Minutes of the Tees Local Pharmaceutical Committee meeting held on 24July 2013, F.I. Maguire Ltd., Marton Pharmacy, Middlesbrough
Officers Present:
Jay Badenhorst, Chair
Pete Horrocks, Vice Chair
Sanjay Nath, Treasurer
Brian Roe, Vice Treasurer
Members Present:
Sarah Ramshaw (Boots CCA), Elaine Ballantyne (Rowlands Tennant St), Paul Pendergood, Brian Roe, Lorraine Crawford, Mark Burdon, Brent Foster, David Jarvis, Kate McQuade
Employed Officers present:
Sandie Hall, HLP Project Manager
PSNC Regional Representative:
Mark Burdon
Visitors
Philippa Walters
Apologies received from:
Peter Horrocks
Geraint Morris
Adam Crampsie
1. Chair’s Introduction
Welcome to new CCA members.
2.Minutes of Previous Meeting and Matters Arising
Matters arising – open and closed.
Open and closed section – should there be one set for everyone.
SN open and a closed remains possible.
3.Invoicing Process - Philippa Walters
Invoices were in infancy stages at last meeting.
Contract Manager – Lisa Jones is now on maternity leave which has impacted on invoicing. PW has been working very hard to drive forward the invoicing process. Local Authority invoicing is very restrictive, therefore, if invoices are incorrectly filled in it will not be paid. It is very difficult to communicate individually with contractors.
PW now has a template proforma invoice. There will be an electronic version and a paper version for each to complete. The LPC are requested to review the document.
Smoking service – incorrect information has been sent from specialist teams to pharmacy which has delayed the process also. This has now been corrected. In smoking vouchers contain patient information so should not be sent into PW. A draft form has been completed with information on voucher usage with product costs.
The letter of agreement and several guidance documents have been sent out but there is still confusion.
IT remain a big issue. Licensing is costly also. PW to come back with copies for comment.
3.PharmaOutcomes
MB: South of Tyne and Wear are using PharmaOutcomes successfully and also North of Tyne have also been looking to implement. To go live asap across Tees. Activation letter has been sent out. ?Session to launch the platform. ?Just a letter. To start with EHC – then order of preference.
ACTION: SH to arrange for EHC to ‘go live’ with all contractors. MB to find out who has activated the session
4.Annual Meeting of Chairs and Secretaries
JB. London event was attended. A variety of presentations (on PSNC website) were delivered and group discussions carried out. LPC being most cost effective for contractors – mergers, collaborations etc were outlined. Darlington is part of locality for Public Health – to be discussed at Regional level. Website session also interesting.
ACTION: SH to send out presentation from PSNC meeting
5.CPPE Update
LC now trained to be an advanced inhaler technique trainer. Physics of the process of use has given a different way of presenting this information. Afternoon and evening session to be carried out on 23rd Sept at Stockton Campus Durham (this will include a pharmacy school tour). 23rd October – 4 December – 12 February: partner sessions at MTLC – CPPE for pharmacists and Registered Techs with a parallel group for other staff. Helen Fish will be involved and the medication leads from the CCG groups.
MB: GSK keen to work with LPCs. Could medics be involved with the event also.
ACTION: All to promote the training sessions on CPPE across the area. JB to tweet and FB the dates
6.Website
BF demonstrated the website. Live at 3pm 24th July. Events section to complete. LPN information to be updated. FB link to be added also. Some areas will auto update but the majority is being updated by BF. Members only section was launched last week – this is still in progress. Login details will need to be recreated.
ACTION: All to provide email addresses to BF to then allow recreation of the login details. Google calendar to be set up for all to post events.
7. Durham University
LC has met with Emma Champley and research at Stockton Campus. Weight management to be looked at regarding developing a tool to use with teams. A service will be looked at within pharmacy for early intervention in weight management. Proactively approaching individuals to tackle the issues of obesity and diet. Limited current evidence regarding this is available. Durham University will fund the research. This is still in initial stages, LC/PW/SH to be involved. ?Pharmacy Research Group to be involved. Potential for stakeholder event in September.
ACTION: All to feedback any specific outcomes that would be useful to be discussed with the University to LC
8.Mental Health Referral Update – Kerry Robinson (MIND)
Potentially a training event for updating individuals on mental health issues.
Mental Health First Aid Training.
ACTION: Source training in mental health first aid.
10.Rebecca Laidler – Smoking Update
Stop smoking services will be retendering in the South. 2 tier pharmacy provision – tariff will be reflected.
Web system in place for October. Paper returns will become redundant. Reminders, monitoring, payments will become possible. This is not PharmaOutcomes. All providers will use the same service for smoking. This should speak to other systems if possible.
Tenders will go out 1st August for 1st October implementation.
Pharmacies should be IT ready. Pharmacy will be in control of their own data management and mange client caseload. The system will go live in April.
Smoking Campaigns – big push on stoptober. Middlesbrough and Redcar will have a stoptober roadshow. Pharmacy packs will be coming out. Redcar will have a leading local authority. Event packs will be completed. Large campaign presence throughout events.
Case studies are required. Young people, Maternal, specific reason or events which have influenced the quit would be useful. Pharmacy need to celebrate and champion successes. Comms leads would be used to compile the case studies. Magazines and newsletters can publicise via case studies. Now reach opportunities are much more expanded.
DH directive e-cigs – do count as a quitter. They do not denormalise the smoking image.
DJ – Are those who have had transferred dependence issue permitted to extend length of treatment? Payments will not reflect this. RL will take back to determine if pharmacy would be paid for that service.
ACTION: All to feedback any issues, training requirements, resources required to Rebecca Laidler via SH.
RL to forward roadshow information to SH
RL to forward e-cigs directive and other information to SH for circulation.
11.Lifeline
Needs addressing. Prescribers should have own number but everyone has own number. 6 digit number ?cost centre.
Generic pad – not a CD script.
ACTION: SN will contact the inspector
Brent Foster left the meeting
12.Industry Presentation – Ian Hillery, Leo Pharma
LUNCH AND CLOSE OF OPEN MEETING
PW Returned to meeting
13.Mark Burdon PSNC and Jill DDT AT, clinical strategy team - NHS England
LPN was taken on, interim chair was put into position. Same position for dentistry and optometry. The LPN covers all of pharmacy not just community, job adverts have been circulated for chair. There are lots of interested parties. It is not a membership group but a core group was formed. Core group – hospital, community and LPCs, universities Sunderland and Durham, pc through Janette Stephenson, commissioners, CPPE and public health and others. This was to gain a geographical mix across the area. Aim was to keep the group small and action based. LPN is a strategic network for pharmacy, direct input into commissioners. 3 pharmacy, dentistry and optometry. Group represent the whole aspect rather than just provider services. 3 currently DDT, NTW, Cumbria. Example of good practice via Cumbria as was ahead of other areas ie flu. Work plans similar across the country. MDS, hosp discharge, MUR, Workplans being finalised currently. Task and finish groups have been set up.
Examples:
Workplans – green bag scheme being led by Adam Rathbone at S Tees.
Work optimisation: NHS Mail – progress has been made to identify obstacles
MURs – hospitals very keen on discharge. David Campbell leading with Lorraine Crawford. NMS and other meds optimisation aspects linked
Communications will be made when there is some focused information which has been achieved.
Getting up and running was the key focus initially. There will be then information communicated – the issue is what method is the best etc.
Direct influence can be gained via the LPN.
Winter planning etc will be a focus for the LPN as will many other aspects of planning. The network will be widespread and locality focused as and when appropriate.
Anti viral distribution is another area being driven forward.
14.Mark Burdon Q & A session
LPC upd@te email has been sent out.
Conference feedback will be discussed at Regional LPC group in September. There will also be a change to the structure. To be debate focused.
PSNC evidence awards – trying to get LPCs to write evidence of what has been carried out. Awards will be given – 2 evidence, service evaluation will be other one.
Prof Kevin Fenton from PHE – meeting was very interested in community pharmacy . Campaigns have been used to drive pharmacy health promotion.
NCSO shortage continues to be discussed.
Funding settlement – agenda item next LPC meeting
Funding contract subcommittee:
Further information will be available after the summer.
Is PSNC monitoring any of the recall products – this will be picked up during usual mechanisms.
LPC negotiating skills training – leeds was an extra date, 2nd October – there was a lot of interest and found it helpful. Ran by an external consultant. Useful for LPCs to consider. 2 places to be booked by Jay Badenhorst.
New website will make it easier to communicate from PSNC.
ACTION: All to raise expression of interest in attending the Leeds Negotiating Skills Training event.
All to feedback any subjects for future meetings via SH.
15.Baby Clear
LPC response – Baby Clear evaluation.
ACTION: All to feedback to SH regarding Baby Clear Project Proposal
16.Transition
Process will be extended to next year.
Needle exchange, smoking, supervision all Health Improvement Leads are keen to streamline information.
5.1 Letter of agreement commenced on 1st April until 30 September 2013 – this to change to 31st March. The letter of agreement will extend current services until end of March 2014. Also encompasses new documentation for claiming.
New claim forms and letter of agreement submitted for comment. All documents to be uploaded to LPC website.
Monitoring sheets also required for smoking.
Agreed in principle.
ACTION: All to send comments to SH for forwarding.
15.Subgroup, designated responsibility
16.EPS
All to be aware of confusion which has occurred regarding sign up of patients. LMC has raised this as a concern. National Guidance via the LAT indicates that patients can be signed up at any time but the recommendation is that it is done within 3 months of going live. Any patient who is signed up would require further validation prior to going live with a GP anyway. Best practice – all should inform patient that this is a potential service rather than a current service.
Mail drop in Billingham area has heightened issue. New EPS document is imminent.
17.Flu Service
Will be commissioned by the DDT Area Team
Inclusion criteria:
Over 65s,
18-65s at risk groups
Pregnant ladies over 18
Carers who can prove they are a carer.
Training options:
LPC bear cost or subsidise costs
Contractors pay independently.
Fee payment:
£12.71 which is all inclusive of product. ?to add VAT as extra. If adding VAT would be £15.25.
ACTION: Working Party to discuss Flu PGD, SLA and funding of training – SR, PP, LC, BR. Working party have delegated responsibility.
18.Subgroups and designated responsibility
All subgroups were formulated at March meeting.
EB added to HLP group.
SR added to Flu as part of service development group.
If there is a subgroup should they have designated responsibility – discussion followed.
The subgroup has identified this as a solution or an outcome – circulate, respond within 2 weeks.
Conference call discussion is also an option.
Decisions will be made on an ongoing.
ACTION: SH to write into strategy doc the role of the group requires minutes.
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