away from its nearest pharmacy (measured by road distance taking into account footpaths); and,

The pharmacy is on the pharmaceutical list as at 1 September 2016; and,

The pharmacy is not in the top 25% largest pharmacies by dispensing volume.

A review process was included in the scheme to allow for consideration of extenuating circumstances such as inaccuracies, physical barriers (e.g. semi-permanent roadblocks) and “Near Miss” Pharmacies. The “Near Miss” review process allowed pharmacies in the most 20% deprived areas by Lower Super Output Area and between 0.8 and 1 mile from their nearest pharmacy and not in the top 25% of pharmacies by prescription volume to apply for the PhAS. The Current Provision Maps provided separately (Appendix Sixteen Pages 165-182) show pharmacies with a mile boundary by road.

In the Kirklees Local Authority area, there are currently 12/99 (12%) pharmacies which will be protected from the full effect of the reduction in funding from December 2016 ensuring protection of access to these services across all four District Committees and 10/23 (43%) Wards. The impact of the funding cuts on Pharmacies may result in services being withdrawn (e.g. discretionary prescription delivery for all), reductions in staff or reductions in stock holding. The likelihood of closures / consolidations and mergers is much higher than previously and the risk of this happening will be higher if the PhAS is not continued beyond March 31st 2018. The future Pharmaceutical Needs Assessment must address any resulting changes accurately and responsively.

2.30. Consideration has also been given in this assessment to pharmaceutical services provided by community pharmacy contractors in neighbouring HWBB areas, but who provide services to the Kirklees population.


https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/561495/Community_pharmacy_package_A.pdf

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2.31. In considering current and future access to community pharmacies, a balance between sustainability of the pharmaceutical services provided and value for money must be ensured.

2.32. A summary of which pharmacies are providing what services and where can be found in

in the Ward Profiles listed under “Other Relevant Services” in Section 3 and Appendix Thirteen, Tables Seven and Eight.

Controlled Localities

2.33. A controlled locality is an area which has been determined to be ‘rural in character’. The overall objective of defining rural areas as controlled localities is to help NHS England to ensure that patients in rural areas have access to pharmaceutical services which are no less adequate than would be the case in a non-controlled locality.

2.34. Where NHS England has determined that an area is controlled (i.e. rural in character),

provided certain conditions are met, doctors as well as pharmacies can dispense medicines for patients. However, GPs may only dispense NHS prescriptions for their own patients who live in a controlled locality and live more than 1.6 km (1 mile), in a direct line, from a pharmacy. The main purpose of this is to ensure patients in rural areas who might have difficulty getting to their nearest pharmacy can access the medicines they need. Patients who live in a non-controlled area or within 1.6 km (1mile) of a pharmacy must access their pharmaceutical services from a pharmacy.

2.35. The Kirklees HWBB area has two controlled locality areas in Holmfirth and Emley

situated in the Kirklees Rural District Committee area (see the Current Provision Maps Eleven Page 176 and Twelve Page 177 respectively).

Dispensing Doctors

2.36. For dispensing doctors on the dispensing doctors list, for the purposes of this

assessment, the HWBB has only identified and considered dispensing of drugs and appliances services as pharmaceutical services (Regulation 3(2)(c)).

2.37. Consideration has also been given in this assessment to dispensing services provided by

dispensing doctors in neighbouring HWBB areas, but who provide services to the Kirklees population. These services are highlighted in the relevant Ward Profiles in Section 3.

2.38. There is one dispensing practice at the Oaklands Health Centre in Kirklees (Holmfirth) dispensing patients on the list who live more than one mile from their nearest pharmacy in the NHS England controlled area (see 2.33 - 2.35 above; Map Eleven Page 176).

2.39. There is one dispensing practice based in Emley which is a branch surgery of the main

GP practice (Middlestown Group Practice) in the neighbouring Wakefield HWBB area. The Emley branch surgery dispenses to patients in Emley who live more than one mile from their nearest pharmacy in the NHS England controlled area (see 2.33, 2.35 above; Map Twelve Page 177).


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Community Pharmacy Services in Kirklees

2.40. Pharmacy Opening Hours Appendix Eleven lists by Ward all community pharmacies on the Kirklees Pharmaceutical List held by NHS England and states their “core” hours and “core plus supplementary hours” (full opening hours). Pharmacies may vary their supplementary hours and it is good practice for pharmacy contractors to update the NHS Choices website with any amendments at the end of the 90 day notice period to NHSE (see section 2.42 below).

2.41. Unscheduled Hours The Community Pharmacy Contractual Framework allows NHS England to direct community pharmacies to open for scheduled additional hours (sometimes known as a “rota” service). An assessment of the need for such a service must be carried out and discussed with the LPC and contractors. Payment for such a service is also discussed with the LPC and contractors.

2.42. Pharmacies with a Standard Contract

NHS England currently has ninety three Kirklees pharmacies on its pharmaceutical List with a standard (“40 hour”) contract. The Community Pharmacy Contractual Framework requires pharmacies to declare their 40 “core” hours to NHS England. Once agreed these can only be changed with NHS England approval. In addition pharmacies can declare as “supplementary” hours any additional time beyond their 40 core hours that they are open to the public. Pharmacies can choose to vary their supplementary hours provided they give NHS England at least 90 days’ notice (see Appendix Eleven, Figure Eight Page 111 and Figure Nine Page 112; Appendix Sixteen Current Provision Maps).

2.43. There is also a provision within Regulations which allows a pharmacy to apply for a standard contract to open for less than 40 hours. If NHS England does grant such an application it can specify which hours the pharmacy must open. There are no pharmacies in Kirklees that open for less than 40 hours.

2.44. Pharmacies with a Contract Previously Approved under the 100 hour Exemption

Kirklees HWBB currently has fifteen pharmacies on the Pharmaceutical List where a contract was approved subject to the pharmacy offering pharmaceutical services for at least 100 hours per week (see Appendix Eleven, Figure Eight Page 111 and Figure Nine Page 112; Appendix Sixteen Current Provision Maps). These are located within all four District Committee boundaries in the following Wards:

Batley and Spen

Batley East: two pharmacies

Cleckheaton: one pharmacy Dewsbury and Mirfield

Dewsbury East: one pharmacy

Dewsbury South: two pharmacies

Dewsbury West: two pharmacies

Mirfield: one pharmacy Huddersfield

Dalton: two pharmacies

Newsome: two pharmacies Kirklees Rural Colne Valley: two pharmacies

These pharmacies provide essential extended hours access to pharmaceutical services and are considered necessary to maintain an adequate network of pharmaceutical provision in the out of hours periods across the district.


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2.45. Other Exemptions: Mail Order/Wholly Internet Pharmacies (Distance Selling

Pharmacies) The HWBB has also considered and assessed pharmaceutical services provided to its population by mail order/wholly internet pharmacies that are not on this pharmaceutical list. Previous analysis of ePACT data indicates that the number of prescriptions dispensed by mail order/wholly internet pharmacies is minimal and has therefore no significant impact on the provision of pharmaceutical services across Kirklees

2.46. The HWBB currently has nine distance selling (internet pharmacies) Pharmacies on the pharmaceutical list that were approved under the Market Entry exemption (See Section 2.13 - 2.16 above

Dispensing Appliance Contractors

2.47. A contract for appliance contractors was published in April 2010, which allows appliance contractors to provide Appliance Use Reviews (AUR) and stoma customisation services (SAC). Community Pharmacies who dispense appliances can also choose to provide these Advanced Services. NHS England will ensure that, whilst the requirement for such services is low, people who need to access these services can do so within their Ward or neighbouring Wards.

2.48. Dispensing appliance contractors are unable to supply medicines. Most specialise in supplying stoma appliances.

2.49. The HWBB has no dispensing appliance contractor (DAC) included on the NHS England pharmaceutical list.

2.50. The HWBB has considered and assessed the total provision of pharmaceutical services to its population by dispensing appliance contractors outside of the pharmaceutical list. In addition to the nationwide DAC providers, there are three local DACs in neighbouring HWBB areas (Wakefield; Bingley; Pontefract) that provide Appliances Services to people living in Kirklees. Less than 1% of the total prescription volume is dispensed by dispensing appliance contractors. The HWBB therefore considers that the dispensing of prescriptions by dispensing appliance contractors has no significant impact on the provision of pharmaceutical services across Kirklees.

2.51. The HWBB has considered and assessed the total provision of pharmaceutical services

to its population by Dentists and considers that the dispensing of prescriptions by Dentists has no significant impact on the provision of pharmaceutical services across Kirklees.

2.52. Local Pharmaceutical Services Contractors

Kirklees does not currently have any Local Pharmaceutical Service contractors.

.


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Determination of Wards

2.53. The Kirklees Local Authority District is largely a combination of urban and rural areas and

it covers a geographical area of 407,237 square kilometres. Kirklees is one of 14 Local Authorities in Yorkshire and Humber and it is bordered by many neighbouring Local Authorities. The Kirklees HWBB area has direct borders with Bradford; Leeds; Wakefield; Calderdale; Barnsley; High Peak and Oldham HWBB areas.

2.54. Kirklees HWBB has direct borders with Calderdale CCG, Bradford District CCG, Leeds

West CCG, Wakefield CCG, Barnsley CCG, Tameside and Glossop CCG and Oldham CCG. The boundaries for NHS North Kirklees CCG and NHS Greater Huddersfield CCG are coterminous with that of the Local Authority.

2.55. In accordance with Regulation 9, Kirklees HWBB assessed the differing needs of 23

Electoral Wards in the HWBB’s Four District Committee areas, based on the geographic, demographic and social characteristics of the District (see Figure 1 Page 34). This enables the PNA to be integrated as a stand-alone document with the Joint Strategic Needs Assessment (JSNA). Wards are a useful size to allow for reliable comparisons to see any variation in factors such as deprivation, age, mortality rates, and admission ratios.

Matters Considered when Conducting the Assessment

2.56. The PNA was conducted in accordance with Regulation 9. Kirklees HWBB would like to highlight the following factors that were particularly important to this PNA publication:

The Joint Strategic Needs Assessment for Kirklees conducted by Kirklees Council;

The Health and Wellbeing Strategy 2014-2020: “Kirklees – Healthier Together”;

The Current Living in Kirklees (CLiK) Survey conducted in 2016;

The varying demography of the area including age profile;

The pharmaceutical services provided by pharmacies on neighbouring NHS England pharmaceutical lists;

The differing needs of travelling communities;

The availability of reasonable choice with regard to obtaining pharmaceutical services;

Future housing plans;

The ongoing developments in line with the NHS Five Year Forward View; the West Yorkshire and Harrogate Sustainability and Transformation Plan; the North Kirklees CCG and Greater Huddersfield CCG local Plans within the West Yorkshire “footprint”.


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Kirklees Overall Profile 2.57. Population

Kirklees had a resident population of around 440,000 based on 2015 GP registration data. Kirklees is one of the larger Local Authority Districts in England and Wales, ranking eleventh out of 346 Districts. Kirklees has a higher than average younger population compared with England, and a lower than average older population. The proportion of people aged over 65 is expected to increase at the same rate as national and regional averages. Further details and examples of projected figures are included in Appendix Five. The projected increase in the number of patients residing in a care home environment in the next 16 years is also highlighted in Appendix Six. The specific pharmaceutical needs of this population have been considered in this document.

2.58. Increased Prevalence of Long Term Conditions As the population lives longer, the number of people at risk of developing a chronic illness is likely to grow and the prevalence of chronic long term conditions is set to increase as a result of this. The Kirklees Joint Strategic Needs Assessment (JSNA) identified long term conditions as part of a wide range of health and wellbeing issues affecting people across Kirklees. This will have important implications for the commissioning and delivery of pharmaceutical services.

2.59. Ethnicity According to the 2011 Census, the black and minority ethnic (BME) population (this includes all people who do not classify themselves as White British) in Kirklees was 23.3% of the Kirklees population (98,568 people). The PNA Community Pharmacy Questionnaire shows that there are a wide variety of languages spoken by pharmacists across Kirklees.

2.60. Gypsies; Travellers; Roma; Showmen; Bargees are some of the most vulnerable and marginalised ethnic minority groups in Britain. They present a wide variety of complex and unique issues and their culture and needs are fundamentally different from many aspects of mainstream society. Gypsies and travellers are most likely to suffer ill health and they can experience limited access to primary health care, including immunisation programmes for children, either because they don’t have a postal address or leave sites at short notice. A Gypsy/Traveller Accommodation Needs Assessment was published in August 2015. The outcome of this Assessment can be found at: https://www.kirklees.gov.uk/beta/planning-policy/pdf/supportingDocuments/homes/Gypsy-Traveller-Travelling-Showperson-Accomm-Assessment.pdf

2.61. Areas of Deprivation: Kirklees is the 101st most deprived local authority in England (out of 326) based on the Index of Multiple Deprivation 2015, which is an improvement of 6 places since 2010. This is highlighted where appropriate in Section 3 of this document and details are included in Appendices Seven and Eight.

2.62. Access to Pharmaceutical Services The majority of the population of Kirklees reside within one mile of a Community Pharmacy (by road). Community Pharmacies are located in close proximity to health care facilities, shopping centres and transport routes. There are no Wards in the lowest quintile for material and access deprivation therefore there are no specific problems with accessing pharmacies (See Appendix Sixteen: Current Provision Maps provided separately Page 165-182).


https://www.kirklees.gov.uk/beta/planning-policy/pdf/supportingDocuments/homes/Gypsy-Traveller-Travelling-Showperson-Accomm-Assessment.pdf



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2.63. Ratio of Pharmacies to Population

The table in Appendix Twelve outlines by District Committee, the number of pharmacies serving each Ward population per 100,000 people, and compares it with the Yorkshire and Humber average and England average. The following observations are relevant to this PNA:

At 22 pharmacies per 100,000 population, Kirklees overall sits in between Yorkshire and Humber (24/100,000) and England (21/100,000);

The Ward Profile figures in Appendix Twelve show some variation in the number of pharmacies per head of population. However the urban nature of the District and proximity of neighbouring Wards means that there are minimal or no barriers to accessing pharmaceutical services;

The number of Pharmacies across the District is considered to be adequate to meet the needs of their local populations so it is important not to consider Wards in isolation but take into account service provision in neighbouring Wards, in addition to population density and population numbers living over wider geographical areas. For example, the population of Batley West Ward (based on January 2015 GP Registration files) was 19778. Although there are no pharmaceutical services in Batley West Ward, people living in this Ward access pharmaceutical services in the neighbouring Batley East and Birstall and Birkenshaw Wards where there are higher numbers of pharmacies/100,000 population than in Kirklees and West Yorkshire overall;

The highest numbers of pharmacies (34 plus 4 distance selling) are located in the Huddersfield District Committee which is made up of the highest number of Wards (7) and has the highest population in Kirklees with some of the highest population densities in the District (See Appendix Seven, Figures Eight and Nine).

2.64. Indicators of Need for Pharmaceutical Services

Poor health is related to both advancing age and material deprivation. The least healthy are likely to have the greatest need for pharmaceutical services. In addition to the information highlighting where this is particularly relevant in Section 3 of this document, the following areas of the PNA describe deprivation in Kirklees:

An overview of deprivation in Kirklees and pharmaceutical service provision in relation to deprivation and population density: Appendix Seven, Figures Eight and Nine;

A detailed analysis of a range of health and deprivation indicators to illustrate, at Ward level, how health status varies across Kirklees: Appendix Eight.

Public Surveys: The Current Living in Kirklees (CLiK) Survey

2.65. The Current Living in Kirklees (CLiK) Survey took place in 2016 involving around 8,500

Kirklees Residents. It was an extensive survey into the health, wellbeing and lifestyle of people aged over 18 years in Kirklees. The CLiK Survey gathered and updated information about the quality of life, health, behaviours, perceptions and experiences. It was the fifth CLiK Survey to be conducted, and follows on from those undertaken in 2001, 2005, 2008 and 2012. The purpose of the Survey was to inform Council and Clinical Commissioning Groups strategic plans for the commissioning of services to improve health and wellbeing. The CLiK 2016 Survey was conducted using a postal, self-completion approach. Participants could complete the Survey using the paper questionnaire which was sent to a random sample of households in Kirklees or online. Response data was weighted to be demographically representative of the population. Questions about the use of medications and ease/difficulty in accessing a community pharmacy were included in the 2016 questionnaire – see Appendix Nine. Results of these questions are reported in the District Committee Summaries in Section 3.


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Future Housing Plans: The Kirklees Local Plan 2.66. The Kirklees Local Plan will provide the framework for managing development and

addressing key planning issues in Kirklees up to 2031. The Local Plan must undergo several stages of consultation before being examined by a government-appointed Inspector; then, if found to be ‘sound,’ it can be adopted by the Council. The Local Plan has now been submitted to the Secretary of State and is going through examination in 2017 and 2018.

2.67. Overall, the Local Plan is likely to make provision for up to 31,140 dwellings in Kirklees

from 2013 to 2031, along with a wide range of other land uses including additional employment land, retail/town centre uses, sport/leisure uses and urban green spaces.

2.68. The importance of new infrastructure and facilities being provided, or existing

infrastructure and facilities being enhanced, to support the planned growth, will be emphasised in the Local Plan. It is recognised that ensuring good access to a range of infrastructure, services and facilities is an important factor in tackling deprivation and creating sustainable communities. The Plan has an important role in this, as it enables the Council, and other providers of services and facilities, to plan efficiently and focus future provision in areas where there is likely to be a need and sufficient households (and demand) capable of supporting a particular service.

2.69. A summary of potential significant housing developments (more than 25 dwellings) by

District Committee and Ward for the next five years (2017/18 to 2021/22) is tabled below. More detailed information can be found in the individual District Committee Area overview profiles and the Ward Profiles (Section 3).

District Committee Ward (s) Number of dwellings

Batley and Spen Batley East and West, Cleckheaton, Heckmondwike, Liversedge and Gomersal

3,022

Dewsbury and Mirfield Dewsbury East and South, Mirfield 1,496

Huddersfield Ashbrow, Dalton, Lindley, Newsome, Almondbury, Greenhead

4,168

Kirklees Rural Colne Valley, Denby Dale, Golcar, Holme Valley North and South, Kirkburton

3,720

Note: This data is derived from the 2016 based housing phasing information as set out in Appendix 4 of the Housing Supply Topic Paper submitted to the Local Plan Planning Inspector in July 2017.


http://www.kirklees.gov.uk/beta/planning-policy/pdf/examination/examination-documents/EX30_Housing_Supply_Topic_Paper.pdf

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Partnership Involvement and Engagement

2.70. The Pharmaceutical Needs Assessment Group was established in November 2014 and is represented by the following organisations:

Healthwatch Kirklees;

NHS England;

North Kirklees Clinical Commissioning Group;

Greater Huddersfield Clinical Commissioning Group;

Local Pharmaceutical Committee;

Local Medical Committee;

Local Authority Specialists and Commissioners.

A copy of the Terms of Reference and Membership of the Group are included in Appendix One. The HWBB would like to express its gratitude and thanks to the organisations above for their support in this PNA development.

2.71. In accordance with Regulation 8, a draft version of the PNA is shared for comment

publically and with a number of local committees, contractors and organisations for a 60-day period from 2 October 2017 – 1 December 2017. A full list of all those consulted can be found in Appendix Ten.


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3 ANALYSIS OF PHARMACEUTICAL SERVICES PROVISION BY WARD

Outline of Analysis by Ward

3.1. The information set out in the following section is a summary only of the relevant findings of the Kirklees Health and Wellbeing Board having conducted its Pharmaceutical Needs Assessment. More detailed information is included in the appendices as indicated where appropriate.

3.2. For each Ward this is summarised into six sections:

Ward Profile

Planned Developments

Necessary Services: current provision

Necessary Services: gaps in provision

Other Relevant Services: current provision

Improvements and Better Access: gaps in provision related to Market Entry and Exit Regulations

Section Definitions

3.3. Ward Profile This section includes the number of people in each area who require pharmaceutical services, the demography of the area and insights into the health burden of the area. The indicators of health burden, included in Appendix Eight should be considered alongside more descriptive and in depth information in the JSNA. A number of indicators of health and deprivation have been used, indicating, where possible, if an area differs significantly from the England average. Within the Ward profiles, information in the “Other Relevant Services: Current Provision” Sections may be used in combination with information in the “Income”, “Deprivation” and “Health Burden” Sections, to provide an illustration of how the availability of and accessibility to these Advanced services contribute to the reduction of health burden and to the improvement of health and wellbeing. Tables in Appendix Eight illustrate the levels of health burden at County Level.

3.4. Necessary services: current provision

This section details by Electoral Ward the pharmaceutical services that the HWBB has identified that are provided:

a) in the HWBB area and which are necessary to meet the need for pharmaceutical

services; b) outside the HWBB area but nevertheless contribute towards meeting the need for

pharmaceutical services. As stated earlier these would include pharmaceutical services provided by:

Pharmacies on neighbouring HWBB NHS England Pharmaceutical Lists;

Mail order/wholly internet pharmacies;

Dispensing appliance contractors;

Dispensing doctors in neighbouring HWBB areas.


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3.5. Necessary services: gaps in provision

This section details by Electoral Ward the pharmaceutical services that the HWBB has identified that are not provided (if any) and:

a) need to be provided (whether or not they are located in the HWBB area) in order to meet a

current need for pharmaceutical services, or pharmaceutical services of a specified type; b) will in specified future circumstances need to be provided (whether or not they are located

in the HWBB area) in order to meet a future need for pharmaceutical services, or pharmaceutical services of a specified type.

3.6. Other relevant services: current provision

This section details by Electoral Ward the pharmaceutical services that the HWBB has identified that are provided:

a) in the Kirklees area and which, although they are not necessary to meet the need for

pharmaceutical services in the Ward, nevertheless have secured improvements to or better access to, pharmaceutical services;

b) outside the Kirklees area and which, although they don’t contribute towards meeting the need for pharmaceutical services in the Ward, nevertheless have secured improvements to or better access to, pharmaceutical services;

c) in or outside the Kirklees area and, whilst not being services of the types described as necessary services or in (a) and (b) above, they nevertheless affect the assessment by the HWBB of the need for pharmaceutical services. As stated earlier these would include pharmaceutical services provided by or on behalf of:

NHS Hospital Trusts;

Foundation Trusts;

Community Services Providers;

NHS Clinical Commissioning Groups;

NHS Commissioning Support Units;

Private providers including Any Qualified Provider.

Note: Appendix Four is a summary of these identified Providers’ services.

3.7. Improvements and Better Access: gaps in provision related to Market Entry and Exit Regulations.

This section details the pharmaceutical services that the HWBB has identified which are not provided in each Electoral Ward and: a) would, if they were provided (whether or not they are located in the Kirklees area), secure

improvements to or better access to pharmaceutical services or pharmaceutical services of a specified type;

b) would, if in specified future circumstances they were provided (whether or not they are located in the Kirklees area), secure improvements to or better access to pharmaceutical services or pharmaceutical services of a specified type.


34



35


Batley and Spen District Committee Kirklees JSNA - Population Link; Kirklees JSNA - Batley-and-Spen District Committee Link Current Provision Map One

District Committee Map

Index of Multiple Deprivation: 2015 National Quintiles

Batley and Spen District Committee contains six Wards: Batley East (the 7th most deprived Ward in Kirklees out of 23 wards); Batley West (the 9th most deprived); Birstall and Birkenshaw (the 13th most deprived); Cleckheaton (the 15th most deprived); Heckmondwike (the 11th most deprived) and Liversedge and Gomersal (the 14th most deprived). 25% of the LSOAs in the Batley and Spen District Committee Area fall within the most deprived fifth (20%) of areas nationally.

Public Insights into Pharmaceutical Health and Wellbeing: CLIK 2016 Survey Prescription Medicines 60% of the District Committee population surveyed were taking regular prescription medications, slightly higher than Kirklees overall (58%). The breakdown of numbers of prescription medications taken is a similar picture to that of Kirklees overall:

21% had one prescription medication;

19% had two;

12% had three;

13% had four;

34% had five or more. Access to Pharmacies Most people (87%) found it easy to get to a pharmacy (5% found it difficult). 89% people did not have a problem finding a pharmacy that was open when they needed one (3% found it difficult). This was a similar picture amongst all of the Wards in Batley and Spen District Committee and also to that of Kirklees overall. Home Delivery of Prescriptions Note – this is a non-contractual discretionary service and may be reduced at any time. Overall, 20% of people had prescriptions delivered to them (similar to that of Kirklees overall (19%)) with around one third of people surveyed in Batley East and West receiving the most delivery services in the District Committee.

Future Planned Developments Sites with remaining capacity of 25 dwellings or

more which are expected to be delivered within 5 years to from 2017/18 to 2021/22 (Kirklees)

3,022 new dwellings are planned

Population pyramid (GP registered population, January 2015 extract)


http://observatory.kirklees.gov.uk/jsna/population

http://observatory.kirklees.gov.uk/jsna/batley-and-spen

36


District Committee: Batley and Spen Current Provision Maps One; Two

Batley East 3.8. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 19268. Of the 23 Wards in Kirklees, this Ward has the second highest proportion of people less than 20 years old (29.3%) and the third lowest proportion of people who are more than 60 years 16.5%). Men have the fourth lowest life expectancy (78.0 years) and women have the second highest (84.5 years). Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 58.8% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 24.6 people per hectare (Kirklees average 10.6 people per hectare).

Income

The proportion of the population living in families that are income-deprived in this Ward at 20.4% is higher than the Kirklees average of 15.6. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 34.8% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 7.5% (Kirklees average 6.5% (NOMIS Q3 2016). Unemployment in the Ward is slightly higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 2.7% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Batley East is the 7th most deprived Ward in Kirklees (out of 23), and only 15% of Wards nationally are more deprived than Batley East. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 39% is higher than that for Kirklees overall (26%).

Health Burden (See Appendix Eight)

The data below suggest that there is a significant health burden in this Ward particularly for people with chronic obstructive pulmonary disease (COPD) and coronary heart disease (CHD). People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen (In addition see 3.12 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that people in this Ward, with the exception of deaths from cancer, experience significantly worse than England death rates across all the remaining selected indicators. SMRs for deaths from all causes, all ages and deaths from respiratory disease are significantly worse than both Kirklees and England averages. Conditions where SARs are significantly worse than both England and Kirklees averages include COPD, CHD and all cause emergency admissions. The SAR for alcohol-attributable harm is significantly higher than that of the England average. Although this Ward has the lowest proportion of overweight or obese Reception-year children (significantly lower than Kirklees and England), of the 23 Wards in Kirklees, Batley East has some of the highest proportions of overweight or obese adults (28.8%).

3.9. Planned

Development

Of the 3,022 potential new dwellings (for sites 25 dwellings plus) planned for the Batley and Spen area over a five year period, 810 potential new dwellings are planned in Batley East Ward.


37


3.10. Necessary

Services: current

provision

Pharmacies 8 (including 2 x 100hour; 1 distance selling)

GP Surgeries 6 Dispensing 0

GP Extended Hrs

4 practices (1 practice provides extended hours on Saturdays).

Out of Hours Local Care Direct: 6.30pm – midnight Monday to Friday; 09:00am - midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday – Sunday (Ashbrow Ward).

Minor Injuries Unit WIC (Walk In Centre)

North Kirklees NHS WIC: Dewsbury & District Hospital; 9am – 7pm Monday – Friday; 10am – 6pm week-ends and bank holidays (Batley West Ward).

3.11. Necessary Services: gaps in provision

The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.

3.12. Other Relevant Services: current provision

Currently provide Not currently

providing

Medicines Use Reviews

6 pharmacies 2 pharmacies

New Medicine Service

5 pharmacies 1 pharmacy

Stoma Customisation


Commissioned Services

A list of commissioned services provided by the pharmacies can be found in Appendix Thirteen

3.13. Improvements and Better Access: gaps in provision related to Market Entry and Exit Regulations

None


38


District Committee: Batley and Spen Current Provision Maps One; Two

Batley West 3.14. Ward Profile

Population

The population of this Ward based on January 2015 GP Registration files was 19788. Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 37% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 45.3 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the fourth highest proportion of people less than 20 years old (29.0%). Women have the second lowest life expectancy (81.1 years) and men have the fifth lowest (78.4).

Income

The proportion of the population living in families that are income-deprived in this Ward at 18.3% is higher than the Kirklees average of 15.6. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 23.3% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 7.5% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is slightly higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 2.6% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Batley West is the 9th most deprived Ward in Kirklees (out of 23), and only 18% of Wards nationally are more deprived than Batley West. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 35% is higher than that for Kirklees overall (26%).


The data below suggest that there is a significant health burden in this Ward for people with chronic obstructive pulmonary disease (COPD), cancer and coronary heart disease (CHD) and there are significantly high all cause death rates. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen in neighbouring Wards (In addition see 3.12; 3.24 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that the SMR for deaths from all causes and cancers in people under 75 years is significantly worse than the England averages. The SMR for all causes all ages is also significantly worse than the Kirklees average as is the SMR for deaths from respiratory disease. SARs are significantly worse than both Kirklees and national averages across all the selected indicators with the exception of stroke and lung cancer diagnoses (although the lung cancer SAR is significantly higher than Kirklees average). Batley West has one of the highest proportions of overweight or obese Year Six children (35.0%). and one of the highest proportions of overweight or obese adults (28.8%) in Kirklees.

3.15. Planned

Development

Of the 3,022 potential new dwellings (for sites 25 dwellings plus) planned for the Batley and Spen area over a five year period, 237 potential new dwellings are planned in Batley West Ward.


39


3.16. Necessary

Services: current

provision

Pharmacies 0 Although there is no provider of pharmaceutical services in the Ward, the HWBB considers there is adequate choice of provider, taking into consideration the proximity of pharmacies in neighbouring Wards.


GP Extended Hrs

1 practice





Although there is no provider of pharmaceutical services in the Ward, people living in this Ward access pharmaceutical services in the neighbouring Batley East and Birstall and Birkenshaw Wards where there are higher numbers of pharmacies/ 100000 population than Kirklees, England and Yorkshire and Humber (See Appendix Twelve), and where there are pharmacies providing extended opening hours. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


40


District Committee: Batley and Spen Current Provision Maps One; Three

Birstall and Birkenshaw 3.20. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 16827. Of the 23 Wards in Kirklees, women have the fifth lowest life expectancy (81.3 years). Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 5.3% (Kirklees average 23.3). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 13.6 people per hectare (Kirklees average 10.6 people per hectare).

Income

The proportion of the population living in families that are income-deprived in this Ward at 13% is lower than the Kirklees average of 15.6%. The proportion of people claiming benefits is lower than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 14.7% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 5.3% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also lower than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 1.6% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Birstall and Birkenshaw is the 13th most deprived Ward in Kirklees (out of 23), and 34% of Wards nationally are more deprived than Birstall and Birkenshaw. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 10% is lower than that for Kirklees overall (26%).


The data below suggest that the health of the residents in this Ward is relatively good compared with Kirklees overall. People in this Ward may benefit from targeted Services particularly related to coronary heart disease prevention and reducing alcohol harms. Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that no SARs or SMRs are significantly worse than Kirklees averages. However, the SARs for alcohol and all cause emergency admissions and the SMR for deaths from CHD are significantly higher than national averages.

3.21. Planned

Developments

Of the 3,022 potential new dwellings (for sites 25 dwellings plus) planned for the Batley and Spen area over a five year period, 554 potential new dwellings are planned in the Birstall and Birkenshaw Ward

3.22. Necessary

Services: current

provision

Pharmacies 5

GP Surgeries 4 (2 main; 2 branch) Dispensing 0

GP Extended Hrs

1 practice

Out of Hours Local Care Direct: 6.30pm – midnight Monday – Friday; 09:00am - midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday – Sunday (Ashbrow Ward).


41








providing





Stoma Customisation

1 pharmacy 4 pharmacies




None


42



Cleckheaton 3.26. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 17146. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 6.2% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 15.2 people per hectare (Kirklees average 10.6 people per hectare). Men and women living in this Ward have some of the highest life expectancies in Kirklees (80.6 years, 83.2 years respectively).

Income

The proportion of the population living in families that are income-deprived in this Ward at 12.4% is lower than the Kirklees average of 15.6%. The proportion of people claiming benefits is lower than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 14.9% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 5.4% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also lower than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 1.9% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Cleckheaton is the 15th most deprived Ward in Kirklees (out of 23), and 35% of Wards nationally are more deprived than Cleckheaton. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 11% is lower than that for Kirklees overall (26%).


The data below indicates that there is a significant health burden in this Ward for people with weight management problems and chronic obstructive pulmonary disease (COPD). People in this Ward may benefit from targeted COPD and weight management services and will benefit from those services provided by pharmacies detailed in Appendix Thirteen (In addition see 3.30 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that although no SMRs across the selected indicators are significantly worse than both England or Kirklees averages, the SAR for COPD is significantly worse than both Kirklees and England averages. Of the 23 Wards in Kirklees, Cleckheaton Ward has the highest proportion of overweight or obese adults (29.4%).

3.27. Planned

Developments

Of the 3,022 potential new dwellings (for sites 25 dwellings plus) planned for the Batley and Spen area over a five year period, 776 potential new dwellings are planned in Cleckheaton Ward.

3.28. Necessary

Services: current

provision

Pharmacies 4 (including 1 x 100 hour)


GP Extended Hrs

2 practices


43








Currently provide Not currently providing





Stoma Customisation





None


44



Heckmondwike 3.32. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 18929. Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 25.7% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is much higher than the Kirklees average at 34.9 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the fourth highest proportion of people less than 20 years old (26.7 %) and the fifth lowest proportions of pensioners living alone (29.2%); significantly lower than that of both Kirklees and England overall. Women have the fourth lowest life expectancy (81.1 years).

Income

The proportion of the population living in families that are income-deprived in this Ward at 15.7% is similar to the Kirklees average of 15.6%. Those people of a pensionable age claiming Pension Credit, at 18.8% is slightly higher than the Kirklees average (17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) at 5.9% is slightly lower (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is similar to the Kirklees average with the proportion of people claiming Job Seekers Allowance at 2.2% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Heckmondwike is the 11th most deprived Ward in Kirklees (out of 23), and only 24% of Wards nationally are more deprived than Heckmondwike. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 33% is higher than that for Kirklees overall (26%).


The data below suggest that there is a significant health burden in this Ward for people with coronary heart disease (CHD) and lung cancer. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen (In addition see 3.36 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that although there are no SMRs that are significantly worse than Kirklees averages across the selected indicators, the SMR for deaths from all causes is significantly worse than the England average. Standardised Admission Ratios are significantly worse than both Kirklees and England averages for CHD and “all causes”, and significantly worse than the national average for lung cancer diagnoses. Of the 23 Wards in Kirklees, Heckmondwike has the third highest proportion of overweight or obese Year Six children (36.2%) and adults (29%), and the fourth highest proportion of overweight or obese Reception-year children (24.9%).

3.33. Planned

Developments

Of the 3,022 potential new dwellings (for sites 25 dwellings plus) planned for the Batley and Spen area over a five year period, 96 potential new dwellings are planned in the Heckmondwike Ward.

3.34. Necessary

Services: current

provision

Pharmacies 4


GP Extended Hrs

3


45


Out of Hours Local Care Direct: 6.30pm – midnight Monday to Friday; 09:00am - midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday to Sunday (Ashbrow Ward).




The HWBB considers that whilst there is no extended hour provision of pharmaceutical services after 18:45 Monday to Friday and no extended hour provision Sundays in the Heckmondwike Ward, the GPOOH and Minor Injuries Units are located in a neighbouring District Committee (Huddersfield where there are 100 hour pharmacies providing necessary extended hour pharmaceutical services) and Ward (Batley West where there is easy access to 100 hour pharmaceutical services in the neighbouring Batley East and Birstall and Birkenshaw Wards) respectively. With respect to pharmaceutical services provision for the surgeries offering extended hours, there are three 100 hour pharmacies providing extended hours provision in neighbouring Wards (two pharmacies in Batley East Ward and one pharmacy in the Cleckheaton Ward. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


46



Liversedge and Gomersal 3.38. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 19154. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 5.9% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 14.7 people per hectare (Kirklees average 10.6 people per hectare).

Income

The proportion of the population living in families that are income-deprived in this Ward at 13.7% is lower than the Kirklees average of 15.6%. The proportion of people claiming benefits is similar to Kirklees averages. Those people of a pensionable age claiming Pension Credit is 17.1% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 7.0% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also similar to the Kirklees average with the proportion of people claiming Job Seekers Allowance at 2.2% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Liversedge and Gomersal is the 14th most deprived Ward in Kirklees (out of 23), and only 35% of Wards nationally are more deprived than Liversedge and Gomersal. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 29% is only slightly higher than that for Kirklees overall (26%).


The data below suggest that there is a significant health burden in this Ward across most of the selected conditions especially for chronic obstructive pulmonary disease (COPD). People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen (In addition see 3.42 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that although no SMRs are significantly worse than Kirklees averages, the SMRs for “all causes, all ages”; circulatory diseases and CHD are significantly worse than national averages. The SARs are significantly worse than both the England and Kirklees averages for chronic obstructive pulmonary disease and significantly worse than national averages for lung cancer diagnoses and “all causes”. Of the 23 Wards in Kirklees, Liversedge and Gomersal Ward has the third highest proportion of overweight or obese Reception-year children (25.9%).

3.39. Planned

Developments

Of the 3,022 potential new dwellings (for sites 25 dwellings plus) planned for the Batley and Spen area over a five year period, 549 potential new dwellings are planned in the Liversedge and Gomersal Ward.

3.40. Necessary

Services: current

provision

Pharmacies 2


GP Extended Hrs

1 practice

Out of Hours Local Care Direct: 6.30pm – midnight Monday to Friday; 09:00am - midnight week-ends/ bank


47


holidays (Dewsbury East Ward). Midnight – 09:00am Monday to Sunday (Ashbrow Ward).


North Kirklees NHS WIC: Dewsbury & District Hospital; 9am – 7pm Monday to Friday; 10am – 6pm week-ends and bank holidays (Batley West Ward).


The HWBB considers that whilst there is no extended hour provision of pharmaceutical services in the Liversedge and Gomersal Ward, the GPOOH and Minor Injuries Units are located in a neighbouring District Committee (Huddersfield where there are 100 hour pharmacies providing necessary extended hour pharmaceutical services) and Ward (Batley West where there is easy access to 100 hour pharmaceutical services in the neighbouring Batley East and Birstall and Birkenshaw Wards) respectively. With respect to pharmaceutical services provision for the surgery offering extended hours, there are three 100 hour pharmacies providing extended hours provision in neighbouring Wards (two pharmacies in Batley East Ward and one pharmacy in the Cleckheaton Ward). The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


48


Dewsbury and Mirfield District Committee Kirklees JSNA - Population Link; Kirklees JSNA - Batley-and-Spen District Committee Link Current Provision Map Four


Index of Multiple Deprivation 2015 National Quintiles

Dewsbury and Mirfield District Committee contains four Wards: Dewsbury East (the 2nd most deprived Ward in Kirklees out of 23 wards); Dewsbury South (the 8th most deprived); Dewsbury West (the most deprived Ward in Kirklees) and Mirfield (the 19th most deprived). 39% of the LSOAs in the Dewsbury and Mirfield District Committee Area fall within the most deprived fifth (20%) of areas nationally.

Health and Wellbeing: CLIK 2016 Survey Prescription Medicines 59% of the District Committee population surveyed were taking regular prescription medications (Kirklees overall – 58%). Of those taking prescription medications:


20% had two;

15% had three;

12% had four;

34% had five or more. There were higher percentages of people receiving prescription medicines in Mirfield (64%) and lower percentages in Dewsbury South (53%). Access to Pharmacies Most people (84%) found it easy to get to a pharmacy. Overall, 5% found it difficult although the highest proportion of people surveyed with difficulties were in Dewsbury West Ward (10%). 89% did not have a problem finding a pharmacy that was open when they needed one (2% found it difficult). This was a similar picture to that of Kirklees overall. Home Delivery of Prescriptions Note – this is a non-contractual discretionary service and may be reduced at any time. Overall, more people (26%) had prescriptions delivered to them than Kirklees overall (19%) with people surveyed in Dewsbury East (31%) and West (38%) receiving the most delivery services in the District Committee.

Future Planned Developments Sites with remaining capacity of 25 dwellings or more which are expected to be delivered within 5

years from 2017/18 to 2021/22 (Kirklees)





http://observatory.kirklees.gov.uk/jsna/batley-and-spen

49


District Committee: Dewsbury and Mirfield Current Provision Maps Four; Five

Dewsbury East 3.44. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 18505. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 18% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 28.0 people per hectare (Kirklees average 10.6 people per hectare). Men have the second lowest life expectancy (76.3 years) and women have the third lowest life expectancy (81 years) in Dewsbury East Ward.

Income

The proportion of the population living in families that are income-deprived in this Ward at 19.3% is higher than the Kirklees average of 15.6%. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 23% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 8.4% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 3.1% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Dewsbury East is the 2nd most deprived Ward in Kirklees (out of 23), and only 13% of Wards nationally are more deprived than Dewsbury East. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 36% is higher than that for Kirklees overall (26%).


These data suggest that, with the exception of stroke, there is a significant health burden in this Ward across all the remaining selected indicators. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen (In addition see 3.48 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that although no SMRs are significantly worse than Kirklees averages, the SMR for deaths from “all causes” is significantly higher than the England averages. Conditions where Standardised Admission Ratios (SARs) are significantly worse than both Kirklees and England averages include chronic obstructive pulmonary disease and “all cause” emergency admissions with the SARs for coronary heart disease and alcohol attributable harm being significantly worse than the England averages. Of the 23 Wards in Kirklees, Dewsbury East has the second highest proportion of overweight or obese Reception-year children (26.2 %) and the fifth highest proportion of overweight or obese adults (28.9 %).

3.45. Planned Development

Of the 1,496 potential new dwellings (for sites 25 dwellings plus) planned for the Dewsbury and Mirfield area over a five year period, 419 potential new dwellings are planned in Dewsbury East Ward.


50


3.46. Necessary

Services: current

provision

Pharmacies 7 (including 1 x 100 hour, 1 x distance selling)


GP Extended Hrs

3 practices

Out of Hours Local Care Direct: 6.30pm – midnight Monday to Friday; 09:00am - midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday to Sunday (Ashbrow Ward).


North Kirklees NHS WIC: Dewsbury & District Hospital; 9am – 7pm Monday to Friday; 10am – 6pm week-ends and bank holidays (Batley West Ward).





providing





Stoma Customisation





None


51



Dewsbury South 3.50. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 19952. Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 48% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 13.8 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the third highest proportion of people less than 20 years old (29.3%) and the fifth lowest proportion of people who are more than 60 years old (17.6%). This Ward has the third lowest proportion of pensioners living alone (28.3% - significantly lower than both Kirklees and England overall).

Income

The proportion of the population living in families that are income-deprived in this Ward at 20.3% is higher than the Kirklees average of 15.6%. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 28.8% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 7.8% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is similar to the Kirklees average with the proportion of people claiming Job Seekers Allowance at 2.5% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Dewsbury South is the 8th most deprived Ward in Kirklees (out of 23), and only 17% of Wards nationally are more deprived than Dewsbury South. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 40% is much higher than that for Kirklees overall (26%).


The data below suggest that there is a significant health burden in this Ward across the majority of the selected indicators and particularly so for people with coronary heart disease (CHD). People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen (In addition see 3.54 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that with the exception of deaths from cancer and stroke, SMRs are significantly worse than England averages across all the remaining conditions. Deaths from all causes under 75 years and coronary heart disease (CHD) are significantly worse than both Kirklees and England averages as are emergency admissions for CHD and “all causes”. Other conditions where SARs are significantly worse than national averages include COPD and lung cancer diagnoses. Of the 23 Wards in Kirklees, Dewsbury South has the second highest proportion of overweight or obese adults (29.3%).

3.51. Planned

Developments

Of the 1,496 potential new dwellings (for sites 25 dwellings plus) planned for the Dewsbury and Mirfield area over a five year period, 715 potential new dwellings are planned in Dewsbury South Ward.

3.52. Necessary Pharmacies 6 (2 x 100 hour).


52


Services: current

provision


GP Extended Hrs

1 practice








providing





Stoma Customisation





None


53



Dewsbury West 3.56. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 22188. Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 54.8% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 40.4 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the highest proportion of people less than 20 years old (34.2%) and the lowest proportion of people 60 years old plus (12.5%).

Income

The proportion of the population living in families that are income-deprived in this Ward at 25.9% is much higher than the Kirklees average of 15.6%. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 37% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 9.9% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 3.2% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Dewsbury West is the most deprived Ward in Kirklees (out of 23), and only 5% of Wards nationally are more deprived than Dewsbury West. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 65% is much higher than that for Kirklees overall (26%).


The data below suggest that there is a significant health burden for people living in this Ward across all of the selected indicators, and that the health of people living in this Ward is relatively poor. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen (In addition see 3.60 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that the SMRs for “all causes”, coronary heart disease, and circulatory disease are significantly worse than both England and Kirklees averages. Standardised Admission Ratios (SARs) are significantly worse than both Kirklees and England averages across most of the selected indicators except for lung cancer diagnoses where the SAR is significantly worse than the England average but not the Kirklees average. Of the 23 Wards in Kirklees, Dewsbury West has one of the highest proportion of overweight or obese Year six children (37.4% - significantly higher than both Kirklees and England overall) and the third highest proportion of overweight or obese adults (29%).

3.57. Planned

Development

Of the 1,496 potential new dwellings (for sites 25 dwellings plus) planned for the Dewsbury and Mirfield area over a five year period, 88 potential new dwellings are planned in the Dewsbury West Ward.

3.58. Necessary

Services: current

provision

Pharmacies 6 (2 x 100 hour)


GP Extended Hrs

1 practice


54









providing





Stoma Customisation





None


55



Mirfield 3.62. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 19815. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 5% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 14.7 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the second lowest proportion of people less than 20 years old (20.9%) and the highest proportion of people who are more than 60 years (29.3%). Women have the fourth highest life expectancy (84.0 years).

Income


Deprivation

Mirfield is the 5th least deprived Ward in Kirklees (out of 23), and 52% of Wards nationally are more deprived than Mirfield. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 9% is much lower than that for Kirklees overall (26%).

Health Burden

The data below suggest that people living in this Ward have relatively good health. Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that there are no conditions where SMRs and SARs are significantly worse than Kirklees or England averages. The SAR for admissions related to chronic obstructive pulmonary disease is significantly better than that of both the Kirklees and England average.

3.63. Planned

Development

Of the 1,496 potential new dwellings (for sites 25 dwellings plus) planned for the Dewsbury and Mirfield area over a five year period, 274 potential new dwellings are planned in the Mirfield Ward.

3.64. Necessary

Services: current

provision

Pharmacies 4 (1 x 100 hour).


GP Extended Hrs

1 practice

Out of Hours Local Care Direct: 6.30pm – midnight, Monday – Friday; 09:00am - midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday – Sunday (Ashbrow Ward).




56






providing





Stoma Customisation





None


57


Huddersfield District Committee Kirklees JSNA - Population Link; Kirklees JSNA - Huddersfield District Committee Link Current Provision Map Six



Huddersfield District Committee contains seven Wards: Almondbury (the 16

th most deprived Ward in

Kirklees out of 23 Wards); Ashbrow (the 5th most

deprived); Crosland Moor and Netherton (the 3rd

most deprived); Dalton (the 4

th most deprived); Greenhead

(the 10th most deprived); Lindley (the 18

th most

deprived) and Newsome (the 6th most deprived).

33% of the LSOAs in the Huddersfield District Committee Area fall within the most deprived fifth (20%) of areas nationally.

Health and Wellbeing: CLIK 2016 Survey Prescription Medicines 56% of the District Committee population surveyed were taking regular prescription medications, slightly lower than Kirklees overall (58%). Of those taking prescription medications:


19% had two;

14% had three;

12% had four;

36% had five or more.

There were higher proportions of people receiving prescription medicines in Crosland Moor and Netherton (66%) and Dalton (61%) and lower proportions in Newsome (49%). Access to Pharmacies Most people (85%) found it easy to get to a pharmacy (6% found it difficult) and 89% did not have a problem finding a pharmacy that was open when they needed one (4% found it difficult). There was a similar or better picture of access to pharmacies across all the Wards in Huddersfield District Committee to that of Kirklees overall. Home Delivery of Prescriptions Note – this is a non-contractual discretionary service and may be reduced at any time. Overall, 18% of people had prescriptions delivered to them (similar to that of Kirklees - 19%), with people surveyed in Asbrow receiving the most delivery services in the District Committee (30%).

Future Planned Developments Sites with remaining capacity of 25 dwellings or more which are expected to be delivered within 5

years from 2017/18 to 2021/22 (Kirklees)





http://observatory.kirklees.gov.uk/jsna/huddersfield

58


District Committee: Huddersfield Current Provision Maps Six; Seven

Almondbury 3.68. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 18371. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 13.3% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 18.9 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the fifth lowest proportion of people less than 20 years old (22.9%) and the fourth highest proportion of people who are more than 60 years 26.1%).

Income


Deprivation

Almondbury is the 16th most deprived Ward in Kirklees (out of 23), and only 37% of Wards nationally are more deprived than Almondbury. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 16% is much lower than that for Kirklees overall (26%).

Health Burden

The data below suggest that there is significant health burden in this Ward for circulatory diseases, stroke and chronic obstructive pulmonary disease (COPD). People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen (In addition see 3.72 and Appendix Three). Standardised Mortality Ratios (SMRs) are significantly worse than England averages for deaths from all causes, all ages and deaths from circulatory diseases and stroke as is the Standardised Admission Ratio (SAR) for “all cause” emergency admissions and COPD.

3.69. Planned

Development

Of the 4,168 potential new dwellings (for sites 25 dwellings plus) planned for the Huddersfield area over a five year period, 335 potential new dwellings are planned in the Almondbury Ward.

3.70. Necessary

Services: current

provision

Pharmacies 3


GP Extended Hrs

2 practices

Out of Hours Local Care Direct: 6.30pm – 10pm week days and 9am – 10pm weekends/bank holidays (Lindley Ward); 6:30pm – midnight week days and 09:00am - midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday – Sunday (Ashbrow Ward).


59



Calderdale NHS WIC: Horne Street Health Centre; 8am–8pm weekends and bank holidays (neighbouring HWBB). North Kirklees NHS WIC: Dewsbury & District Hospital; 9am – 7pm week days; 10am – 6pm week-ends and bank holidays (Batley West Ward).


The HWBB considers that whilst there is no extended hour provision of pharmaceutical services Monday to Friday and no extended hour provision Saturday afternoons and Sundays in the Almondbury Ward, the GPOOH and Minor Injuries Units are located in a District Committee (Dewsbury and Mirfield) and in a neighbouring HWBB area (Halifax) where there is easy access to pharmacies providing necessary extended hour pharmaceutical services. With respect to pharmaceutical services provision for the surgeries offering extended hours, there are four 100 hour pharmacies within the Huddersfield District Committee area providing extended hours provision in neighbouring Wards (two pharmacies in Dalton Ward; two pharmacies in Newsome Ward and one additional 40 hour pharmacy in Ashbrow Ward providing extended opening hours. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


60


District Committee: Huddersfield Current Provision Maps Six; Eight

Ashbrow 3.74. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 21045. Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 41.4% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 16.4 people per hectare (Kirklees average 10.6 people per hectare).

Income

The proportion of the population living in families that are income-deprived in this Ward at 22.3% is higher than the Kirklees average of 15.6%. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 20.7% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 9.2% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 3.3% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Ashbrow is the 5th most deprived Ward in Kirklees (out of 23), and only 14% of Wards nationally are more deprived than Ashbrow. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 55% is much higher than that for Kirklees overall (26%).


These data show that there is a significant health burden in this Ward particularly for people with lung cancer, respiratory disease, circulatory disease and alcohol related problems. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen in this Ward (In addition see 3.78 and Appendix Three). Data in Appendix Eight show that the Standardised Mortality Ratios (SMRs) are significantly worse than both the England and Kirklees averages for deaths from all causes under 75 years and significantly worse than the England average for deaths from cancers under 75 years. Standardised Admission Ratios (SARs) are significantly worse than both Kirklees and England averages for all cause emergency admissions and alcohol-attributable harm. Emergency admissions for chronic obstructive pulmonary disease and lung cancer diagnosis are significantly worse than the England average. Of the 23 Wards in Kirklees, Ashbrow Ward has the highest proportion of overweight or obese reception children (27.0% - significantly worse than Kirklees and England overall) and one of the highest proportions of overweight or obese Year Six children (37.4% - significantly worse than both Kirklees and England overall).

3.75. Planned

Development

Of the 4,168 potential new dwellings (for sites 25 dwellings plus) planned for the Huddersfield area over a five year period, 848 potential new dwellings are planned in the Ashbrow Ward.

3.76. Necessary

Services: current

provision

Pharmacies 4


GP Extended Hrs

1 practice


61


Out of Hours

Local Care Direct: 6.30pm – 10pm week days and 9am – 10pm weekends/bank holidays (Lindley Ward); 6:30pm – midnight week days and 09:00am - midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday – Sunday (Ashbrow Ward).

Minor Injuries Units WIC (Walk In Centre)



One 40 hour pharmacy provides extended opening hours Monday to Sunday and two 40 hour pharmacies provide opening hours Saturday.mornings. The HWBB considers that in addition to the pharmaceutical services provided by the pharmacy above, whilst there is no extended core hour provision of pharmaceutical services Monday to Friday and no extended core hour provision Sundays in the Asbrow Ward, the Minor Injuries Units are located in a District Committee (Dewsbury and Mirfield) and in a neighbouring HWBB area (Halifax) where there is easy access to pharmacies providing necessary extended hour pharmaceutical services. With respect to core pharmaceutical services provision for the GPOOH service and surgeries offering extended hours, there are four 100 hour pharmacies providing extended hours provision in neighbouring Wards (two pharmacies in Dalton Ward; two pharmacies in Newsome Ward) in addition to the 40 hour pharmacy providing extended opening hours Monday to Sunday above. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


62



Crosland Moor and Netherton 3.80. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 20636. Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 44.6% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 25.5 people per hectare (Kirklees average 10.6 people per hectare).

Income

The proportion of the population living in families that are income-deprived in this Ward at 22.3% is higher than the Kirklees average of 15.6%. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 21.2% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 8.5% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 3.1% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Crosland Moor and Netherton is the 3th most deprived Ward in Kirklees (out of 23), and only 13% of Wards nationally are more deprived than Crosland Moor and Netherton. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 57% is much higher than that for Kirklees overall (26%).


The following data show that there is a significant health burden in this Ward particularly for people with coronary heart disease (CHD), circulatory diseases, stroke and alcohol related problems. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen in this Ward (In addition see 3.84 and Appendix Three). Data in Appendix Eight show that Standardised Mortality Ratios (SMRs) are significantly worse than England averages for deaths from all causes, circulatory diseases and CHD. The SMR for deaths from circulatory disease and stroke is significantly worse than both Kirklees and England averages. Standardised Admission Ratios (SARs) are significantly worse than both England and Kirklees averages for all cause emergency admissions and alcohol-attributable harm and significantly worse than the England average for stroke.

3.81. Planned

Development

Of the 4,168 potential new dwellings (for sites 25 dwellings plus) planned for the Huddersfield area over a five year period, 445 potential new dwellings are planned in Crosland Moor and Netherton Ward.

3.82. Necessary

Services: current

provision

Pharmacies 4


GP Extended Hrs

3 practices (1 practice provides extended hours on Saturdays


63






One 40 hour pharmacy provides extended opening hours Saturday mornings. The HWBB considers that in addition to the pharmaceutical services provided by the pharmacy above, whilst there is no extended core hour provision of pharmaceutical services Monday to Friday and no extended core hour provision Saturdays and Sundays in the this Ward, the Minor Injuries Units are located in a District Committee (Dewsbury and Mirfield) and in a neighbouring HWBB area (Halifax) where there is easy access to pharmacies providing necessary extended hour pharmaceutical services. With respect to core pharmaceutical services provision for the GPOOH service and surgeries offering extended hours, there are four 100 hour pharmacies providing extended hours provision in neighbouring Wards (two pharmacies in Dalton Ward; two pharmacies in Newsome Ward) in addition to the 40 hour pharmacy providing extended opening hours Saturdays (mentioned above). The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


64



Dalton 3.86. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 18275. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 21.4% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 15.6 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the second highest proportion of pensioners living alone (36.6% - significantly higher than both Kirklees and England overall).

Income

The proportion of the population living in families that are income-deprived in this Ward at 20.6% is higher than the Kirklees average of 15.6%. The proportion of people of a pensionable age claiming Pension Credit at 17.8% is similar to the Kirklees average (17.5%). The proportion of people claiming Employment and Support Allowance and Incapacity Benefits (ESA) at 8.0% is higher than the Kirklees average (6.5% (NOMIS Q3 2016)). Unemployment in the Ward is slightly higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 3.0% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Dalton is the 4th most deprived Ward in Kirklees (out of 23), and only 14% of Wards nationally are more deprived than Dalton. However, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 27% is similar to that for Kirklees overall (26%).


The following data show that there is a significant health burden in this Ward particularly for people with respiratory diseases. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen in this Ward (In addition see 3.90 and Appendix Three). Data in Appendix Eight show that the Standardised Mortality Ratio (SMR) for deaths from all causes under 75 years is significantly worse than both the Kirklees and England averages. The SMR for deaths from coronary heart disease and deaths from circulatory diseases are significantly worse than England averages. Standardised Admission Ratios (SARs) are significantly worse than both Kirklees and England averages for all cause emergency admissions and chronic obstructive pulmonary disease. The SAR for alcohol-attributable harm and lung cancer diagnosis is significantly worse than the England average.

3.87. Planned

Development

Of the 4,168 potential new dwellings (for sites 25 dwellings plus) planned for the Huddersfield area over a five year period, 529 potential new dwellings are planned in the Dalton Ward.

3.88. Necessary

Services: current

provision

Pharmacies 5 (including 2 x 100 hour).


GP Extended Hrs

0 practices

Out of Hours Local Care Direct: 6.30pm – 10pm week days and 9am – 10pm weekends/bank holidays (Lindley Ward); 6:30pm – midnight week days and 09:00am -


65


midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday – Sunday (Ashbrow Ward).







providing





Stoma Customisation





None


66



Greenhead 3.92. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 22010. Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 50.4% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is much higher than the Kirklees average at 46.1 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the fourth lowest proportion of people who are more than 60 years (16.7%). Men have the third lowest life expectancy (77.3 years).This Ward has the third highest proportion of pensioners living alone (35.3% - significantly higher than both Kirklees and England overall).

Income

The proportion of the population living in families that are income-deprived in this Ward at 18.7% is slightly higher than the Kirklees average of 15.6%. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 23.9% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 7.4% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 3.6% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation (See Appendix Eight)

Greenhead is the 10th most deprived Ward in Kirklees (out of 23), and only 18% of Wards nationally are more deprived than Greenhead. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 40% is much higher than that for Kirklees overall (26%).

Health Burden (See Appendic Eight)

The following data show that there is a significant health burden in this Ward particularly for people with circulatory diseases and coronary heart disease (CHD). People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen in this Ward (In addition see 3.96 and Appendix Three). Data in Appendix Eight show that the Standardised Mortality Ratios for deaths from all causes and circulatory diseases are significantly worse than England averages. Standardised Admission Ratios are significantly worse than both Kirklees and England averages for “all cause” emergency admissions and for CHD. Of the 23 Wards in Kirklees, Greenhead Ward has the second lowest proportion of overweight or obese adults (23%).

3.93. Planned

Development

Of the 4,168 potential new dwellings (for sites 25 dwellings plus) planned for the Huddersfield area over a five year period, 41 potential new dwellings are planned in the Greenhead Ward.

3.94. Necessary

Services: current

provision

Pharmacies 9 (including 2 x distance selling).


GP Extended Hrs

1 practice


67






There are three pharmacies providing extended opening hours until 7pm Monday - Friday. The HWBB considers that in addition to the pharmaceutical services provided by the three pharmacies above, whilst there is no core extended hour provision of pharmaceutical services Monday to Friday and no extended hour provision Sundays in the Greenhead Ward, the GPOOH is located within other Wards where there is easy access to pharmacies providing necessary extended hour pharmaceutical services. The Minor Injuries Units are located in a District Committee (Dewsbury and Mirfield) and in a neighbouring HWBB area (Halifax) where there are pharmacies providing necessary extended hour pharmaceutical services. With respect to pharmaceutical services provision for the surgeries offering extended hours, there are five pharmacies providing extended hours provision in neighbouring Wards (two 100 hour pharmacies in Dalton Ward; two 100 hour pharmacy in Newsome Ward; one 40 hour pharmacy providing extended opening hours in Ashbrow Ward) in addition to the pharmacies in the Ward offering extended opening hours. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


68



Lindley 3.98. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 19518. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 17.9% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 28.2 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the fifth highest proportion of pensioners living alone (33.1%).

Income


Deprivation

Lindley is the 6th least deprived Ward in Kirklees (out of 23), and 50% of Wards nationally are more deprived than Lindley. No people in this Ward are living in the top fifth of most multiply deprived neighbourhoods in England.


The following data show that health of people in this Ward is similar to or better than Kirklees overall. Data in Appendix Eight show that there are no SMRs where deaths across the selected indicators are significantly worse than England and/or Kirklees averages. The SMR for deaths from chronic obstructive pulmonary is significantly lower than both Kirklees and England averages. With the exception of the Standardised Admissions Ratio (SAR) for “all cause” emergency admissions, (which is significantly worse than the England average) SARs compared with Kirklees and England, are similar to or significantly lower. Of the 23 Wards in Kirklees, Lindley Ward has the third lowest proportion of obese or overweight adults (24.5%).

3.99. Planned

Development

Of the 4,168 potential new dwellings (for sites 25 dwellings plus) planned for the Huddersfield area over a five year period, 658 potential new dwellings are planned in Lindley Ward.

3.100. Necessary

Services: current

provision

Pharmacies 5 (including 2 x distance selling).


GP Extended Hrs

1 practice



69





There is one pharmacy providing extended opening hours until 7pm Monday to Wednesday and Friday and one pharmacy providing extended opening hours Saturday Mornings. The HWBB considers that in addition to the pharmaceutical services provided by the two pharmacies above, whilst there is no core extended hour provision of pharmaceutical services Monday to Sunday in the Lindley Ward, the GPOOH is located within the other Wards where there are pharmacies providing necessary extended hour pharmaceutical services. The Minor Injuries Units are located in a District Committee (Dewsbury and Mirfield) and in a neighbouring HWBB area (Halifax) where there are pharmacies providing necessary extended hour pharmaceutical services. With respect to pharmaceutical services provision for the surgeries offering extended hours, there are five pharmacies providing extended hours provision in neighbouring Wards (two 100 hour pharmacies in Dalton Ward; two 100 hour pharmacy in Newsome Ward; one 40 hour pharmacy providing extended opening hours in Ashbrow Ward) in addition to the two pharmacies above. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


70



Newsome 3.104. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 22382. Based on the 2011 census, the proportion of residents who are non-White British is higher than the Kirklees average at 33.8% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 26.3 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the lowest proportion of people less than 20 years old (20.4%) and the second lowest proportion of people who are more than 60 years 16.2%). Men and women have the lowest life expectancies in Kirklees (76.1 years and 80.3 years respectively). This Ward has the highest proportion of pensioners living alone (38.5% - significantly higher than both Kirklees and England overall).

Income

The proportion of the population living in families that are income-deprived in this Ward at 19.9% is slightly higher than the Kirklees average of 15.6%. The proportion of people claiming benefits is higher than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 27.1% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 7.7% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is slightly higher than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 2.9% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Newsome is the 6th most deprived Ward in Kirklees (out of 23), and only 15% of Wards nationally are more deprived than Newsome. In addition, the proportion of people living in the top fifth of most multiply deprived neighbourhoods in England at 48% is much higher than that for Kirklees overall (26%).


The following data show that there is a significant health burden in this Ward across most of the conditions. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen in this Ward (In addition see 3.108 and Appendix Three). Data in Appendix Eight show that the Standardised Mortality Ratios (SMRs) are significantly worse than both the Kirklees and England averages for deaths from all causes; circulatory diseases, stroke and respiratory disease. Standardised Admission Ratios are significantly worse than both Kirklees and England averages for alcohol-attributable harm and significantly worse than the England average for “all cause” emergency admissions.

3.105. Planned

Development

Of the 4,168 potential new dwellings (for sites 25 dwellings plus) planned for the Huddersfield area over a five year period, 1312 potential new dwellings are planned in Newsome Ward.

3.106. Necessary

Services: current

provision

Pharmacies 8 (including 2 x 100 hour).


GP Extended Hrs

2 practices

Out of Hours Local Care Direct: 6.30pm – 10pm week days and 9am – 10pm weekends/bank holidays (Lindley


71


Ward); 6:30pm – midnight week days and 09:00am - midnight week-ends/ bank holidays (Dewsbury East Ward). Midnight – 09:00am Monday – Sunday (Ashbrow Ward).







providing





Stoma Customisation





None


72


Kirklees Rural District Committee Kirklees JSNA - Population Link; Kirklees JSNA - Kirklees Rural District Committee Link Current Provision Map Nine



Kirklees Rural District Committee contains six Wards:

Colne Valley (the 17th most deprived Ward in Kirklees

out of 23 wards); Denby Dale (the 21st most

deprived); Golcar (the 12th most deprived); Holme

Valley North (the 20th most deprived); Holme Valley

South (the 22nd

most deprived) and Kirkburton (the least deprived Ward in Kirklees). 3% of the LSOAs in the Kirklees Rural area fall within the most deprived fifth (20%) of areas nationally.

Health and Wellbeing: CLIK 2016 Survey Prescription Medicines 57% of the District Committee population surveyed were taking regular prescription medications (Kirklees overall – 58%). Of those taking prescription medications:


19% had two;

14% had three;

9% had four;

31% had five or more. There were higher proportions of people receiving prescription medicines in Denby Dale, Holme Valley North and Kirkburton (all 61%). Access to Pharmacies Most people (88%) found it easy to get to a pharmacy (overall 5% found it difficult) and 91% did not have a problem finding a pharmacy that was open when they needed one (overall 3% found it difficult). Although generally there was a similar or better picture of access to pharmacies across all the Wards in Kirklees Rural to that of Kirklees overall, people surveyed with the most difficulties were living in the Denby Dale and Kirkburton Wards especially for difficulty in getting to a pharmacy. Home Delivery of Prescriptions Note – this is a non-contractual discretionary service and may be reduced at any time. 14% of people had prescriptions delivered to them (lower than that for Kirklees overall - 19%).

Future Planned Developments Sites with remaining capacity of 25 dwellings or

more which are expected to be delivered within 5 years from 2017/18 to 2021/22 (Kirklees)


Population pyramid (GP registered population, Jan 2015 extract)



http://observatory.kirklees.gov.uk/jsna/kirklees-rural

73


District Committee: Kirklees Rural Current Provision Maps Nine; Ten

Colne Valley 3.110. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 17952. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 4.9% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is much lower than the Kirklees average at 2.7 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, women have the fourth highest life expectancy (84 years).

Income

The proportion of the population living in families that are income-deprived in this Ward at 9.4% is much lower than the Kirklees average of 15.6%. The proportion of people claiming benefits is lower than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 13.1% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 4.5% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also lower than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 1.2% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Colne Valley is the 7th least deprived Ward in Kirklees (out of 23), and 48% of Wards nationally are more deprived than Colne Valley. No people in this Ward are living in the top fifth of most multiply deprived neighbourhoods in England.


The data below suggest that people living in this Ward have relatively good health. Data in Appendix Eight show that there are no conditions where Standardised Mortality Ratios (SMRs) and Standardised Admission Ratios (SARs) are significantly higher (worse) than Kirklees or England averages and there are many conditions/ indicators where SARs are significantly lower (better). The SMR for deaths from all causes, all ages is significantly lower than the England average.

3.111. Planned

Development

Of the 3,720 potential new dwellings (for sites 25 dwellings plus) planned for the Kirklees Rural area over a five year period, 566 potential new dwellings are planned in the Colne Valley Ward.

3.112. Necessary

Services: current

provision

Pharmacies 4 (2 x 100 hour)

GP Surgeries 3(2 main; 1 branch) Dispensing 0

GP Extended Hrs

2 practices





74






providing





Stoma Customisation





None


75


District Committee: Kirklees Rural Current Provision Maps Nine; Twelve

Denby Dale 3.116. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 16252. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 2.6% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is lower than the Kirklees average at 4.1 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the third lowest proportion of people less than 20 years old (21.4%) and the second highest proportion of people who are more than 60 years old (29.1%). Denby Dale Ward has the lowest proportion of pensioners living alone (26.7% - significantly lower than both Kirklees and England overall).

Income


Deprivation

Denby Dale is the 21st most deprived Ward in Kirklees (out of 23), and 72% of Wards nationally are more deprived than Denby Dale. No people in this Ward are living in the top fifth of most multiply deprived neighbourhoods in England.

3.117. Planned

Development

Of the 3,720 potential new dwellings (for sites 25 dwellings plus) planned for the Kirklees Rural area over a five year period, 743 potential new dwellings are planned in the Denby Dale Ward.


The data below suggest that, with the exception of circulatory diseases, generally people living in this Ward have relatively good health. Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that there are no conditions where Standardised Mortality Ratios (SMRs) and Standardised Admission Ratios (SARs) are significantly worse than Kirklees or England averages. There are many conditions/ indicators where SARs are significantly lower than those of Kirklees and England. SMRs are significantly lower than Kirklees averages for deaths from “all causes”. Of the 23 Wards, Denby Dale has the fourth lowest proportion of obese or overweight adults (24.7%).

3.118. Necessary

Services: current

provision

Pharmacies 4

GP Surgeries 4 (2 main; 2 branch - including 1 branch dispensing surgery* of Middlestown Medical Centre in the neighbouring Wakefield HWBB area dispensing to people living in the Kirklees HWBB Emley area).

Dispensing 1*


76


GP Extended Hrs

1 practice

Out of Hours Local Care Direct: 6.30pm – 8am Monday – Friday; 24 hours week-ends and bank holidays (Ashbrow Ward, Lindley, Dewsbury East Wards).


Dewsbury & District Hospital; 9am – 7pm week days; 10am – 6pm week-ends and bank holidays (Batley West Ward).


The HWBB considers that whilst there is no extended hour provision of pharmaceutical services Monday to Friday after 7pm and Saturday afternoons in the Denby Dale Ward, the GPOOH and Minor Injuries Units are located in Wards where there is easy access to 100 hour pharmacies providing necessary extended hour pharmaceutical services. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


77


District Committee: Kirklees Rural Current Provision Maps Nine; Ten

Golcar 3.122. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 18781. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 11% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is higher than the Kirklees average at 33.2 people per hectare (Kirklees average 10.6 people per hectare). This Ward has the fourth highest proportion of pensioners living alone (33.6%).

Income

The proportion of the population living in families that are income-deprived in this Ward at 15.5% is similar to the Kirklees average of 15.6%. The proportion of people claiming benefits is similar to the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 17.6% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 6.3% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is lower than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 1.9% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Golcar is the 12th most deprived Ward in Kirklees (out of 23), and only 28% of Wards nationally are more deprived than Golcar. No people in this Ward are living in the top fifth of most multiply deprived neighbourhoods in England.


The following data show that there is a significant health burden in this Ward particularly for people with circulatory disease and stroke. People in this Ward will benefit from the targeted Services provided by pharmacies detailed in Appendix Thirteen in this Ward (In addition see 3.126 and Appendix Three). Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show SMRs are significantly worse than both Kirklees and England averages for deaths from “all causes, all ages”; and circulatory diseases. The SMR is also significantly higher than the England average for deaths from stroke. The SAR for “all cause” emergency admissions is significantly worse than both the Kirklees and England averages. However, there is a significantly lower rate of hospital admissions for coronary heart disease than both England and Kirklees overall.

3.123. Planned

Development

Of the 3,720 potential new dwellings (for sites 25 dwellings plus) planned for the Kirklees Rural area over a five year period, 484 potential new dwellings are planned in Golcar Ward.

3.124. Necessary

Services: current

provision

Pharmacies 4 (including 1 x distance selling)


GP Extended Hrs

1 practice



78





The HWBB considers that whilst there is no extended hour provision of pharmaceutical services Monday to Friday, Saturday afternoons and Sundays in the Golcar Ward, the GPOOH is located in other Wards where there is easy access to pharmacies providing necessary extended hours and the Minor Injuries Units are located in a neighbouring HWBB (Halifax) and District Committee (Batley West) where there are 100 hour pharmacies providing necessary extended hour pharmaceutical services. With respect to pharmaceutical services provision for the surgeries offering extended hours, there are two 100 hour pharmacies (Colne Valley Ward) providing necessary extended hour pharmaceutical services that are within the accepted drive time of 20 minutes. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


79


District Committee: Kirklees Rural Current Provision Maps Nine; Eleven

Holme Valley North 3.128. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 16972. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 4.6% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is lower than the Kirklees average at 5.1 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the third highest proportion of people who are more than 60 years old (27.4 %). Men have the third highest life expectancy in Kirklees (81.1 years).

Income


Deprivation

Holme Valley North is the 20th most deprived Ward in Kirklees (out of 23), and 65% of Wards nationally are more deprived than Holme Valley North. No people in this Ward are living in the top fifth of most multiply deprived neighbourhoods in England.

Health Burden (See Appendix 8)

The data below suggest that people living in this Ward have relatively good health. Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that there are no conditions where SMRs and SARs are significantly worse than Kirklees or England averages, and there are many conditions/ indicators where SMRs and SARs are significantly lower than Kirklees and England averages. Of the 23 Wards, Holme Valley North has the fourth lowest proportion of obese or overweight Year Six children (27.6% - significantly better than both Kirklees and England overall).

3.129. Planned

Development

Of the 3,720 potential new dwellings (for sites 25 dwellings plus) planned for the Kirklees Rural area over a five year period, 492 potential new dwellings are planned in Holme Valley North Ward.

3.130. Necessary

Services: current

provision

Pharmacies 4 (including 1 x distance selling)


GP Extended Hrs

2 practices



80




Necessary Services: gaps in provision

The HWBB considers that whilst there is no extended hour provision of pharmaceutical services Monday to Friday, Saturday afternoons and Sundays in the Holme Valley North Ward, the GPOOH and Minor Injuries Units are located in other Wards where there is easy access to pharmacies providing necessary extended hour pharmaceutical services. With respect to pharmaceutical services provision for the surgeries offering extended hours, there are four 100 hour pharmacies in the Huddersfield District Committee area (two pharmacies in Dalton Ward; two pharmacies in Newsome Ward).and two 100 hour pharmacies in the Kirklees Rural District Committee Area (Colne Valley Ward) providing necessary extended hour pharmaceutical services that are within the accepted drive time of 20 minutes. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


81


District Committee: Kirklees Rural Current Provision Maps Nine; Eleven

Holme Valley South 3.133. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 19400. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 3.5% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is much lower than the Kirklees average at 3.2 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, this Ward has the fifth highest proportion of people who are more than 60 years old (25.9%). Men have the highest life expectancy in Kirklees (82.7 years) and women have the third highest (84.4 years). This Ward has the joint third lowest proportion of pensioners living alone (28.3% - significantly lower than both Kirklees and England overall).

Income

The proportion of the population living in families that are income-deprived in this Ward at 7.4% is much lower than the Kirklees average of 15.6%. The proportion of people claiming benefits is lower than the Kirklees averages. Those people of a pensionable age claiming Pension Credit is 8% (Kirklees average 17.5%) and those claiming Employment and Support Allowance and Incapacity Benefits (ESA) is 3.4% (Kirklees average 6.5%) (NOMIS Q3 2016). Unemployment in the Ward is also lower than the Kirklees average with the proportion of people claiming Job Seekers Allowance at 0.9% (Kirklees average 2.2%) (NOMIS, May 2017).

Deprivation

Holme Valley South is the second least deprived Ward in Kirklees (out of 23), and 74% of Wards nationally are more deprived than Holme Valley South. No people in this Ward are living in the top fifth of most multiply deprived neighbourhoods in England.


The data below suggest that although people living in this Ward have relatively good health, some people may benefit from targeted stroke related services. Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that although the SMR for stroke is significantly worse than the England average, no SMRs and SARs are significantly worse than Kirklees or England averages across the remaining selected indicators. There are many conditions/ indicators where these are significantly lower than Kirklees and England averages. Of the 23 Wards, Holme Valley South has the fifth lowest proportion of obese or overweight adults (24.9%). The proportion of obese or overweight Year Six children at 27.5% is the third lowest in Kirklees (significantly better than both Kirklees and England overall).

3.134. Planned

Development

Of the 3,720 potential new dwellings (for sites 25 dwellings plus) planned for the Kirklees Rural area over a five year period, 694 potential new dwellings are planned in Holme Valley South Ward.

3.135. Necessary

Services: current

provision

Pharmacies 6 (1 x distance selling).


GP Extended Hrs

1 practice (The dispensing practice).


82






One pharmacy provides extended opening hours on week days until 7:30pm, Saturdays until 5pm and Sundays. The HWBB considers that, in addition to the pharmaceutical services provided by the pharmacy above, whilst there is no extended core hour provision of pharmaceutical services Monday to Friday, and no extended core hour provision Sundays in the Holme Valley South Ward, the GPOOH and Minor Injuries Unit are located in other Wards where there is easy access to pharmacies providing necessary extended hour pharmaceutical services. With respect to pharmaceutical services provision for the surgeries offering extended hours, there are four 100 hour pharmacies in the Huddersfield District Committee area (two pharmacies in Dalton Ward; two pharmacies in Newsome Ward) providing necessary extended hour pharmaceutical services that are within the accepted drive time of 20 minutes. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


83


District Committee: Kirklees Rural Current Provision Maps Nine; Twelve

Kirkburton 3.139. Ward Profile

Population

The population of this Ward (based on January 2015 GP Registration files) was 16894. Based on the 2011 census, the proportion of residents who are non-White British is lower than the Kirklees average at 4.9% (Kirklees average 23.3%). Using the 2015 population mid-year estimate based on the 2011 census, population density is lower than the Kirklees average at 3.5 people per hectare (Kirklees average 10.6 people per hectare). Of the 23 Wards in Kirklees, men have the third highest life expectancy (81.3 years).This Ward has the second lowest proportion of pensioners living alone (27% - significantly higher than both Kirklees and England overall).

Income


Deprivation

Kirkburton is the least deprived Ward in Kirklees (out of 23), and only 77% of Wards nationally are more deprived than Kirkburton. No people in this Ward are living in the top fifth of most multiply deprived neighbourhoods in England.


These data suggest that people living in this Ward have relatively good health. Standardised Mortality Ratio (SMR) and Standardised Admissions Ratio (SAR) data show that there are no conditions where SMRs and SARs are significantly worse than Kirklees or England averages, and there are many conditions/ indicators where SMRs and SARs are significantly lower than Kirklees and England averages. Of the 23 Wards, Kirkburton Ward has the fourth lowest proportion of obese or overweight reception children (20.2%) and the lowest proportion of obese or overweight adults (22.8%). The proportion of obese or overweight Year Six children at 24.3%, is the second lowest in Kirklees and significantly lower than both Kirklees and England overall.

3.140. Planned

Development

Of the 3,720 potential new dwellings (for sites 25 dwellings plus) planned for the Kirklees Rural area over a five year period, 741potential new dwellings are planned in Kirkburton Ward.

3.141. Necessary

Services: current

provision

Pharmacies 2

GP Surgeries 3 (2 main, 1 Branch - this is a branch of Middlestown Medical Centre in the neighbouring Wakefield HWBB area)

Dispensing 0

GP Extended Hrs

2 practices

Out of Hours Local Care Direct: 6.30pm – 8am Monday – Friday; 24 hours week-ends and bank holidays (Ashbrow Ward, Lindley, Dewsbury East Wards).


84





The HWBB considers that whilst there is no extended hour provision of pharmaceutical services Monday to Friday and no extended hour provision Saturday afternoons and Sundays in the Kirkburton Ward, the GPOOH and Minor Injuries Unit are located in other Wards where there is easy access to pharmacies providing necessary extended hour pharmaceutical services. With respect to pharmaceutical services provision for the surgeries offering extended hours, there are four 100 hour pharmacies in the Huddersfield District Committee area (two pharmacies in Dalton Ward; two pharmacies in Newsome Ward) providing necessary extended hour pharmaceutical services that are within the accepted drive time of 20 minutes. The HWBB does not consider that there are any gaps in the provision of necessary pharmaceutical services in the Ward that either need to be filled to meet an immediate gap, or need to be commissioned in specified future circumstances.



providing





Stoma Customisation





None


85


Appendix One 1. Pharmaceutical Needs Assessment (PNA) Group Terms of Reference

Policy, Intelligence and Public Health

Pharmaceutical Needs Assessment (PNA) Group Note: This Group operates mainly via email communications and collaborative outreach.

Terms of Reference

Background

From 1st April 2013, the Health and Social Care Act 2012 established the Health and Wellbeing

Boards (HWBBs) and transferred responsibility to develop and update PNAs from the PCTs to the

HWBBs. The HWBB has taken over responsibility from the PCT to publish Supplementary Statements

explaining changes to the availability of pharmaceutical services since the last PNA of which there has

been one Supplementary Statement published 13 December 2016. This Supplementary Statement

was taken into account in the PNA 2018-21 document. The HWBB’s second revised PNA must be

published by 1st April 2018. To comply with the National Health Service (Pharmaceutical and Local

Pharmaceutical Services) Regulations 2013, widespread consultation of the draft PNA is needed with

a minimum period of 60 days for response.

Key Responsibilities

1. In accordance with the National Health Service (Pharmaceutical and Local Pharmaceutical

Services) Regulations 2013, the NHS Act 2006 (as amended by the Health and Social

Care Act 2012) and the NHS Act 2009 (chapter 21, part 3), to revise the current PNA and

to update the PNA with any new information that has become available.

2. To assure the HWBB that all statutory requirements regarding the PNA and Supplementary

Statements are met. To ensure systems and processes are in place for assuring that the

pharmaceutical needs of the local population are identified, optimised and provided for.

3. To ensure active engagement with key stakeholders throughout the process of revision

including the Local Pharmaceutical Committee (LPC), the Local Medical Committee (LMC),

Public Health, NHS Commissioning Support (CS), the NHS England Area Team (AT), the

Clinical Commissioning Group (CCG), the Local Professional Network (LPN) and a range

of other teams within the Kirklees Council.

4. To ascertain and collate the core information needed from local needs data to support the

process and to consider other sources of information where needed.

5. To publish Supplementary Statements for the current PNA explaining changes to the

availability of pharmaceutical services.

6. To produce reports and briefing papers for the HWBB.


86


7. To integrate with the Joint Strategic Needs Assessment and to relate to the Joint Health

and Wellbeing Strategy 2014-2020. To ensure that the outputs of the PNA are suitable to

be utilised to influence commissioning.

8. To establish milestones for completion of the PNA and to oversee the progress of revision.

Core Membership

Chair: Rachel Spencer-

Henshall unless

delegated

Director of Public Health

Operational lead/ project

manager

Nicki Bush Public Health

Pharmaceutical Advisor

Contracting Support Gill Sealey NHS England

Commissioning Support Makrand Gore NHS Clinical

Commissioning Group

Pharmacy Contractor

Support

Ruth Buchan CEO Community

Pharmacy West Yorkshire

Quorum

One Council member

One Local Representative Committee Member

One Area Team Member

When a core member is unable to attend, they should ensure that a deputy will be in attendance

where possible.

Reports and Briefings for HWBB Assurance

Two HWBB Reports will be prepared, one prior to consultation and one prior to publication of the PNA.

Frequency of the Meetings

Post publication as necessary to ensure the HWBB’s responsibility to publish Supplementary

Statements is met.

Co-Opted Members

The following representatives will be co-opted to provide additional strategic support when necessary: Local Medical Committee; Local Professional Network; Public Health Intelligence Officers; Council Planners, Healthwatch Kirklees.


87


Appendix Two

2. Copy of Pharmacy PNA Questionnaire

Results from the Pharmaceutical Needs Assessment Community Pharmacy Questionnaire The responses totalled 101 giving a response rate of 94%. The responses given were used to validate contracted services held by NHSE and other services that are Locally Commissioned. The outcomes of this validation are detailed in Appendix Thirteen (Page 141) and within Section 3 of the PNA: “Analysis of Pharmaceutical Services Provision by Ward” (Pages 32-84). The PNA Questionnaire was primarily an online SNAP survey that was live from 30th May until 21st June 2017. All pharmacies were informed of the survey via letter and follow up phone call to give them the opportunity to take part.

PNA Community Pharmacy Questionnaire

Premises details

What is your ODS code? ___________________________

Are you a..? Distance selling pharmacy

100 hour pharmacy

None of the above

Name of contractor: _____________________________________________

Trading name: _____________________________________________ Address of pharmacy: _____________________________________________

Telephone number: ___________________________ Fax number: ___________________________

Pharmacy email address: _____________________________________________ Website address: _____________________________________________

Opening hours

Do your opening hours (core plus supplementary) match those that were provided on your survey invite letter?

Yes

No - please provide correct information below: Monday - Friday: _________________________ Saturday: _________________________ Sunday: _________________________

If you know your core hours, please provide:

___________________________________________________


88


Consultations Have you got a consultation room(s)? Yes 97 No 4 Is it onsite, offsite or both? Onsite 96 Offsite 1 Both 4

Do any of your consultation rooms have wheelchair access? Yes 80 No 17 Do patients attending for consultations have access to toilet facilities? Yes 28 No 73

Do the toilet facilities have wheelchair access? Yes 20 No 8 Is the pharmacy willing to undertake consultations in the patient's home / other suitable site? Yes - if funded 62 Yes - if NHS England allow 48 No 20 Please tick any languages other than English that are spoken in the pharmacy: Arabic 8 Hindi 30 Potwari 16 Bengali 3 Hungarian 0 Punjabi 63 Cantonese 5 Lithuanian 1 Russian 0 Catalan 0 Mandarin 2 Serbian 0 Farsi 1 Mirpuri 24 Spanish 1 French 2 Greek 0 Swahili 1 German 1 Gujarati 28 Urdu 73 Hakka 2 Polish 8

Others:

Italian 2

Bulgarian 1

Pushto 1

Kurdish 1

Healthy Living Pharmacies (HLP)

Please tick the option that applies: The pharmacy has achieved HLP Level 1 status 21 The pharmacy is working toward HLP level 1 status 12 The pharmacy is not currently working toward HLP Level 1 status 67

No response 1

Services


89


Essential services

Does the pharmacy dispense the following appliances? Please tick any that apply: Dressings 96 Incontinence appliances 86 Stoma appliances 87

Advanced services

Does the pharmacy provide the following services?

Yes Intending to begin in next 12 months

No - not intending to provide

Medicines Use Review service


Appliance Use Review Service 15 missing

9

Stoma Appliance Customisation Service 15 missing

Yes Intending to begin in next 6 months OR as soon as all

elements of the service are in place

No - not intending to provide

NHS Urgent Medicine Supply (NUMSAS)

1 missing.


90


Locally commissioned services

Enhanced services commissioned by the local NHSE team Which of the following services does the pharmacy provide, or would be willing to provide?

Currently providing under NHSE contract

Would consider providing if

commissioned

Not able or willing to provide

Community head lice treatment 1 missing

47 45 8

Minor ailment scheme 2 missing

On demand availability of specialist drugs: palliative care medicines 3 missing

Public Health services commissioned by or on behalf of Kirklees Local Authority Which of the following services does the pharmacy provide, or would be willing to provide? Currently providing

under locally commissioned public health

contract


commissioned


Supervised consumption (methadone, buprenorphine)

Needle exchange 1 missing

Emergency hormonal contraception PGD service plus chlamydia testing 3 missing

Stop smoking: NRT voucher scheme 2 missing

Stop smoking: Level 2 advisor 1 missing

55

Which of the following services does the pharmacy provide, or would be willing to provide? Providing privately Would consider

providing if commissioned


Anticoagulant monitoring service 1 missing

Anti-viral distribution service 2 missing

Care home service 1 missing

Chlamydia treatment service

Contraceptive service (not EHC) 2 missing

Disease specific areas

Other services (Note these services are not currently commissioned in the Kirklees Local Authority area)


91


Providing privately


commissioned


Allergies 2 missing

Alzheimer's / dementia 2 missing

Asthma

CHD 1 missing

COPD 1 missing

Depression 1 missing

Diabetes type 1

Diabetes type 2 Epilepsy 3 missing

Gluten free food supply service (i.e. not via FP10) Heart failure 3 missing

Hypertension 1 missing

4

Parkinson's disease 3 missing

Other:

If providing privately, please state: “Private erectile dysfunction treatment” , “private flu vaccination”; “meningitis vaccines and travel vaccines - Provide Privately”; “Blood pressure checks”;” inhaler technique review with ACT and CAT scores”.

Independent prescribing service If providing privately, which therapeutic areas are covered? Nil response

Providing privately Would consider providing if

commissioned


Phlebotomy service Prescriber support service Schools service


92


Screening services Providing privately Would consider



Alcohol Cholesterol Diabetes Chlamydia (not as part of EHC service) Gonorrhea H. pylori HbA1C Hepatitis HIV

Vaccination services Providing privately Would consider



Childhood vaccinations Hepatitis (at risk workers or patients) HPV Travel vaccines Other: Please State “ACWY meningitis; “meninigitis ACWY”; “ flu”;”Meningitis vaccination for Pilgrimage travellers”; “flu”

Do you offer a private seasonal influenza vaccination service? Yes 59 No 41 1 missing


commissioned


Language access service

Medication review service (not NMS or MUR)

Medicines assessment and compliance support service

Obesity management (adults and children)

Not dispensed scheme

Out of hours service

Patient group direction service (not including EHC, varenicline)

If providing privately, please provide details of medicines available: “Propecia for hair retention”,” travel vaccines and meningitis and hepatitis vaccination” “finasteride, norethisterone, sildenafil, malarone”;”travel Vaccinations, hepatitis b vaccination for occupational health; “meningitis service, malaria service”;”sildenafil, flu, meninigits ACWY , malarone”; “flu vaccinations; ACWY vaccinations”; “flu vaccinations” “Advanced Pharmacist Practitioner - Cover Asthma, COPD, Diabetes, Hypertension, Acute infections”


93


Non-commissioned services Does the pharmacy provide any of the following? Please tick all that apply Collection of prescriptions from GP practices 98 Monitored dosage systems - free of charge on request 95 Monitored dosage systems – chargeable 9

Delivery of dispensed medicines - free of charge on request 90 Delivery of dispensed medicines – chargeable 7 Delivery of dispensed medicines - selected patient groups 12 Delivery of dispensed medicines - selected areas 15 ___________________________________________________________

Is there a particular need for a locally commissioned service in your area? Yes - 37 No - 56

8 Missing

If yes, what is the service requirement and why?

“Minor Ailments Service - no local chemists provide this would be a benefit to local GP surgeries”

“OOH service for minor conditions - Instead of going to A&E come to pharmacy”

“EHC”

“Head lice service - as we have a few local schools in the area who would benefit from the service”

“Palliative care service”

“Stop smoking service”

“C-card service”

“Flu vaccine service”

“Weight management -PNA identified primary school children”

“MDS helps with social care”

“Needle disposal service”

“PGD EHC-to reduce teenage pregnancies”

“Methadone supervision, alcohol screening, weight loss, smoking cessation”

“No pharmacy within Kirklees provides AURs and patients have to be directed outside the area”

“Domiciliary medicine use reviews - a lot of polypharmacy (>5 medicines) housebound patients”

“MUR/MDS review service should be commissioned for house bound patients of this area, PHARMACY FIRST”

“BP monitoring, Glucose, cholesterol checks”

“Diabetes and blood pressure which we provide”

“Alcohol screening”

“We get requests for Morning after pill, nits, blue scripts etc. on a regular basis”

“UTI antibiotic”

“MEDICATION REVIEWS IN THE HOME”

“PGD for UTI”

“Not sure if it is a commissioned service but telecare pill-dispensers”


commissioned


Sharps disposal service (not needle exchange) Vascular risk assessment service (NHS Health Check)


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Details of person completing this questionnaire:

Your name: ______________________________________

Your role: ______________________________________

Contact number: ______________________________________

Date: ______________________________________

Thank you for completing the survey.

You can scan and return this by email by sending to [email protected] Or alternatively you can post it to: Nicki Bush Public Health Pharmaceutical Advisor c/o Sarah Thurgood Public Health Directorate 2nd floor South, Civic Centre 3 Market Street, Huddersfield HD1 2EY


mailto:[email protected]

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Appendix Three

3. Description of Community Pharmacy Services NHS England Services

Essential Services Dispensing services Supply of medicines or appliances ordered on NHS prescriptions, together with information and advice given to the patient about the medicines being dispensed and advice about possible interactions with other medicines to enable safe and effective use by patients and carers. Also recording all medicines dispensed and significant advice provided, referrals and interventions made. Repeat dispensing services Management of repeatable NHS prescriptions for medication and appliances for up to one year, in partnership with the patient and prescriber. The patient will return to the pharmacy for repeat supplies, without first having to visit the GP surgery. Before each supply the pharmacy will ascertain the patient’s need for a repeat supply of a particular medicine. The pharmacist will communicate all significant issues to the prescriber with suggestions on medication changes as appropriate. This is an essential service of the community pharmacy contract. Promotion and healthy lifestyles advice The provision of opportunistic one to one advice on healthy lifestyle topics (such as smoking cessation or weight management) to certain patients who present prescriptions for dispensing. Also proactive involvement in up to six local campaigns a year. Campaign examples can include smoking cessation, sexual health, mental health etc. to promote public health messages to general pharmacy visitors during specific targeted campaign periods (Public Health). This service also includes identification of higher-risk and increasing-risk drinking and provision of brief interventions to motivate individuals to take positive action and help them modify their drinking patterns in accordance with NICE guidance, signposting to the Drug and Alcohol Service for further assessment where appropriate. Signposting patients to other services Pharmacist and staff will refer patients who require further support, advice or treatment which cannot be provided by the pharmacy on to other health care professionals or care providers when appropriate. The service also includes referral on to other sources of help such as local or national patient groups. Where appropriate this may take the form of a referral. Support for self-care Includes the provision of advice and support by pharmacy staff to enable people to derive maximum benefit from caring for themselves or their families. The service will initially focus on self-limiting illness, but support for people with long-term conditions is also a feature of the service. Disposal of unwanted medicines Acceptance of unwanted medicines from households and individuals via pharmacies. Special arrangements apply to controlled drugs (post Shipman inquiry). The NHS England Area Team will have in place, suitable arrangements for the collecting and disposal of waste medicines from pharmacies. This is an essential service of the community pharmacy contract.


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Clinical governance Pharmacies have an identifiable clinical governance lead. Requirements include use of standard operating procedures, patient safety incident reporting to National Patient Safety Agency, and learning from adverse incidents, demonstrating evidence of pharmacist continuing professional development, conducting clinical audits and patient satisfaction surveys. This is an essential service of the community pharmacy contract.

Advanced Services: NHS England Nationally Commissioned Services

See Appendix Thirteen Page 151.

Medicines Use Reviews (MURs) and the New Medicine Service (NMS)

MURs and the NMS are both services within the Community Pharmacy Contractual Framework that are key medicines optimisation services. All contractors are encouraged to offer these services to eligible patients to help them to ensure that they get the most benefit from their prescribed medicines.

Medicines Use Review and Prescription Intervention Service (MUR) The MUR consists of accredited pharmacists undertaking structured adherence-centered reviews with patients on multiple medicines, particularly those receiving medicines for long term conditions.

The service specification contains four national target groups (numbered below) which have been agreed in order to guide the selection of patients to whom the service will be offered. The MUR process attempts to establish a picture of the patient’s use of their medicines – both prescribed and non-prescribed. The review helps patients understand their medicines and it will identify any problems they are experiencing along with possible solutions. An MUR feedback form will be provided to the patient’s GP where there is an issue for them to consider.

1. Patients taking one or more high risk medicines: Non-steroidal anti-inflammatory

drugs; antiplatelets; anticoagulants (including low molecular weight heparin); diuretics.

2. Patients recently discharged from hospital taking two or more medicines: Who had

changes made to their medicines while they were in hospital. Ideally patients

discharged from hospital will receive an MUR within four weeks of discharge but in

certain circumstances the MUR can take place within eight weeks of discharge.

3. Patients with respiratory disease taking two or more medicines including one of the

following - adrenoceptor agonists; antimuscarinic bronchodilators; theophylline;

compound bronchodilator preparations; corticosteroids; cromoglicate and related

therapy; leukotriene receptor antagonists and phosphodiesterase type-4 inhibitors.

4. Patients at risk of or diagnosed with cardiovascular disease taking at least four

medicines including at least one of the medications in the following sections of the

British National Formulary - 2 Cardiovascular System; 6.1 Drugs used in Diabetes; 6.2

Thyroid and Anti Thyroid Drugs

At least 70% of all MURs undertaken by each pharmacy in each year should be for patients within the four national target groups. MURs can also be carried out on patients who are not within the target groups. MURs cover all the patient’s medicines not just those that fall within a target group. Link to-MUR-Poster-Target-Groups-June-2015.pdf


http://psnc.org.uk/wp-content/uploads/2013/07/CPN-MUR-Poster-Target-Groups-Jun-2015.pdf

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New Medicine Service (NMS) This service provides support for people who are newly prescribed a medicine to manage a long-term condition and improve their medication adherence. The service is split into three stages: patient engagement; intervention (two weeks after engagement) and follow up (two weeks after intervention). The service is for people diagnosed with asthma, COPD, diabetes (Type 2), antiplatelet / anticoagulant therapy or hypertension. Outcomes of successful implantation of the NMS include:

Better health outcomes though improved adherence with prescribed medicines;

Increased patient engagement with their condition and medicines, supporting patients

in making decisions about their treatment and self-management;

Reduced medicines wastage;

Reduced hospital admissions due to adverse events from medicines;

Increased Yellow Card reporting of adverse reactions to medicines by pharmacists and

patients, thereby supporting improved pharmacovigilance.

Link to further service information - NMS AUR (Appliance Use Review) AURs can be carried out by a pharmacist or a specialist nurse in the pharmacy or at the patient's home. AURs should improve the patient's knowledge and use of any specified appliance as indicated in the Drug Tariff. The aim of an AUR is to establish the way the patient uses the appliance and their experience of such use by identifying, discussing and assisting in the resolution of poor or ineffective use of the appliance by the patient. It involves advising the patient on the safe and appropriate storage and the safe and proper disposal of appliances that are used or unwanted. Link to further service information - AUR

SAC (Stoma Appliance Customisation) This service involves the customisation of a quantity of more than one stoma appliance, based on the patient's measurements or a template. The aim of the service is to ensure proper use and comfortable fitting of the stoma appliance and to improve the duration of usage, thereby reducing waste. The stoma appliances that can be customised are listed in Part IXC of the Drug Tariff. Link to further service information - SAC Seasonal Influenza Vaccination (Flu Vaccination) Each year from September through to January the NHS runs a seasonal flu vaccination campaign aiming to vaccinate all patients who are at risk of developing more serious complications from the virus. These include people aged 65 years and over, pregnant women and those with certain health conditions. On 20th July 2015, the previously locally commissioned seasonal influenza vaccination service was superseded by a nationally commissioned service and added to the Community Pharmacy Contractual Framework as an Advanced Service alongside the nationally commissioned GP vaccination service. The seasonal influenza vaccination service aims to:

Sustain and maximise uptake of flu vaccine in at risk groups;

Provide more opportunities and improve convenience for eligible patients to access flu

vaccinations;

Reduce variation and provide consistent levels of population coverage of community

pharmacy flu vaccination across England;


http://psnc.org.uk/services-commissioning/advanced-services/nms/

http://psnc.org.uk/services-commissioning/advanced-services/aurs/

http://psnc.org.uk/services-commissioning/advanced-services/sac/

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Reduce morbidity and mortality of those patients most likely to have a serious or

complicated illness should they develop influenza.

During the seasonal influenza vaccination campaign period, pharmacy staff will identify people who fall within the nationally agreed target groups, who are a priority for influenza vaccination and will encourage them to be vaccinated, making that offer during the period from 1st September to 31st March. The immunisation programme will be focussed between 1st September and 31st January. Eligible patients who do not have any contra-indications to vaccination will be offered vaccination by an accredited pharmacist. The vaccination will be administered under the authority of a nationally agreed Patient Group Direction. Link to further information - FLU Vaccination August-2016.pdf

NHS Urgent Medicine Supply Advanced Service (NUMSAS) NUMSAS is a national pilot of a community pharmacy Urgent Medicine Supply Service. The service is being commissioned as an Advanced Service and it will run from 1st December 2016 to 31st March 2018 with a review point to consider progress in September 2017.

Patients contacting NHS 111 to request access to urgently needed medicines or appliances will be referred to a pharmacy that is providing this service for assessment. A pharmacist can supply a prescription only medicine (POM) without a prescription to a patient who has previously been prescribed the requested POM. These ‘emergency supplies’ are made under the provisions and requirements of Regulations 225, 253 and Schedules 18 and 23 of the Human Medicines Regulations 2012 (HMR). They include a requirement that the pharmacist has interviewed the person requesting the POM and is satisfied that there is an immediate need for it to be supplied and that it is impracticable in the circumstances for the patient to obtain a prescription without undue delay. For the purposes of this service, any medicine or appliance that has previously been prescribed to the patient on an NHS prescription can be supplied as long as the requirements of the HMR are met; where the HMR refers specifically to a POM the same requirements are made for medicines or appliances that are not a POM. The main objectives of this service are to:

Manage appropriately NHS 111 requests for urgent medicine supply;

Reduce demand on the rest of the urgent care system;

Resolve problems leading to patients running out of their medicines; and

Increase patients’ awareness of electronic repeat dispensing.

Link to further information: NUMSAS service-specification.pdf


http://psnc.org.uk/wp-content/uploads/2016/08/PSNC-Briefing-040.16-Guidance-on-the-Seasonal-Influenza-Vaccination-Advanced-Service-2016-17-August-2016.pdf

https://www.england.nhs.uk/wp-content/uploads/2016/11/numsas-service-specification.pdf

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Enhanced Services Currently Commissioned by NHS England (See Appendix Thirteen Page 151) Note: Services commissioned as part the Pharmacy Contract by NHS England are Enhanced and Advanced services. Other services commissioned with pharmacies are e.g. “Local Public Health Services” or “Commissioned Services”.

On Demand Availability of Specialist Drugs (Availability of Palliative Care Medicines) To enable the prompt supply of specialist palliative care medicines, the demand for which may be urgent and/or unpredictable. The pharmacy contractor is commissioned to stock a locally agreed range of palliative care medicines and makes a commitment to ensure that users of this service have prompt access to these medicines at all times agreed with NHS England. The pharmacy also provides information and advice to the user, carer and clinician. They may also refer to specialist centres, support groups or other health and social care professionals where appropriate.

Minor ailment scheme (Pharmacy Care Scheme) An enhanced service whereby patients who are exempt from prescription charges can present to an accredited community pharmacy instead of a GP practice in order to receive advice and an appropriate medicine, where clinically necessary, for a limited range of minor ailments e.g. coughs, colds. The service is a stepping stone towards the self-care approach to healthcare and offers a safe, controlled and convenient alternative to the traditional way of supplying care and medicines for self-limiting conditions thus avoiding unnecessary GP appointments NHS England has already provided a wide range of guidance to CCGs and Urgent Care Networks related to how they can most effectively commission minor ailment services from community pharmacy. Out of Hospital Urgent Care Programme Quick Guide: Extending the role of community pharmacy in urgent care.

Community Pharmacy Head Lice Treatment Service A locally commissioned NHS England targeted enhanced service whereby patients who are exempt from prescription charges, can present to an accredited community pharmacy instead of a GP practice, in order to receive treatment and advice for head lice. Patients are initially advised about head lice detection; provided with a detector comb and information leaflet and asked to return in 7 days if any head lice are detected. Patients and family members receive treatment if they present evidence of at least one louse per infected person after 7 days.


https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/11/quick-guid-comm-pharm-urgent-care.pdf

https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/11/quick-guid-comm-pharm-urgent-care.pdf

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Local Public Health Commissioned Services Drug and Alcohol Services: Kirklees Council commissions integrated services to address drug and alcohol misuse. Pharmacy services are sub-commissioned by CHART Kirklees which is an integrated substance misuse partnership led by Change Grow Live in partnership with Community Links, Locala and The Basement Recovery Project which supports people in Kirklees around their substance misuse. Pharmacies play a key role in this provision and include the supervised administration of methadone and buprenorphine and needle exchange services. Kirklees Council Public Health consults with service providers and users in commissioning of these services as well as relevant national guidance to identify additional services and gaps in provision. Specialist services based in North and South Kirklees provide outreach support services across the Kirklees area. Supervised Administration of Methadone (See Appendix Thirteen and Figure Two) This service will require the pharmacist to supervise the consumption of prescribed methadone, as requested by a prescriber on a prescription, at the point of dispensing in the pharmacy, making sure that the dose has been administered to the patient to prevent diversion of illicit substances. The pharmacist will provide support and advice to the patient and liaise with the primary care or specialist centres where appropriate.

Supervised Administration of Buprenorphine (See Appendix Thirteen and Figure Two) This service will require the pharmacist to supervise the consumption of buprenorphine (Subutex® or Suboxone®) at the point of dispensing in the pharmacy, for the first twelve weeks of treatment, where indicated, as requested by a specialist substance misuse service prescriber on a prescription, making sure that the dose has been administered to the patient. The pharmacist will provide support and advice to the patient and liaise with the primary care or specialist centres where appropriate.

Needle and Syringe Exchange Schemes (See Appendix Thirteen and Figure Two) A service to reduce the risk of blood borne disease and facilitate the safe disposal of used ‘sharps’ from substance misusers. In addition to the 18 Pharmacies providing this service, other specialist providers in North and South Kirklees provide a ‘Pick & Mix’ needle exchange service.

Smoking Cessation Support and Dispensing Nicotine Replacement Therapy (NRT). (See Appendix Thirteen and Figure Three) Some GP practices, pharmacies and other community organisations are signed up to deliver a Kirklees Council commissioned service to support people in Kirklees to quit smoking. Trained smoking cessation advisors prescribe NRT via the voucher pad and clients receiving the support can redeem their medication from a contracted Pharmacy. For the most up to date list of providers offering level 2 smoking cessation support and pharmacies dispensing NRT vouchers in Kirklees, please follow this link www.kirklees.gov.uk/smokingcessation


http://www.kirklees.gov.uk/smokingcessation

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Pharmacy sexual health service (See Appendix Thirteen and Figure Four)) A service which is provided by appropriately trained pharmacists and is a holistic sexual health service that offers chlamydia screening; pregnancy testing; provision of condoms and supply of Levonorgestrel and ullipristal (EllaOne) Emergency Hormonal Contraception (EHC) when appropriate to clients in line with the requirements of a locally agreed Patient Group Direction (PGD). The PGD specifies the age range of clients that are eligible for the service; it may facilitate supply to young persons under 16 in appropriate circumstances; there is no upper age limit. This is a Local Public Health Service and is commissioned indirectly by Locala (who provide the Kirklees Integrated Sexual Health Service). This service is important to improve rapid access. Some patients prefer to access this service from a location away from where they live. Now the contracts are held and administered by Locala, the working relationship between pharmacies and the Integrated Sexual Health Service is expected to be stronger. Some pharmacies provide EHC in the over 16 year olds and sexual health services as private services.


102



103



104



105


Appendix Four

4. Summary of Other Relevant Services Considered When Preparing the Pharmaceutical Needs Assessment NHS North Kirklees CCG and NHS Greater Huddersfield CCG commission services from providers who are best placed to deliver the needs of Kirklees patients and population.

Acute Trust Providers NHS North Kirklees CCG and NHS Greater Huddersfield CCG currently contracts mainly with the following acute trusts:

Calderdale and Huddersfield NHS Foundation Trust (Main acute Provider);

Mid Yorkshire Hospitals NHS Trust (Main acute Provider);

Leeds Teaching Hospitals NHS Trust (Significant activity commissioned);

Bradford Teaching Hospitals NHS Foundation Trust (Significant activity commissioned);

Barnsley Hospital NHS Foundation Trust (Significant activity commissioned);

Sheffield Teaching Hospitals NHS Foundation Trust (Significant activity commissioned).

In addition to these local services, residents of Kirklees can receive care from over 200 other acute NHS service providers across England, Scotland and Wales, either as a result of specialised care or the application of patient choice.

Specialised Services For specialised services, it is important that patients can receive their care within reasonable travelling distances and accordingly the majority of Kirklees residents receive specialised care from one of the three main tertiary providers within the region:

Sheffield Teaching Hospitals NHS Foundation Trust;

Leeds Teaching Hospitals NHS Trust;

Hull and East Yorkshire Hospitals Trust. Some residents will also travel further afield for highly specialised services (e.g. services for children provided by Great Ormond Street Hospital).

Mental Health Services For mental health services, NHS North Kirklees CCG and NHS Greater Huddersfield CCG contracts mainly with South West Yorkshire Partnership NHS Foundation Trust, with some specialist services being provided from a range of other organisations.

Ambulance Services Emergency ambulance services are commissioned by NHS North Kirklees CCG and NHS Greater Huddersfield CCG from Yorkshire Ambulance Service NHS Trust, which is the sole provider to the majority of CCGs in the region.

General Community Services NHS North Kirklees CCG's and NHS Greater Huddersfield CCG’s current main providers of general community services (e.g. district nursing, health visiting, contraception and sexual health services; Walk in Centres) are Locala Community Partnerships and Local Care Direct provides GP Out of Hours and Urgent Care services. Some services are also provided by The Mid Yorkshire Hospitals NHS Trust, Calderdale and Huddersfield NHS Foundation Trust, Kirklees Council, South West Yorkshire Partnership NHS Foundation Trust and a broad spread of other providers, including voluntary and third sector organisations, for one or more specific services. Locala operates the North Kirklees Walk-in Centre from the


106


Dewsbury and District Hospital site and the Horne Street Health Centre from the Park Community Practice site in Halifax (Out of Area).

Offender Health Services Offender Health Services are commissioned by NHS England by the West Yorkshire Area Team. There are no HM Prisons in Kirklees.


107


Appendix Five

6. Population Projection – Kirklees The Kirklees population is projected to grow by 14% by 2039 (61,300 people). The largest growth takes place in people over the age of 70. A small decrease in the population of people aged 40-54 is projected (2600 people, 0.6% of 2014 population) (See Figure Five).

Figure Five

Population Projection for Kirklees to 2039 Source: ONS population projections (2014 base)


108


Appendix Six

6. Population Ageing

2014 population projections indicate that 17% of the Kirklees population is aged 65 or over, compared to 18% in England. The number of people aged over 65 is expected to increase from 17% (73,100 people) in 2015 to 22% (107,900 people) by 2035 – an 8% (34,800 people) increase in people aged over 65 (see Figure Six). This is a similar rate of growth to that expected in Yorkshire and Humber and England

Figure Six

Projected growth in population aged 65 and over Source: ONS population projections (2014 base)

As the population gets older then the proportion of people living in a care home will increase. Table One below details the projected increase in this figure up to 2035.


109


Table One

Kirklees population aged 65 and over living in a care home with or without nursing by local authority / non-local authority, projected to 2030

2014 2015 2020 2025 2030

Total population aged 65 and over living in a non LA care home with or without nursing

1919 1973 2262 2724 3188

Total population aged 65 and over living in a LA care home with or without nursing

82 85 97 115 135

Total population aged 65 and over living in a care home with or without nursing

2,001 2,057 2,358 2,840 3,323

Source: Poppi (www.poppi.org.uk) Accessed 07/07/17)


http://www.poppi.org.uk/

110


Appendix Seven

7. Overview of Deprivation in Kirklees The Index of Multiple Deprivation (IMD) 2015 combines a number of indicators, chosen to cover a range of economic, social and housing issues, into a single deprivation score for each small area (Lower Super Output Area or LSOA) in England. This allows areas to be ranked relative to one another according to their level of deprivation. The data used to compile the IMD include housing, average incomes and transport within Kirklees. Kirklees is the 101st most deprived local authority in England (out of 326) based on the IMD 2015, which is an improvement of 6 places since 2010. 25% of Kirklees’s lower layer super output areas (LSOAs - which are geographical areas used in deprivation calculation with an average of 1,500 residents) are in the most deprived 20% nationally; 24% are in the second most deprived quintile nationally; 17% are in the middle deprivation quintile; 23% are in the second least deprived quintile and 11% are in the least deprived quintile. On a Ward basis, 10 out of 23 Kirklees Wards are in the most deprived 20% of Wards nationally; six in the second most deprived quintile; three in the middle quintile nationally and four in the second least deprived quintile (See Figures Seven and Eight).

Figure Seven

Comparative Deprivation in Kirklees (% LSOAs in each quintile)


111



112



113


Appendix Eight

8. Indicators of Health Need for Pharmacy Services in Kirklees Given that poor health is related to both advancing age and material deprivation, and the least healthy are likely to be most in need of pharmacy services, a range of indicators of health and deprivation have been provided, in the following three Tables, to illustrate at Electoral Ward level how health status varies across Kirklees. Tables Two, Three and Four show the indicator data for the Electoral Wards in Kirklees ranked in order of the Index of Multiple Deprivation (IMD) with the highest IMD score (most deprived) at the top. Where possible, indication has been provided where Electoral Wards differ significantly from the Kirklees / England average. Where a Ward has an indicator value that is significantly worse than the Kirklees or England average, this is shown in red and values that are significantly lower are shown in green. It is clear that significantly “poor” scores tend to cluster towards the top of the Tables, in the most deprived areas, whereas significantly “good” scores cluster towards the bottom in the less deprived areas. It is also towards the top of Table 4 that the lowest life expectancies can be seen. This set of indicators also illustrates that Wards may differ in the amount and type of targeted pharmaceutical services that might be needed. For example, some Wards are exceptional where there are significantly worse than England and Kirklees averages across most of the conditions selected (e.g. Dewsbury West), whereas other Wards have specific targeted needs for certain conditions where there are particular conditions that are significantly worse and stand out (e.g. overweight or obese reception children in Mirfield).


114


Table Two

A: Indicators of Health and Deprivation by Electoral Ward: Standardised Mortality Ratios (Compared with Kirklees Averages) – significantly worse, significantly better, not statistically different Values above 100 indicate higher mortality than the England average and values below 100 indicate lower mortality.

Ward

IMD

Sco

re (

2015)

Kirkle

es

Rank

(1 m

ore

deprived)

Engla

nd q

uin

tile

(1 m

ore

deprived)

Death

s fr

om

all

cause

s, a

ll a

ges

Death

s fr

om

all

cause

s, u

nder

75

years

Death

s fr

om

all

cance

rs, all a

ges

Death

s fr

om

all

cance

rs, under

75

years

Death

s fr

om

circ

ula

tory

dis

ease

,

all a

ges

Death

s fr

om

coro

nary

heart

dis

ease

, all a

ges

Death

s fr

om

stro

ke, all a

ges

Death

s fr

om

resp

irato

ry

dis

ease

, all a

ges

Dewsbury West 42.5 1 1 136.3 138.9 107.7 106.0 133.4 157.5 126.4 119.4

Dewsbury East 32.8 2 1 116.5 117.1 109.9 107.7 113.1 118.4 119.3 114.8

Crosland Moor and Netherton 32.7 3 1 108.7 117.1 101.2 105.3 128.3 134.6 126.0 91.0

Dalton 32.2 4 1 109.3 124.4 103.2 111.1 115.1 129.3 93.9 106.6

Ashbrow 32.0 5 1 112.6 125.2 112.8 121.4 107.2 106.8 109.2 99.6

Newsome 31.4 6 1 129.7 144.8 100.9 116.1 144.8 116.8 191.3 134.2

Batley East 30.8 7 1 124.8 116.6 110.1 103.8 121.1 131.9 139.0 148.1

Dewsbury South 29.7 8 1 117.8 123.1 111.3 103.4 127.0 158.1 113.1 149.7

Batley West 29.2 9 1 99.5 117.8 108.1 123.2 95.7 109.1 75.7 120.4

Greenhead 28.9 10 1 113.3 120.0 99.1 100.4 115.8 103.1 115.8 101.8

Heckmondwike 25.6 11 2 110.1 106.5 104.9 103.9 106.7 120.6 85.9 122.7

Golcar 23.6 12 2 121.0 105.8 94.8 97.6 138.7 121.3 152.0 110.4

Birstall and Birkenshaw 20.9 13 2 106.5 97.3 97.4 100.8 111.5 136.2 103.3 104.2

Liversedge and Gomersal 20.5 14 2 110.9 104.3 95.9 90.3 118.5 139.0 122.8 102.1

Cleckheaton 20.4 15 2 101.9 106.4 94.1 102.6 97.8 104.0 119.3 110.2

Almondbury 19.8 16 2 111.3 102.4 103.2 101.1 117.9 102.6 136.2 95.9

Colne Valley 16.1 17 3 95.5 87.3 102.5 95.3 101.4 108.0 81.3 88.7

Lindley 15.8 18 3 101.7 99.9 94.2 100.2 106.7 92.5 118.2 81.8

Mirfield 15.3 19 3 103.7 97.1 94.0 94.3 97.7 108.6 90.0 103.4

Holme Valley North 12.2 20 4 95.1 82.8 108.6 108.2 88.7 96.2 88.1 74.1

Denby Dale 10.9 21 4 99.0 91.2 89.3 98.7 102.5 94.1 120.4 106.0

Holme Valley South 10.6 22 4 91.0 74.4 87.3 81.1 99.4 84.6 132.8 81.8

Kirkburton 9.9 23 4 85.6 81.1 77.2 75.6 99.8 89.9 82.2 78.0

Kirklees 108.1 106.5 99.9 101.4 111.6 114.1 114.9 104.5

England 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


115


Table Two B: Indicators of Health and Deprivation by Electoral Ward: Standardised Mortality Ratios (Compared with England Averages) – significantly worse, significantly better, not statistically different Values above 100 indicate higher mortality than the England average and values below 100 indicate lower mortality.

Ward

IMD

Sco

re (

2015)

Kirkle

es

Rank

(1 m

ore

deprived)

Engla

nd q

uin

tile

(1 m

ore

deprived)

Death

s fr

om

all

cause

s, a

ll ages

Death

s fr

om

all

cause

s, u

nder

75

years

Death

s fr

om

all

cance

rs, all

ages

Death

s fr

om

all

cance

rs, under

75

years

Death

s fr

om

circ

ula

tory

dis

ease

, all

ages

Death

s fr

om

coro

nary

heart

dis

ease

, all

ages

Death

s fr

om

stro

ke, all

ages

Death

s fr

om

resp

irato

ry

dis

ease

, all

ages

Dewsbury West 42.5 1 1 136.3 138.9 107.7 106.0 133.4 157.5 126.4 119.4

Dewsbury East 32.8 2 1 116.5 117.1 109.9 107.7 113.1 118.4 119.3 114.8

Crosland Moor and Netherton 32.7 3 1 108.7 117.1 101.2 105.3 128.3 134.6 126.0 91.0

Dalton 32.2 4 1 109.3 124.4 103.2 111.1 115.1 129.3 93.9 106.6

Ashbrow 32.0 5 1 112.6 125.2 112.8 121.4 107.2 106.8 109.2 99.6

Newsome 31.4 6 1 129.7 144.8 100.9 116.1 144.8 116.8 191.3 134.2

Batley East 30.8 7 1 124.8 116.6 110.1 103.8 121.1 131.9 139.0 148.1

Dewsbury South 29.7 8 1 117.8 123.1 111.3 103.4 127.0 158.1 113.1 149.7

Batley West 29.2 9 1 99.5 117.8 108.1 123.2 95.7 109.1 75.7 120.4

Greenhead 28.9 10 1 113.3 120.0 99.1 100.4 115.8 103.1 115.8 101.8

Heckmondwike 25.6 11 2 110.1 106.5 104.9 103.9 106.7 120.6 85.9 122.7

Golcar 23.6 12 2 121.0 105.8 94.8 97.6 138.7 121.3 152.0 110.4

Birstall and Birkenshaw 20.9 13 2 106.5 97.3 97.4 100.8 111.5 136.2 103.3 104.2

Liversedge and Gomersal 20.5 14 2 110.9 104.3 95.9 90.3 118.5 139.0 122.8 102.1

Cleckheaton 20.4 15 2 101.9 106.4 94.1 102.6 97.8 104.0 119.3 110.2

Almondbury 19.8 16 2 111.3 102.4 103.2 101.1 117.9 102.6 136.2 95.9

Colne Valley 16.1 17 3 95.5 87.3 102.5 95.3 101.4 108.0 81.3 88.7

Lindley 15.8 18 3 101.7 99.9 94.2 100.2 106.7 92.5 118.2 81.8

Mirfield 15.3 19 3 103.7 97.1 94.0 94.3 97.7 108.6 90.0 103.4

Holme Valley North 12.2 20 4 95.1 82.8 108.6 108.2 88.7 96.2 88.1 74.1

Denby Dale 10.9 21 4 99.0 91.2 89.3 98.7 102.5 94.1 120.4 106.0

Holme Valley South 10.6 22 4 91.0 74.4 87.3 81.1 99.4 84.6 132.8 81.8

Kirkburton 9.9 23 4 85.6 81.1 77.2 75.6 99.8 89.9 82.2 78.0

Kirklees 108.1 106.5 99.9 101.4 111.6 114.1 114.9 104.5

England 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


116


Table Three

A: Indicators of Health and Deprivation by Electoral Ward: Standardised Admission Ratios (Compared with Kirklees Averages) – significantly worse, significantly better, not statistically different Values above 100 indicate a higher level of admission than the England average and values below 100 indicate a lower level of admission.

Ward

Emergency Admissions,

Chronic Obstructive

Pulmonary Disease (COPD)

Emergency

Admissions, Coronary

Heart Disease

Emergency

Admissions,

Stroke

Emergency

Admissions, All

Causes

Hospital Admissions

for Alcohol

Attributable Harm

Incidence of

lung cancer:

diagnoses

IMD ScoreKirklees rank

(1 more deprived)

England quintile

(1 more deprived)April 2010-March 2015 April 2010-March 2015

April 2010-

March 2015

April 2010-

March 2015

April 2010-March

20152010-2014

Dewsbury West 42.5 1 1 193.2 171.4 131.5 143.9 122.6 155.5

Dewsbury East 32.8 2 1 165.0 116.4 110.4 119.9 111.5 111.8

Crosland Moor and Netherton 32.7 3 1 87.2 100.8 120.3 117.4 115.9 93.9

Dalton 32.2 4 1 138.2 89.6 96.0 113.9 112.2 140.9

Ashbrow 32.0 5 1 115.5 97.6 99.9 120.4 116.4 128.1

Newsome 31.4 6 1 103.6 86.2 112.8 109.1 123.0 102.1

Batley East 30.8 7 1 161.5 157.7 118.5 118.8 110.8 126.3

Dewsbury South 29.7 8 1 123.1 163.7 115.1 116.8 92.7 140.8

Batley West 29.2 9 1 133.1 131.2 115.2 123.3 127.2 145.7

Greenhead 28.9 10 1 86.8 124.2 102.4 117.3 106.5 101.6

Heckmondwike 25.6 11 2 100.2 136.0 96.1 119.6 107.1 142.9

Golcar 23.6 12 2 112.8 82.2 103.3 110.9 93.9 102.3

Birstall and Birkenshaw 20.9 13 2 104.2 103.3 95.7 105.9 110.1 115.6

Liversedge and Gomersal 20.5 14 2 140.6 104.5 109.1 107.4 107.2 128.2

Cleckheaton 20.4 15 2 134.2 112.5 103.9 107.3 105.3 107.3

Almondbury 19.8 16 2 114.5 73.6 88.8 103.5 101.3 122.1

Colne Valley 16.1 17 3 70.9 73.5 81.9 89.3 86.7 113.8

Lindley 15.8 18 3 71.5 83.1 91.2 104.0 90.1 98.0

Mirfield 15.3 19 3 62.9 100.9 99.1 100.2 97.7 101.2

Holme Valley North 12.2 20 4 80.5 81.1 73.5 86.8 83.1 111.0

Denby Dale 10.9 21 4 73.7 94.9 101.4 86.5 94.9 67.1

Holme Valley South 10.6 22 4 53.4 58.6 83.6 77.2 80.5 87.2

Kirkburton 9.9 23 4 77.8 65.8 77.6 86.4 66.2 91.0

Kirklees 105.6 101.9 100.1 108.1 102.6 112.8

England 100.0 100.0 100.0 100.0 100.0 100.0

Deprivation


117


Table Three

B: Indicators of Health and Deprivation by Electoral Ward: Standardised Admission Ratios (Compared with England Averages) – significantly worse, significantly better, not statistically different Values above 100 indicate a higher level of admission than the England average and values below 100 indicate a lower level of admission.

Emergency Admissions,

Chronic Obstructive

Pulmonary Disease (COPD)

Emergency

Admissions, Coronary

Heart Disease

Emergency

Admissions,

Stroke

Emergency

Admissions, All

Causes

Hospital Admissions

for Alcohol

Attributable Harm

Incidence of

lung cancer:

diagnoses

IMD Score

Kirklees rank

(1 more

deprived)

England quintile

(1 more deprived)April 2010-March 2015 April 2010-March 2015

April 2010-

March 2015

April 2010-

March 2015

April 2010-March

20152010-2014

Dewsbury West 42.5 1 1 193.2 171.4 131.5 143.9 122.6 155.5

Dewsbury East 32.8 2 1 165.0 116.4 110.4 119.9 111.5 111.8

Crosland Moor and Netherton 32.7 3 1 87.2 100.8 120.3 117.4 115.9 93.9

Dalton 32.2 4 1 138.2 89.6 96.0 113.9 112.2 140.9

Ashbrow 32.0 5 1 115.5 97.6 99.9 120.4 116.4 128.1

Newsome 31.4 6 1 103.6 86.2 112.8 109.1 123.0 102.1

Batley East 30.8 7 1 161.5 157.7 118.5 118.8 110.8 126.3

Dewsbury South 29.7 8 1 123.1 163.7 115.1 116.8 92.7 140.8

Batley West 29.2 9 1 133.1 131.2 115.2 123.3 127.2 145.7

Greenhead 28.9 10 1 86.8 124.2 102.4 117.3 106.5 101.6

Heckmondwike 25.6 11 2 100.2 136.0 96.1 119.6 107.1 142.9

Golcar 23.6 12 2 112.8 82.2 103.3 110.9 93.9 102.3

Birstall and Birkenshaw 20.9 13 2 104.2 103.3 95.7 105.9 110.1 115.6

Liversedge and Gomersal 20.5 14 2 140.6 104.5 109.1 107.4 107.2 128.2

Cleckheaton 20.4 15 2 134.2 112.5 103.9 107.3 105.3 107.3

Almondbury 19.8 16 2 114.5 73.6 88.8 103.5 101.3 122.1

Colne Valley 16.1 17 3 70.9 73.5 81.9 89.3 86.7 113.8

Lindley 15.8 18 3 71.5 83.1 91.2 104.0 90.1 98.0

Mirfield 15.3 19 3 62.9 100.9 99.1 100.2 97.7 101.2

Holme Valley North 12.2 20 4 80.5 81.1 73.5 86.8 83.1 111.0

Denby Dale 10.9 21 4 73.7 94.9 101.4 86.5 94.9 67.1

Holme Valley South 10.6 22 4 53.4 58.6 83.6 77.2 80.5 87.2

Kirkburton 9.9 23 4 77.8 65.8 77.6 86.4 66.2 91.0

Kirklees 105.6 101.9 100.1 108.1 102.6 112.8

England 100.0 100.0 100.0 100.0 100.0 100.0

Ward

Deprivation


118


Table Four:

Indicators of Health and Deprivation by Electoral Ward Significantly worse than the Kirklees average ( xx = Significantly Worse than the Kirklees and England average), Significantly lower than the Kirklees average ( xx = Significantly lower than the Kirklees and England average)

Ward

2015

IMD

Sco

re

Nat

iona

l Qui

ntile

(1=m

ost d

epri

ved)

IMD

201

5 Lo

cal R

ank

(/23

) low

er

num

ber

= m

ore

depr

ived

IMD

201

5 N

atio

nal R

ank

(/7,

486)

low

er n

umbe

r =

mor

e de

priv

ed

Popu

latio

n Ja

n 20

15 G

P Re

gist

er

Popu

latio

n D

ensi

ty (P

erso

ns p

er

hect

are,

201

1 Ce

nsus

)

% A

ged

<20

(Jan

201

5 G

P Re

gist

er)

% A

ged

60+

(Jan

201

5 G

P Re

gist

er)

% O

verw

eigh

t & O

bese

Yea

r R

child

ren

(201

2/13

to 2

014/

15)

% O

verw

eigh

t & O

bese

Yea

r 6

child

ren

(201

2/13

to 2

014/

15)

% O

bese

adu

lts

(mod

elle

d es

timat

es 2

006-

08)

Mal

e lif

e ex

pect

ancy

(201

3-20

15)

Fem

ale

life

expe

ctan

cy

(201

3-20

15)

% P

ensi

oner

s (6

5 ye

ars

+)

livin

g al

one

2011

cen

sus

Dewsbury West 42.5 1 1 360 22,188 40.4 34.2 12.5 23.2 37.4 29.0 80.3 85.1 32.4

Dewsbury East 32.8 1 2 966 18,505 28.0 23.9 21.1 26.2 34.6 28.9 76.3 81.0 33.0

Crosland Moor and Netherton 32.7 1 3 971 20,636 25.5 26.7 19.2 19.3 32.9 26.5 78.6 83.2 33.1

Dalton 32.2 1 4 1,014 18,275 15.6 24.1 21.4 21.2 35.8 28.4 78.1 82.2 36.6

Ashbrow 32.0 1 5 1,033 21,045 16.4 26.3 19.9 27.0 37.4 27.4 78.7 82.4 32.6

Newsome 31.4 1 6 1,098 22,382 26.3 20.4 16.2 23.0 34.1 24.9 76.1 80.3 38.5

Batley East 30.8 1 7 1,159 19,268 24.6 29.3 16.5 18.3 30.5 28.8 78.0 84.5 31.5

Dewsbury South 29.7 1 8 1,271 19,952 13.8 29.3 17.6 21.3 29.9 29.3 78.4 82.3 28.3

Batley West 29.2 1 9 1,323 19,778 45.3 29.0 18.1 21.0 35.0 28.8 78.4 80.4 30.5

Greenhead 28.9 1 10 1,358 22,010 46.1 25.2 16.7 21.3 34.1 23.0 77.3 82.7 35.3

Heckmondwike 25.6 2 11 1,777 18,929 34.9 26.7 20.3 24.9 36.2 29.0 79.9 81.1 29.2

Golcar 23.6 2 12 2,062 18,781 33.2 23.6 20.4 23.1 30.5 27.3 79.4 83.7 33.6

Birstall and Birkenshaw 20.9 2 13 2,529 16,827 13.6 22.8 24.1 19.7 32.8 28.3 78.9 81.3 32.0

Liversedge and Gomersal 20.5 2 14 2,613 19,154 14.7 24.1 23.4 25.9 32.6 28.4 81.3 81.6 32.5

Cleckheaton 20.4 2 15 2,635 17,146 15.2 21.6 24.9 22.6 31.6 29.4 80.6 83.2 32.8

Almondbury 19.8 2 16 2,766 18,371 18.9 21.9 26.1 22.6 29.8 27.5 80.2 82.5 32.9

Colne Valley 16.1 3 17 3,619 17,952 2.7 22.3 22.7 21.2 33.6 27.1 80.8 84.0 31.3

Lindley 15.8 3 18 3,716 19,518 28.5 23.0 24.6 21.2 31.7 24.5 81.1 83.7 33.1

Mirfield 15.3 3 19 3,874 19,815 14.7 20.9 29.3 23.8 34.5 27.1 80.2 84.0 30.2

Holme Valley North 12.2 4 20 4,890 16,972 5.1 22.5 27.4 21.2 27.6 25.3 81.1 82.5 31.0

Denby Dale 10.9 4 21 5,393 16,252 4.1 21.4 29.1 24.5 24.2 24.7 80.6 83.5 26.7

Holme Valley South 10.6 4 22 5,506 19,400 3.2 22.3 25.9 22.1 27.5 24.9 82.7 84.4 28.3

Kirkburton 9.9 4 23 5,784 16,894 3.5 23.9 23.9 20.2 24.3 22.8 81.3 83.2 27.0


119


Appendix Nine

9. Questions taken from the Current Living in Kirklees (CLiK 2016) Public Survey Pertaining to Pharmaceutical Services

Q15 (a) Do you have regular prescription medicines? Please tick one box only

Yes – GO TO Q25(b) No – GO TO Q16

(b) If yes, how many medicines do you have on prescription? Please tick one box only

1 2 3 4 5 or more

(c) Do you have any prescription medicines delivered to your home? Please tick one box only

Yes – GO TO Q26(b) No – GO TO Q27

Q16 (a) How easy or difficult is it for you.to find a community pharmacy or local chemist that is open when you need one? Please tick one box only

Extremely difficult Quite difficult Neither easy nor difficult Quite easy Extremely easy

(b) How easy or difficult is it for you to travel to a community pharmacy or local chemist when you need one? Please tick one box only

Extremely difficult Quite difficult Neither easy nor difficult Quite easy Extremely easy


120


Appendix Ten 10. List of Organisations/Individuals Consulted

Chief Pharmacists at the local Hospital and Foundation Trusts

Chief Executives/ Chief Officers / Commissioners/ Heads of Medicines Management at local and neighbouring Clinical Commissioning Groups

General Public via media communications plan

Kirklees Community Pharmacy contractors

Kirklees General Practitioners

Health Overview and Scrutiny Committee

Healthwatch Kirklees

Kirklees Health and Wellbeing Board (HWBB)

Neighbouring HWBBs Directors of Public Health and Chairs

Local Care Direct

Local Hospices

Local Medical Committee Chairs

Locala Chief executive, Head Medicines Management

Local Pharmaceutical Committee

NHS England

Kirklees Practice Managers

Kirklees Council Public Health Specialists and Intelligence Officers


121



122



123


Appendix Eleven

11. Table of Community Pharmacy Opening Hours

Pharmacy Details Core Hours Core and Supplementary Hours (Full Opening

Hours)

Ward Name Trading Name Address Town

Post code MON TUE WED THU FRI SAT SUN MON TUE WED THU FRI SAT SUN

Batley And Spen

Batley East

Batley Pharmacy (100 hour)

157 Upper Commercial

Street Batley

WF17 5DH

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

8am- 9pm

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

8am-10. 30 pm

Well Pharmacy

4 Market Place Batley

WF17 5DA

08:45-13:00; 14:45-18:30

08:45-13:00; 14:45-18:30

08:45-13:00; 14:45-18:30

08:45-13:00; 14:45-18:30

08:45-13:00; 14:45-18:30

08:45-18:30

08:45-18:30

08:45-18:30

08:45-18:30

08:45-18:30

09:00-12:00

Well Pharmacy


Street Batley

WF17 5DP

08:45-12:00; 13:15-18:00

08:45-12:00; 13:15-18:00

08:45-12:00; 13:15-18:00

08:45-12:00; 13:15-18:00

08:45-12:00; 13:15-18:00

08:45-18:00

08:45-18:00

08:45-18:00

08:45-18:00

08:45-18:00

09:00-12:00

Well Pharmacy

67b Purlwell Lane

Mount Pleasant

Batley WF17 7PF

08:45-13:00; 15:15-19:00

08:45-13:00; 15:15-19:00

08:45-13:00; 15:15-19:00

08:45-13:00; 15:15-19:00

08:45-13:00; 14:15-18:00

08:45-19:00

08:45-19:00

08:45-19:00

08:45-19:00

08:45-18:00

08:45-12:30

Hughes Chemists

3-5 Oxford Terrace

Off Soothill Lane

Batley WF17 5ST

08:30-13:00; 14:00-18:00

08:30-13:00; 14:00-17:00

08:30-13:00; 14:00-18:00

08:30-13:00; 14:00-17:00

09:00-13:00; 14:00-18:00

08:30-19:30

08:30-18:00

08:30--18:30

08:30-18:00

08:30-18:30

Mileusnic Chemist


Street Batley

WF17 5DH

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

08:45-18:00

08:45-18:00

08:45-18:00

08:45-18:00

08:45-18:00

09:00-12:30


124



Hours)



Batley And Spen Continued

Batley East (continued)

Safemed Pharmacy

1 Bonaccord Square

Batley WF17 7QG

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

Tesco In-Store

Pharmacy (100 hour)

Bradford Road

Batley WF17 5TJ

08:00-22:30

06:30-22:30

06:30-22:30

06:30-22:30

06:30-22:30

06:30-22:00

10 am-4pm

08:00-22:30

06:30-22:30

06:30-22:30

06:30-22:30

06:30-22:30

06:30-22:00

10 am-4pm

Batley West There are no pharmacies in Batley West

Birstall and Birkenshaw

Birstall Pharmacy

8 Market Place Birstall

Batley WF17 9EL

08:30-13:00; 14:30-18:00

08:30-12:00; 14:30-18:00

08:30-12:00; 14:30-18:00

08:30-12:00; 14:30-18:00

08:30-12:00; 14:30-18:00

08:30-12:30

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-12:30

Boots UK Ltd

Unit 3, Birstall Retail Park Holden Ing

Way Birstall

Batley WF17 9DT

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-20:00

09:00-20:00

09:00-20:00

09:00-20:00

09:00-20:00

09:00-19:00

11 am-5 pm

Lloyds Pharmacy

Town Street Medical Centre

Town Street Birkenshaw

Bradford BD11 2HX

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:00-18:00

08:00-18:00

08:00-18:00

08:00-18:00

08:00-18:00

Oakwood Pharmacy

The Old Salvation Army Hall

74 Blackburn Road

Birstall WF17 9PL

10:00-17:00

10:00-17:30

10:00-17:30

10:00-17:30

09:00-12:00

08:00-18:30

08:00-18:30

08:00-18:30

08:00-18:30

08:00-18:30

09:00-12:00

Winer (Chemists)

Ltd

1 Bond Street Birstall

Batley WF17 9EX

09:00-13:00; 14:00-17:00

09:00-13:00; 14:00-17:00

09:00-13:00; 14:00-17:00

09:00-13:00; 14:00-17:00

09:00-13:00; 14:00-18:00

09:00-13:00

09:00-18:30

09:00-18:30

09:00-18:30

09:00-18:30

09:00-18:30

09:00-13:00


125



Hours)




Cleckheaton

Kirklees Pharmacy (100 hour)

St Johns House

Cross Church Street

Cleckheaton BD19 3RQ

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

8am-9pm

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

8am-9pm

Lloyds Pharmacy

5 Greenside Cleckheaton BD19 5AN

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:15-18:30

08:15-18:15

08:15-18:15

08:15-18:15

08:15-18:15

Oakenshaw Pharmacy

673 Bradford Road

Oakenshaw Bradford BD12

7DT 09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-12:00

Rowlands Pharmacy

26 Market Street Cleckheaton BD19

5AJ

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:20; 13:40-18:00

09:00-13:20; 13:40-18:00

09:00-13:20; 13:40-18:00

09:00-13:20; 13:40-18:00

09:00-13:20; 13:40-18:00

09:00-13:00

Heckmond-wike

Cohen's Chemist

4 Batley Road

Heckmondwike WF16 9NE

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

Well Pharmacy

Morrisons Superstore 17 Union

Street

Heckmondwike WF16 0HL

08:45-12:30; 13:45-18:00

08:45-12:30; 13:45-18:00

08:45-12:30; 13:45-18:00

08:45-12:30; 13:45-18:00

08:45-12:30; 13:45-18:00

08:45-12:30 13:30-18:00

08:45-12:30 13:30-18:00

08:45-12:30 13:30-18:00

08:45-12:30 13:30-18:00

08:45-12:30 13:30-18:00

09:00-12:30 13:30-17:00


126



Hours)




Heckmond-wike

(continued)

Well Pharmacy

Unit 8, Northgate

Retail Centre Heckmondwike

WF16 9RL

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-18:00

08:45-18:00

08:45-18:00

08:45-18:00

08:45-18:00

08:45-13:30

Rowlands Pharmacy

Heckmond-wike Primary Care Centre

Algenon Firth Park

Heckmondwike WF16 0HH

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

08:00-13:00; 13:20-18:45

08:00-13:00; 13:20-18:45

08:00-13:00; 13:20-18:45

08:00-13:00; 13:20-18:45

08:00-13:00; 13:20-18:45

09:00-13:00

Liversedge and

Gomersal

Gomersal Pharmacy

260 Oxford Road

Gomersal Bradford

BD19 4PY

09:00-18:15

09:00-18:00

09:00-18:15

09:00-12:15

09:00-18:15

08:45-18:15

08:45-18:15

08:45-18:15

08:45-18:15

08:45-18:15

Shah's Chemist

69 Valley Road

Liversedge WF15 6DL

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-18:30

09:00-18:30

09:00-18:30

09:00-18:30

09:00-18:30


Dewsbury East

Boots UK Ltd

27 Princess of Wales Precinct

Long Causeway

Dewsbury WF13 1NH

09:30-14:00; 15:00-17:30

09:30-14:00; 15:00-17:30

09:30-14:00; 15:00-17:30

09:30-14:00; 15:00-17:30

09:30-14:00; 15:00-17:30

09:00-14:00

08:30-17:30

08:30-17:30

08:30-17:30

08:30-17:30

08:30-17:30

08:30-17:30

Chickenley Pharmacy

51 Walnut Lane

Chickenley Dewsbury

WF12 8NJ

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00


127



Hours)



Dewsbury and Mirfield (Continued)

Dewsbury East

(Continued)

G Pharmacy

Albion Mount Medical

Centre,47 Albion Street

Dewsbury WF13 2AJ

09:00-12:45; 13:45-18:00

09:00-12:45; 13:45-18:00

09:00-12:45; 13:45-18:00

09:00-12:45; 13:45-18:00

09:00-12:45; 13:45-18:00

09:00-12:45; 13:45-18:30

09:00-12:45; 13:45-18:30

09:00-12:45; 13:45-18:30

09:00-12:45; 13:45-18:30

09:00-12:45; 13:45-18:30

Pharmacy D

Dewsbury Health Centre

Wellington Road

Dewsbury WF13 1HN

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

08:00-19:00

08:00-19:00

08:00-19:00

08:00-19:00

08:00-19:00

09:00-14.00

Clovelly Pharmacy (Distance Selling)

Clovelly 1 Northfield

Road Dewsbury

WF132JX

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

Rowlands Pharmacy

Earlsheaton Medical

Centre,252 Wakefield

Road Earlsheaton

Dewsbury WF12 8AH

08:45-13:00; 14:00-17:30

08:45-13:00; 14:00-17:30

08:45-15:00

08:45-13:00; 14:00-17:30

08:45-13:00; 14:00-17:30

09:00-11:45

08:45-13:00; 13:20-18:15

08:45-13:00; 13:20-18:15

08:45-15:00

08:45-13:00; 13:20-18:15

08:45-13:00; 13:20-18:15

09:00-12:30

Lloyds Pharmacy (100 hour)

Goods Lane Railway Street

Dewsbury WF12 8EB

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-22:00

07:00-22:00

10 am- 4 pm

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-22:00

10 am-4 pm

Dewsbury South

Asda In Store

Pharmacy (100 hour)

Mill Street West

Dewsbury WF12 9AE

08:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-22:00

10 am- 4 pm

08:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-22:00

10 am-4 pm

Brewery Lane

Pharmacy (100 hour)

49 Brewery Lane

Thornhill Lees

Dewsbury WF12 9DU

06:30-23:00

06:30-23:00

06:30-23:00

06:30-23:00

06:30-23:00

08:00-17:00

8am-4.30 pm

06:30-23:00

06:30-23:00

06:30-23:00

06:30-23:00

06:30-23:00

08:00-17:00

8am-4.30pm


128



Hours)




Dewsbury South

(Continued)

Nobles Chemist

92 Savile Road

Savile Town Dewsbury

WF12 9LP

09:00-12:30; 14:00-18:45

09:00-12:30; 15:00-18:45

09:00-12:30; 14:00-18:30

09:00-12:30; 14:00-18:45

09:00-12:30; 14:00-18:45

09:00-12:30; 14:00-18:45

09:00-12:30; 15:00-18:45

09:00-12:30; 14:00-18:30

09:00-12:30; 14:00-18:45

09:00-12:30; 14:00-18:45

Rowlands Pharmacy

30 The Town Thornhill

Dewsbury WF12 0RB

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

08:45-13:00; 14:00-18:15

08:45-13:00; 14:00-18:15

08:45-13:00; 14:00-18:15

08:45-13:00; 14:00-18:15

08:45-13:00; 14:00-18:15

08:45-12:30

Savile Town Pharmacy

Saville Health Centre, The

Sidings Dewsbury

WF12 9QU

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:30

09:00-13:00; 14:00-18:30

09:00-13:00; 14:00-18:30

09:00-13:00; 14:00-18:30

09:00-13:00; 14:00-18:30

Sykes Chemist

140a Slaithwaite

Road Thornhill

Lees

Dewsbury WF12 9DW

09:00-13:30; 15:00-18:30

09:00-13:30; 15:00-19:00

09:00-13:30; 15:00-18:30

09:00-13:30; 15:00-18:30

09:00-12:30; 15:00-19:00

09:00-13:30; 15:00-18:30

09:00-13:30; 15:00-19:00

09:00-13:30; 15:00-18:30

09:00-13:30; 15:00-18:30

09:00-12:30; 15:00-19:00

Dewsbury West

Well Pharmacy

620 Huddersfield

Road Ravensthorpe

Dewsbury WF13 3HL

09:00-13:00; 14:45-18:45

09:00-13:00; 14:45-18:45

09:00-13:00; 14:45-18:45

09:00-13:00; 14:45-18:45

09:00-13:00; 14:45-18:45

08:30-18:45

08:30-18:45

08:30-18:45

08:30-18:45

08:30-18:45

09:00-12:30

Dewsbury Pharmacy (100 hour)

New Medical Centre

Healds Road Dewsbury

WF13 4HT

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

08:00-13:00; 14:00-24:00

08:30-21:00

8:30 am-9pm

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

08:00-13:00; 14:00-24:00

08:30-21:00

8:30am-9pm


129



Hours)


Dewsbury West

(Continued)

Dewsbury Moor

Pharmacy

119 Heckmond-wike Road Dewsbury

Moor

Dewsbury WF13 3NT

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

Eye Pharmacy (100 hour)

Unit 6d, Ravensthorpe

Retail Park Huddersfield

Road

Dewsbury WF13 3HN

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

9am-10 pm

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

9am-10 pm

Mount Pharmacy

71 Halifax Road

Dewsbury WF13 4HD

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

Pharmacy D 78 High Street

Westtown Dewsbury

WF13 2QQ

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

Mirfield

Boots Pharmacy

54 Old Bank Road

Mirfield WF14 0JA

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-17:00

Your Local Boots

Pharmacy

142 Huddersfield

Road Mirfield

WF14 8AN

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-16:30

Your Local Boots

Pharmacy

Mirfield Health Centre Doctor Lane

Mirfield WF14 8DU

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

08:00-12:30; 13:30-19:30

08:00-12:30; 13:30-18:15

08:00-12:30; 13:30-19:30

08:00-12:30; 13:30-18:15

08:00-12:30; 13:30-18:15


130



Hours)




Mirfield (Continued)

Eye Pharmacy (100 hour)

196 Huddersfield

Road Mirfield

WF14 8AZ

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

9am-10 pm

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

08:00-22:30

9am-10 pm

Huddersfield

Almondbury

Rowlands Pharmacy

332-334 Wakefield

Road Moldgreen

Huddersfield HD5 8DQ

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

Rowlands Pharmacy

65a Northgate

Almondbury Huddersfield

HD5 8RX

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

08:15-13:20; 13:40-18:30

08:15-13:20; 13:40-18:30

08:15-13:20; 13:40-18:30

08:15-13:20; 13:40-18:30

08:15-13:20; 13:40-18:30

09:00-12:30

Rowlands Pharmacy

63-65 Highgate

Lane Lepton

Huddersfield HD8 0DS

09:00-12:30; 13:30-17:30

09:00-12:30; 13:30-17:30

09:00-17:00

09:00-12:30; 13:30-17:30

09:00-12:30; 13:30-17:30

09:00-11:00

08:45-12:30; 13:30-18:00

08:45-12:30; 13:30-18:00

08:45-17:00

08:45-12:30; 13:30-18:00

08:45-12:30; 13:30-18:00

09:00-12:00

Ashbrow

Cohen's Chemist

56 Sheepridge

Road Sheepridge

Huddersfield HD2 1HG

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

Medicare Chemists

5 Copthorne Square Bradley

Huddersfield HD2 1SZ

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-12:30


131



Hours)




Ashbrow (Continued)

Asda In Store

Pharmacy

Longhill Road Off Bradford

Road Huddersfield

HD2 2LQ

09:00-12:30; 14:30-17:00

09:00-12:30; 14:30-17:00

09:00-12:30; 14:30-17:00

09:00-12:30; 14:30-17:00

09:00-12:30; 14:30-17:00

11am-1pm; 2pm-4pm

08:00-22:00

08:00-22:00

08:00-22:00

08:00-22:00

08:00-22:00

08:00-22:00

10 am-4 pm

Siddique Pharmacy

Ltd

14 Spaines Road

Fartown Huddersfield

HD2 2QA

09:00-12:45; 14:15-18:30

09:00-12:45; 14:15-18:30

09:00-12:45; 14:15-18:30

09:00-12:45; 14:15-18:30

09:00-12:45; 14:15-18:30

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00


Z A Akram Ltd

2 Thorne Road

Thornton Lodge

Huddersfield HD1 3JJ

09:30-18:30

09:30-18:30

09:30-18:30

09:30-13:30

09:30-18:30

09:30-18:30

09:30-18:30

09:30-18:30

09:30-13:30

09:30-18:30

Your Local Boots

Pharmacy

Moorfield Shopping

Centre 3 Park Road

West Crosland

Moor

Huddersfield HD4 5RX

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:15-18:00

08:15-18:00

08:15-18:00

08:15-18:00

08:15-18:00

09:00-12:30

K & M Pharmacy

325 Meltham Road

Netherton Huddersfield

HD4 7EX

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00


132



Hours)



Huddersfield (continued) Crosland Moor and Netherton

(Continued)

Medicare Chemists

Meltham Road Surgery

9 Meltham Road

Lockwood

Huddersfield HD1 3UP

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:30-13:00; 14:00-18:30

08:30-13:00; 14:00-19:00

08:30-13:00; 14:00-18:30

08:30-13:00; 14:00-18:30

08:30-13:00; 14:00-18:30

Dalton

Boots UK Ltd

(100 hour)

Great Northern

Retail Park Leeds Road

Huddersfield HD1 6ND

08:00-24:00

08:00-24:00

08:00-24:00

08:00-24:00

08:00-24:00

08:00-22:00

10.30 am-4.30 pm

08:00-24:00

08:00-24:00

08:00-24:00

08:00-24:00

08:00-24:00

08:00-22:00

10.30 am-4.30 pm

Kirkheaton Pharmacy

1 Bankfield Lane

Kirkheaton Huddersfield

HD5 0JE

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-17:00

09:00-13:00; 14:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-17:00

09:00-18:00

09:00-13:00

Rowlands Pharmacy

5 Broad Lane Dalton Huddersfield

HD5 9BU

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-13:00

Rowlands Pharmacy

617 Wakefield

Road Waterloo

Huddersfield HD5 9XP

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

09:00-12:40; 13:00-18:00

09:00-12:40; 13:00-18:00

09:00-12:40; 13:00-18:00

09:00-12:40; 13:00-18:00

09:00-12:40; 13:00-18:00

09:00-12:30

Lloyds Pharmacy (100 hour)

Southgate Huddersfield HD1 6QR

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-21:00

10 am-4pm

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-23:00

07:00-21:00

10 am-4pm


133



Hours)



Huddersfield (continued)

Greenhead

Bradford Road

Pharmacy Relocating

107 Bradford Road,

Fartown Huddersfield

HD1 6DZ

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

09:30-13:00; 14:00-18:30

C W Peach (Chemist)

Ltd

62 Westbourne Road,Marsh

Huddersfield HD1 4LE

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-12:30

Grange Pharmacy (Distance Selling)

40 Cobcroft Road

Huddersfield HD2 2RY

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-13:00; 14:00-18:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-13:00; 14:00-18:00

K Pharmacy 2 Grimscar

Avenue, Birkby

Huddersfield HD2 2TW

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00

Live Well Pharmacy (Distance Selling)

25 Brittania Crescent

Huddersfield HD2 2ST

08.00-16.00

08.00-16.00

08.00-16.00

08.00-16.00

08.00-16.00

08.00-16.00

08.00-16.00

08.00-16.00

08.00-16.00

08.00-16.00

Medicare Chemists


Huddersfield HD1 4LF

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-17:00

Paddock Head

Pharmacy

203 Luck Lane

Paddock Huddersfield

HD1 4RB

09:00-17:00

09:00-17:00

09:00-13:00

09:00-17:00

09:00-17:00

09:00-13:00

09:00-19:00

09:00-19:00

09:00-13:00; 16:30-19:00

09:00-19:00

09:00-19:00

09:00-14:00


134



Hours)




Greenhead (Continued)

S T Shaw Ltd

Fartown Grange Spaines

Road Fartown

Huddersfield HD2 2QA

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-18:15

09:00-18:15

09:00-18:15

09:00-18:15

09:00-18:15

Singh Pharmacy

6 Church Street

Paddock Huddersfield

HD1 4TR

09:00-13:00; 14:00-18:00

09:00-12:00; 14:00-18:00

09:00-12:00; 14:00-18:00

09:00-12:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-12:00

09:00-19:00

09:00-19:00

09:00-19:00

09:00-19:00

09:00-19:00

09:00-17:30

Lindley

Dickinson's Chemist Ltd

80 New Hey Road

Lindley Huddersfield

HD3 4AJ

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-17:30

Easymeds Pharmacy (Distance selling)

26 Grimescar Meadows

Huddersfield HD2 2DZ

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

Medicare Chemists

Unit 2, Salendine

Nook Shopping

Centre 144 Moorhill

Road

Huddersfield HD3 3XA

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-19:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-19:00

S T Shaw Ltd

59 Lidget Street Lindley

Huddersfield HD3 3JP

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:50-13:00; 14:00-18:00

08:50-13:00; 14:00-18:00

08:50-13:00; 14:00-18:00

08:50-13:00; 14:00-18:00

08:50-13:00; 14:00-18:00

09:00-12:30

Wellcare Pharmacy (Distance selling)

Wellfield House

33 New Hey Road

Huddersfield HD3 4AL

07:30-15:30

07:30-15:30

07:30-15:30

07:30-15:30

07:30-15:30

07:30-15:30

07:30-15:30

07:30-15:30

07:30-15:30

07:30-15:30


135



Hours)




Newsome

Boots UK Ltd

22 King Street

Huddersfield HD1 2QE

09:30-14:00; 15:00-17:30

09:30-14:00; 15:00-17:30

09:30-14:00; 15:00-17:30

09:30-14:00; 15:00-17:30

09:30-14:00; 15:00-17:30

09:00-14:00

08:15-17:30

08:15-17:30

08:15-17:30

08:15-17:30

08:15-17:30

08:15-17:45

10: 30 am-4:30pm

Greenhead Pharmacy (100 hour)

Greenhead House

2 Greenhead Road

Huddersfield HD1 4EN

08:30-24:00

08:30-24:00

08:30-24:00

08:30-24:00

08:30-24:00

10:00-24:00

12pm-8.30 pm

08:30-24:00

08:30-24:00

08:30-24:00

08:30-24:00

08:30-24:00

10:00-24:00

12 pm-8:30pm

Lockwood Pharmacy (100 hour)

227 Lockwood

Road Lockwood

Huddersfield HD1 3TG

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

10am-8pm

08:00-24:00

08:00-24:00

08:00-24:00

08:00-24:00

08:00-24:00

08:00-24:00

9am-10 pm

Huddersfield Pharmacy

45-47 Market Street

Huddersfield HD1 2HL

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-17:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-15:30

Rowlands Pharmacy

125 Fitzwilliam

Street Huddersfield

HD1 5PS

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:20; 13:40-18:00

09:00-13:20; 13:40-18:00

09:00-13:20; 13:40-18:00

09:00-13:20; 13:40-18:00

09:00-13:20; 13:40-18:00

Rowlands Pharmacy

Newsome Health Centre

Pharmacy 1a Church

Lane Newsome

Huddersfield HD4 6JE

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:30-13:20; 13:40-18:30

08:30-13:20; 13:40-18:30

08:30-13:20; 13:40-18:30

08:30-13:20; 13:40-18:30

08:30-13:20; 13:40-18:30

Superdrug Pharmacy

20 Princess Alexandra

Walk Huddersfield

HD1 2TT

09:00-13:00; 15:00-17:30

09:00-13:00; 15:00-17:30

09:00-13:00; 15:00-17:30

09:00-13:00; 15:00-17:30

09:00-13:00; 15:00-17:30

09:00-13:30; 14:30-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30


136



Hours)




Newsome (Continued)

Tesco In-Store

Pharmacy

Viaduct Street

Off Fitzwilliam Street

Huddersfield HD1 1RW

09:00-13:00; 14:00-16:00

09:00-13:00; 14:00-16:00

09:00-13:00; 14:00-17:00

09:00-13:00; 14:00-17:00

09:00-13:00; 14:00-17:00

09:00-13:00; 14:00-17:00

08:00-20:00

08:00-20:00

08:00-20:00

08:00-20:00

08:00-20:00

08:00-20:00

10 am-4pm

Kirklees Rural

Colne Valley

Your Local Boots

Pharmacy

32 Peel Street

Marsden Huddersfield

HD7 6BW

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

09:00-13:00

Cohen's Chemist

(100 hour)

9-10 Carr Lane

Slaithwaite Huddersfield

HD7 5AN

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

09:00-22:00

10am-10pm

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

08:00-23:00

09:00-22:00

10am-10pm

Croft House Surgery

Pharmacy

Croft House Surgery

Manchester Road

Slaithwaite

Huddersfield HD7 5JY

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

Star Pharmacy (100 hour)

1137 Manchester

Road Slaithwaite

Huddersfield HD7 5LU

07:00-24:00

07:00-24:00

07:00-24:00

07:00-24:00

07:00-24:00

09:00-24:00

07:00-24:00

07:00-24:00

07:00-24:00

07:00-24:00

07:00-24:00

09:00-24:00

Denby Dale

Dearne Valley

Pharmacy

40 Scott Hill, Clayton West

Huddersfield HD8 9PE

09:00-13:00; 16:00-19:00

09:00-13:00; 16:00-19:00

09:00-13:00; 16:00-19:00

09:00-13:00; 16:00-19:00

09:00-13:00; 16:00-19:00

09:00-13:00

11:00-15:00

09:00-13:00; 16:00-19:00

09:00-13:00; 16:00-19:00

09:00-13:00; 16:00-19:00

09:00-13:00; 16:00-19:00

09:00-13:00; 16:00-19:00

09:00-13:00

11am – 3pm

Denby Pharmacy

315 Wakefield

Road Denby Dale

HD8 8RX

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:30-17:30

09:00-11:30

08:30-13:00; 14:00-18:00

08:30-13:00; 14:00-18.00

08:30-13:00; 14:00-18:00

08:30-13:00; 14:00-18.00

08:30-12:30; 14:00-18:00

09:00-12:30


137



Hours)



Kirklees Rural (Continued)

Denby Dale (Continued)

Well Pharmacy

38 Commercial

Road Skelman- -thorpe

Huddersfield HD8 9DA

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:45-12:45; 14:00-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

09:00-13:00

Well Pharmacy

The Health Centre

Wakefield Road

Scissett

Huddersfield HD8 9JL

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

08:30-18:00

Golcar

Well Pharmacy

63 Market Street

Milnsbridge Huddersfield

HD3 4HZ

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

Cowlersley Pharmacy

903 Manchester

Road Cowlersley

Huddersfield HD4 5SX

09:00-12:45; 14:00-18:00

09:00-12:45; 14:00-18:00

09:00-12:30

09:00-12:45; 14:00-18:00

09:00-12:45; 14:00-18:00

09:00-12:30

09:00-12:45; 14:00-18:00

09:00-12:45; 14:00-18:00

09:00-12:45; 14:00-18:00

09:00-12:45; 14:00-18:00

09:00-12:45; 14:00-18:00

09:00-12:30

Golcar Delivery

Pharmacy (Distance Selling)

30 Moorcroft Avenue

Huddersfield HD7 4QH

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

09:00- 17:00

S T Shaw Ltd

38 Town End Golcar Huddersfield

HD7 4QD

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:45; 14:00-18:15

09:00-12:30

Holme Valley North

Rowlands Pharmacy

1 The Cobbles Meltham

Huddersfield HD9 5QQ

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

09:00-13:00; 13:20-18:15

09:00-13:00; 13:20-18:15

09:00-13:00; 13:20-18:15

09:00-13:00; 13:20-18:15

09:00-13:00; 13:20-18:15

09:00-12:30


138



Hours)




Holme Valley North

(Continued)

Lloyds Pharmacy

14 Huddersfield

Road Meltham

Huddersfield HD9 4AE

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-13:00

Medicare Chemists

8-10 Westgate Honley

Huddersfield HD9 6AA

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:00

09:00-12:30; 13:30-18:30

09:00-12:30; 13:30-18:30

09:00-12:30; 13:30-18:30

09:00-12:30; 13:30-18:30

09:00-12:30; 13:30-18:30

09:00-12:30

Medicines2home.com (Distance Selling)

Suite 3, Railway House

Station Road Meltham

Holmfirth HD9 5NX

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00 – 12:00

Holme Valley South

Dial a Pharmacist (Distance Selling)

Red Ledge Business Centre

289-291 Huddersfield

Road

Holmfirth HD9 3UA

17:00-22:00

17:00-22:00

17:00-22:00

17:00-22:00

17:00-22:00

14:30-22:00

2:30 pm-10pm

17:00-22:00

17:00-22:00

17:00-22:00

17:00-22:00

17:00-22:00

14:30-22:00

2:30 pm-10pm

Manor Pharmacy

59 Huddersfield

Road Holmfirth

HD9 3JH

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-18:00

09:00-17:00

11 am-5pm

Medicare Chemists

Unit 5, Riverside Shopping

Centre

Huddersfield HD9 3AZ

09:00-17:30

09:00-12:00

09:00-17:30

09:00-17:30

09:00-17:30

09:00-12:00

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-17:30

09:00-16:00

Medicare Chemists

Elmwood Health Centre Huddersfield Rd,Holmfirth

Huddersfield HD9 3TR

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

08:00-13:00; 14:00-19:30

08:00-13:00; 14:00-19:30

08:00-13:00; 14:00-19:30

08:00-13:00; 14:00-19:30

08:00-13:00; 14:00-18:30

09:00-12:00


139



Hours)




Holme Valley South

(Continued)

New Mill Pharmacy

Inside New Mill Post Office,6

Huddersfield Road

New Mill HD9 7JU

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00- 13:00

The Valley Pharmacy

1st Floor, New Mill

Village Store Holmfirth Rd

New Mill HD9 7JY

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-13:00; 14:00-18:00

09:00-12:30

Kirkburton

Rowlands Pharmacy

Kirkburton Health Centre Shelley Lane

Kirkburton

Huddersfield HD8 0SJ

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-13:00; 14:00-17:30

09:00-11:30

08:30-13:00; 13:20-18:00

08:30-13:00; 13:20-18:00

08:30-13:00; 13:20-18:00

08:30-13:00; 13:20-18:00

08:30-13:00; 13:20-18:00

09:00-12:30

Shepley Pharmacy

Shepley Health Centre 25 Jos Lane

Shepley

Huddersfield HD8 8DJ

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00

08:00-12:00; 14:00-18:00


140


Appendix Twelve

12. Number of Pharmacies per 100,000 Population Note 1: These figures may change slightly as national and local information is updated Note 2: People access services outside their Ward e.g. close to where they work; shop; visit – People living in Batley West where there is no pharmacy may choose to access services from neighbouring Wards e.g Batley East; Birstall and Birkenshaw; Note 3: Figures for Kirklees in this table exclude distance selling pharmacies because these pharmacies do not hold face to face consultations. However as these pharmacies serve people within and without of Kirklees, the overall figures are conservative and likely to be higher

District Committee/ Wards Population

(January 2015 GP register)

Pharmacies (Excluding Distance Selling)

Distance Selling

Pharmacies per 100,000 population

Estimated Ward

Population Served Per Pharmacy

Figures excluding distance

selling pharmacies

Batley And Spen 111,102 22 1 20 5050

Batley East 19,268 7 1 36 2753

Batley West 19,778 0 0 0 0

Birstall and Birkenshaw 16,827 5 0 30 3365

Cleckheaton 17,146 4 0 23 4287

Heckmondwike 18,929 4 0 21 4732

Liversedge and Gomersal 19,154 2 0 10 9577

Dewsbury and Mirfield 80,460 22 1 27 3657

Dewsbury East 18,505 6 1 32 3084

Dewsbury South 19,952 6 0 30 3325

Dewsbury West 22,188 6 0 27 3698

Mirfield 19,815 4 0 20 4954

Huddersfield 142,237 34 4 24 4183

Almondbury 18,371 3 0 16 6124

Ashbrow 21,045 4 0 19 5261

Crosland Moor and Netherton 20,636 4 0 19 5159

Dalton 18,275 5 0 27 3655

Greenhead 22,010 7 2 32 3144

Lindley 19,518 3 2 15 6506

Newsome 22,382 8 0 36 2798

Kirklees Rural 106,251 21 3 20 5060

Colne Valley 17,952 4 0 22 4488

Denby Dale 16,252 4 0 25 4063

Golcar 18,781 3 1 16 6260

Holme Valley North 16,972 3 1 18 5657

Holme Valley South 19,400 5 1 26 3880

Kirkburton 16,894 2 0 12 8447

Kirklees Total Population (2015 Mid-Year Estimate)

440,050 99 9 22 4445

Yorkshire and Humber (2015 Mid-Year Estimate)

5,390,576 1,275*

24 4228

England (2015 Mid-Year Estimate)

54,786,327 11,688*

21 4687

*Source: NHS Digital http://www.content.digital.nhs.uk/catalogue/PUB22317


http://www.content.digital.nhs.uk/catalogue/PUB22317

141


Appendix Thirteen

13. Locally Commissioned Services

Public Health Commissioned Services and Pharmacy Healthy Living Pharmacy Status (“soon”: currently working towards) Note these tables were correct at the time of Consultation and are subject to change when services are re-commissioned or newly commissioned.

Public Health Service

WARD Pharmacy Name Street Town Post Code

Supervised Consumption (Methadone;

Buprenorphine)

Needle Exchange

EHC

Smoking Cessation

(NRT Voucher ; Scheme)

Stop Smoking (Level 2 Advisor)

Healthy Living Pharmacy

Batley and Spen

Batley East

Batley Pharmacy

157 Upper Commercial Street

Batley WF17 5DH

Well Pharmacy 4 Market Place Batley WF17 5DA

soon

Well Pharmacy 104 Upper

Commercial Street Batley

WF17 5DP

soon

Well Pharmacy 67b Purlwell Lane Mount Pleasant

Batley WF17 7PF

soon

Hughes Chemists

3-5 Oxford Terrace

Off Soothill Lane Batley

WF17 5ST

soon

Mileusnic Chemist

133 Upper Commercial Street

Batley WF17 5DH

Safemed Pharmacy

1 Bonaccord Square

Batley WF17 7QG

Tesco In-Store Pharmacy

Bradford Road Batley WF17 5TJ

soon


Birstall Pharmacy

8 Market Place Birstall

Batley WF17 9EL

Boots UK Ltd

Unit 3, Birstall Retail Park

Holden Ing Way Birstall

Batley WF17 9DT

soon


142





Buprenorphine)

Needle Exchange

EHC

Smoking Cessation




Batley and Spen

Birstall and Birkenshaw (Continued)

Lloyds Pharmacy



Bradford BD11 2HX

soon

Oakwood Pharmacy

The Old Salvation Army Hall

74 Blackburn Road

Birstall WF17 9PL

Winer (Chemists) Ltd

1 Bond Street Birstall

Batley WF17 9EX

Cleckheaton

Kirklees Pharmacy

St Johns House Cross Church Str

Cleckheaton BD19 3RQ

Lloyds Pharmacy

5 Greenside Cleckheaton BD19 5AN

soon

Oakenshaw Pharmacy

673 Bradford Rd Oakenshaw

Bradford BD12 7DT

Rowlands Pharmacy

26 Market Street Cleckheaton BD19 5AJ

Heckmondwike

Cohen's Chemist

4 Batley Road Heckmond-

wike WF16 9NE

Well Pharmacy Morrisons Superstore

17 Union Street

Heckmond-wike

WF16 0HL

soon

Well Pharmacy Unit 8, Northgate

Retail Centre Heckmond-

wike WF16 9RL

soon

Rowlands Pharmacy

Heckmondwike Primary Care

Centre Algenon Firth Park

Heckmond-wike

WF16 0HH


143





Buprenorphine)

Needle Exchange

EHC

Smoking Cessation




Liversedge and

Gomersal

Gomersal Pharmacy

260 Oxford Road Gomersal

Bradford BD19 4PY

soon

Shah's Chemist 69 Valley Road Liversedge WF15 6DL


Dewsbury East

Boots UK Ltd 27 The Princess of

Wales Precinct Long Causeway

Dewsbury WF13 1NH

Chickenley Pharmacy

51 Walnut Lane Chickenley

Dewsbury WF12 8NJ

soon

G Pharmacy Albion Mount

Medical Centre 47 Albion Street

Dewsbury WF13 2AJ


Clovelly 1 Northfield Road

Dewsbury WF132

JX

Pharmacy D Dewsbury Health

Centre Wellington Road

Dewsbury WF13 1HN

soon

Rowlands Pharmacy

Earlsheaton Medical Centre

252 Wakefield Rd Earlsheaton

Dewsbury WF12 8AH

Lloyds Pharmacy

Goods Lane Railway Street

Dewsbury WF12 8EB

soon

Dewsbury South

Asda In Store Pharmacy

Mill Street West Dewsbury WF12 9AE

Brewery Lane Pharmacy

49 Brewery Lane Thornhill Lees

Dewsbury WF12 9DU

soon

Nobles Chemist 92 Savile Road

Savile Town Dewsbury

WF12 9LP

soon

Rowlands Pharmacy

30 The Town Thornhill

Dewsbury WF12 0RB


Saville Health Centre, The

Sidings Dewsbury

WF12 9QU

soon


144





Buprenorphine)

Needle Exchange

EHC

Smoking Cessation




Dewsbury and Mirfield (Continued) Dewsbury

South (continued)

Sykes Chemist 140a Slaithwaite

Road Thornhill Lees

Dewsbury WF12 9DW

soon

Dewsbury West

Well Pharmacy 620 Huddersfield

Road Ravensthorpe

Dewsbury WF13 3HL

soon

Dewsbury Pharmacy

New Medical Centre

Healds Road Dewsbury

WF13 4HT

Dewsbury Moor Pharmacy

119 Heckmondwike

Road Dewsbury Moor

Dewsbury WF13 3NT

Eye Pharmacy

Unit 6d, Ravensthorpe

Retail Park Huddersfield Road

Dewsbury WF13 3HN

soon

Mount Pharmacy

71 Halifax Road Dewsbury WF13 4HD

soon

Pharmacy D 78 High Street

Westtown Dewsbury

WF13 2QQ

Mirfield

Boots Pharmacy

54 Old Bank Road Mirfield WF14 0JA

Your Local Boots

Pharmacy

142 Huddersfield Road

Mirfield WF14 8AN

soon

Your Local Boots

Pharmacy

Mirfield Health Centre

Doctor Lane Mirfield

WF14 8DU

Eye Pharmacy 196 Huddersfield

Road Mirfield

WF14 8AZ

soon


145





Buprenorphine)

Needle Exchange

EHC

Smoking Cessation




Huddersfield

Almondbury (Continued)

Rowlands Pharmacy

332-334 Wakefield Road

Moldgreen Huddersfield

HD5 8DQ

Almondbury Pharmacy

65a Northgate Almondbury


Rowlands Pharmacy

63-65 Highgate Lane, Lepton

Huddersfield HD8 0DS

Ashbrow

Cohen's Chemist

56 Sheepridge Road

Sheepridge Huddersfield

HD2 1HG

Medicare Chemists

5 Copthorne Square,Bradley

Huddersfield HD2 1SZ

soon


Longhill Road Off Bradford Road

Huddersfield HD2 2LQ

soon

Siddique Pharmacy Ltd

14 Spaines Road Fartown


soon


Z A Akram Ltd 2 Thorne Road Thornton Lodge

Huddersfield HD1 3JJ soon

Your Local Boots Pharmacy

Moorfield Shopping Centre

3 Park Road West Crosland Moor


K & M Pharmacy

325 Meltham Road

Netherton Huddersfield

HD4 7EX

soon

Medicare Chemists

Meltham Road Surgery

9 Meltham Road Lockwood

Huddersfield HD1 3UP

Dalton

Boots UK Ltd Great Northern

Retail Park Leeds Road


Kirkheaton Pharmacy

1 Bankfield Lane Kirkheaton


soon


146





Buprenorphine)

Needle Exchange

EHC

Smoking Cessation





Dalton (Continued)

Rowlands Pharmacy

5 Broad Lane Dalton

Huddersfield HD5 9BU

Rowlands Pharmacy

617 Wakefield Road,Waterloo

Huddersfield HD5 9XP soon

Lloyds Pharmacy

Southgate Huddersfield HD1 6QR

soon

Greenhead

Bradford Road Pharmacy Relocating

107 Bradford Road, Fartown


C W Peach (Chemist) Ltd


Huddersfield HD1 4LE

Grange Pharmacy (Distance Selling)

40 Cobcroft Road Huddersfield HD2 2RY

K Pharmacy 2 Grimscar

Avenue,Birkby Huddersfield

HD2 2TW

soon

Live Well Pharmacy (Distance Selling)



S T Shaw Ltd Fartown Grange

Spaines Rd,Fartown


Medicare Chemists


Huddersfield HD1 4LF soon

Paddock Head Pharmacy

203 Luck Lane Paddock

Huddersfield HD1 4RB soon

Singh Pharmacy 6 Church Street

Paddock Huddersfield HD1 4TR soon


147





Buprenorphine)

Needle Exchange

EHC

Smoking Cessation (NRT

Voucher ; Scheme)




Lindley

Easymeds Pharmacy (Distance selling)


Huddersfield HDZ 2DZ soon


80 New Hey Road Lindley

Huddersfield HD3 4AJ

Medicare Chemists

Unit 2, Salendine Nook Shopping

Centre 144 Moorhill Road Salendine Nook

Huddersfield HD3 3XA soon

S T Shaw Ltd 59 Lidget Street

Lindley Huddersfield HD3 3JP soon

Wellcare Pharmacy (Distance selling)

Wellfield House 33 New Hey Road


Newsome

Boots UK Ltd 22 King Street Huddersfield HD1 2QE

Greenhead Pharmacy

Greenhead House 2 Greenhead

Road Huddersfield HD1 4EN soon


45-47 Market Street

Huddersfield HD1 2HL soon

Lockwood Pharmacy

227 Lockwood Road,Lockwood


Rowlands Pharmacy

125 Fitzwilliam Street

Huddersfield HD1 5PS

Rowlands Pharmacy

Newsome Health Centre Pharmacy 1a Church Lane

Newsome

Huddersfield HD4 6JE soon

Superdrug Pharmacy

20 Princess Alexandra Walk

Huddersfield HD1 2TT


148





Buprenorphine)

Needle Exchange

EHC


Voucher ; Scheme)



Huddersfield (Continued) Newsome

(Continued) Tesco In-Store

Pharmacy Viaduct Street,Off Fitzwilliam Street


Kirklees Rural

Colne Valley


32 Peel Street Marsden

Huddersfield HD7 6BW

soon

Cohen's Chemist

9-10 Carr Lane Slaithwaite

Huddersfield HD7 5AN soon

Croft House Surgery

Pharmacy

Manchester Road Slaithwaite


Star Pharmacy 1137 Manchester

Road Slaithwaite


Denby Dale

Dearne Valley Pharmacy


Huddersfield HD8 9PE

Denby Pharmacy

315 Wakefield Road Denby Dale HD8 8RX

Well Pharmacy

38 Commercial Road

Skelmanthorpe Huddersfield HD8 9DA soon

Well Pharmacy

The Health Centre Wakefield Road

Scissett Huddersfield HD8 9JL soon

Golcar

Well Pharmacy

63 Market Street Milnsbridge

Huddersfield HD3 4HZ soon

Cowlersley Pharmacy

903 Manchester Road

Cowlersley Huddersfield HD4 5SX soon

Golcar Delivery

Pharmacy (Distance Selling)

30 Moorcroft Avenue

Huddersfield HD7 4QH


149





Buprenor-phine)

Needle Exchange

EHC


Voucher ; Scheme)


Healthy Living

Pharmacy

Kirklees Rural (Continued) Golcar

(Continued) S T Shaw Ltd

38 Town End Golcar

Huddersfield HD7 4QD

soon

Holme Valley North

Rowlands Pharmacy

1 The Cobbles Meltham


Lloyds Pharmacy

14 Huddersfield Road,Meltham

Huddersfield HD9 4AE soon

Medicare Chemists

8-10 Westgate Honley


Medicines2 home.com (Distance selling)

Suite 3, Railway House Station Road, Meltham

Holmfirth HD9 5NX

Holme Valley South

Dial a Pharmacist (Distance selling)

Red Ledge Business Centre

289-291 Huddersfield Road

Holmfirth HD9 3UA

Manor Pharmacy

59 Huddersfield Road

Holmfirth HD9 3JH soon

Medicare Chemists

Unit 5, Riverside Shopping Centre 90 Huddersfield Road,Holmfirth


Medicare Chemists

Elmwood Health Centre

Huddersfield Road Holmfirth

Huddersfield HD9 3TR

soon

New Mill Pharmacy

Inside New Mill Post Office

6 Huddersfield Rd New Mill HD9 7JU soon

The Valley Pharmacy

1st Floor, New Mill Village Store

Holmfirth Road New Mill HD9 7JY soon


150





Buprenor-phine)

Needle Exchange

EHC


Voucher ; Scheme)


Healthy Living

Pharmacy

Kirkburton

Rowlands Pharmacy

Kirkburton Health Centre

Shelley Lane Kirkburton


Shepley Pharmacy

Shepley Health Centre

25 Jos Lane Shepley



151


NHS England Commissioned Enhanced and Advanced Services Note these tables were correct at the time of Consultation and are subject to change when services are re-commissioned or newly commissioned; “Soon”: The pharmacy indicates on the PNA Questionnaire that they are working towards/intending to provide).

NHS England Commissioned

Enhanced Services NHS England Commissioned Advanced Services

WARD Pharmacy

Name Street Town

Post Code

Head Lice Treatment

Palliative care

Minor Ailments

MUR NMS SAC FLU NUMSAS

PILOT

Batley and Spen

Batley East

Batley Pharmacy 157 Upper Commercial Street Batley WF17

5DH

Well Pharmacy 4 Market Place Batley WF17 5DA

Well Pharmacy 104 Upper Commercial Street Batley WF17

5DP

Well Pharmacy 67b Purlwell Lane,Mount

Pleasant Batley WF17

7PF

Hughes Chemists 3-5 Oxford

Terrace,Off Soothill Lane

Batley WF17 5ST

soon

soon

Mileusnic Chemist 133 Upper Commercial Street Batley WF17

5DH

Safemed Pharmacy

1 Bonaccord Square Batley WF17 7QG

Tesco In-Store Pharmacy

Bradford Road Batley WF17 5TJ


Birstall Pharmacy 8 Market Place

Birstall Batley

WF17 9EL

soon

Boots UK Ltd

Unit 3, Birstall Retail Park

Holden Ing Way Birstall

Batley WF17 9DT

Lloyds Pharmacy



Bradford BD11 2HX

soon

Oakwood Pharmacy

The Old Salvation Army Hall,74

Blackburn Road Birstall

WF17 9PL

soon

Winer (Chemists) Ltd

1 Bond Street,Birstall

Batley WF17 9EX


152




WARD Pharmacy

Name Street Town

Post Code

Head Lice Treatment

Palliative care

Minor Ailments

MUR NMS SAC FLU

VACC

NUMSAS PILOT

Batley and Spen (Continued)

Cleckheaton

Kirklees Pharmacy

St Johns House,Cross Church

Street Cleckheaton BD19

3RQ

soon

Lloyds Pharmacy 5 Greenside Cleckheaton BD19 5AN soon

Oakenshaw Pharmacy

673 Bradford Road,Oakenshaw Bradford BD12

7DT

Rowlands Pharmacy

26 Market Street Cleckheaton BD19 5AJ

Heckmondwike

Cohen's Chemist 4 Batley Road Heckmondwike WF16 9NE

Well Pharmacy Morrisons

Superstore,17 Union Street

Heckmondwike WF16 0HL

soon

Well Pharmacy Unit 8, Northgate Retail Centre Heckmond-wike WF16

9RL

Rowlands Pharmacy

Heckmondwike Primary Care

Centre,Algenon, Firth Park

Heckmond-wike WF16 0HH

Liversedge and Gomersal

Gomersal Pharmacy

260 Oxford Road,Gomersal Bradford BD19

4PY soon

Shah's Chemist 69 Valley Road Liversedge WF15 6DL


Dewsbury East

Boots UK Ltd 27 The Princess of

Wales Precinct Long Causeway

Dewsbury WF13 1NH

Chickenley Pharmacy

51 Walnut Lane,Chickenley

Dewsbury WF12 8NJ

G Pharmacy Albion Mount

Medical Centre,47 Albion Street

Dewsbury WF13 2AJ

soon


153




WARD Pharmacy

Name Street Town

Post Code

Head Lice Treatment

Palliative care

Minor Ailments

MUR NMS SAC FLU

VACC

NUMSAS PILOT


Dewsbury East (Continued)


Clovelly 1 Northfield Road

Dewsbury WF13 2JX

Pharmacy D Dewsbury Health Centre,Wellington Rd

Dewsbury WF13 1HN soon

Rowlands Pharmacy

Earlsheaton Medical Centre,252 Wakefield

Road,Earlsheaton Dewsbury WF12

8AH

Lloyds Pharmacy Goods Lane, Railway Street Dewsbury WF12

8EB

Dewsbury South


Mill Street West Dewsbury WF12 9AE soon soon

Brewery Lane Pharmacy

49 Brewery Lane,Thornhill Lees Dewsbury WF12

9DU soon

Nobles Chemist 92 Savile Road,Savile Town Dewsbury WF12

9LP

Rowlands Pharmacy

30 The Town,Thornhill Dewsbury WF12

0RB soon


Saville Health Centre, The Sidings Dewsbury WF12

9QU soon

Sykes Chemist 140a Slaithwaite Road,Thornhill Lees Dewsbury WF12

9DW

Dewsbury West

Well Pharmacy 620 Huddersfield Road, Ravensthorpe Dewsbury WF13

3HL

Dewsbury Pharmacy

New Medical Centre Healds Road

Dewsbury WF13 4HT

Dewsbury Moor Pharmacy

119 Heckmondwike Road,Dewsbury

Moor Dewsbury

WF13 3NT

Eye Pharmacy

Unit 6d, Ravensthorpe Retail

Park, Huddersfield Road

Dewsbury WF13 3HN


154




WARD Pharmacy

Name Street Town

Post Code

Head Lice Treatment

Palliative care

Minor Ailments

MUR NMS SAC FLU

VACC

NUMSAS

PILOT


Dewsbury West (Continued)

Mount Pharmacy 71 Halifax Road Dewsbury WF13 4HD

Pharmacy D 78 High

Street,Westtown Dewsbury

WF13 2QQ

soon

Mirfield

Boots Pharmacy 54 Old Bank Road Mirfield WF14 0JA

soon


142 Huddersfield Road Mirfield WF14

8AN


Mirfield Health Centre,Doctor Lane Mirfield WF14

8DU

Eye Pharmacy 196 Huddersfield Road Mirfield WF14

8AZ

Huddersfield

Almondbury

Rowlands Pharmacy

332-334 Wakefield Road,Moldgreen Huddersfield HD5

8DQ

Rowlands Pharmacy

65a Northgate, Almondbury Huddersfield HD5

8RX

Rowlands Pharmacy

63-65 Highgate Lane,Lepton Huddersfield HD8

0DS

Ashbrow


Longhill Road Off Bradford Road

Huddersfield HD2 2LQ

Cohen's Chemist 56 Sheepridge Road,Sheepridge Huddersfield HD2

1HG

Medicare Chemists

5 Copthorne Square,Bradley Huddersfield HD2

1SZ

Siddique Pharmacy Ltd

14 Spaines Road,Fartown


soon


Z A Akram Ltd 2 Thorne

Road,Thornton Lodge

Huddersfield HD1 3JJ


Moorfield Shopping Centre

3 Park Road West Crosland Moor



155


NHS England Commissioned Enhanced Services

NHS England Commissioned Advanced Services

WARD Pharmacy

Name Street Town

Post Code

Head Lice Treatment

Palliative care

Minor Ailments

MUR NMS SAC FLU

VACC

NUMSAS PILOT

Huddersfield (Continued) Crosland Moor and Netherton (Continued)

K & M Pharmacy 325 Meltham

Road,Netherton Huddersfield

HD4 7EX

soon

Medicare Chemists

Meltham Road Surgery,9 Meltham

Road,Lockwood Huddersfield

HD1 3UP

soon

Dalton

Boots UK Ltd Great Northern

Retail Park,Leeds Road


Kirkheaton Pharmacy

1 Bankfield Lane,Kirkheaton Huddersfield HD5

0JE soon

Rowlands Pharmacy

5 Broad Lane Dalton Huddersfield HD5

9BU soon

Rowlands Pharmacy

617 Wakefield Road,Waterloo Huddersfield HD5

9XP

Lloyds Pharmacy Southgate Huddersfield HD1 6QR

Greenhead

Bradford Road Pharmacy Relocating

107 Bradford Road, Fartown


C W Peach (Chemist) Ltd

62 Westbourne Road,Marsh Huddersfield HD1

4LE

Grange Pharmacy 40 Cobcroft Road Huddersfield HD2 2RY

K Pharmacy 2 Grimscar Avenue,Birkby Huddersfield HD2

2TW soon

Live Well Pharmacy

(Distance Selling)



Medicare Chemists

140 Westbourne Road,Marsh Huddersfield HD1

4LF soon

Paddock Head Pharmacy

203 Luck Lane,Paddock Huddersfield HD1

4RB soon soon soon

S T Shaw Ltd Fartown Grange

Spaines Road,Fartown


Singh Pharmacy 6 Church Street,Paddock Huddersfield HD1

4TR soon soon


156




WARD Pharmacy

Name Street Town

Post Code

Head Lice Treatment

Palliative care

Minor Ailments

MUR NMS SAC FLU

VACC

NUMSAS PILOT


Lindley)

Easymeds Pharmacy

(Distance selling)


Huddersfield HDZ 2DZ

soon


80 New Hey Road,Lindley

Huddersfield HD3 4AJ

Medicare Chemists

Unit 2, Salendine Nook Shopping

Centre,144 Moorhill Road,

Salendine Nook

Huddersfield HD3 3XA

soon

S T Shaw Ltd 59 Lidget

Street,Lindley Huddersfield

HD3 3JP

soon

Wellcare Pharmacy

(Distance Selling)

Wellfield House,33 New Hey Road


soon

Newsome

Boots UK Ltd 22 King Street Huddersfield HD1 2QE

Greenhead Pharmacy

Greenhead House,2 Greenhead Road Huddersfield HD1

4EN soon

Lockwood Pharmacy

227 Lockwood Road,Lockwood


soon


45-47 Market Street Huddersfield HD1 2HL

Rowlands Pharmacy

125 Fitzwilliam Street Huddersfield HD1

5PS

Rowlands Pharmacy

Newsome Health Centre Pharmacy

1a Church Lane,Newsome


Superdrug Pharmacy

20 Princess Alexandra Walk

Huddersfield HD1 2TT


157




WARD Pharmacy

Name Street Town

Post Code

Head Lice Treatment

Palliative care

Minor Ailments

MUR NMS SAC FLU

VACC

NUMSAS PILOT


Tesco In-Store

Pharmacy Viaduct Street,Off Fitzwilliam Street


soon

Kirklees Rural

Colne Valley


32 Peel Street,Marsden Huddersfield HD7

6BW

Cohen's Chemist 9-10 Carr Lane,Slaithwaite Huddersfield HD7

5AN soon

Croft House Surgery

Pharmacy

Manchester Road,Slaithwaite


Star Pharmacy 1137 Manchester Road,Slaithwaite


Denby Dale

Dearne Valley Pharmacy


Huddersfield HD8 9PE soon

Denby Pharmacy 315 Wakefield Road Denby Dale HD8 8RX

soon

Well Pharmacy 38 Commercial

Road, Skelmanthorpe

Huddersfield HD8 9DA

Well Pharmacy The Health Centre

Wakefield Road,Scissett

Huddersfield HD8 9JL

Golcar

Well Pharmacy 63 Market Street,Milnsbridge Huddersfield HD3

4HZ

Cowlersley Pharmacy

903 Manchester Road,Cowlersley Huddersfield HD4

5SX

Golcar Delivery Pharmacy

(Distance Selling)

30 Moorcroft Avenue Huddersfield HD7 4QH

soon

S T Shaw Ltd 38 Town End,Golcar Huddersfield HD7 4QD


158


NHS England Commissioned Enhanced Services

NHS England Commissioned Advanced Services

WARD Pharmacy

Name Street Town

Post Code

Head Lice Treatment

Palliative care

Minor Ailments

MUR NMS SAC FLU

VACC

NUMSAS PILOT


Holme Valley North

Rowlands Pharmacy

1 The Cobbles.Meltham


soon soon

Lloyds Pharmacy 14 Huddersfield Road,Meltham

Huddersfield HD9 4AE

soon

Medicare Chemists

8-10 Westgate,Honley


soon

Medicines2home.com

(Distance selling)

Suite 3, Railway House,Station Road,Meltham

Holmfirth HD9 5NX

soon

Holme Valley South

Dial a Pharmacist (Distance selling)

Red Ledge Business Centre,289-291

Huddersfield Road Holmfirth HD9

3UA

Manor Pharmacy 59 Huddersfield Road Holmfirth HD9

3JH soon soon

Medicare Chemists

Unit 5, Riverside Shopping Centre,90

Huddersfield Road,Holmfirth


Medicare Chemists

Elmwood Health Centre,Huddersfield

Road,Holmfirth Huddersfield

HD9 3TR

soon

New Mill Pharmacy

Inside New Mill Post Office,6

Huddersfield Road New Mill

HD9 7JU

soon

The Valley Pharmacy

1st Floor, New Mill Village

Store,Holmfirth Road

New Mill HD9 7JY

Kirkburton

Rowlands Pharmacy

Kirkburton Health Centre,Shelley Lane,Kirkburton


Shepley Pharmacy

Shepley Health Centre,25 Jos Lane,Shepley



159 PNA 2018-21 CONSULTATION


Appendix Fourteen

14. Future Developments in Community Pharmacy Services, Links and Further Information Since the last published PNA, there have been many publications detailing plans, strategies, and visions for improving the public’s health. Some of these, where there is a significant potential for community pharmacy are summarised below.

Focus on variation in local authority commissioning of community pharmacy

public health services

This study published by BMJ Open, evaluated the variation in local authority (LA)

commissioning of community pharmacy public health services in England in 2014/15. There

were 833 reported commissioned services with four types being commissioned by over 90%

of local authorities which included emergency hormonal contraception (EHC), smoking

cessation support, supervised consumption of methadone or other opiates and needle and

syringe programmes.

Frequency on the use of services was also gathered in the study which showed that

supervised consumption and needle and syringe programmes were the most frequently used

services. This study showed the significant variations in the delivery of public health services

in community pharmacies, but also highlighted that the services are not always

commissioned in relation to need. For more information about this study visit:

http://bmjopen.bmj.com/content/7/7/e01551

PricewaterhouseCoopers LLP (PwC) study to examine and quantify the

economic contribution of community pharmacy in England in 2015.

This report analysed the value (net benefits) to the NHS, public sector, patients and wider society of 12 specific services provided by community pharmacy.Services analysed included supervised consumption, emergency hormonal contraception provision, minor ailments, delivering prescriptions and managing drug shortages.

Community pharmacies contributed a net value of £3 billion to the NHS, public sector, patients and wider society in England in 2015 through just 12 services, with a further £1.9 billion expected to accrue over the next 20 years. This means that community pharmacies deliver substantially more in benefits than they receive in compensation, providing excellent value.

Pharmacies made more than 150 million interventions through the services in 2015 and there was a benefit of more than £250,000 per pharmacy or £54.61 for every resident of England.

Breaking the combined contribution down into the areas which are benefitting, it was found that:

The NHS received a net value of £1,352 million, including cash savings as a result of cost efficiencies, and avoided NHS treatment costs;

Other public sector bodies (e.g. local authorities) and wider society together received over £1 billion through increased output, avoided deaths and reduced pressure on other services such as social care and justice; and

Patients received around £600 million, mainly in the form of reduced travel time to alternative NHS settings.

http://psnc.org.uk/wp-content/uploads/2016/09/The-value-of-community-pharmacy-detailed-report.pdf


http://bmjopen.bmj.com/content/7/7/e01551





Community Pharmacy 2016 and Beyond

This document set out the package of reforms that was developed and approved by

Department of Health Ministers, following consultation with the Pharmaceutical Services

Negotiating Committee (PSNC) and other key stakeholders, including patient and public

representatives. Information in the document lays out the funding settlement in relation to

pharmacy remuneration and the changes to Fees and Services from December 2016 to

include:

Introduction of a Pharmacy Access Scheme to run from 1 December 2016 to 31

March 2018 (see section 2.29);

Introduction of a quality payments scheme (see link below and section 2.24);

Commissioning by NHSE of a new urgent medicines supply pilot as an advanced

service, which will require changes to Directions (NUMSAS see section 2.20).


The Murray Review of Community Pharmacy Clinical Services (December

2016)

This report concludes that there needs to be “renewed efforts to make the most of the

existing clinical services that community pharmacy can provide and to do so at pace”.

It sets out how the skills of community pharmacists and their teams can be used to help

people to manage long-term conditions and to embed medicines optimisation within care

pathways. This may require national action through the Community Pharmacy Contractual

Framework, as well as local progress on integrating pharmacies into evolving models of

care, the report states.

The report sets out a number of recommendations for the future development of community

pharmacy services including:

Incentivising use of electronic repeat dispensing so that this becomes the default for

repeat prescribing;

A redesign of MURs to develop them into full clinical reviews including ongoing

monitoring and follow-up of patients, consideration of prescription duration, and

utilising independent prescribing as part of the care pathway;

Consideration of making smoking cessation services an element of the national

contractual framework;

Use of the Vanguard programmes to develop the evidence base for community

pharmacists, including integrating community pharmacists into long term condition

management pathways, involving them in case finding programmes, and using new

ways of contracting that mitigate any perceived conflicts of interest;

Support from NHS England and national partners to help STP leads to integrate

community pharmacy into their plans and local commissioners to contract for

services; and

Joint work by PSNC, the Royal Pharmaceutical Society and national GP

representatives to explore what practical steps can be taken to unravel professional

boundary issues and ensure closer working between community pharmacists and

GPs.






The report also called for NHS England to set out how it intends to deliver on its commitment

to ensure that minor ailments services are commissioned across England by April 2018. It

stressed the need for community pharmacists and their teams to share information with

clinical records held by other healthcare professionals, and said pharmacy technicians

should be able to work under Patient Group Directions to improve better use of the skill mix

within pharmacies.

https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2016/12/community-pharm-clncl-serv-rev.pdf

NHSE Five Year Forward View Next Steps Published on 31 March 2017, this document reviews the progress made since the launch of the NHS Five Year Forward View in October 2014 and sets out a series of practical and realistic steps for the NHS to deliver a better, more joined-up and more responsive NHS in England. The key areas for the operational delivery of the Five Year Forward View will be used as the guiding principles for deployment of the Pharmacy Integration Fund (See section 2.28)

The Five Year Forward View Next Steps sets out the NHS’ main national service improvement priorities over the next two years, within the constraints of what is necessary to achieve financial balance across the health service. The main areas involving community pharmacy include plans for integration into urgent care; placing an extra 1300 clinical pharmacists in general practice to work alongside GPs; deployment of pharmacy professionals into care homes to contribute to “helping frail and older people stay healthy and independent”; bookable GP appointments being made available at evenings and weekends; development of digital technologies and innovation to support the clinical developments; and investments in Health Education England.

To accelerate delivery of the plan by 2020/2021, NHSE are creating local partnerships between the various care providers and organisations providing the funding for care so that they can work together better. These partnerships are called ‘Sustainability and Transformation Partnerships’ and are classified as Accountable Care Systems. In the Kirklees area, the agreed geographical area for the STP encompasses eleven CCG boundaries, eight local authority boundaries as well as a number of health and social care service providers to work together across the West Yorkshire and Harrogate.

Some of the main national service improvement priorities from the Five Year Forward View Next Steps are summarised below:

Providing urgent and emergency care 24 hours a day, 7 days a week taking practical

action to take the strain off A&E;

Working closely with community services, councils and hospitals to free up 2,000-

3,000 hospital beds. In addition, patients with less severe conditions will be offered

more convenient alternatives, including a network of newly designated Urgent

Treatment Centres, GP appointments, and more nurses, doctors and paramedics

handling calls to NHS 111. (Chapter Two);

Having enough GPs, backed up by the resources, support and other professionals

required to enable them to deliver the quality of care they want to provide allowing for

an extra 3,250 GP recruits, with an extra 1,300 clinical pharmacists and 1,500 more

mental health therapists working alongside them. Improved access during the

working week, development of bookable appointments at evenings and weekends

everywhere by 2018. (Chapter Three);




https://www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/urgent-and-emergency-care

https://www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/primary-care



Improving outcomes and treatment of Cancer (Chapter Four), mental health (Chapter

Five);

Helping frail and older people stay healthy and independent resulting in slower

growth in emergency hospitalisations and less time spent in hospital particularly for

people over 75, who often face a revolving door of emergency admission, delayed

discharge and then hospital re-admission. (Chapter Six).

https://www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/

General Practice Forward View NHS England published the General Practice Forward View (GPFV) on 21 April 2016, setting out a programme of support for general practice over the next five years. The GPFV committed to over £100m of investment to support an extra 1,500 clinical pharmacists to work in general practice by 2020/21. Clinical pharmacists work as part of the general practice team to resolve day-to-day medicines issues and consult with and treat patients directly. This includes providing extra help to manage long term conditions, advice for those people taking multiple medications and better access to health checks. The role is pivotal to improving the quality of care and ensuring patient safety. Having pharmacists in GP practices means GPs can focus their skills where they are most needed, for example on diagnosing and treating patients with complex conditions. This helps GPs manage their time. https://www.england.nhs.uk/wp-content/uploads/2016/04/gpfv.pdf

Pharmacy Integration Fund (See section 2.28) Priorities: Years 1 and 2

Workforce development

Health Education England (HEE) has been commissioned to produce a workforce plan for pharmacy professionals in primary care that covers the whole health care system. From April 2017 there will be educational grants for community pharmacists to access post-graduate clinical pharmacy education and training courses up to diploma level and a programme of pharmacy technician clinical leadership development. In addition, from April 2017, there will be funding for and training and development programmes for pharmacists working in care homes and integrated urgent care clinical hubs including NHS 111 and GP Out of Hours – to include independent prescribing qualifications.

Care homes

Deployment of pharmacy professionals into care homes and evaluation of the models of integrated clinical pharmacy that achieve the best outcomes for patients. The intention is to develop the new models of integrated clinical pharmacy for people looked after in their own homes.

Integrated Urgent Care

NHS England is working to embed pharmacy into the urgent care pathway by expanding the services already provided by community pharmacies in England for those who need urgent repeat prescriptions and treatment for urgent minor ailments and common conditions. Deployment of pharmacists into Integrated Urgent Care (IUC) Clinical hubs to roll out with the IUC clinical hub development and evaluation of the role within the hub as part of the multi-disciplinary teams (MDT) to identify the impact on the referral rates and patient outcomes. Identification of the tools and infrastructure that best support the role of the pharmacist to provide safe and effective care. Identification of the optimum case mix handled by the pharmacists to ensure efficiency.

Urgent Care

Development of a national pharmacy urgent care programme. This will be piloted in two work streams to run in parallel from December 2016 to April 2018:


https://www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/cancer

https://www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/mental-health

https://www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/mental-health

https://www.england.nhs.uk/five-year-forward-view/next-steps-on-the-nhs-five-year-forward-view/integrating-care-locally



https://www.england.nhs.uk/wp-content/uploads/2016/04/gpfv.pdf



1. NHS Urgent Medicines Supply Advanced Service NUMSAS (See Appendix 3 and section 2.20) The aim is to reduce the approximate 200,000 calls per year to NHS 111 for urgent repeat prescription medicines. Over the course of the pilot the service will be evaluated to inform the development of a national service with particular focus on integration into the wider NHS to support existing urgent care and general practice.

2. Urgent minor illness care: Making the referral of people with minor ailments from NHS 111 to community pharmacy much more robust. So supporting people with minor ailments becomes a core part of NHS pharmacy practice, and pharmacy becomes an integral part of the NHS’ urgent care system.

General Practice

Building on the models already in place in parts of England to roll out the employment of clinical pharmacists in General Practice.

Digital

Developing Pharmacy Integration through digital technologies is key to achieving efficiencies and modernising community pharmacy to link it to the rest of the health care system (NHS Digital).

Pharmacy Integration Fund Links https://www.england.nhs.uk/wp-content/uploads/2016/11/pharmacy-integration-fund-briefing.pdf https://www.england.nhs.uk/wp-content/uploads/2016/11/pharmacy-urgent-care-briefing.pdf https://www.gov.uk/government/publications/putting-community-pharmacy-at-the-heart-of-the-nhs https://www.gov.uk/guidance/delivering-the-forward-view-nhs-planning-guidance-for-201617-to-202021

Urgent and emergency care channel shift model NHS England, as part of its Urgent and Emergency Care Review, aims to connect all urgent and emergency care (UEC) services together so the overall system becomes more than just the sum of its parts. This entails dissolving traditional boundaries between hospital and community based services and supporting the free flow of information and specialist expertise needed to achieve the delivery of patient care in the most appropriate and convenient setting. NHS England has developed a Consolidated Channel Shift Model (CCSM) to help commissioners and providers to understand shift activity and what happens when interventions are put in place. https://www.england.nhs.uk/euc-channel-shift/

Quality Payments Scheme: Quality Criteria (See section 2.24)

Pharmacies passing the gateway will receive a quality payment if they meet one or more of the criteria listed in the table below. The criteria have been weighted based on an assessment of the difficulty of achieving them and the benefit to patients from doing so, with each criterion being designated a number of ‘points’. The total number of points that each contractor can qualify for over the two reviews is 100. Three of the quality criteria, which account for 45 points between them, only need to be met once in the year and therefore can only be claimed for once at one of the two review points.

http://psnc.org.uk/services-commissioning/essential-services/quality-payments/


https://www.england.nhs.uk/wp-content/uploads/2016/11/pharmacy-integration-fund-briefing.pdf

https://www.england.nhs.uk/wp-content/uploads/2016/11/pharmacy-integration-fund-briefing.pdf

https://www.england.nhs.uk/wp-content/uploads/2016/11/pharmacy-urgent-care-briefing.pdf

https://www.gov.uk/government/publications/putting-community-pharmacy-at-the-heart-of-the-nhs

https://www.gov.uk/government/publications/putting-community-pharmacy-at-the-heart-of-the-nhs

https://www.gov.uk/guidance/delivering-the-forward-view-nhs-planning-guidance-for-201617-to-202021

https://www.gov.uk/guidance/delivering-the-forward-view-nhs-planning-guidance-for-201617-to-202021

https://www.england.nhs.uk/euc-channel-shift/

http://psnc.org.uk/services-commissioning/essential-services/quality-payments/



Domain Criteria

Number of review points

at which it can be claimed

Total points over the two review points

Points at any one

review point

Patient Safety

Written safety report at premises level available for inspection at review point, covering analysis of incidents and incident patterns (taken from an ongoing log), evidence of sharing learning locally and nationally, and actions taken in response to national patient safety alerts.

One 20 20

Patient Safety

On the day of the review 80% of registered pharmacy professionals working at the pharmacy have achieved level 2 safeguarding status for children and vulnerable adults in the last two years.

Two 10 5

Patient Experience

On the day of the review, the results of the Community Pharmacy Patient Questionnaire from the last 12 months is publicly available on the pharmacy’s NHS Choices page or for distance selling pharmacies it is displayed on their website and the NHS Choices service desk has been notified as per the NHS England guidance document, “Pharmacy Quality Payments – Quality Criteria Guidance”.

One 5 5

Public Health On the day of the review, the pharmacy is a Healthy Living Pharmacy level 1 (self-assessment).

One 20 20

Digital

On the day of the first review, the pharmacy can demonstrate a total increase in access to Summary Care Records (from Monday 27 June 2016 to Sunday 27 November 2016 compared to Monday 28 November 2016 to Sunday 30 April 2017); and on the day of the second review, the pharmacy can demonstrate a total increase in access to Summary Care Records (from Monday 3 October 2016 to Sunday 30 April 2017 compared to Monday 1 May 2017 to Sunday 26 November 2017).

Two 10 5

Digital On the day of the review, the pharmacy’s NHS 111 Directory of Services entry is up to date.

Two 5 2.5

Clinical Effectiveness

On the day of the review, the pharmacy can show evidence of asthma patients, for whom more than 6 short acting bronchodilator inhalers were dispensed without any corticosteroid inhaler within a 6 month period, are referred to an appropriate health care professional for an asthma review.

Two 20 10

Workforce On the day of the review, 80% of all pharmacy staff working in patient facing roles are trained ‘Dementia Friends’.

Two 10 5

Total number of points: 100


http://psnc.org.uk/services-commissioning/essential-services/quality-payments-patient-safety-report/







http://psnc.org.uk/services-commissioning/essential-services/quality-payments-safeguarding/





http://psnc.org.uk/services-commissioning/essential-services/quality-payments-community-pharmacy-patient-questionnaire-cppq-results/









http://psnc.org.uk/services-commissioning/essential-services/quality-payments-healthy-living-pharmacy-hlp-self-assessment/



http://psnc.org.uk/services-commissioning/essential-services/quality-payments-use-of-the-nhs-summary-care-record-scr/











http://psnc.org.uk/services-commissioning/essential-services/quality-payments-nhs-111-directory-of-services/

http://psnc.org.uk/services-commissioning/essential-services/quality-payments-nhs-111-directory-of-services/

http://psnc.org.uk/services-commissioning/essential-services/quality-payments-over-use-of-asthma-treatments/







http://psnc.org.uk/services-commissioning/essential-services/quality-payments-dementia-friends/





North Kirklees CCG and Greater Huddersfield CCG Sustainability and Transformation Plans; West Yorkshire and Harrogate Footprint There are local partnerships (including NHS organisations and local councils) that are working together to develop shared proposals to improve health and care (Sustainability and Transformation Plans). There are 44 STP areas covering all of England. STPs are designed around the needs of whole areas, not just individual organisations. Every local health and care system must develop a five year Sustainability and Transformation Plan. Local Clinical Commissioning Groups, health providers and councils are part of the West Yorkshire and Harrogate STP which covers a population of 2.6 million people. The main focus of the West Yorkshire and Harrogate Sustainability Transformation Plan is

the work of the local plans. However, where there are overlaps across geographical areas

and themes they will work together.

The following nine priority areas have been identified and will form the basis of the West

Yorkshire STP:

Acute collaboration

Cancer

Mental health

Prevention ‘at scale’

Primary and community care

Specialised commissioning

Standardisation of policies

Stroke

Urgent and emergency care

Links to the North Kirklees CCG and Greater Huddersfield CCG Sustainability

and Transformation Plans

https://www.northkirkleesccg.nhs.uk/wp-content/uploads/2016/01/Primary-Care-Strategy-

2016-2021-vFINAL-220116.pdf

https://www.greaterhuddersfieldccg.nhs.uk/sustainability-transformation-plan-stp/

Healthy Living Pharmacy Assessment of Compliance and Register Links https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1/assessment-of-compliance.html https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1/register/yorkshire-and-the-humber.html

Forthcoming Community Pharmacy Service Guidance Public Health England is developing a “value proposition” to inform the local commissioning of community pharmacy services by local authorities as referenced in the December 2015 letter. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/417629/Public_Health_England__Remit__Priorities_Letter__2015-16_Final__2_.pdf NICE is expected to publish a guideline in 2018 about the role of community pharmacy in promoting health and wellbeing. This work is separate to the PhIF but will inform the future local commissioning of services for public health services from community pharmacy.


https://www.northkirkleesccg.nhs.uk/wp-content/uploads/2016/01/Primary-Care-Strategy-2016-2021-vFINAL-220116.pdf

https://www.northkirkleesccg.nhs.uk/wp-content/uploads/2016/01/Primary-Care-Strategy-2016-2021-vFINAL-220116.pdf

https://www.greaterhuddersfieldccg.nhs.uk/sustainability-transformation-plan-stp/

https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1/assessment-of-compliance.html

https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1/assessment-of-compliance.html

https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1/register/yorkshire-and-the-humber.html

https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1/register/yorkshire-and-the-humber.html

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/417629/Public_Health_England__Remit__Priorities_Letter__2015-16_Final__2_.pdf

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/417629/Public_Health_England__Remit__Priorities_Letter__2015-16_Final__2_.pdf



Appendix Fifteen

15. Data Sources Population January 2015 GP Register

Population Density 2011 Census, ONS and ordinance survey,

boundary line 2012

Indices of Deprivation DCLG 2015

Income Deprived Households PHE Local Health*, 2015

Employment Support Allowance & Incapacity Benefits

DWP, Q3 2016

Unemployment claimant count (Job Seekers Allowance + those claiming Universal Credit who are out of work)

DWP, May 2017

Overweight and Obese Children

Obese Adults PHE Local Health, modelled data 2006-08

Life Expectancy Primary Care Mortality Database, 2013-

15; GP registered population count, Aug 2014

Standardised Admission Ratios PHE Local Health*, Apr 2010 – Mar 2015

Standardised Mortality Ratios PHE Local Health*, deaths registered in

calendar years 2010-14

Pensioners Living Alone 2011 Census

*available at http://www.localhealth.org.uk Abbreviations DWP Department of Work and Pensions DCLG Department of Communities and Local Government NCMP National Childhood Measurement Programme PHE Public Health England IMD score and deprivation quintile at Ward level were derived by the Local Government Association (aggregated from LSOA level). Data source: www.localhealth.org.uk


http://www.localhealth.org.uk/

http://www.localhealth.org.uk/