dorset local pharmaceutical committee minutes of lpc

DORSET LOCAL PHARMACEUTICAL COMMITTEE
MINUTES OF LPC MEETING HELD ON THURSDAY 24 JULY 2014
AT DUDSBURY HOTEL, 64 CHRISTCHURCH ROAD, FERNDOWN BH22 8ST
Attendees:Independent:Chris Higgs, Robin Mitchell
CCA:Fiona Arnold (Chair), Janette Best, Perveen Bhardwaj, Claire Rossiter, Garwyn Morris
(Janette Best absent from meeting from Item 6 - 3.3.4 to 5.2 inclusive)
AIMp:Bridget Fonteneau
In attendance
Jo Browning (Manager, Minutes), Amanda Moores (Chief Officer), Gary Warner PSNC
Representative South Central
Observer:Mike Field, CPPE Tutor, Dorset – attended from Item 4 (10.00 am) onwards
1.
PRESENTATION – Dermol - the gentle giant - new developments - Liz
ACTION
Jones, Dermal, Mob: 07976 795 058 E mail: [email protected]
NOTED:
There is a wealth of product information, healthcare professional
resources and patient resources at http://www.diomed.co.uk/dermallaboratories/welcome.ashx
Formulary and clinical packs on doublebase will be available from
the LPC Manager after this meeting.
2.
WELCOME, APOLOGIES FOR ABSENCE
Requests for AOB on flipchart
Apologies for absence – Mandy West, Steve Costello
Conflicts of interest – a request for any LPC members interests
not already declared
LPC members time – a request for any comments
Action plan (CR)
Timekeeper (BF)
Expense forms to be completed and submitted to Treasurer either
before meeting/during morning coffee break only
OF NOTE:
AM has received confirmation of two proxy votes for Item 8
(Annual report and accounts) and one proxy vote for Item 3
(Closed session)
Nil conflicts of interest were received at this time
2.1
GUESTS
Katherine Gough Head of Medicines Management Dorset CCG at
3.00 pm
Martin Stephens, Chief Executive Wessex Academic Health
Science Network at 4.00 pm
2.2
OBSERVERS
Mike Field, CPPE Tutor for Dorset from 10.00 am
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4.
SEASONAL FLU PHARMACY IMMUNISATION SERVICE – to include
training and development (AM)
NHS England (Wessex) circulated the seasonal flu pharmacy
immunisation service specification for 2014-2015 to contractors on
17.7.2014 and have invited expressions of interest from pharmacies that
are able to provide a flu vaccination service for the 2014/15 flu season
(deadline for response is 28.7.2014).
The eligible population for this service will be pregnant women and
patients aged 16 to 64 inclusive who are in defined clinical risk groups.
Pharmacies are ideally placed to identify and target these groups and in
many cases will provide a convenient alternative – for example for busy
working people.
The season for flu vaccination starts on the 1 September and NHS
England Wessex is expecting pharmacies participating in the service to
be in a position to commence the service on or soon after that date.
Following assessment of the expressions of interest, pharmacies will be
notified of the outcome no later than 6 August 2014.
Dorset LPC e mailed all contractors on 18.7.2014 encouraging
contractors to review this service specification and submit their
Expression of Interest (EOI) to the Area Team by the deadline Monday
28th July 2014, having provided all the necessary information. This e mail
also notified contractors that the LPC will be facilitating training events for
contractors on 10th & 16th September 2014.
NOTED:
Training for contractors to support this initiative has been
provisionally booked via Novartis (training for single vaccination
provider only), however AM has also been approached by Alliance
Healthcare (who allow multiple vaccination providers ie. an open
PGD) who have also offered to provide training.
Garwyn Morris and Janette Best declared a conflict of interest in
the Alliance Healthcare offer.
Post Meeting Note: Wessex AT will be providing a PGD
AGREED FOR ACTION:
JBr will send an urgent reminder to contractors about the
deadlines for EOIs for the seasonal flu pharmacy immunisation
service.
Preference for training places will be given to contractors who are
successful with their EOIs, however no contractor will be
excluded.
LPC members will do LPC briefing at start of each training session
to paint wider political picture. LPC members to notify AM if able to
do one of the four sessions.
AM/JBr will compile FAQ re training from queries received
AM will keep Alliance engaged, pending contractor response to
EOI circulated by Wessex AT.
LPC members to consider weekly activity update/briefing to
contractors re flu service once live
5.
PROCEDURE FOR LPC CONFERENCE 2014 (AM)
Page 2 of 7
JBr
AM/JBr
ALL
AM/JBr
AM
ALL
Topics for discussion (2) from defined areas:- funding, services,
LPC support, IT, communications, other
Delegates from Dorset LPC (3)
The deadline for submitting topics (2) for debate to the PSNC is
19.9.2014. However, in the first instance, topics chosen by the LPC are
discussed at Regional level at the South Central LPCs Forum meeting on
18.8.2014.
AGREED FOR ACTION:AM to construct comments from the following topics and circulate to
committee: Moving away from purchasing towards service income
Understanding the national picture in terms of contractor
engagement
Communication with fellow contractors – including learning best
practice
Communication with commissioners and services
EPS – negotiating costs, directions directory
Remove the block on MURs up to 400
Integrated care pathway pilots, ie. virtual wards, bag exercises
Pharmacist and GPs working together ie. pilots for CPs working in
GP surgeries, showing where savings can be made, software
development, improving communications
Contractor engagement – would like more info on exemplar
behaviours and previous levers that have been successful – the
role of LPCs – leadership, support, basic management
HLPs – what is happening nationally and locally? The PSNC
clearly backs the HLP concept however this still does not have a
national framework and does not have commissioning support
nationally.
Current funding negotiations – how does this affect the challenges
above? Generics still creating distortions in the supply market –
strategically where does this go in the funding process? How can
we increase the size of the funding pot for pharmacy?
AM
NOTED:AM has circulated EOI for attendance to LPC members, however has
received only one EOI from members to date. There are 3 places
available to the LPC.
ACTIONS:
EOIs for attending conference to AM
JBr to confirm absolute deadline for delegates to be registered for
attendance
6.
CONSULTATION ON THE MODEL LPC CONSTITUTION (AM)
Generally, the Model Constitution is refreshed every 4 years after the
general election, however there have been changes due to the DH
reorganisation, hence this consultation. Deadline for response to Steve
Lutener, Head of Regulation PSNC is 1.9.2014.
Committee members reviewed and discussed each of the tracked
changes on the PSNC’s consultation document. The following changes
were agreed for recommendation to the PSNC:Para 3.5.6 - recommendation that this be paragraph be re-drafted for
clarification.
Page 3 of 7
ALL
JBr
Para 5.2 - Formatting only – Para. 5.2 is currently buried in 5.1.
Paras 5.10; 7.4.3: 7.4.8: 15.5 – all refer to 8% rule even though the 8%
rule removed in Para 5.5. Recommendation that all paragraphs be redrafted for clarification.
Para 7.6.8 – recommendation that this paragraph be re-drafted for
clarification.
Para 8.5 – recommendation “not less than seven clear days’ notice”
changed to “not less than fourteen clear days’ notice”
Para 19.2 - recommendation “not less than seven clear days’ notice”
changed to “not less than fourteen clear days’ notice”
AGREED FOR ACTION:
AM/JBr to construct comments from discussion on constitution and
circulate to committee
7.
7.1
PSNC UPDATE (GW)
Funding negotiations – negotiations with Department of Health and NHS
England, through NHS Employers, continue apace.
7.2
Call to Action Consultation - NHS England have reflected that the quality
as well as the quantity of responses was excellent from pharmacy,
however NHS England have not published their response as yet. The
consultation ended on 18 March 2014.
7.3
Summary Care Records (SCR) Pilot – The Department of Health (DH)
has now made it clear that Pharmacy access to SCRs is a priority.
7.4
National templates for commissioned services – there is recognition that
national commissioning is not current DH policy, the current policy
focusses on devolvement and commissioning locally. However, in
October 2013 the PSNC produced 3 national templates for winter
pressures which also have national pricing:- seasonal flu vaccinations,
emergency supplies, winter minor ailments.
7.5
New Medicines Service (NMS) - NMS continues to be a priority for PSNC
2014/15, publication of the final evaluation is imminent, NMS
recommissioning will depend on the outcome of this report.
8.
FOR VOTING:LPC ANNUAL REPORT AND ACCOUNTS 2013-2014 – formal
acceptance and approval for circulation to contractors
Matters arising/questions to CR with regards to the report and CH with
regards to the account prior to meeting please. NB. Proxy votes are
accepted – but please send an email to AM to authorise the individual
attending and voting on your behalf.
Claire Rossiter proposed that the LPC Annual Report and Accounts for
2013-2014 be formally accepted and approved for circulation to
contractors. This was seconded by Janette Best and and unanimously
agreed by all LPC members present, and by 2 proxy votes for Mandy
West and Steve Costello held by Janette Best and Chris Higgs
respectively.
AGREED FOR ACTION:
Page 4 of 7
AM/JBr
CH to check if two signatories are required for BACs payments
Steering Group to review expenses policy in particular claims over
£500.00
CH to amend claim form to reflect date of claim and additional
column for costing centre
9.
MEETING WITH NHS DORSET CLINICAL COMMISSIONING GROUP
Katherine Gough Head of Medicines Management Pharmacist
9.1
Update on formulary for blood glucose monitoring meters and strips –
costings & quantities
CH
Steering
Group
CH
The formulary has now been approved by the Dorset Medicines Advisory
Group (DMAG) for inclusion in the local formulary and the CCG is
meeting with the LPC shortly to discuss the implementation plan.
9.2
Virtual Ward pilots
Update on Christchurch & East Dorset virtual ward pilot:The CCG has approved funding for 20 domiciliary MURs in each of the 5
practices taking part in the Christchurch & East Dorset virtual ward pilot
(total 100 MURs). LPC members agreed this is a realistic number and
will be enough experience for the pilot/give the opportunity to highlight
pitfalls etc. GPs will shortly have a list of CPs involved in the pilot. The
pilot will shortly have a central co-ordinating person. Service specification
for pharmacy is now in draft form and will be accompanied by the
standard NHS contract. This will be presented to pharmacy contractors
at the CCG networking event on 30.7.2014 and will be circulated to the
LPC prior to this date. KG will check that all pharmacy contractors on the
virtual ward database have received the invitation to the CCG networking
event on 30.7.2014 and have been invited to join the CCG NHS network
in order to receive email notification of important network events and post
to network forums.
Several GP localities in Dorset now considering pilot models for Virtual
wards. Currently all of the proposed pilots’ models differ slightly, however
the CCG is looking for consistency of approach. Weymouth & Portland
Locality have contacted the LPC with a view to community pharmacy
being involved in planning of care for elderly and North Bournemouth
Locality have expressed an interest in applying for funding for a pilot for
poly pharmacy in the over 75’s.
ACTION:JBr to circulate website links to NHS Scotland Highland document and
NHS Wales document - Poly Pharmacy – Guidance for Prescribing in
Frail Adults - with LPC reading list (marked for reference only).
9.3
JBr
Pharmacy Query to the LPC re Methotrexate on repeat dispensing
without appropriate intervention (AM)
AGREED FOR ACTION:
AM to contact pharmacist concerned and request that this is
reported as a risk error to the National Reporting and Learning
System (NRLS) in line with the NHS terms of service, which
requires pharmacies to have processes to deal with and learn
Page 5 of 7
AM
from incidents. KG also requested information to be shared with
CCG as there have been a number of recent incidents involving
this medicine
MF/JBr to include update on Methotrexate in next LPC
contractor bulletin
10.
MF/JBr
MEETING WITH WESSEX ACADEMIC HEALTH SCIENCE NETWORK
(AHSN) Martin Stephens, Chief Executive
The AHSN discussed the fact that they are keen to ensure that
contractors engage to deliver NHS services as they are aware that
community pharmacies have a huge amount to contribute to their
programmes, including nutrition, dementia, respiratory, reducing harm
from alcohol and medicines optimisation & reducing waste.
The AHSN is a licensed, member led organisation making a difference for
patients and the economy on health and wealth. Building a profile and
partnerships were key objectives in their first year (2013-2014).
Wessex AHSN covers a population of 3 million across 9 local authorities,
bringing together 10 CCGs, 11 NHS Trusts and 5 universities.
Their vision is to bring discovery and innovation into the Wessex health
system so that the population has better health and benefits from a
thriving health innovation sector. It is focussed on addressing unmet
health and social care needs in the local population. The strategic priority
programmes are developed from their needs analysis and partners plans
and informed by variations in health care delivery and outcomes identified
across Wessex by their Centre for Implementation Science.
ACTIONS: JBr to send thank you letter to Martin Stephens
AM to explore possible joint proposal to AHSN regarding project
manager for Virtual Ward pilot (subject to satisfactory SLA)
11.
MINUTES OF DORSET LPC MEETING 12.6.2014
11.1
Accuracy
The minutes were recorded as accurate.
11.2
Review of Action Plan
Item 3 – Expression of interest to put together a submission for PSNC
awards. However, there will be no PSNC award this year and therefore
this action no longer appropriate.
All other actions complete or ongoing.
11.3
Matters Arising from minutes of 12.6.2014 (for items not elsewhere on
the agenda and/or identified by members prior to this meeting)
Nil of note.
Matters arising from reading list – see separate circulations (for items
identified by members prior to this meeting and placed on supplementary
agenda if necessary)
Nil of note.
CONTRACTOR SURVEY
AGREED FOR ACTION:-
11.4
12.
Page 6 of 7
JBr
AM
MF/AM to draft contractor survey re the seasonal flu vaccination
service which starts on the 1 September. The aim of the survey is
to ensure that pharmacies participating in the service are in a
position to commence the service on or soon after that date.
ALL LPC members to contact all contractors on their allocated
contractor list
MF to draft “noddy guide” ie. how to set up a contractor survey
13.
AOB
Local Practice Forum (LPF) and Local Optical Committee (LOC)
networking event – LPF and LOC are in the process of organising a joint
networking professional development event for pharmacists and opticians
within Wessex in the Autumn 2014. Mike Field, CPPE Tutor for Dorset is
also attending.
AGREED FOR ACTION: Steering Group to work with LOC & MF to take
forward.
.
14.
REVIEW ACTION PLAN (CR)
NOTED
15.
DATES OF LPC STEERING GROUP MEETINGS 2014-2015:9.9.2014, 4.11.2014, 6.1.2015, 19.2.2015 – times and venues TBC.
DATES OF LPC MEETINGS 2014-2015:- 18.9.2014 (annual contractors
meeting – TBC), 13.11.2014 (Joint Meeting with Hampshire & IOW LPC),
15.1.2015, 5.3.2015. All meetings at Dudsbury Hotel, 64 Christchurch
Road, Ferndown BH22 8ST full day 8.30 am for 8.45 am start.
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MF/AM
ALL
MF
Steering
Group

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