Secretary: Alison Ellis 100 Widecombe Lane Clifton Nottingham, NG11 9GY Tel: 07882289083 Fax: 0115 8379854 Email:secretary@nottinghamshirelpc.co.uk

http://psnc.org.uk/nottinghamshire-lpc/

Local Pharmaceutical Committee LPC

NOTTINGHAMSHIRE

THE 104th MEETING OF THE COMMITTEE WAS HELD AT THE WHITE POST, OLLERTON ROAD, FARNSFIELD, NOTTINGHAMSHIRE, NG22 8HN

ON THURSDAY 17th SEPTEMBER 2015 AT 10.30AM

Present In the Chair Rob Severn (RS)

Secretary: Alison Ellis (AE) Chief Officer: Nick Hunter (NH)

Members: Dave Fernley (DF), Gordon Heeley (GH), Louise Keating (LK), Mary Lee (ML), Dayaram Mistry

(DM), Ankish Patel (AP), Zameer Somani (ZS), Jon Such (JS),

Attending

Claire Grainger, Healthwatch Nottinghamshire

Sam Travis, Clinical Leadership Advisor, NHS England North Midlands

Caroline Brew, Medicines Management, Nottingham City CCG Apologies

Chris Kenny, Director of Public Health, Nottinghamshire County

Michelle Peet, Project & Business Change Manager, NHIS

Andy Ambler, Clinical Services Lead, New Directions, CRI

Garry Myers, PSNC Regional Representative

Minesh Patel, Services Manager, CRI New Directions Nottinghamshire

Mindy Bassi, Head of Medicines Management, Nottingham City CCG

Phil Kielthy, LPC member

Ketan Chandi, LPC member

Vijay Pujara, LPC member

Linda Ferguson, LPC member

James Sutcliffe, LPC member Observers

Louise Goodman, Bridgegate Chemist Phil Morgan, Bridgegate Chemist Chris Bland, Rotherham LPC Chair

1 Governance Items Nothing to be reviewed this meeting

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2

2.1 Apologies for absence Phil Kielthy Ketan Chandi Vijay Pujara Linda Ferguson James Sutcliffe

2.2 Acceptance of the minutes from 20th August 2015 - Attachment A1 The minutes were read and agreed as a true and accurate record of the meeting on 20th August 2015

2.3 Action points from 20th August 2015 – Attachment A2 and A3 1) Business case for not dispensed scheme JS contacted Guilford and Waverley CCG – need to go through the information and then the business case group will meet. James Sutcliffe will be a good asset to the group as he has experience in service commissioning etc for Boots. Group to approach James. 2) Rushcliffe Meds Management – Protected learning time Not met again yet – rearranged for Friday 18th September which is very short notice for pharmacy to attend. NH and RS to meet with Vicky Bailey and explain that the Medicines Management meetings have been cancelled or arranged at short notice making it difficult for JS to attend.

Action: NH and RS to meet with Vicky Bailey and explain that the Medicines Management meetings have been cancelled or arranged at short notice making it difficult for JS to attend

3) NUH Adriece Al Rafai has contacted Mindy Bassi regarding the LPC being part of the Interface Group – this will be discussed at the next meeting. 4) Flu service Article asking for interest from contactors in attending a training session on flu service included on the September newsletter. ML will contact Radio Nottingham regarding a slot on flu vaccinations. 5) EPS Article included in the September newsletter highlighting the EPS continuity documents on PSNC website. 6) Dementia friends champions – 08/10/15 AE attending the Dementia Friends champion training on 08.10.15 in Derby. AE has forwarded the link to the website page with all the dates to AP and KC. 7) Emergency supply Emergency Supply and NHS 111 was included in the September newsletter. It was also mentioned that Bassetlaw need to get this service commissioned for all out of hours not just bank holidays. 8) Pharmacy First and City CCG Forward to the next meeting – AE to talk to Caroline Badder at Nottingham City CCG

AE to contact Caroline Brew re working with Nottingham City CCG to advertise pharmacy and Pharmacy First especially in Clifton to help with the patient issues around the closure of the CNAP.

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2.4 Declarations of Interest for any item on the agenda

If any member has any personal or pecuniary interest whatsoever in any matter, they should declare it or not actively contribute to the discussion unless asked by the rest of the committee to provide factual information to aid their understanding. In either case they should not vote on the item

3 NHS Contract Matters Applications summary spreadsheet SYB – nothing received

3.1 New contracts-Routine 3.1.1 Application offering unforeseen benefits By: Wm Morrison Supermarket PLC At: Idle Valley Road, Retford, Nottinghamshire, DN22 7XD Closing date: 10th October 2015

Conflict of Interest: GH (Lloyds), DF (Bassetlaw), Louise Goodman and Phil Morgan (Bridgegate Chemist)

- Opposite the cigarette kiosk - expectation of supermarkets selling sweets, alcohol and cigarettes but not ideal where they have proposed to site the pharmacy

- Mentions giving healthy lifestyle advice but then where it is located is not conducive to this - Adequate provision of extended hours currently – very close to Lloyds and Bridgegate pharmacy and

Boots is up the road. - Applicant has not actually cited an unforeseen benefit - Could destabilise the current provision in Retford - Boots is 100 hour - If there is need of more hours then hope that existing contractors would be asked first - Needle exchange and health checks are mentioned by the applicant, but neither of these are

commissioned in the area nor in pipeline discussions with commissioners

Response: Reply using the comments above to oppose the contract

3.2 New contracts-Excepted 3.2.1 Application in respect of a No significant change relocation By: Fittleworth Medical Ltd T/A Wilkinson Dispensing Ltd (DAC) From: Unit 9 Glaisdale Drive, Bilborough, Nottingham, NG8 4GA To: Unit 1 Phoenix Centre, Millennium Way West, Nottingham, NG8 6AS Closing date: 16th October 2015

Conflict of interest: GH (Lloyds), AP, RS, and ML (Well), JS (Manor) Patient base is deliveries so nothing to respond regarding this DAC application

Contract applications received from other areas Nothing received

3.3 Litigation 3.3.1 SHA/18076 – Application for inclusion in the pharmaceutical list offering unforeseen benefits By: ePrescriptons Ltd At: Nottingham Road, Eastwood, Nottinghamshire, NG16 3AL (Best estimate) Appeal response already sent – Attachment B

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3.3. SHA / 18052 - Application for inclusion in the pharmaceutical list offering unforeseen benefits By: Nottingham CityCare Partnership At: Seaton House, City Link, NG2 4LA Further appeal responses

Conflict of interest: GH (Lloyds), RS, AP and ML (Well), JS (Manor)

Cannot respond any further – waiting on decision. There appears a lack of understanding from the CCG commissioner about a pharmacy contract and market entry regulations. From the CCG Governing body papers it seems Citycare included having a pharmacy in their winning bid and so needs to be granted to comply with their contract with Nottingham City CCG.

Worry that it will be granted and impact on existing pharmacies – hope there will be an oral hearing. Need to think about who is going to attend the oral hearing if this is decided – NH will attend, LF will be going on behalf of Manor - cannot be anyone who has declared conflict of interest so this leaves DF, LK, VP, DM, AE – once know the decision and possible date then will organise who attending.

If the contract is granted then we will then represent the applicant at which time the LPC will not be able to pursue further action – it will be up to contractors themselves.

3.4 Decisions

Nothing received 3.5. Amendments Nothing received 3.6 Responses received Nothing received

4 Treasurer’s report – GH 4.1 Finances August 2015 – Attachment C1 Income £17,759.68 – had final money for LPC ball 2015 tickets through Expenditure: Refund to Thea Pharmaceutical as paid twice for Dementia training. £9,742.02 total expense for August 2015. Well – reserve for invoices to be paid - £2,105.00 When separated from Co-op caused problems – Co-Op still have the invoicing contract and they are not treating as urgent. Needs to be invoiced from Well so that it goes to the correct branch. RS has raised this with Ifti Khan, the superintendent and with head office - they are now looking into Members discussed that the expense policy stated that any claim over 3 months should not be paid - so currently we are going against the expense policy that has been agreed.

- On checking the wording in the policy it states that the LPC members have to claim the expense to the treasurer which has been happening but then it is Well that has not been producing the invoices.

Members agreed that if this has not been reconciled by the October LPC meeting that GH should write to the Well finance department stating that we will not be paying any claims / invoices over 3 months in accordance with the expense policy.

Action: If not been reconciled by the October LPC meeting then GH should write to the Well finance department stating that we will not be paying any claims / invoices over 3 months in accordance with the expense policy

4.2 Cashflow– Attachment C2

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£201,150 – is projected spend for the year. We are under spent at the moment by £13,591 Reserves held should be 6 months – looking at getting up to the reserve figure by March 2017

5 Chief Officer / Chair reports 5.1 Pharmacy pilots and PCDC – NH meeting with Chris Locke update – moved to 07.10.15 Met with Chris Locke re IP project – Chris wasn’t aware of the local project - he had more knowledge of the national project. Some CCGs have bid for funding – gp federations Seasonal flu – LMC knows the rationale – aware of the reasons why flu has been commissioned. PCDC – Looking at how can support community pharmacy – not a lot of money in the budget – looking at leadership training for front line clinicians – AP going to link with MSD. Can do this and gain information and then work on business case for next time 5.2 NHSBSA payment shortfalls (KC) KC has received some varying payment results from checks Been monitoring figures and has requested a bundle check – every month he has a variance from hundreds to thousands under payment.

Newsletter article – highlight this to independents and ask KC and Garry Myers to help with the wording – advise to watch the PSNC / NPA webinar on the prescription pricing and endorsing.

5.3 NHS England - future role of LRCs Email from PSNC regarding setting up a meeting with the LRC chair’s in all NHSE areas on the future of representative committees. Meeting is in London on 15th October so RS will not be present at the next meeting – LK will be chairing the meeting.

Action: LK to chair the next LPC meeting on 15th October 2015 – only here in the morning though so GH will cover the meeting in the afternoon.

5.4 Pharmacy IP project update 6 sites and 4 have IP’s ready to go Richard Harris (Doncaster LPC member) – Blidworth Peak Pharmacy - Chesterfield Nitin Lakhani – Wollaton – urgent care and minor ailment through IP – sessional basis Giltbrook – not got pharmacist in there at the moment Aim of the project is to identify what work can be taken out of the practice in the future. Learning from the project.

There is not the number of IPs to do Contracting? – how employed, script direction, etc Indemnity insurance – who claims? Could be personal, pharmacy and surgery

Going well and on track for the revised timeline 5.5 Nottingham Eczema support – Attachment D Patient support group – help promoting Eczema. Long term condition. Run an educational event around – AP to get some pharma support. Patients would like to be able to trial some of the products - Write to companies and ask for funding

Action: AP to look at funding from Pharmaceutical Companies for the event on Eczema

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5.6 Flu 5.7 Eastwood Acute incident raised this week – problem is with the surgery and their repeat processes – Well and Boots have been saying this during the work around repeat dispensing, but have not always presented the evidence of the issues.

6 PSNC Members are advised that many PSNC communications are now communicated electronically and repeated on the PSNC website. It is recommended that members regularly visit the PSNC website ‘ LPC members’ area to access the latest information available on www.psnc.org,uk PSNC briefings / newsletters

6.1.1 LPC News: LPC Conference 2015; Essex LPC in the Spotlight; Analysis of locally commissioned services 6.1.2 LPC Chief Officers bulletin: Primary Care Support Services update and Commissioner emails 6.1.3 Welcome to our new commissioner emails 6.1.4 NCSO/Price Concessions August 2015 (update) 6.1.5 Contractor update: flu vaccination service arrangements; Pharmacy service promotion; Change to

Practice Payments; NMS e-course; Health & Care Review 6.1.6 LPC News: South Yorkshire LPCs make good use of local radio; OTG LPC share press release; Primary

Care Support Services; Health Check report 6.1.7 PSNC 5 Point Forward Plan for community pharmacy 6.1.8 Important Update: Employers Liability Insurance 6.1.9 LPC News: Working with commissioners; LPCs in the Spotlight; Local pharmacy scheme helps more

than 8,000 patients; LPC Conference agenda published 6.1.10 News: Flu vaccination service webinar; Latest CPN online; EPS masterclasses; Drug Tariff error; PM

Challenge Fund supports pharmacy services 6.1.11 NCSO/price concessions September 2015 6.1.12 Pharmacy Commissioning: Reducing pressure on local health services 6.1.13 LPC News: Upcoming flu webinar; EPS masterclasses; Carer-Friendly Pharmacy evaluation; New CCA

voting contacts 6.1.14 PSNC Announcement: Flu service specification is published Media campaign in South Yorkshire – there have been 1000 hits on the websites microsite Enabled conversations at HWB meetings and highlighted community pharmacy to key stakeholders. Cost £130 per contractor for 6 months advertising – LPC’s have funded from existing budget. Doncaster and Bassetlaw – NH meeting with Public Health and they have realised that they need pharmacy input into their workload. PH do not automatically think of pharmacy as a solution though. Well have a campaign on GEM FM currently too. 6.2 PSNC Events

1) Flu vaccination webinar - Wednesday 16th September at 7.30pm – discussion concluding it was useful and the LPC should encourage contractors to watch highlights if the missed.

2) LPC Media Skills Training – 27th November 2015

RS interested in attending – think that more members should attend as well Members agreed RS attending training.

Action: AE to book RS place on media skills training 27.11.15

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3) LPC Support Training – Financial Management for LPC’s – 24th November 2015 4) LPC Members Day 2015 – 19th November 2015 & 1st December 2015 (Additional date just added) 5) Preparing Bids and Business Cases – 7th & 20th October 2015 6) PSNC Training Event – Market Entry Master Class – 30th September 2015

NH attending – case study based learning workshop ML and AP are interested in attending as well – wait until the next one as it is short notice to get cover.

7 Tenders and bids / Consultations / Service Opportunities 7.1 Integrated Sexual Health Service – Nottingham City and Nottinghamshire County Now closed 7.2 Tobacco control tender – update Nothing received 7.3 RPS-NAPC Consultation On Integration Of Gp Practises And Community Pharmacy http://www.rpharms.com/promoting-pharmacy-pdfs/rps-napc-gp-and-community-pharmacy-integration-consultation-august-2015.pdf And for information the PSNC briefing http://psnc.org.uk/our-news/psnc-warns-future-care-development-plans-must-protect-pharmacies/ Friday 9th October is the deadline RS and GH to meet with Sibby Buckle around RPS proposed changes. Proposing - some radical changes and PSNC have given briefing – link on agenda Questions are leading – Proposing to move away from dispensing fees. NH asked committee members to read the document and reply to the consultation independently, because each reply added its own weight.

Open meeting 2pm – 3pm Claire Grainger, Healthwatch Nottinghamshire

Mystery shopper - https://vimeo.com/124552641 Nottinghamshire County council trained up the young people as mystery shoppers. Results sheet re pharmacists was provided by Nottinghamshire HWB for the meeting - ask for e-copy to circulate to pharmacy contractors. Information targeted at young people – leaflets or posters specific to them. Most pharmacies have moved away from leaflets - need to have the leaflets published to be able to provide them C-Card to be more widely available in pharmacy Confidentiality - not clear on pharmacy policies HWB are continuing to support and will be carrying on the mystery shopper service RS and NH to raise at the HWB stakeholder meeting – need to give information via the school / school nurse – raise awareness at vaccination year’s and ask HWB to help advertise pharmacy services available. Need pharmacies to promote pharmacy to schools, local youth groups – how do the LPC encourage? Need to collaborate with Area Team, Council, CCGs and Healthwatch

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Healthwatch survey

- 168 in total – 11+ year olds - Average 8 out of 10 happy with pharmacy services - Young person friendly – 7.5 out of 10

Query need training on interacting with young people – tailoring customer service to population of area Notts TV – do you work with them? Joe Pidgeon has been on regularly Thanks given to Claire for the work done with the LPC and feel that there have been good relationships. Starting next week

Action: AE to ask Claire Grainger if the pharmacy specific results can be shared with pharmacy contractors. If so then send this through to contractors.

Sam Travis, Clinical Leadership Advisor, NHS England, North Midlands Flu service Liz Gundel is sending out information today

Low cost waste contract Birmingham LPC and West Midlands region team have set up an agreement where the NHSE sets up a contract for one off collection of sharps from flu vacs as an add on to the existing Patient Returned Medicines contract so that it is cheaper over all due to economies of scale. CPAF changes - Automation of assessment PSNC – short pre-self assessment questionnaire to be completed – NHS BSA to go through and sort out level – if ok then will not need to complete 80 page questionnaire and reduce need for visits to pharmacy Dom MURs Still encouraging people to get involved. Payment covers the cost of a pharmacist providing this service. Newsletter article – highlight to contractors that they can be involved in this service if they contact Sam Travis, Area Team

Action: newsletter - highlight to contractors that they can be involved in this service if they contact Sam Travis, Area Team

Emergency supply service Need to ensure that all staff are aware of the service and also locums / relief staff as had further complaints over the August bank holiday. NHS England send through a list of registered pharmacies providing the Emergency Supply service to NHS 111 before each bank holiday. MAS Reimbursement costs – since meeting with NH, Sam has done some benchmarking and the costs are low in Nottinghamshire – but also in other areas the service was decommissioned. PharmOutcomes – once registered patients onto the scheme then should be quicker – the time taken in consultations is counter balanced by not having to complete paperwork at month end and all past info being available on Pharmoutcomes

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SCR Meeting on 5th October with Notts and Derby health informatics and HSCIC about implementing. Multiples are considering whether to do local training or in-house. Independents - HSCIC will be putting on training sessions ST will attend the November LPC meeting with an update on the SCR implementation.

Action: ST to attend the November LPC meeting to update on SCR implementation

Discharge summaries Chesterfield Royal are now working with NHSE re discharge patient summaries being sent to pharmacies via PharmOutcomes- NUH also talking to Area Team and showing an interest. They were honest that the communication is minimal with pharmacies and are keen to improve – open to innovation. Nottinghamshire Healthcare service – mental health patients – are also interested in being involved. Payments All lumped together – ST keeps raising issue but they continue to send this through. Caroline Brew, Medicines Management Project Co-ordinator, Nottingham City CCG Vulnerable patients service Piloted in Radford Road Pharmacy – evaluated and now have funding for 8 pharmacies (one per CDG) through tender process. Successful pharmacies have been notified - Jaysons Pharmacy, Queens Pharmacy in Aspley, 3 x Lloyds and 3 x Boots Pharmacies

Pharmacists supporting vulnerable patients with their medicines. Staggered payments depending on how long look after the patient – 4 months to 12 months and limited to 40 patients per pharmacy Referral from gp practice – asking for pharmacy to go to gp’s and say they are providing the service Building the service on PharmOutcomes so can capture the data and work through the payment triggers etc. Starting on 1st October 2015. NHS standard contract

- Healthy living lead - redone for 2 years. Still chasing some contractors

NIMS - interface group between secondary and primary care – Green bags updated Looking at what happens to the medicines when taken into hospital and try and ensure meds are kept with the patient through their journey. Patient leaflet has been created around what to do with their medicines and being distributed via different methods on NUH wards MAS – trimethoprim – Let all the gp’s know not to send patients through for UTI as pharmacy not able to issue trimethoprim any more. Waiting for results from APC re guidance today and then will send out information to pharmacists. Vangaurd site – Care Homes Petra Davies is the new lead and Mindy Bassi will update at a future meeting EPS and repeat dispensing Trying to get a couple of pilot sites

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Family Medical Centre and Phakeys?? Meeting with Churchfields Medical Practice in Old Basford and they have invited community pharmacy to their PLT. Trying to get two good pilots to prove to gp practices that this is the way forward and that it does work. Clinical pharmacists in gp practices Deadline is tomorrow. CCG has been supporting and encouraging practices to federate 2 applications have been put in from City practices Inhaler technique Finished now and evaluating the data Admissions have reduced for COPD and Asthma – not sure if this is linked to service Prescribing changes When there are changes to prescribing Meds Management need to let pharmacy know in enough time - Pharmacies need to report this to Head of Medicines Management teams if they are not informing pharmacy of changes in medicine prescribing as in SOPs it states that need to go and speak to community pharmacy.

8 Standing items / Items for discussion 8.1 Training update Next session is Asthma / COPD NMS and MURs – Anna Murphy – Tues 6th October 2015 – Derbyshire Hotel This has been advertised Consultation skills was cancelled and needs to be rearranged – working with CPPE on this . Venue is School of Pharmacy

Working with CPPE. Students are wishing to access the training and also hospital pharmacies – is this something that can be facilitated through the LPF? If cost neutral then ok to open up to students, hospital pharmacists, med management pharmacists LPC should be focused on contractor benefit though.

HSCIC EPS training (live systems) update Dates and areas started were in PSNC news 8.2 Setting up a provider company – information for this section on link . Please read before the LPC meeting so able to have an informed discussion. http://psnc.org.uk/lpcs/lpc-members-area/lpc-resources/ CCG had an IP and needed someone to employ them and asked if the LPC had a company that could employ but the CCG would pay their wages. PSNC have put on more information on their website Contracts recently been out have not needed a company to be set up. Agreed that when have another tender to discuss then the LPC will put on a procurement training event for contractors. Contact all contractors and ask if they have an interest in setting up a provider company – independents

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need this to give support / expertise. See what responses get back from contractors before discuss further – if 10% then set up a room. Ask to reply if they are interested in being involved in the set up or wish to be kept informed.

Action: Write to contractors (post letters to independents) and inform CCA and AIMP companies and ask if interested in setting up a provider meeting. Need to explain the situation around what is involved and the LPC’s position. If there is enough interest then put on an evening to discuss the processors.

8.3 Health and Wellbeing Board Stakeholder Network Event – 22.09.15 – volunteers needed. Attachment E1, E2 and E3 1pm – 4pm at John Fretwell Sports Centre RS and NH attending. Round table discussions and promotional stand – need more volunteers ML, AP, LK and JS (find someone from Manor Pharmacy) – checking if can make and will let NH know.

Action: ML, AP, LK and JS to contact NH if they are able to make the stakeholder event on 22.09.15

8.4 Notts TV – AP AP has contacted Notts TV and they have advised that the LPC need a program idea and then a producer will work with the LPC. AP to liaise with Nottinghamshire Healthwatch around working together on having a slot on Notts TV

Action: AP to see if Nottinghamshire Healthwatch are interested in working together with LPC on a slot for Notts TV. Gather more information about the work and cost involved in setting up a program outline.

8.5 PSNC 5 point forward plan – Attachment F If go to the document on the website page there are links to evidence and information they have pulled together to be used when discussing with commissioners etc. Discussion around commissioning of future services Pharmacists are signed up to services but are not providing them – if trying to get services commissioned then need to ensure that contractors will deliver. Feel that most pharmacies are running at 110% - got to be able to fit in services around the existing demands of the pharmacy. Need to change the model of how pharmacy work instead of going to safe option of dispensing. Look at skill mixes in pharmacies and commission services around this. Dom MUR is remunerated enough to have a 2nd pharmacist to cover the pharmacy – pharmacies need to change their working model to include an extra pharmacist for a day and plan the Dom MURs for this day. Do we need to facilitate a session for the pilot sites and enable a discussion to help with engagement? Explore at the next training event – training for Dom MURs? 8.6 LPC conference 04.11.15 agenda – Attachment G Send through confirmations to attendees as a reminder

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Agenda has been issued.

Action: AE to send through the confirmation of places booked for the LPC conference on 04.11.15) to members attending as a reminder of the details

8.7 Learn at Lunch – NUH – dates and subjects (Wednesdays 12.15-13.00 @ City and Thursdays 12.15-13.00 @ QMC) Adriece Al Rafai has asked for the LPC to give some dates when they are available to present at Learn at Lunch – agreed that it would be 25th November. 15 minute presentation about community pharmacy services – MURs, RS and new Pharmacist at Tesco in Toton would be interested in presenting.

Action: AE to reply to Adriece and let her know the date the LPC are available – 25th November. Adreice will then check with drug companies for sponsorship of lunch.

8.8 Questions from contractors for Claire Ward at the AGM Received question from two contractors Plus from the meeting this morning

1) Can you explain the rationale around the changes proposed by RPS? 2) How do you see the gp / pharmacy contract being amalgamated? 3) What do Pharmacy Voice / NPA see the future role of LPCs

NH to send through the questions to Claire Ward so she can prepare for the AGM in the evening.

9 Commissioners reports – some of this will be covered under Sam’s report earlier on the agenda NHS England Area Teams 9.1.1 North Midlands Region

a) Flu service PSNC website – PGD – this is the final version but cannot print off. On the PSNC website there is the link to the NHS BSA where contractors can input claims for vaccines given. Different training providers are giving varied injection technique. Worth reading the CPPE pack on vulnerable people

9.2.1 SY & Bassetlaw AT a) No meeting

9.2.2 SY LPCs joint meeting – Next meeting is on 07.10.15 – this will probably be cancelled as there is a Yorkshire & Humber LPC

meeting with NHS England and PSNC on 6th Oct. LPNs 9.3 South Yorkshire and Bassetlaw LPN –

Working group to respond to RPS / NAPC consultation

9.4 Nottinghamshire / Derbyshire LPN – Meeting on 16/09/15 – verbal update (RS) Local Authority 9.5 .1 Public Heath – Nottinghamshire

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PNA Process will be starting again in October 2016 9.5.2 Nottinghamshire County Health And Wellbeing Board

Next board meeting Wednesday 7th October 2015 2pm at County Hall, West Bridgford, Nottingham http://www.nottinghamshire.gov.uk/dms/Meetings.aspx

AE attending 9.6.1 Public Health – City 9.6.2 Nottingham City Health And Wellbeing Board

Next board meeting: Wednesday 30th September 2015 1.30pm at Loxley House, Station Street, Nottingham http://committee.nottinghamcity.gov.uk/ieListMeetings.aspx?CommitteeId=185

AE attending 9.7. CCG’s – (minutes and agendas for board meetings are available at the links below)

9.7.1 Mansfield & Ashfield – KC a) Mansfield & Ashfield prescribing sub group – next meeting 25.09.15 – KC unable to attend DF unable to attend too. NH to attaned

Next CCG board meeting: Thursday 5th November 2015 12.30pm at Birch House, Mansfield http://www.mansfieldandashfieldccg.nhs.uk/index.php/board-meeting-dates

9.7.2 Nottingham North East CCG – VP

a) Nottingham North East Prescribing committee – VP Next CCG board meeting Tuesday 17th November 2015 1.30pm – 3.30pm Gedling Civic Centre, Arnot Hill Park, Arnold, Nottingham NG5 6LU http://www.nottinghamnortheastccg.nhs.uk/index.php/meet-the-board/governing-body-meeting/ 9.7.3 Rushcliffe – JS

a) Rushcliffe CCG Meds Management committee – JS

Has contacted to say that he can attend the meeting that has been called for Friday 18th September Next CCG board meeting: Thursday 17th September 2015 1.30pm in Clumber Room, Easthorpe House, Loughborough Road, Ruddington , NG11 6LQ http://www.rushcliffeccg.nhs.uk/about-us-governing-body/8-about-us/80-governing-body-meetings

9.7.4 Nottingham City - DM /GH Next CCG board meeting: Wednesday 30th September 2015 from 9.30am to 12.30pm in the Standard Court, Park Row, Nottingham NG1 6GN

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http://www.nottinghamcity.nhs.uk/about-us-284/meetings-and-papers.html AE attending

9.7.5 Nottingham West CCG – PK/ZS

Next CCG board meeting: Thursday 22nd October 2015 1.30pm – 4pm at Stapleford Suite, Stapleford Care Centre, Church Street, Stapleford, NG9 8DB http://www.nottinghamwestccg.nhs.uk/index.php/meeting-dates-2014

a) Need to discuss attendance at Nottingham West prescribing committee as Naresh Chauhan no

longer attending and also ZS is moving out of the area.

ZS stated that his replacement would be interested in attending this meeting in the future.

LPC to write to Naresh and thank for his support in Nottingham West and attending the Meds Management meetings.

Action: AE / NH to write to Naresh Chauhan to officially thank him for his support and work in Nottingham West and for attending the medicines management meetings

9.7.6 Newark and Sherwood CCG - LK/ML

a) Prescribing workstream – 14th October 2015

Next CCG board meeting: Wednesday ?? 5pm at Edwinstowe House, Edwinstowe, Notts. NG21 9PR http://www.newarkandsherwood.nhs.uk/about-us/our-governing-body - no dates currently on the website

9.7.7 Bassetlaw CCG – DF

Next board meeting: Tuesday 13th October 2015, 9am – 11am Collinson Board Room, Retford Hospital http://www.bassetlawccg.nhs.uk/about-us/governing-body/governing-body-meetings Nothing to report 9.7.8 Area Prescribing Committee – AP Next meeting – Thursday 17th September 2015 2pm – 4.30pm, Duncan Macmillan House, Conference Room 2 http://www.nottsapc.nhs.uk/index.php/about-the-apc

AP asked if he could not attend the APC today as he wished to be involved in the open meeting discussions. Members agreed that would leave future attendance decision to AP to look at the agenda and work out which meeting is best to attend – LPC or APC.

9.8 LMC AGM – Tuesday 29th September 2015 7.30pm – 5 Phoenix Place, Nottingham, NG8 6BA AE attending if able to – on annual leave the week before.

10 Members reports 10.1 Feedback contractors / member allocation lists Nothing to report back

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10.2 Other meetings attended / members activities Nothing to report back 10.2.1 LPC Guide update AP and ZS have gone through and ZS will carry on working on even when left the LPC – still need some pieces of information. Introduction from Nick, history of the LPC and Sam Travis article. ZS will send over what he has completed already to AP and PK.

11 Research (GH and JS) Nothing to report

12 CCA / AIMp Communication 12.1 Pharmacy Voice / CCA Change of chief exec – verbal report Chief Exec of Pharmacy voice is now Lynette Kerr

13 Other Communications 13.1 Healthwatch a) Healthwatch Nottinghamshire September newsletter – Attachment H1 b) E-Talk - Healthwatch Nottingham – Attachment H2 13.2 EPS a) - Deployment – Attachment I1 b) - Update from Michelle Peet September 15 – Attachment I2 FOR INFORMATION

14 Work review for the month Strategy plan – Attachment 1 (NH will provide at the meeting)

Committee to review the actions / priorities for this month during the meeting and raise anything that has not been covered during the meeting.

MAS – around £5 fee. Can supply generic. NH needs to know what margins are available on the products. Look at volume figures to help with the margins.

15 Any other business 15.1 Lincolnshire LPC Asked if could be the appealing authority if have any disciplinary issues that have not been reconciled by the Lincolnshire committee members / officers. Agreed.

16 Newsletter stories 16.1 Newsletter – Attachment J Newsletter stories from topics discussed during the meeting that need to be added to the next newsletter and volunteers to write the articles

1) NHS BSA payment shortfalls AE to contact KC and Garry Myers and ask them to provide information for the newsletter article. Also advise watching the PSNC endorsing webinar.

2) Domiciliary MURs

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Advise contractors they can be involved in this if wish and that they need to contact Sam Travis at NHS England.

Details of future meetings All meetings will now have a open meeting section at 2pm – 4pm

17th September 2015 AGM 7pm – 9.30pm White Post Farnsfield

15th October 2015 9.30 am – 5pm White Post Farnsfield

19th November 2015 9.30 am – 5pm White Post Farnsfield

17th December 2015 (change with White Post)

9.30 am – 5pm White Post Farnsfield

Next meeting is on Thursday 15TH October 2015 at The White Post Pub, Farnsfield, NG22 8HN – start time 9.30am. Minutes agreed as true and accurate record of the LPC meeting held on Thursday 17th September 2015 Signed: Rob Severn, Chair, Nottinghamshire LPC

Social updates

a) LPC ball update – 25.06.16 Reminded members that they are required to purchase their tickets to cover the costs of the venue deposit.

Email again to members and ask if they wish to purchase tickets – also send the details to Sam Travis

b) Social - Zameer leaving do and Christmas meal

Beer festival in 9th or 10th October 2015 ?? – Nottingham City Centre Anoki or Tom Brown’s for Christmas meal – AE to look at menu and booking details – possible dates to be organise and confirmed at the October LPC meeting.