Friday 8th November 2019

Nov Dec Jan 2020 Feb 2020 NHSE –What’s

coming up…

4th Contractual Public Health Campaign, Stay Well This Winter, commences…

Flu Season continues…

New Year’s Day 01.01.2020

Week1 CPAF Full Questionnaire Open for Selected Pharmacies.

(notice to relevant contractors will be provided in advance accordingly).

…Think about EoY 2019-2020…

Week2

3rd Public Health Campaign (Stoptober) Evaluation Due on PharmOutcomes (closes 14.10.2019)

CPAF assurance visits commence

(for selected contractors)

Week3 PQS - update NHS website profile and DoS profile before 11.59pm 30th November 2019 to ensure gateway criteria is met.

Christmas Day 25.12.2019 Boxing Day 26.12.2019

Week4

Friday 8th Nov 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

IN THIS WEEK’S ISSUE: White Bold Text = New Articles Added This Week. CONTRACT: → Pharmacy Quality Scheme (PQS) …HERE → Mandatory Campaign - STOPTOBER…HERE → COMING SOON - Help Us Help You (HUHY) Stay Well

This Winter (SWTW): November & December 2019…HERE

IMPORTANT: → CPCS…HERE → SSP02 Fluoxetine 30mg capsules and SSP03

Fluoxetine 40mg capsules extended…HERE → Fluenz Supply…HERE… → Flu Vaccination for Learning Disability Patients…HERE → Can GP practice and pharmacy staff be vaccinated

with the NHS flu vaccination PGD?...HERE → Flu additional info- stock transfer guidance and

under 18’s flyer...HERE → EU Exit Medicines…HERE TRAINING: → Virtual Outcomes: CPCS Service

NOW LIVE……HERE CPPE Autumn Events……HERE

The Second PharmOutcomes module for CPCS is now Available…

The second of three CPCS videos on You Tube now, HERE, which aims to

explain the pharmacy follow up stage on PharmOutcomes.

A list of newly created CPCS guides can also be accessed via

PharmOutcomes

CPCS will see participating pharmacies receiving referrals, sent by NHS 111, direct to PharmOutcomes. A list of newly created CPCS guides have been published on PharmOutcomes for contractors, HERE. Other support/sources of information available:

→ service specification is on the NHS CPCS registration page on the NHS Business Services Authority’s Manage Your Services portal

→ Self-assessment tool; and an NHS CPCS toolkit. → PSNC template standard operating procedure (SOP) for the service which

contractors can adopt if they wish. → The PSNC has also circulated a useful checklist for contractors, HERE.

Further detail and links to relevant info attached.

NOW LIVE - Pharmacist Consultation Service (CPCS)…

Friday 8th Nov 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

Find out more, HERE, via the NPA or alternatively, via your LPC.

Important: New Pharmacy Quality Scheme (PQS)… Support is available via PSNC and PharmOutcomes to assist community pharmacy contractors with meeting the criteria of the Pharmacy Quality Scheme (PQS). Community pharmacy contractors can now view the NHSBSA weekly dataset report to check if meeting three (Advanced Services, NHSmail and NHS website) gateway criteria of the PQS, HERE (available under the ‘PQS datasets’ section). The report can also act as a double check that all tasks have been completed correctly and if not, provides an opportunity to rectify errors accordingly. NHS England & NHS Improvement haves published guidance on the PQS, HERE.

PQS ‘To-Do’ List (Oct 2019) … Register for MYS - more info HERE.

Claim for an aspiration payment on MYS (window closed 01.11.19)

Demonstrate access to SCR and update to NHS 111 DoS Profiles or, ***see article below, HERE, re. this criteria*** for Distance Selling Pharmacies (DSP’s) to send an email to the NHSBSA Provider Assurance Team.

Asthma & Diabetes Quality Criterion…(Diabetes foot and eye check audit available on VirtualOutcomes, HERE.

Review Amendments to the drug tariff relating to reimbursement and renumeration, in relation to: o Serious shortage Protocol (SSPs) o Establishment Payment Changes o Transitional Payments

Ensure all patient facing staff are Dementia Friends. More info via the PSNC, HERE.

Consider if you could be a Pharmacy PCN Lead. More info, HERE.

**For all this information and more, see the attached PDF ‘Important pharmacy Quality Scheme Dates for the diary’, also available (and more)

electronically via the PSNC, HERE**.

Attached below is the Guidance document along with the authorisation form you will need to complete to register for MYS.

Manage Your Service Registration and Log-

MYS Access Authorisation Form.d

More info HERE.

Jump back to

the title

page of this

bulletin HERE.

Virtual Outcomes: New Service to Support PQS: Foot & Eye Care…

→ Do you know how to implement and complete the new diabetic foot and eye check audit?

→ Do you want support in managing this in the most effective way in the pharmacy?

→ What part can your team play? Access the online Training Library, HERE. New Service to Support CPCS…

→ Do you know how to implement and deliver the new pharmacy service CPCS?

→ How are you going to train locums?

→ What part can the team play? Access the online Training Library, HERE.

**Once you have submitted your authorisation form, each named individual will receive an email to their personal NHSmail address from Microsoft Invitations (invites@microsoft.com) on behalf of MYS Registrations; click get started within the email to start the individual set-up process**.

CPPE Autumn Events Please see the dates and events included in the attached flyer for local CCPE events including CPCS assessment skills study days. Further information can be accessed through the CPPE site www.cppe.ac.uk/mycppe/login

Friday 8th Nov 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

…for your continuing support with campaigns, your

participation is vital in getting these important messages out

to the public.

Stoptober 2019… Your contractual Stoptober campaign finished 31st October 2019.

Evaluation NOW DUE on PharmOutcomes between 01.11.19-15.11.19.

As part of your contractual requirements all pharmacies should participate in the 6 national campaigns, contractually you are required to report back the number of conversations that you undertake, even if it is a nil response. Please note that only submission of evaluation through PharmOutcomes will be accepted as proof of participation in any campaign. Non-Responding pharmacy contractors will be followed up by letter in relation to contractual campaign.

EU Exit Medicines… The Department of Health and Social Care (DHSC) and the Medicines and Healthcare products Regulatory Agency (MHRA) have issued a list of medicines which must not be parallel exported from the UK. This action has been taken to ensure the continued supply of medicines to meet the needs of UK patients. Find the full list of affected products and more info, HERE. NHS England has published updated information re. planning for continuity of supply of medicines in the case of a no deal EU exit, HERE.

COMING SOON - Help Us Help You (HUHY) Stay Well This Winter (SWTW): November & December 2019… HUHY Stay Well This Winter is the 4th NHS England contractual public health campaign for all community pharmacy and Distance Selling Pharmacy (DSP) contractors. From the week commencing 23rd October 2019 all community pharmacies in England will receive a pack containing resources to support the mandated “Help Us Help You” winter campaign. This campaign will be running on TV, online and social media, as well on billboards across the country. The campaign will encourage the public to seek advice from their pharmacy team for their common ailments and help you support people to make the right decision and get the right treatment and/or advice at the right time this winter. Please ensure that you are displaying the “Help us help you stay well this winter” campaign material during November and December 2019: The pack will also include non-mandatory campaign materials such as “exemption checking” and “NHS 111 services” that you may also find helpful.

All these resources will arrive in the same box via the Healthcare Distribution Association delivery

to your pharmacy. If you have not received your pack by 15 November, visit the PHE Campaign Resource Centre,

HERE. The Campaign Resource Centre also has social media, digital screens and other digital resources that DSPs and community pharmacies may also find helpful. A zip folder with a selection of posters and leaflets is also attached to this bulletin for ease.

Jump back to the title page of

this bulletin HERE.

Friday 8th Nov 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

Fluenz Supply… • Vaccine supply for the 2019/20 children’s flu programme: AstraZeneca is delaying their delivery of some batches of the childhood nasal spray flu vaccine (Fluenz Tetra®) due to be delivered to PHE in November. Please see the briefing note from PHE, attached, for more information. • Recommended vaccines for next year JCVI have published their statement on vaccines for 2020/21, HERE. • 6 condition specific (Diabetes, -Heart Disease, -Liver Disease,

-Neurological Disease, -Respiratory Conditions and -Chronic Kidney Disease) leaflets have been developed by the Southwest Screening & Immunisation Team to support delivery of flu vaccination to ‘at risk’ populations

o Available HERE, under ‘Resources for those delivering the flu vaccine in 2019-20 .

Can GP practice and pharmacy staff be vaccinated with the NHS flu vaccination PGD? All providers should refer to the national flu programme, HERE, and influenza vaccine guidance for healthcare practitioners, HERE.

If you have any queries, please contact: england.swscreeningandimms@nhs.net

Jump back to the title page of this bulletin HERE.

Message for Community Pharmacists from the NHS England & NHS Improvement Learning Disability Programme Team… We know that many of you will already be actively administering the flu vaccination to people with a learning disability as part of your day to day work. Following feedback from our user groups, the learning disability programme would like to provide you with resources that may help you engage more people with a learning disability. We know that around 1 in 3 deaths of people with a learning disability are caused by respiratory problems and the number of respiratory related deaths increases during winter. Having the flu jab can help avoid preventable deaths for people with a learning disability during this period.

Pharmacists have played a crucial role in helping protect vulnerable groups from flu by administering over 1.43 million flu vaccinations last winter. We want to support you to reach people with a learning disability so we can increase the number of people who are protected. An easy read poster and leaflet https://www.gov.uk/government/publications/flu-leaflet-for-people-with-learning-disability are available to download and display in your pharmacy. We also suggest that you ask people who present themselves as having a learning disability if they are protected against flu and administer the vaccination as appropriate.

SSP02 Fluoxetine 30mg capsules and SSP03 Fluoxetine 40mg capsules have

been extended…

(SSP01 for Fluoxetine 10mg capsules was withdrawn from 23.55pm Friday 25th October 2019). The extension dates can be seen in the table below: SSP Current expiry date

SSP02: Fluoxetine 30mg capsules

This SSP has been varied – the revised end date is now 20th November 2019

SSP03: Fluoxetine 40mg capsules

This SSP has been varied – the revised end date is now 11th November 2019

These expiry dates may be brought forward or extended, and the content may be amended throughout this period. Pharmacists should ensure they are using the current version of an SSP before supplying an alternative product.

Flu additional information Attachments are also included this week relating to transfer of excess stock guidance and flu vaccination for under 18’s.

Friday 8th Nov 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

Team Member

Address Telephone

Janet Newport NHS England - South West**

Peninsula House Kingsmill Road Tamar View Industrial Estate Saltash, PL12 6LE **Please note that any items posted to NHS England will NOT be received unless sent to our Saltash office, details above.

01138248777

Michele Toy 01138249612

Sally Dutton 01138248797

Julie Hancock 01138248842

Kath Hughes 01138248784

Hayley Colledge 01138251479

Sarah Lillington 01275 547119

If you have any articles you would like us to include in the weekly bulletin, then please send to our generic mailbox - HERE.

In addition, if you know of any colleagues who would like to receive a copy of the E-Communication each week please send an e-mail with their name, place of work and e-mail address to our generic mailbox and we will add them to our distribution list.

Please see our website “NHS England South West (South) Community pharmacy” for more information and any blank templates, forms and documents. For reference available documents are, Contact Details (UPDATED MARCH 2019); Forms for requesting changes to Core or Supplementary hours; Blank unplanned closure form; links to the Pharmaceutical Needs Assessments (PNAs); links to LPCs; MUR guidance, MUR/NMS blank templates; Significant Incident reporting form and Serious Difficulty application forms…

…Also available via the website – Translation & Interpretation Service Guidance…

PHE Briefing Note 2019/051 Issued 21/10/2019

Serial number: 2019/051 Date 21/10/2019

Event Live Attenuated Influenza Vaccine (Fluenz Tetra) supply

Notified by National Infection Service

Authorised by Mary Ramsay Meng Khaw

Contact immunsiation@phe.gov.uk

Background and Interpretation: In the 2019/20 flu season, flu vaccine is being offered to all primary school-aged children and any children from six months of age in clinical risk groups. The flu vaccine that should be offered to most children in the eligible cohort groups is a live attenuated influenza intranasal vaccine (LAIV). It contains an attenuated (weakened) vaccine virus that is also cold adapted so that it cannot cause the disease that it protects against. Only one LAIV vaccine (manufactured by AstraZeneca/MedImmune) is available and is marketed as Fluenz Tetra for the UK and EU market. AstraZeneca is delaying their delivery of some batches of the childhood nasal spray flu vaccine (Fluenz Tetra®) due to be delivered to PHE in November. This is due to an ‘invalid’ test result in its routine quality testing process which need to be repeated before these batches of vaccine are released by the independent regulator. This is not related to the safety or the efficacy of the vaccine itself, which has passed all the other tests. Although we anticipate that this issue will be resolved quickly; there will be an unavoidable delay to the release of some stock, which may have a knock-on effect on the release of vaccine through ImmForm. It does not affect batches of the vaccine already distributed, or those currently available to order and use for the 2019/20 season. From Friday 18 October, GPs have been able to order sufficient LAIV vaccine to vaccinate up to 20% of their 2-3 year olds and under-18 at-risk practice population. This will provide most practices with just under half of the vaccine doses they are likely to require for their eligible patients. Recommendations are being made below on how to prioritise the use of LAIV within General Practice. School providers have been able to order LAIV for over two weeks and school vaccination should continue as planned. PHE will be closely managing the amount of stock available for GPs to order over the next few weeks. If AstraZeneca notify us of further delays with LAIV then PHE, NHS E/I and DHSC will consider further additional measures, in order to prioritise particular groups of children. Inactivated quadrivalent influenza vaccine for children (QIVe) is supplied centrally by PHE for those aged under two years and for older children in whom LAIV is contraindicated. This vaccine has been available for ordering for some weeks. The delay does not currently impact on vaccinations for at-risk adults or those aged over 65 years which is already underway in GP surgeries and pharmacies:

Implications for PHE Centres Screening and Immunisation teams in PHE centres are likely to receive calls from GPs and other providers concerned about the delay.

Implications for PHE sites and services Other sites should be aware of the issue and refer calls to the local Screening and Immunisation team.

PHE Briefing Note 2019/051 Issued 21/10/2019

Recommendations to PHE centres Screening and Immunisation teams are asked to liaise with the local NHS to ensure the recommendations below are cascaded to local GPs. Please continue to liaise with local schools providers to get intelligence on stock levels for the schools programmes. Recommendations for General Practitioners GPs are requested to implement the seasonal influenza programme as outlined in the Direct Enhanced Service Specification (https://www.england.nhs.uk/wp-content/uploads/2019/03/dess-sfl-and-pneumococcal-1920.pdf). As part of this GPs are required to call in those children who are eligible for flu vaccination, and to undertake recall for those children in clinical risk groups for influenza. Because of the phasing of supplies PHE recommends planning the childhood vaccination programme using following priorities:

• Children in high risk groups aged 6 months to 2 years – these children should be called and offered quadrivalent inactivated influenza vaccine (QIVe)

• Children in high risk groups from 2 to 18 years should be prioritised and offered LAIV (unless contraindicated).

o those aged 2-3 years and age 11-18 years should be called in and offered LAIV or a suitable quadrivalent influenza vaccine (QIV)

o those of primary school age (4-10 years) will be invited through schools, but should be vaccinated with LAIV or QIV if they choose to present in general practice

o Where a practice does not have LAIV available, vaccination of children in high risk groups should not be delayed and a suitable QIV should be offered as an alternative.

• Healthy children aged 2-3 years should be called and offered LAIV as the practice receives stock. Two year olds who are receiving vaccine for the first season are a higher priority than 3 year olds.

Responsible ordering will help support the direction of stock to those with greatest immediate need as it becomes available. Practice staff are asked to only order vaccine needed for the forthcoming week, even if this is below the maximum quota and to avoid stockpiling. Close adherence to the vaccine storage in the cold chain is essential to avoid vaccine wastage. Further details on eligible groups can be found in ‘The Green Book’: https://www.gov.uk/government/publications/influenza-the-green-book-chapter-19 An information leaflet is being developed for parents to explain which children are eligible for vaccination and where this will be delivered and will be posted shortly on the PHE website.

Implications and recommendations for local authorities

• Directors of Public Health (DsPH) should be aware of the potential interruption of the supply of Fluenz Tetra and the possible delay in the flu vaccination programme for children in their local authority area.

• DsPH should be aware in the event of a delay in the delivery of stocks of Fluenz Tetra, a prioritisation protocol will be implemented to ensure the best use of the supplies.

References/ Sources of information

1. Influenza: the green book, chapter 19 https://www.gov.uk/government/publications/influenza-the-green-book-chapter-19

2. https://www.england.nhs.uk/wp-content/uploads/2019/03/dess-sfl-and-pneumococcal-1920.pdf

Community Pharmacy Consultation Service (CPCS) Registration NOW OPEN

NHS England and NHS Improvement

Announcement summary

Contractor information

The launch date for the NHS Community Pharmacist Consultation Service (CPCS) has been set as 29th October 2019.

This date has been agreed by NHS England and NHS Improvement (NHSE&I), the Department of Health and Social Care (DHSC) and PSNC as part of the ongoing work to implement the first phase of the service, which will see NHS 111 call advisers referring suitable patients to community pharmacy.

To help pharmacy contractors and their teams to prepare to provide the service, which will connect patients who have a minor illness or need an urgent supply of a medicine with a community pharmacy, the draft service specification has been published on the NHS Business Services Authority (NHSBSA) website; the final version will be published by NHSE&I once it has completed its journey through their internal governance process.

https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/dispensing-contractors-information/nhs-community

A draft version of the toolkit to support pharmacy teams to provide the service will similarly be published in the next few days and the PSNC will also publish a template standard

NHS England South West england.pharmacysouthwest@nhs.net

5th September 2019

operating procedure (SOP) for the service which contractors can amend and adopt for use in their pharmacy if they wish.

Pharmacy contractors can now register to provide the service via the NHSBSA Manage Your Service (MYS) portal. This includes claiming the Transition payment supplement, which will be £900 for those who claim by 1st December 2019.

PSNC and NHSE&I will be holding a joint webinar for pharmacy teams and others interested in learning more about the service and how to implement it; the date and time of the webinar will be announced shortly. As well as this - the PSNC will be running some workshops to give an overview of the CPCF and what this means for contractors. Spaces are still available at the following venues:

Upcoming events in CPCF Roadshow

CPCF Roadshow – Southampton

Sunday, 8 September 2019, 10:00-12:00 Hilton at The Ageas Bowl Southampton

This is one of a series of Sunday roadshow events for community pharmacists across England, hosted by PSNC Chief Executive...

CPCF Roadshow – Bristol

Sunday, 8 September 2019, 15:00-17:00 The Bristol Pavilion, Gloucestershire Cricket Club (Click on the Highlighted text which will take you straight to the page). Further information on the CPCF and the five year funding deal is available here https://www.england.nhs.uk/primary-care/pharmacy/community-pharmacy-contractual-framework/

CPPE Antimicrobial stewardship: focus on antimicrobial prescribing workshops Dear colleague, “Antimicrobial resistance (AMR) poses a catastrophic threat. If we don’t act now, any one of us could go into hospital in 20 years for minor surgery and die because of an ordinary infection that can’t be treated by antibiotics.” Professor Dame Sally Davies, Chief Medical Officer, March 2013. We all have an urgent duty to curb the rise of antimicrobial resistance. How is your knowledge? Is it time for an update so you can explain the risks to your patients and how society as whole can work together to combat this huge global threat? Our new Optimise workshop - Antimicrobial stewardship: focus on antimicrobial prescribing will support you to develop your knowledge and skills to optimise the prescribing of antimicrobials. Dates and locations (evenings):

• Tue 12 Nov 2019 – Wimborne (booking ref. 49195) • Wed 13 Nov 2019 – Bristol (booking ref. 49238) • Thu 14 Nov 2019 – Exeter (booking ref. 49332)

Click here for further information and to book your place. This new format of workshop is designed for pharmacists, pharmacy technicians and pre-registration pharmacists from all sectors of pharmacy practice. Working through the clinically-focused activities with colleagues from other sectors will help you to understand different parts of the patient’s pathway and other pharmacy professionals’ perspectives on treatment and care. How does this link with the new NHS Community Pharmacist Consultation Service (NHS CPCS) If you are a community pharmacist providing the new NHS CPCS this learning provides a useful update covering several of the possible patient symptoms identified for referral to a community pharmacist. European Antibiotic Awareness Day (EAAD) is every year on 18 November 2019. These workshops have purposely been arranged to coincide with this date to reawaken your awareness and actions you can take. We look forward to seeing you and your colleagues at one of these workshops. Anne Cole Tutor, South West CPPE email: anne.cole@cppe.ac.uk CPPE is funded by Health Education England to provide continuing professional development (CPD) opportunities for pharmacists, pharmacy technicians and pre-registration pharmacist trainees providing NHS services in England.

South West workshops and study days

Autumn-winter 2019-2020

www.cppe.ac.uk

Your South West CPPE team have a great programme of CPD learning opportunities planned over the autumn and winter for you.

Please take a look at the great choice of events below and book your place at: www.cppe.ac.uk/programmes/e

Click on the titles of the event to go the CPPE webpage for further information where you can also login and book.

Refreshments will be served before the start of our evening workshops, and refreshments and lunch at full day events.

Antimicrobial stewardship workshop The aim of this programme is to support you to develop your skills to engage with patients and the public about antimicrobial stewardship and develop our knowledge and skills to optimise the prescribing of antimicrobials.

Emergency contraception workshop This programme will help you acquire the knowledge, develop the skills and demonstrate the behaviours needed to provide high-quality emergency contraception services under the patient group direction (PgD) in the area the event is held.

Depression optimise workshop This workshop will help you to develop confidence in engaging in person-centred discussions with people with depression.

Location Date - evenings Booking ref.

Bath Wed 09 Oct 49261

Leadership programmes: The NHS Long Term Plan and Community Pharmacy Contractual Framework 2019-2024 provide vital opportunities for pharmacy professionals to become more integrated into the NHS to deliver improved care and outcomes for patients and the public. The following amazing leadership programme opportunities will enable you to develop your leadership skills which you can then use to navigate you and your team through the changes and opportunities currently on offer for community pharmacy.

NHS Leadership Academy Mary Seacole Leadership programme

Places for pharmacists and pharmacy technicians working in Community Pharmacy or Health in Justice have been secured on future integrated cohorts of the NHS Leadership Academy Mary Seacole Leadership programme. Click here to find out more and apply now!

Leadership - Building on your Mary Seacole award: Workshops 1 and 2 (SOUTH WEST) Have you completed the Mary Seacole programme for community pharmacy? If so, CPPE have developed two short linked workshops to support you to take your leadership skills to the next level. You need to attend workshop 1 and 2:

Taunton:

Workshop 1 - Sat 21 Sep 2019 (10.00-13.00)

Workshop 2 - Sat 09 Nov 2019 (10.00-13.00)

Leading for Change programme If you are a mid-to-senior grade pharmacist or pharmacy technician working in primary or secondary care, Health and Justice or the armed forces you are eligible to apply for this fully funded programme.

South West Workshop venue: Doubletree By Hilton, Bradley Stoke, Bristol:

Online access: 16 Dec 2019

Workshop 1: 16 Jan 2020

Workshop 2: 23 Apr 2020 Closing date for applications: 20 Dec 2019

Location Date - evenings Booking ref.

Wimborne Tue 12 Nov 2019 49195

Bristol Wed 13 Nov 2019 49238

Exeter Thu 14 Nov 2019 49332

Location Date - evenings Booking ref.

Swindon Thu 17 Oct 2019 48912

Taunton Tue 22 Oct 2019 49289

St Austell Thu 31 Oct 2019 49401

@CPPESouthWest

@CPPESouthWest

Falls prevention workshop The aim of this programme is to develop your knowledge and skills to help you manage and optimise care patients who are at risk of having a fall and enable the pharmacy team to help prevent and support those who have had a fall.

Clinical medication review study day

This study day will equip you with the knowledge, skills and confidence that you need to engage effectively in clinical medication review of your patients and their medicines.

Sat 21 Sep 2019 (all day) - Cheltenham (ref. 48947)

Care homes, medicines and older people study day This programme is for pharmacy professionals who are new to, or are considering providing medicines optimisation for residents in care homes for older people.

Sun 17 Nov 2019 (all day) - Exeter (ref. 49309)

Mental health and wellbeing study day

This study day focuses on mental health conditions commonly encountered in primary care to help you to support patients with mental health problems and optimise their medicines.

Sun 22 Sep 2019 (all day) - Bristol (ref. 48913)

Polypharmacy focal point workshop

This programme will help you to develop the confidence, competence and communication skills to work in partnership with patients and other healthcare professionals to enable patients to get the most from their multiple medicines.

Location Date - evenings Booking ref.

Exeter Wed 30 Oct 2019 49331

St Austell Thu 07 Nov 2019 49333

Asthma focal point workshop

This programme will help you to apply your knowledge of asthma management and guidelines and explore how you can support people to improve their control, reduce their complications and improve their quality of life.

Location Date - evenings Booking ref.

Plymouth Tue 08 Oct 2019 49400

Weston-super-Mare

Tue 15 Oct 2019 49239

Cheltenham Wed 23 Oct 2019 49262

Wimborne Tue 29 Oct 2019 49194

Dementia focal point workshop (new) This new programme will help you develop your role in the early identification of dementia and to recognise signs and symptoms of its different types, while helping you to deliver improved outcomes and signposting.

Inhaler technique: improving outcomes This programme has been developed for healthcare professionals providing advice to people using inhaled medicines, to optimise their inhaler use and improve outcomes.

Confidence in consultation skills (full day event) This study day has been developed to support pharmacy professionals working in any sector to deliver high-quality, person-centred consultations.

Sun 22 Mar 2020 (all day) - Taunton (ref. 49254)

Location Date - evenings Booking ref.

Bristol Wed 18 Sep 2019 Book via Avon LPC

Bristol Wed 25 Sep 2019 Book via Avon LPC

Dorchester Wed 06 Nov 2019 49197

Bath Tue 17 Mar 2020 49255

St Austell Thu 19 Mar 2020 49242

Location Date - evenings Booking ref.

Yeovil Tue 07 Jan 2020 49210

Wimborne Tue 11 Feb 2020 49196

Location Date - evenings Booking ref.

Taunton Wed 12 Feb 2020 49259

Bristol Tue 25 Feb 2020 49409

CPPE is funded by Health Education England to provide continuing professional development (CPD) opportunities for pharmacists, pharmacy technicians and pre-registration pharmacist trainees providing NHS services in England.

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floodingimpactsarepossiblemorewidely.Thisisduetosuccessivebandsofheavyrainfall.

MinorriverfloodingimpactsarepossibleontheRiverSevernandoverpartsofthesouth-westofEnglandtoday(Thursday).

Overthesouth-eastofEnglandandEastAngliaminorriverfloodingimpactsarepossiblebutnotexpectedovertheweekendand

intoMonday.

Surfacewater

ThesurfacewaterfloodriskisLOW.

SignificantsurfacewaterfloodingispossiblebutnotexpectedinpartsofWalesandthewestofEnglandovertheweekend.Minor

surfacewaterfloodingimpactsarepossiblemorewidely.Thisisduetosuccessivebandsofrainfallfallingonsaturatedground.Leaf

fallandwind-blowndebrismayincreasethepotentialforsurfacewaterfloodingbyblockingdrains.

Minorsurfacewaterimpactsarepossibletoday(Thursday)acrosspartsofsouth-westEngland.

Overthesouth-eastofEnglandandEastAngliaminorsurfacewaterfloodingimpactsarepossiblebutnotexpectedoverthe

weekendandintoMonday.

Coastal/Tidal

Thecoastal/tidalfloodriskisVERYLOWforthenextfivedays.

Groundwater

ThegroundwaterfloodriskisVERYLOWforthenextfivedays.

©Crown,MetOfficeandEnvironmentAgency2019 ThisguidanceisproducedtosupportdecisionmakingbyCategory1and2emergencyresponders. PAGE3OF4

FloodGuidanceStatement10:30hrsThursday31October2019

Nextstatementdue 10:30hrsFriday01November2019(alltimesarelocal)

Contactdetails FloodForecastingCentreDutyHydrometeorologist-03001234501

Moreinformation http://www.ffc-environment-agency.metoffice.gov.uk

MINIMAL MINOR SIGNIFICANT SEVERE

VERYLOW LOW MEDIUM HIGH

IMPACT

OVERALLFLOODRISK

Floodriskmatrix

LIKELIHOOD

HIGH

MEDIUM

LOW

VERYLOW

Summaryofpotentialimpacts

MINIMALIsolatedandminorfloodingoflow-lyinglandandroadsIsolatedspray/waveoncoastalpromenadesLittleornodisruptiontotravel,butwetroadsurfaces

MINORLocalisedfloodingoflandandroadsFloodingaffectingindividualpropertiesDisruptiontotravelandkeysitesinfloodplans

SIGNIFICANTFloodingaffectingpartsofcommunitiesPossibledangertolifeanddamagetobuildings/structuresDisruptiontotravelandkeysitesinfloodplans

SEVEREDangertolife,severedisruptiontotravelWidespreadfloodingaffectingwholecommunitiesWidespreaddisruptionorlossofinfrastructureLargescaleevacuationofpropertiespossible

©Crown,MetOfficeandEnvironmentAgency2019 ThisguidanceisproducedtosupportdecisionmakingbyCategory1and2emergencyresponders. PAGE4OF4

Information for parents of children and young people up to 18 years of agefluvaccination

WINTER 2019/20The

Flu vaccination is recommended for:

• children aged two or three years old (on 31 August of current flu season)

• all primary school-aged children and

• children and young people from 6 months up to 18 years of age with a health condition that puts them at greater risk from flu.

Most of these children and young people will be eligible for the live attenuated influenza vaccine (LAIV) given either in school or at the general practice. This year the delivery of LAIV from the manufacturer has been delayed and this means that deliveries to schools and general practices were later or did not start until after 21st October. Supplies of the injected vaccine for children are not affected by this delay.

Helping to protect people, every winter

Flu mmunisation

Infants 6 months to under 2 years old.‘At risk’ infants under 2 are offered the injected vaccine so are not affected by this delay.

Two and three-year olds.Your child’s GP surgery should contact you about getting them vaccinated. If you haven’t heard from your GP by mid-November, contact them directly to make an appointment.

Primary school-aged children.Some vaccination sessions have already started and the rest will be held during this term or in January. Your local healthcare team will contact you via the school.

If your child is at primary school and has a health condition that puts them at increased risk from flu and you don’t want to wait, you can ask your child’s GP surgery to provide the vaccine if you prefer.

‘At risk’ young people aged 11 to 17 years of age.The surgery should contact them about getting vaccinated. If they haven’t heard from their GP by mid-November, they should contact the surgery directly.

Can I go elsewhere if my GP practice or school doesn’t have the LAIV in stock?Only schools and GPs will have supplies of LAIV and will schedule appointments for when vaccine is available.

What if my child is considered ‘at risk’?If you know that your child is considered ‘at risk’ and the surgery does not have any nasal vaccine you can ask your surgery to give your child the injected vaccine instead.

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Produced by Public Health England, NHS England and NHS Improvement

Helping to protect people, every winter

Flu mmunisation

Where can I get further information?Your GP practice or pharmacy will be able to provide further

information. Or if you want to find out more about flu and the flu vaccine visit: www.nhs.uk/flujab

Updates on flu vaccine delivery and recommendations Public Health England have been receiving emails regarding a few specific issues and so have provided information as follows based on the information currently available from the National team.

1. Further delays with vaccine delivery

We have been informed that the supply of QIVe flu vaccine from Sanofi Pasteur remains a concern and will result in minor changes to confirmed delivery dates for some primary care providers. Sanofi Pasteur is currently making direct contact with all affected providers to confirm revised delivery dates. QIV flu vaccines are still available to order from several manufacturers and are recommended/ reimbursed for the NHS flu programme. The National team are developing a patient facing leaflet that providers can use to support the programme this year, particularly where practices are required to reschedule clinics. This will be made available shortly on the PHE webpage and will be circulated to you all once published.

2. Pharmacies receiving stock ahead of practices

We are aware that some practices and chain pharmacies have already received vaccine stock. Whilst ideally all would receive at the same time, please note that overall only around 10% of the currently vaccinated eligible patients receive their vaccination in a pharmacy setting. Uptake in patients in an ‘at risk’ group under age 65 is below 50%, suggesting there are significant cohorts of patients to be vaccinated which could take place in either setting.

3. Recommended vaccines for next year

JCVI have published their statement on vaccines for 2020/21. https://app.box.com/s/t5ockz9bb6xw6t2mrrzb144njplimfo0/file/529004924372 For vaccination of those aged 65 years and over JCVI advises the use of the following vaccines: •Adjuvanted trivalent inactivated influenza vaccine (aTIV) •High-dose trivalent inactivated influenza vaccine (TIV-HD)

For vaccination of those aged 9 to less than 65 years of age in an at-risk group JCVI advises the use of the following vaccines: •Quadrivalent influenza cell-culture vaccine (QIVc) •Quadrivalent influenza egg-culture vaccine (QIVe) For vaccination of those aged less than 9 years of age in an at-risk group JCVI advises the use of the following vaccines: •Quadrivalent influenza egg-culture vaccine (QIVe) Please note the cell based quadrivalent vaccine (QIVc) is not included in the over 65’s age group. This annual flu letter is expected to follow, which will confirm which vaccines will be eligible for reimbursement next year. Practices are advised to check if ordering early that any order can be cancelled or amended based on the national flu letter recommendations.

Important Pharmacy Quality Scheme 2019/20 dates for the diary

Date

Why is this date important?

30th September 2019 The window opens for contractors to claim for an Aspiration payment on MYS. This opens at 9am.

1st October 2019 The window opens for contractors to update their NHS website profiles or for distance selling pharmacies (DSPS) to send an email to the NHSBSA Provider Assurance Team (further details will be available in the NHS England and NHS Improvement (NHSE&I) Pharmacy Quality Scheme (PQS) 2019/20 guidance). This opens at 00:00am.

Contractors should start checking that all patients with diabetes, have had foot and eye checks (retinopathy) in the last 12 months (please note, eye checks are only for patients with diabetes aged 12 or over. PSNC will issue a resource to support contractors to meet this criterion soon.

DO NOT MISS THIS START DATE: CONTRACTORS NEED TO START WORKING ON THIS QUALITY CRITERION ON THIS DATE TO ENSURE THEY ARE ELIGIBLE TO MEET THIS QUALITY CRITERION.

The window opens for contractors to update their NHS 111 DoS profiles. This opens at 00:00am.

The window opens for contractors to demonstrate access to SCR. This opens at 00.00am.

1st November 2019 The window closes for contractors to claim for an Aspiration payment on MYS. This closes at 11.59pm.

DO NOT MISS THIS DEADLINE: CONTRACTORS WILL NOT BE ABLE TO CLAIM AN ASPIRATION PAYMENT IF THEY MISS THIS DEADLINE.

29th November 2019

This is the final day by which contractors must have started the lithium audit, or other patient safety audit if they have no patients receiving regular lithium prescriptions. This will allow contractors to complete their lithium audit, within a three month consecutive period (if the contractor starts the audit when the pharmacy opens on 29th November 2019 and makes their declaration on the final day of the declaration window (28th February 2020) after the pharmacy has closed for the day.

Contractors are strongly encouraged to start their lithium audit well before this date to reduce the risk of missing this deadline and allow themselves more flexibility on the date on when they make their declaration.

This is the final day by which contractors must have started their valproate audit. This will allow contractors to complete their valproate audit, within a three month consecutive period (if the contractor starts the audit when the pharmacy opens on 29th November 2019 and makes their declaration on the final day of the declaration window (28th February 2020) after the pharmacy has closed for the day. Contractors are strongly encouraged to start their valproate audit well before this date to reduce the risk of missing this deadline and allow themselves more flexibility on the date on when they make their declaration.

Contractors will be paid their Aspiration payment (if they claimed within the required time period).

Date

Why is this date important?

30th November 2019 The window CLOSES for contractors to update their NHS website profiles or for DSPs to send an email to the NHSBSA Provider Assurance Team (further details will be available in the NHSE&I PQS 2019/20 guidance). This CLOSES at 11.59pm.

DO NOT MISS THIS DEADLINE: CONTRACTORS WILL NOT BE ABLE TO CLAIM A PQS PAYMENT IF THEY MISS THIS DEADLINE AS THIS IS A GATEWAY CRITERION.

The window CLOSES for contractors to update their NHS 111 DoS profiles. This CLOSES at 11.59pm.

DO NOT MISS THIS DEADLINE: CONTRACTORS WILL NOT BE ABLE TO CLAIM FOR THE DIGITAL ENABLERS DOMAIN IF THEY MISS THIS DEADLINE AS CONTRACTORS NEED TO MEET ALL THE QUALITY CRITERION WITHIN A DOMAIN TO BE ABLE TO CLAIM PAYMENT FOR THAT DOMAIN.

31st January 2020 Contractors can stop checking that all patients with diabetes, have had foot and eye checks (retinopathy) in the last 12 months (please note, eye checks are only for patients with diabetes aged 12 or over) in order to meet the quality criterion.

1st February 2020 This is the final day by which contractors must have started their NSAID audit. This will allow contractors to complete the NSAID within four weeks (the audit may be required to be completed over four weeks if the required number of patients do not present within a two week period). The contractor will need to start the audit when the pharmacy opens on 1st February 2020 and if they contractor is required to complete the audit over a four week period, make their declaration on the final day of the declaration window (28th February 2020) after the pharmacy has closed for the day.

Contractors are strongly encouraged to start their NSAID audit well before this date to reduce the risk of missing this deadline and allow themselves more flexibility on the date on when they make their declaration.

3rd February 2020 The window opens for contractors to claim for a PQS payment on MYS (this opens at 9am).

28th February 2020 The window closes for contractors to claim for a PQS payment on MYS (this closes at 11.59pm).

DO NOT MISS THIS DEADLINE: CONTRACTORS WILL NOT BE ABLE TO CLAIM A PQS PAYMENT IF THEY MISS THIS DEADLINE.

31st March 2020 Deadline for contractors to meet the Sugar Sweetened Beverages quality criterion, if not already done so when they made their PQS declaration.

1st April 2020 Contractors will be paid their PQS payment (if they claimed within the required time period).

NHS England and NHS Improvement

To:

NHS Trusts Heads of Public Health Commissioning Directors of Primary Care and Public Health Commissioning Screening and Immunisation Leads

For local cascade to:

• General Practices • School Age Vaccine Providers • Community Pharmacists • CCG Flu leads

CC: General Practitioners Committee Pharmaceutical Services Negotiating Committee

FOR INFORMATION

Dear colleagues, Re: The transfer of excess of QIV/LAIV flu vaccine stock between providers including Primary Care, NHS Trusts and School Age Vaccine Providers on the National Immunisation Flu Programme

In July 2019, we wrote to all primary care providers regarding the delayed World Health Organisation (WHO) vaccine virus strain recommendation and the fact that subsequently Sanofi Pasteur – one of the manufacturers – delayed their delivery schedule. This letter is attached as Annex A.

Following the previous communication, we have now in addition learned of a temporary delay in the supply of LAIV flu vaccine which will have an impact on the children’s flu vaccination programme.

The Medicines and Healthcare Products Regulatory Agency (MHRA) has the role of regulating the supply of medicines. Routinely, medication can only be distributed between providers where a wholesaler licence exists, however the MHRA has confirmed that with regards to the QIV flu vaccines recommended for those aged under 65 years in clinical risk groups and for LAIV flu vaccine recommended for the children’s programme in the 2019/20 flu season, it would not prevent the transfer of QIV or LAIV vaccine under the given circumstance of ‘in short supply’ or temporary ‘no supply’ available provided that:

• the practice, pharmacy, NHS Trust or school provider that is holding the excess QIV /LAIV stock has assurance that the vaccine has been stored in the correct temperature-controlled conditions;

• confirmed record keeping of temperature monitoring is available;

Public Health Commissioning Central Team

Operations and Delivery

Skipton House 80 London Road

London SE1 6LH

7 November

Publishing Approval Reference 001195

• the practice, pharmacy, NHS or school provider Trust that requests QIV/LAIV is able to verify the assurances given; and

• the vaccine can be transported appropriately under the right cold chain conditions.

Providers and NHS Trusts should refer to Public Health England’s protocol for the

ordering, storing and management of vaccines.https://www.gov.uk/government/publications/protocol-for-ordering-storing-and-handling-vaccines

Community Pharmacies are already able to transfer medicines to other healthcare providers without a wholesalers licence under specific circumstances, and should refer to the relevant guidance at https://www.gov.uk/government/publications/repeal-of-wholesale-dealer-licence-exemption-for-pharmacists

Transferring flu vaccines between practices is a failsafe measure; in the first instance alternative actions should be explored if a local stock issue is anticipated.

This should include for QIV:

1. Assessing the impact of the phased delivery of QIV flu vaccine and take local action to ensure sufficient supply of the recommended flu vaccine for those under 65 years in clinical risk groups in advance of the season

2. Confirming vaccine delivery dates with the manufacturer/supplier in advance of the season and schedule clinics/appointments at a time that vaccine becomes available. Public Health England and NHS England and NHS Improvement have developed a patient-facing leaflet to support scheduling of clinics/appointments https://www.gov.uk/government/publications/flu-vaccination-for-people-aged-65-and-under

3. Following Public Health England advice that, where a patient presents for immunisation and QIVe is unavailable, providers should offer QIVc if they have sufficient stock.

4. Where vaccine is unavailable, discussing the option of receiving the flu vaccine at the local pharmacist with the eligible patient. Please refer to the Public Health England and NHS England and NHS Improvement patient facing leaflet

5. Considering the transfer of vaccines where there is excess stock and in accordance with the advice detailed in this letter. GPs transferring excess stock between other practices and pharmacies should ensure they discuss this in the first instance with the CCG Flu lead and NHS England commissioning team

This should include for LAIV:

6. Considering the excess transfer of complete packs of LAIV vaccines between various providers of the programme in accordance with the advice detailed in this letter, and where the unavailability of vaccine through the ImmForm website would otherwise cause disruption to pre-arranged clinics and sessions.

Yours sincerely

Director of Public Health Commissioning and Operations Operations and Delivery NHS England and NHS Improvement

Annex A:

17 July 2019 Flu vaccine supplies letter from NHS England, NHS Improvement and Public Health England.

2019_07_17_Flu_Vacci

ne_Supply_FINAL.pdf