Forward by the Chair Julie Oliver It has been an interesting year for the LPC. Nationally the election and change of government caused delays and setbacks, not just to the development of community pharmacy services but also in the publishing of the cost of service enquiry. LPC’s expected news on market entry reform in early 2011 as the last government had commenced work on proposals and agreed the work should continue – we are still awaiting a final outcome of those discussions. With no news on those reforms partial deregulation continues and we have experienced this locally with many of the new contracts award being exempt applications. During the summer months work commenced on the introduction of the Pharmacy Needs Assessment. The Pharmaceutical Needs Assessment (PNA) is a key tool in the process of achieving high quality accessible pharmaceutical services responsive to local need. The purpose of the PNA is to assess local needs and service provision across Rotherham to identify any unmet needs of the local population, any service gaps, and to identify any services that community pharmacists could provide to address these needs. Each time a new application is applied for the PNA is an essential tool to formulate the LPC’s reply. In the national pharmaceutical press you will no doubt have read about services being decommissioned as a result of the financial pressures faced by the NHS in general. In Rotherham we have been fortunate so far in that we have not seen any decommissioning. You will also know that we have, along with NHS Rotherham reviewed certain Enhanced Services. Whilst it is imperative the LPC continues to ensure that the voice of Community Pharmacy is heard, it is crucial that contractors providing commissioned services do so within the boundaries of the Service Level Agreements and to a quality standard to the population of Rotherham would expect. This will help ensure that when the LPC are in discussions with NHS Rotherham we can make a stronger case on your behalf when new services are under discussion. Finally, you may remember last year we had a reform of the LPC constitution that reflected the overall composition of contractors, I am pleased to report that the change in membership has improved our discussions and that Rotherham LPC has benefited from new members with different viewpoints that has produced a wide range of debates with robust conclusions. As the Chair I would like to thank the executive team of the LPC and the members who continue to work hard often in their own time to support you the contractors. Julie Oliver Secretaries Report Sandra Parnham 2010 was a difficult year due to the financial constraints on the NHS. We are however, pleased to inform you that the LPC and its members continue to work hard to maintain a good working relationship NHS Rotherham, Public Health and the emerging Clinical Commissioning Consortia. NHS Rotherham Pharmaceutical Needs Assessment was published on the 1 st February 2011. Rotherham LPC was fully engaged in the development of the PNA document and was invited to attend each Steering Group meeting for which we thank the PCT for our involvement. In addition we submitted formal responses to Doncaster, Bassettlaw, Barnsley, Sheffield and North Derbyshire PNA consultation process. The LPC paid particular attention in terms of NHS Rotherham’s (along with the other PCT’s) compliance with the regulations. A copy of this can be found on Rotherham LPC website. Due to NHS Rotherham restructuring and having to make best use of time due to management cuts the pharmacy development group was disbanded. Commissioning and developments go through community pharmacy Clinical Governance and Pharmacy panel. Whilst not ideal the LPC still have a place with regards to negotiations. ANNUAL REPORT 2010 - 2011 As Julie has mentioned this was the first year of the new LPC and we welcomed Allan Green, Mohammed Akudi, Greg Campbell, Vicky Bennett and new treasurer Stewart Kelly. All LPC members have contributed to both the meetings and the work on going on outside of the meetings with other organisations. The LPC meetings have become a much greater debating forum and have looked at how LPC comply with its governance functions and performance. We have done so partly through the LPC self evaluation which contractors can view on our website, this document is manage by an LPC member, Allan Green, to ensure the executive members are keeping focused on what our future goals are as an organisation. The chair, LPC and myself have been in regular contact through the year with our PSNC regional representative who is Gary Myers, we have attended several regional and one local meeting resulting in Gary attending an LPC daytime meeting keeping the LPC up to date with national developments and PSNC. The LPC has also attended all necessary PCT, SHA, PSNC and National conferences. On a positive note the level of communication from the DoH, PCT and PSNC has increased. Rotherham LPC has its own has its own website which is hosted by the PSNC portal. LPC member Richard Hackett has been keeping the website up to date and as the secretary I use the website on a daily basis. I understand from our PCT colleagues that they have used information on the website and we would encourage contractors to access on a regular basis. Ratified LPC Minutes are posted within 3 days of the LPC meeting, letters from NHS Rotherham are also posted on the website along with annual reports, meeting dates, SLA and LPC newsletters. During the months running up to April 2011 the LPC has liaised with the secretary of the LMC, Adrian Cole and the Chair of GP Consortia, David Tooth – the LPC remains committed to working with Clinical Commissioning Consortia, LMC and Health & Well Being Board. All LPC members receive NHS Rotherhams contract application status, this has now moved to the open element of the LPC meeting to ensure that contractors hold as much information as possible. The LPC continues to review all contract applications concerning pharmacy services and responds accordingly on contractors behalf. The LPC has responded to all DoH Consultation Papers as necessary, the most recent being the Public Health White Paper, the LPC response is on the LPC website. Commissioned Services NHS Rotherham currently commission services to supply include: Needle Exchange Methadone and Buprenorphine supervision NRT Voucher & Smoking Cessation Counselling Emergency Hormone Contraception Palliative Care Out of Hours Flu Pandemic Anti-viral collection service (currently de-commissioned) Minor Ailment scheme Seasonal Flu Vaccination Service Of note: METHADONE SUPPLY AND NEEDLE EXCHANGE Substances abuse schemes continue to be operated and extended through pharmacies in Rotherham throughout the year. The recording of information is working well in terms of gathering intelligence for both payment and reports for the specialist team. The number of pharmacy contractors providing Needle Exchange service has increased and the SLA extended into 2011/12. The LPC has good links to the PCT, the weather conditions in December 10 caused some particular unique situations and contractors, specialist team and PCT dealt with those difficulties both efficiently and professionally for substance misuse clients. SEASONAL FLU VACCINATION SERVICE This SLA was provided throughout the borough and after being reviewed by the PCT will be commissioned in Autumn 2011. MEETINGS Meetings I have attended on behalf of contractors include: Drug Related Deaths Pharmacy Development Group (disbanded Clinical Governance External meetings with PSNC both regional and national LPC meetings & LPC Annual General Meeting. Shared care monitoring Pharmacy Panel Flu pandemic (both local and regional) South Yorkshire Pharmacy Group Essential Services PCTs have had the responsibility for monitoring the successful implementation of Essential and Advanced services. Arrangements for monitoring of Essential services continues with a third of pharmacy contractors having a monitoring visit from NHS Rotherham on a three year rotational basis. PCTs can choose to monitor the contract in a way that meets their local approach to such matters. This is always discussed and agreed with the Local Pharmaceutical Committee on an annual basis. LPC supports any contractor who requires assistance with regards to monitoring visits. Advanced Services Advanced Services: During the year end March 2010 – beginning April 2011 (Rotherham Contractors only) Date MUR Value MUR Number No of Pharmacies Claiming April 2010 £16,688 596 38 out of 58 May 2010 £19,180 685 40 out of 58 June 2010 £27,356 977 41 out of 58 July 2010 £25,088 896 41 out of 58 August 2010 £29,428 1051 45 out of 58 September 2010 £29,176 1042 45 out of 58 October 2010 £30,744 1098 45 out of 58 November 2010 £29,596 1057 44 out of 59 December 2010 £12,460 445 36 out of 59 January 2011 £39,940 1105 43 out of 59 February 2011 £32,816 1172 41 out of 59 March 2011 £35,532 1269 41 out of 59 Enhanced Services Service specifications, business plans and Service Level Agreements for Enhanced Services were developed by the PCT via the pharmacy development group in conjunction with the LPC, more recently this has move to the Pharmacy Panel or Clinical Governance group. LPCs and pharmacy contractors are able to develop their own local services in response to identified needs. NHS Rotherham also commission the following Enhanced services: Emergency Hormonal Contraception Smoking cessation (both supply and counselling) Emergency supply of palliative care medicines Anti-viral supplies (currently de-commissioned) Antiviral supplies Methadone Supervision Pharmacy based needle syringe exchange NHS Rotherham arrangement for monitoring of Enhanced services may be set out in local contracts or Service Level Agreements, and NHS Rotherham may ask the monitoring of these at the same time as monitoring the Essential services April 2010 – March 2011 Contract Applications Below are the contract applications that have been received by NHS Rotherham from March 2010 Start Date Type Applicant Site 17 Mar 2011 Preliminary Rushport Advisory LLP 271 Wickersley Road, Consent Rotherham S60 16 Mar 2011 Exempt - Internet Saj Services Ltd Rear of 210 Wellgate, Rotherham 16 Mar 2011 Exempt - 100hr Eightlands Limited The High Street Surgery, High Street, Rawmarsh, Rotherham S62 6LW 16 Mar 2011 Exempt - 100hr Vicinity of Morthen Road Pharma-clinic Ltd Surgery 24 Feb 2011 Exempt - 100hr Brinsworth Partnership Ltd Brinsworth MC. 171-173 Bawtry Road, Brinsworth, Rotherham – April 2011 Stage Not opened as of October 2011 Granted Granted Opened Granted Start Date 22 Feb 2011 Type Exempt - 100hr Applicant Wellgate Healthcare Ltd 28 Jan 2011 19 Jan 2011 6 Dec 2010 Exempt - 100hr Exempt - 100hr Preliminary Consent Exempt -100h Full Consent Saj Services Limited Co-operative Group Ihsan Ltd 30 Nov 2010 3 Feb 2010 Singhs Medical Ltd Weldricks Pharmacy Site 6 Doncaster Gate, Rotherham S65 1DJ 210 Wellgate, Rotherham Bawtry Road, Wickersley Flanderwell Lane, Sunnyside Stage Granted Lordens Hill, Dinnington 18 The Pastures, Todwick, Sheffield, S26 1JH Granted Granted Rotherham LPC Members Withdrawn Granted Rejected Role / Attendance Register The role of the committee is: Ensure transparency and equality of information and opportunity for all pharmacy contractors in matters relating to the local purchasing of pharmaceutical services. Ensure appropriate arrangements are in place to advise any pharmacy contractor who needs help or assistance on NHS matters. The LPC is not however, able to provide legal advice as this must be given by a qualified solicitor or by counsel. Provide appropriate levels of guidance and support to pharmacy contractors or groups of pharmacy contractors in the formulation of bids for funds held at any level and advise on submissions for LPS and local commissioning. Consider any complaint made by any pharmacy contractor against another pharmacy contractor involving any question of the efficiency of the Pharmaceutical Services as empowered by Regulations. MEMBER/ OFFICER J Oliver A Watson S Howcroft J McGill G Campbell R Hackett Z Hussain A Green A Cryer S Taylor M Tariq M Akudi V Bennett P Rowson M Ansell J Moran DATE May 10 + + + + + + + + A + A n/a n/a + n/a A DATE July 10 C C C C C C C C C C C C C C C C DATE Sept 10 + + + + + + A + A A A n/a n/a + A Retired DATE Oct 10 + + + A + + + + A A A n/a n/a A + n/a DATE Nov 10 + + + + + + A A A A A n/a n/a Resigned A n/a DATE Jan 10 + + + + + + A + Resigned A A n/a n/a n/a Resigned n/a DATE March 10 + A + A + + A A n/a A A + + n/a n/a S Parnham L Grasso S Kelly + + + C C C + + + + + + + A + + A + + + + Visitors M Hamstead, Contractor Winterhill Pharmacy, PE Pharmacist NHS Rotherham S Wright, Senior Pharmaceutical & Prescribing Advisor, Medicines Management, NHS Rotherham S Lakin, Head of Medicines Management, NHS Rotherham S Paddock, Medicines Management, NHS Rotherham C Bland, Superintendent Pharmacist, McGills Pharmacy B Malik, Contractor, Thurcoft Pharmacy C Stamp, Deputy Head of Procurement, NHS Rotherham M Briggs, SRCL (Waste Management Contract) X = LPC Member Did not attend C = Cancelled meeting + = LPC Member Attended Accounts April 2010 – March 2011