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OXFORDSHIRE LOCAL

PHARMACEUTICAL COMMITTEE

ANNUAL REPORT

APRIL 2014-MARCH 2015

CHAIRMAN: MIKE CHARLTON

VICE CHAIR: AKIN ADENIRAN

TREASURER: DAVID DEAN

CHIEF OFFICER: FIONA CASTLE (till June 2014)

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CONTENTS

Page No.

CHAIRMAN’S REPORT 3

CHIEF OFFICER’S REPORT 4

PHARMACY SERVICES and PUBLIC HEALTH UPDATE 6

TREASURER’S REPORT 7

LPC MEMBERSHIP LIST AND ATTENDANCE RECORD 12

LPC MEMBERS AS OF 1ST APRIL 2015 13

NEW STRUCTURES- WHO’S WHO 14

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CHAIRMAN’S REPORT

This has been a very busy year during which your committee members worked together to support

contractors in the absence of a Chief Officer. We were sorry to lose the services of Fiona Castle in

July but understood her desire to take a role closer to home. The committee thanked Fiona for her

service and wished her well. The year culminated in the official merger of Berkshire LPC with

Oxfordshire LPC in April 2015.

To reach this point, your committee have had on-going discussions about LPC structure with our

fellow LPC Chairs and Officers in Buckinghamshire and Berkshire. We reached an agreement with

Berkshire LPC in September and brought the merger proposals to our contractors in December.

Unfortunately, Buckinghamshire LPC decided not to be a part of the new LPC but we continue to

have dialogue with them. We met with Berkshire in February and agreed the appointment of Carol

Trower, the existing Berkshire Chief Officer to the new role in Pharmacy Thames Valley.

The Annual Report contains full details of the LPC activities throughout the last 12 months but I’d

just like to pick out a few highlights. Firstly, the commissioning of a Flu Vaccination service across the

whole of Thames Valley which was achieved as a result of the pilot run in Berkshire over the

previous two years. The Area Team were pleased with the results and with the number of

contractors who engaged with the service across Thames Valley and had committed to further

commissioning in the 2015-16 season as a result although this has now been overtaken by the

announcement of a national service.

Your LPC also worked closely with the Public Health Strategic Team in Oxfordshire to support

contractors on the APL process to be able to provide the services commissioned across the county.

Over the year David Dean acted as the LPC lead for the HELP project. The HELP programme was

funded by Health Education Thames Valley and delivered training to pharmacists and team

members. We hope to continue with a programme of HELP events in the autumn and with evening

clinical and networking sessions for the coming year and I’d encourage you to attend the events,

develop your skills and network with fellow pharmacists.

Over the next twelve months we will continue to focus on supporting contractors to deliver services

so that we can show our commissioners the outcomes they will get from Community Pharmacy – the

only way to get new services commissioned is to be able to demonstrate that we can deliver the

services we already have. There is much work to be done on this as the level of engagement in

services is variable across the county.

I would like to take this opportunity to thank the committee for their valuable input and hard work

throughout the year particularly in supporting me during the time we were without a Chief Officer. I

would like thank the committee members who left the committee at the end of March for their

service and also to thank those who are continuing in the committee for their continued

involvement. I’d also like to thank Carol Trower for preparing this Annual report.

Mike Charlton

Chairman 13th July 2015

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CHIEF OFFICER’S REPORT

This was the first year of a four year term of this current committee. We had several new

members and details of the committee and their attendance is available at the back of this

report. At the first meeting in April, the committee voted Mike Charlton as Chair, Akin

Adeniran as Vice Chair and David Dean as Treasurer.

We met as a committee on six occasions. We were joined by many local guests during the

year including Gary Warner, our PSNC representative. We were also joined by Marian Basra

who has responsibility for pharmacy contracts across Thames Valley and by colleagues from

the CCG and Public Health

During the year we had discussions on a wide range of topic including prescription direction,

Flu, LPC merger, LPC constitution and EPS. We spent a considerable time ensuring that the

merger of LPCs was handled appropriately and that there was benefit in the move for

contractors. The LPC was also involved in the drafting process for the Pharmaceutical Needs

Assessment which was approved in March 2015. Rupi Bhasin represented the LPC at the

project group.

In March 2013 Anjala Sihota was appointed as project manager for the HELP project. Anjala

organised training for pharmacy team members including Health Champion training, Carer

Awareness and Dementia Friends training. She also helped to organise training for

pharmacists on a variety of topics including Leadership, Consultations Skills and Sexual

Health training. Anjala’s role and the training were funded by a grant from Health Education

Thames Valley.

During the summer the LPC facilitated flu vaccination training for pharmacists across

Thames Valley and about 50 pharmacists attended the sessions. From September onwards

there was considerable activity and flu vaccinations reached almost 5000 across Thames

Valley.

The committee also arranged training on Acute Coronary Syndrome in June, Myalgia and

Statins in October and Atrial Fibrillation and anti-coagulation in February. Each of these

sessions had an MUR focus to help pharmacists with their MURS.

Your LPC held its AGM in September which included a presentation on the new GPhC

inspection process.

The committee also arranged a Think Pharmacy event and invited local commissioners to

visit pharmacies to see what happens behind the scenes.

Committee members, Akin Adeniran and David Dean represented the LPC at the PSNC LPC

Conference in Leeds and found the event useful. They reported back to the LPC meeting

about the meeting and the issues affecting pharmacy.

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In November, we sent out the proposals for the merger. We held an EGM in December, as

required by the constitution, but this was not well attended with most contractors choosing

to vote by post. Once the merger was agreed there was more work to seek nominations for

the new committee and an election was held to recruit the independent representatives.

During the year the LPC has been working with the Oxford Academic Health Science

network (AHSN). The LPC was represented by Bethan Davies and by Carol Trower (who

represented Berks, Bucks and Oxon at working groups) and by the end of the financial year

we were close to agreeing the launch of a Transfer of Care scheme which will help

pharmacists to identify patients who would benefit from a post-discharge MUR.

During the year we not only lost the services of our Chief Officer but also of our Engagement

Officer, Heidi Roberts who left in the autumn. For the remainder of the year the LPC was

supported on a self-employed basis by Amanda Dean. Following the merger, Amanda’s role

has been made permanent and she will help me to answer your questions, develop the

website and arrange training events. I’m sure you will all join me in welcoming Amanda as a

very welcome addition to the team.

Carol Trower

Chief Officer

07792209197

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PHARMACY SERVICES and PUBLIC HEALTH UPDATE

Over the last 12 months the LPC has worked closely with the Public Health and other

commissioners to ensure that there remains a variety of services available from Community

Pharmacy.

During the year the Public Health team launched an APL process which allowed pharmacists

to sign up to provide services. More than 80 pharmacies signed up to provide EHC.

The recording of supervised consumption and needle exchange moved to the

PharmOutcomes system in October. During the remainder of the year the Drug and Alcohol

team were working on a recommissioning exercise and in the spring the full service was

commissioned through Turning Point but the pharmacy service remains unchanged.

The stop smoking service was also put out to tender during the year with the new provider,

Solutions4Health taking over in April 2015. Again, the pharmacy service remains unchanged

but the training and promotional materials will be provided by Solutions4Health in future.

During Carer Week in June 2014 we worked with Carers Oxfordshire. Pharmacy team

members talked to customers about support for carers and 1310 new carers were identified

to Carers Oxfordshire for support and guidance.

We have had discussions with commissioners about the other roles that community

pharmacy could fulfil but as yet no other services have been commissioned. In a very

difficult financial environment this will always be an uphill struggle but your LPC will

continue to work on your behalf to secure service funding.

We continue to support the delivery of MURs and NMS through training programmes but

Oxfordshire contractors are still not maximising the delivery of MURs with approximately

£450k of available funding not being claimed- this means that nearly 16000 patients across

Oxfordshire who could have benefited from an MUR are still not being seen. In 2015 we

hope to introduce a mentoring scheme to help those pharmacists who are still not engaged

in the service.

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TREASURER’S REPORT

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Summary of Payments to Committee Members

Surname Name Expenses Paid Adeniran Akin £1,755.50

Bhasin Rupi £2,372.90 Bradshaw Robert £1,496.30 Butter Satnam £301.50 Charlton Mike £1,196.75 Davies Bethan £697.50 Dean David £0.00 Famakin James £2,430.00 Jones Kiran £787.50

Meghji Nazlin £480.00 Moore Clare £450.00 Sherwood Ben £915.00 Shodunke Taofik £1,975.00 Sipple Sarah £1,772.80 Watts Kieran £1,125.00

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LPC MEMBERSHIP AND ATTENDANCE RECORD AT FULL COMMITTEE

MEETINGS APRIL 2014- MARCH 2015

(Maximum attendance =6)

Officers

Chairman Mike Charlton 5

Vice chairman Akin Adeniran 6

Chief Officer Fiona Castle 2 (Left committee in July)

Treasurer David Dean 6

Members

CCA Rupi Bhasin 4

Independent Robert Bradshaw 6

AIMp Satnam Butter 1 (Left committee by July)

CCA Bethan Davies 3

Independent Contractor James Famakin 5

CCA Kiran Jones 3 (Left committee by November)

AIMp Nazlin Meghji 2 (From September)

CCA Clare Moore 2 (From November)

AIMp Ben Sherwood 5

Independent Taofike Shodunke 6

CCA Keiran Watts 5

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LPC MEMBERS AS OF 1ST APRIL 2015

THAMES VALLEY LPC COMMITTEE

Name Email Telephone Representing

Rupi Bhasin (Chairman)

rupi.bhasin@boots.co.uk 07789 271339 CCA (Boots)

Akin Adeniran (Vice Chair)

a.adeniran@nhs.net 01865 371471 Independent (Kidlington)

David Dean (Treasurer)

david.dean@lloydspharmacy.co.uk 07710 934532 CCA (Lloyds)

Kevin Barnes kevin.barnes@lloydspharmacy.co.uk 07718 694193 CCA (Lloyds)

Robert Bradshaw frostspharmacy@intrapharm.com robert6@tesco.net

07771 904367 Independent (Frosts)

Mike Charlton mike.charlton@boots.co.uk 07826 908663 CCA (Boots)

Bethan Davies bdavies@rowlandspharmacy.co.uk 07425 626809 CCA (Rowlands)

Kamal Mahasuria kamal@altwoodpharmacy.co.uk 07970 045 879 Independent

Corrin McParland corrin@hamcparland.co.uk corrin.mcparland@gmail.com

07785 794149 AIMp (HA McParland)

Clare Moore clare_moore4@hotmail.co.uk 07849 096202 CCA (Lloyds)

Manvir Patel patelmanvir@gmail.com manvir@manichem.co.uk

07973 287617 AIMp (Manichem)

Olivier Picard olivier.picard@newdayspharmacy.com 07725 040161 Independent (New Days)

Craig Watt craig.watt@uk.aswatson.com 07889 625074 CCA (Superdrug)

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The New NHS

NHS Pharmaceutical Services – System Map

Department of Health

Sets legal framework, secures funding

NHS Pharmaceutical Services

Product reimbursement

Services remuneration

Pharmacies

Dispense medicines & appliances & provide associated & other services

Division of roles

Department of Health

Determines NHS reimbursement price of medicines & appliances

NHS England

Commissions NHS Pharmaceutical Services – including Essential,

Advanced & Enhanced services, plus Local Pharmaceutical Services

Charged for service remuneration

Charged for product reimbursement

Clinical Commissioning Groups

Commission other services

Local Authorities

Health & Wellbeing Boards (produce pharmaceutical

needs assessments)

Commission public health services

Inform market entry & commissioning

decisions

Health & Social Care Information Centre

Collates & provides information

NHS Connecting for Health functions

NHS Business Services Authority

Calculates and makes payment to dispensers. Provides management

information

Dispensed prescriptions submitted with claims for other services

Health Education England

Local Education & Training Boards

Public Health England

Executive agency of the Department of Health

The diagram above describes the relationship between the different bodies

within the new NHS. As you will see, the costs of dispensing prescriptions are

charged back to NHS England but the drug costs are charged to the CCG.

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Public Health in Oxfordshire

The Public Team sits within the Oxfordshire County Council and is led by Dr Johnathon

Williams.

The team responsible for most of the currently commissioned services:

EHC

Supervised Consumption

Needle Exchange

Stop Smoking service

It is also responsible for the Public Health Campaigns which are delivered as part of the

pharmacy contract. These campaigns are agreed with NHS England and have included Carers

Awareness and Flu. The pharmacies are expected to undertake up to 6 campaigns a year.

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Clinical Commissioning Group in Oxfordshire

Nationally every GP practice must belong to a CCG. Oxfordshire CCG is made up of six

locality groups and each locality group has a member who is on the board of the CCG.

The CCG board also includes lay members and the CCG holds meetings in public. The CCG

has its own website which can be viewed at http://www.oxfordshireccg.nhs.uk/

The locality groups are:

North

North-East

Oxford City

South East

South West

West

Full details of the Board Members, Locality Group plans and the CCG work plan can be found

on their website.

The CCG also produces a regular newsletter which contractors may want to sign up for. To

do this go to http://www.oxfordshireccg.nhs.uk/news-and-media/newsletter/

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NHS England Structure at April 2015

Geographically, the South regional team covers an area stretching from Penzance to

Margate, serving a population of approximately 13.5 million. There are local teams and ours

is based in Jubilee House in Oxford with some team members based in Gloucester.

NHS England

NHS England North

NHS England Midlands and

East

NHS England London

NHS England South

NHS England South - South

Central

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NHS England Pharmacy Team based at Jubilee House

Sarah Ayub and Ellie Cripps have pharmacy responsibilities but works across all three teams.

Contact details:

Marian: marian.basra@nhs.net Telephone 01865 336804

Sue: sue.williams19@nhs.net Telephone: 01865 336783

Sarah sarah.ayub@nhs.net Telephone: 01865 334613

Ellie ellie.cripps@nhs.net Telephone: 01865 963831

Ginny Hope

Head of Primary Care

Marian Basra

Assistant Contracts Manager, Pharmacy

and Optometry

Sue Williams

Primary Care Commissioning

Support

Ellie Cripps

Primary Care Commissioning

Assistant

Sarah Ayub

Primary Care Commissioning

Assistant

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The Local Authority Picture

The Local Authority in Oxfordshire hosts a Public Health team and has a Health and

Wellbeing Board. There is also a HealthWatch organization – this is the independent “voice

of the people”. HealthWatch is the consumer champion organization that will collate patient

feedback and bring pressure on local authorities to ensure health needs are addressed.

HealthWatch Oxfordshire has their own website and an active Twitter account and monthly

newsletter. You can find their website at http://www.healthwatchoxfordshire.co.uk/

Local Authority

Health and Wellbeing

Board

HealthWatch

Public Health team