4. Minutes of the last meeting and actions arising. 97. Stanton application has gone through and is being considered. Capita situation improving. Serco staff working with Capita. Guests on the agenda. 99, Budget agreed but alterations made - on agenda. BACS details to Steve? LPC debit card sorted and TF holds. Limit set. End of year on agenda. New claim forms now in use. 100. Policies – emergency policy on agenda. 101 – paper flyers sent out, NS &MC added blurb, resulting in 2 applicants. On agenda. Email not always effective so look into small money pot for NB to cover postage costs. 102 – self-assessment now updated and on website. No areas of significant concern, Added minutes for all meetings. PN – We have great transparency and not many other LPCs will have that rating. We are in a good place. MC coordinated care around mental health – has concerns about methadone – spoke to Healthwatch CEO Andy Yakoub – pulled together a working group to look at addict care in the community. AY will lead. Addicts do have key workers but support from a health perspective can be beneficial and stop them feeling vulnerable. NS key workers change regularly isn’t a stable environment. Vicious cycle – try to show support. Needs to be a community/multi agency approach. Work together. MB – TP asked if Possible to just ask for postcode instead of address for Blue scripts. 13th July H&W Board – AH to attend. Resp Pilot – ongoing. NB contact Mitesh to add Jo, Paul, Greg and Pete to website access. May 2017
Proposal for database update process Difficult to keep the contacts list database up to date. NS specific program to update Annual update request NHS mail premises account NB to look at best options for maintaining contractor details July 2017 Contractor Support Quality Payments HLP-Update eRD Policy Sexual Health PGDs EHC Under 13s Pathway Turning Point guidance- methadone supply when in police custody NUMSAS Support for flu about contractor support. QP – 95% contractors completed QP declaration. (96% Suffolk, only 6 contractors didn’t submit) Remaining 6 – 1 no N3 connection 1 pharmacy sold and no eps connection/didn’t upgrade 1 transfer of ownership – no NHS mail/ NHS Choices etc 1 just didn’t engage 1 not done NHS choices by deadline 1 not achieved gateway Accuracy of submissions will not be for some time– guide for support for next submission will begin from June 2017. HLP- 57 leaders Pictures of certs required. RSPH certs being received so continue with Self Cert until we hear otherwise. Was extended until 28th April. HLP for QP is now a tick box exercise. Training has reduced to one day with MECC and RSPH. Service/community days/sessions be of benefit. Self-accredit register is still closed so we have no visibility of those declaring Level 1 under self assessment. Model is being requested – recognised as a good centre for training. MB - Suffolk Family Carers – 6 tick boxes on PharmOutcomes – certificate and window sticker of Caring Pharmacy. Could look at as part of HLP Level 2 model with SCC TF to confirm process going forward June 2017
Policy in place has not been adopted – must be an easier way.TP want to use guidance in medicines and ethics guide. 1 - DP-Detained Person to sign form allowing police rep to collect methadone. 2 – TP to pay supervised by-proxy otherwise pharmacy will lose the payment. TF to put forward new document format and committee to ratify at a date before put to use. NUMSAS – 2 pharmacies signed up. Commissioner NHSE to provide the integrated PharmOutcomes services through NHS111. Info is national funding may not continue after March 2018. Works in city/town centres but for rural pharmacies it is not cost effective. Support for flu service-discussion about contractor support. – Other LPCs have supported training. TF – so many providers – LPC facilitation not necessary. Poor turn out to training sessions previously. Just provide stickers and support or provide Flu jab training? Happy it is manageable for pharmacy to organise flu jab training. TF to put forward new document format and committee to ratify at next meeting July 2017 FOR REFRESHMENTS (3:00 pm -3:15 pm) Relationships STP work streams HEE Pre-reg tutor project update LPN Safer Consulting until September STP-important to know what is happening in Suffolk. We are involved in all workstreams – we sit on all the boards. Clear structure in East and West patient pathway. Worth reading through. Integrated neighbourhood teams – includes community pharmacy. How does this work? Keeping patient in centre and build services around TF to continue engagement with STP process.
WSFT- Discharge to Pharmacy individual instead of pushing patient in certain direction. HEE Pre-Reg project- part way through our part of process – email from UEA as UEA also given money to produce training package. Meeting with UEA to use their funding to produce a bespoke package for pharmacy tutors. WSFT – June or July to look at transfer to pharmacy models - discharge from hospital. Generate discharge letter documenting medication changes and suggest post discharge MUR. Data transferred to PharmOutcomes. Dossetts an issue – hospital looking to assess patients for needing a dossett. In a good position to assess the patient. Facility on PO to message back to hospital and confirmation back to a GP to say assessed on referral from Hospital. No payment but gaining information and better utilization of existing advanced services. All hospitals signed up in principle and roll out expected this year. Committee feel this is a good idea. Cost effective for Hospitals. TF/MC to attend UEA and meeting TF to work with WSFT to facilitate roll out 1st of June 2017 July 2017 14. Regional Medicines Optimisation Committee (RMOC) The approach is “We are having them – what would we like them to do?” Discuss the function first. Consultation – replace CCG medicines optimisation Committees, switches, branded generics etc. Put in regional ones to standardize approach. Community Pharmacy not involved. Made a case and got a mandated place on all committees. Find a candidate with all skills required – Scott Downham Pharm Manager Tesco BSE. Has worked in Hosp, CCGs, GP pharmacist, now comm pharmacist. Has indicated he may apply for the role. TF to update committee when appointments are made July 2017