annual report (2)

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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
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