berkshire local pharmaceutical committee
TRANSCRIPT
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BERKSHIRE LOCAL
PHARMACEUTICAL COMMITTEE
ANNUAL REPORT
APRIL 2014-MARCH 2015
Earl Howe visiting Alchem Pharmacy in Slough
CHAIRMAN: RUPI BHASIN
VICE CHAIR: MANVIR PATEL
TREASURER: RICHARD KNOTT
CHIEF OFFICER: CAROL TROWER
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CONTENTS
Page No.
CHAIRMAN’S REPORT 3
CHIEF OFFICER’S REPORT 4
PHARMACY SERVICES and PUBLIC HEALTH UPDATE 6
TREASURER’S REPORT 7
LPC MEMBERSHIP LIST AND ATTENDANCE RECORD 9
LPC MEMBERS AS OF 1ST APRIL 2015 10
NEW STRUCTURES- WHO’S WHO 11
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CHAIRMAN’S REPORT
This has been my first full year as Chairman and it has been a very busy year which resulted in the
official merger of Berkshire LPC with Oxfordshire LPC in April 2015.
To reach this point, your committee have had on-going discussions about LPC structure within the
committee and with our fellow LPC Chairs and Officers in Buckinghamshire and Oxfordshire. We
reached an agreement with Oxfordshire LPC in September and brought the merger proposals to our
contractors in December, through an EGM in Maidenhead. Unfortunately, Buckinghamshire LPC
decided not to be a part of the new LPC but we continue to have dialogue with them.
The Annual Report contains full details of the LPC activities throughout the last 12 months but I’d
just like to pick out a few highlights. Firstly, the commissioning of a Flu Vaccination service across the
whole of Thames Valley which was achieved as a result of the excellent work in Berkshire over the
previous two years where we supported a pilot scheme. The Area Team were pleased with the
results and with the number of contractors who engaged with the service and have committed to
further commissioning in the 2015-15 season as a result.
Your LPC also worked closely with the Public Health Strategic Team in Bracknell and the local Public
health teams to support the services commissioned across the county. We continue to work on this
and to support contractors through training which has included Sexual Health training to support the
Sexual Health service.
And finally, over the twelve months our Chief Officer has worked hard to bring you educational
events designed to support your engagement in NMS and MURs. The events have been well
attended and the feedback has been excellent – and all delivered for you at no cost to the LPC
through the securing of industry sponsorship and through the HELP programme which has allowed
for funded training to be undertaken during working hours. We plan to continue with the evening
sessions for the coming year and I’d encourage you to attend the events, develop your skills and
network with fellow pharmacists.
Over the next twelve months we will continue to focus on supporting contractors to deliver services
so that we can show our commissioners the outcomes they will get from Community Pharmacy – the
only way to get new services commissioned is to be able to demonstrate that we can deliver the
services we already have. There is much work to be done on this as the level of engagement in
services such as the Sexual Health service is disappointingly low.
I would like to take this opportunity to thank the committee for their valuable input and hard work
throughout the year. I would like thank the committee members who left the committee at the end
of March for their service and also to thank those who are continuing in the committee for their
continued involvement. I’d also like to thank Richard Knott, our Treasurer in December for his
support throughout the year and for his work in continuing to support the handover to Pharmacy
Thames Valley, the new LPC.
Rupi Bhasin
Chairman 3rd July 2015
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CHIEF OFFICER’S REPORT
This was the first year of a four year term of this current committee. We had several new
members and details of the committee and their attendance is available at the back of this
report. At the first meeting in April, the committee voted Rupi Bhasin as Chair, Manvir Patel
as Vice Chair and Richard Knott as Treasurer.
We met as a committee on five occasions. We were joined by many local guests during the
year including Lise Llewelyn, Director of Public Health for Berkshire, Graham Jones, LPN
Chair and Gary Warner, our PSNC representative. We were also joined by Marian Basra who
has responsibility for pharmacy contracts across Thames Valley.
During the year we had discussions on a wide range of topic including prescription direction,
Flu, LPC merger, LPC constitution and EPS. On behalf of the committee, I worked with the
Area Team, GP practices and contractors to resolve prescription direction and EPS issues.
We spent a considerable time ensuring that the merger of LPCs was handled appropriately
and that there was benefit in the move for contractors.
In March 2013 we appointed Anjala Sihota, a local pharmacist, as project manager for the
HELP project. Anjala organised training for pharmacy team members including Health
Champion training, Carer Awareness and Dementia Friends training. She also helped to
organise training for pharmacists on a variety of topics including Leadership, Consultations
Skills and Sexual Health training. Anjala’s role and the training were funded by a grant from
Health Education Thames Valley.
During the summer the LPC facilitated flu vaccination training for pharmacists across
Thames Valley and about 50 pharmacists attended the sessions. From September onwards
there was considerable activity and flu vaccinations reached almost 5000 across Thames
Valley with the highest performers being in Berkshire.
Your LPC held its AGM in early September. We responded to contractor feedback and held
the event in the evening, alongside the Flu launch event which was held at Maidenhead. We
had about 50 people present on the evening. Following positive feedback we will hold the
AGM in the evening again this year using the same format.
Committee members, Manvir Patel and Olivier Picard, represented the LPC at the PSNC LPC
Conference in Leeds and found the event useful. They reported back to the November
meeting about the information they had been given on Provider Organisations and issues
affecting pharmacy.
In November, we sent out the proposals for the merger and gained 100% support for the
proposal. We held an EGM on 4th December, as required by the constitution, but this was
not well attended with most contractors choosing to vote by post. Once the merger was
agreed there was more work to seek nominations for the new committee and an election
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was held to recruit the independent representatives. From February onwards, I was working
across both counties to prepare the ground for the launch of the new committee in April
2015.
During the year I have been working with the Oxford Academic Health Science network
(AHSN) and by the end of the financial year we were close to agreeing the launch of a
Transfer of Care scheme which will help pharmacists to identify patients who would benefit
from a post-discharge MUR.
Your Chairman and I have been working closely with the EPS team to try and resolve issues
and increase uptake and we will continue this work in 2015-16.
I was delighted to be appointed as the Chief Officer for the new, merged LPC and look
forward to continuing to work with my Berkshire Contractors in the future. The new merged
LPC now has the additional services of an Engagement Officer, Amanda Dean, who will help
me to answer your questions, develop the website and arrange training events. I’m sure you
will all join me in welcoming Amanda as a very welcome addition to the team.
Carol Trower
Chief Officer
07792209197
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PHARMACY SERVICES and PUBLIC HEALTH UPDATE
Over the last 12 months the LPC has worked closely with the Public Health and other
commissioners to ensure that there remains a variety of services available from Community
Pharmacy. This work built on the work last year which saw the transfer of existing services to
the new Public Health Contract from1st April 2014.
The services commissioned and delivered in 2014-15 were:
Sexual Health including Chlamydia screening and treatment
Supervised consumption
Needle exchange
Rota- Easter Sunday and Xmas Day only
Palliative Care Drugs
Stop Smoking- through subcontract with Solutions 4 Health
Flu Vaccination for under 65 at risk groups, carers and pregnant women (through NHS
England)
Flu Voucher scheme (west only)
Health Checks
Public Health Campaigns in 2014-15 were:
Flu
What’s in your Drink Alcohol Awareness
Diabetes Awareness
All Public Health services are recorded and invoiced using PharmOutcomes except the Stop
Smoking service which has its own claims process. Fees have remained constant over the
year and none of the services were decommissioned which is a success in the current
climate.
We have had discussions with commissioners about the other roles that community
pharmacy could fulfil but as yet no other services have been commissioned. In a very
difficult financial environment this will always be an uphill struggle but your LPC will
continue to work on your behalf to secure service funding.
We continue to support the delivery of MURs and NMS through training programmes but
Berkshire contractors are still not maximising the delivery of MURs with approximately
£500k of available funding not being claimed- this means that nearly 18000 patients across
Berkshire who could have benefited from an MUR are still not being seen. In 2015 we hope
to introduce a mentoring scheme to help those pharmacists who are still not engaged in the
service.
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TREASURER’S REPORT
(Draft unaudited accounts – will be updated once returned from auditor)
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Summary of Payments to Committee Members
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LPC MEMBERSHIP AND ATTENDANCE RECORD AT FULL COMMITTEE
MEETINGS APRIL 2014- MARCH 2015
(Maximum attendance =5)
Officers
Chairman Rupi Bhasin 5
Vice chairman Manvir Patel 3
Chief Officer Carol Trower 5
Treasurer Richard Knott 5
Members
AIMp Ketan Amin 4
CCA Kevin Barnes 5
Independent Contractor Ravinder Heer 5
Independent Contractor Sufian Jabbar 1
AIMp Heather McParland 4
Independent Contractor Kamal Mahasuria 4
CCA Sachin Patel 4
Independent Contractor Olivier Picard 4
CCA Barrie Prentice 5
CCA Craig Watt 1
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Committee Members as at 31st March 2015
Committee Member E-mail address Contact Number Position
Rupi Bhasin [email protected] 07956 500807 CCA and Chair
Manvir Patel [email protected] 07973 287617 AIMp and Vice Chair
Heather McParland [email protected] 07802 652773 AIMp
Barrie Prentice [email protected] 07785 766051 CCA
Olivier Picard [email protected] 07725 040161 Independent
Sachin Patel [email protected] 07967 196260 CCA
Kamal Mahasuria [email protected] 0797 0045879 Independent
Kevin Barnes [email protected] 07718 694193 CCA
Richard Knott [email protected] 0796 143 1404 CCA and Treasurer
Craig Watt [email protected] 07889 625074 CCA
Sufian Jabbar [email protected] 01753 544288 Independent
Ravinder Heer [email protected] 01753 526722 Independent
Ketan Amin [email protected] 07887 771 897 AIMp
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The New NHS
NHS Pharmaceutical Services – System Map
Department of Health
Sets legal framework, secures funding
NHS Pharmaceutical Services
Product reimbursement
Services remuneration
Pharmacies
Dispense medicines & appliances & provide associated & other services
Division of roles
Department of Health
Determines NHS reimbursement price of medicines & appliances
NHS England
Commissions NHS Pharmaceutical Services – including Essential,
Advanced & Enhanced services, plus Local Pharmaceutical Services
Charged for service remuneration
Charged for product reimbursement
Clinical Commissioning Groups
Commission other services
Local Authorities
Health & Wellbeing Boards (produce pharmaceutical
needs assessments)
Commission public health services
Inform market entry & commissioning
decisions
Health & Social Care Information Centre
Collates & provides information
NHS Connecting for Health functions
NHS Business Services Authority
Calculates and makes payment to dispensers. Provides management
information
Dispensed prescriptions submitted with claims for other services
Health Education England
Local Education & Training Boards
Public Health England
Executive agency of the Department of Health
The diagram above describes the relationship between the different bodies
within the new NHS. As you will see, the costs of dispensing prescriptions are
charged back to NHS England but the drug costs are charged to the CCG.
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Public Health in Berkshire
Each Consultant in Public Health has a team of about 6 people who work within the Local
Authority (LA).
Each consultant is responsible for Public Health issues in their own LA but they also each
have county-wide remits to be the expert on specific topics. Commissioning of services will
be done in each LA and not county-wide.
Lise Llewelyn
Director of Public Health
Lesley Wyman Consultant in Public Health
West Berkshire
Asmat Nisa Consultant in Public Health
Reading
Darrell Gale Consultant in Public Health Wokingham
Lisa McNally Consultant in Public Health
Bracknell Forest
Angela Snowling Consultant in Public Health
Slough
Rutuja Kulkarni Consultant in Public Health
WAM
Strategic Public Health team
based in Bracknell Forrest
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CCGs in Berkshire
Every GP practice must belong to a CCG. The CCGs each have a board which includes lay
members and the CCGs hold meetings in public. Each CCG has its own website.
The existing CCGs work in two federations- each federation also has a governing board.
Berkshire West CCG Federation
Newbury and District CCG
11 practices
113,000 patients
Chair:Dr Abid Irfan
North and West Reading CCG
10 practices
107,000 patients
Chair: Dr Andy Ciecierski
South Reading CCG
20 practices
125,000 patients
Chair: Dr Ishak Nadeem
Wokingham CCG
14 practices
155,000 patients
Chair:Dr Johan Zylstra
Berkshire East CCG Federation
Bracknell and Ascot CCG
15 practices
135,000 patients
Chair:Dr William Tong
Slough CCG
16 practices
139,000 patients
Chair: Dr Jim O'Donnell
WAM CCG
20 practices
149,000 patients
Chair: Dr Adrian Hayter
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NHS England Structure at April 2015
Geographically, the South regional team covers an area stretching from Penzance to
Margate, serving a population of approximately 13.5 million. There are local teams and ours
is based in Jubilee House in Oxford with some team members based in Gloucester.
NHS England
NHS England North
NHS England Midlands and
East
NHS England London
NHS England South
NHS England South - South
Central
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NHS England Pharmacy Team based at Jubilee House
Sarah Ayub and Ellie Cripps have pharmacy responsibilities but works across all three teams.
Contact details:
Marian: [email protected] Telephone 01865 336804
Sue: [email protected] Telephone: 01865 336783
Sarah [email protected] Telephone: 01865 334613
Ellie [email protected] Telephone: 01865 963831
Ginny Hope
Head of Primary Care
Marian Basra
Assistant Contracts Manager, Pharmacy
and Optometry
Sue Williams
Primary Care Commissioning
Support
Ellie Cripps
Primary Care Commissioning
Assistant
Sarah Ayub
Primary Care Commissioning
Assistant
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The Local Authority Picture
Each Local Authority in Berkshire hosts a Public Health team and has a Health and Wellbeing
Board. In each area there is also a HealthWatch organization – this is the independent
“voice of the people”. HealthWatch is the consumer champion organization that will collate
patient feedback and bring pressure on local authorities to ensure health needs are
addressed.
Each HealthWatch has their own website and most have active Twitter accounts and
monthly newsletters.
Local Authority
Health and Wellbeing
Board
HealthWatch
Public Health team