Pharmacy Needs Assessment
Help shape the borough's pharmacy services
The Pharmaceutical Needs Assessment is now completed, NHS England have confirmed that their regulatory requirements have been met and the document has been approved by the Health and Wellbeing board .
We have summarised our recommendations below and any further updates will be posted on these pages.
Recommendations from the PNA
Community pharmacy locations in the heart of local communities and accessibility to services can support the HWB in addressing issues associated with inequalities; for example the high prevalence of sexually transmitted infections (STIs) in Battersea.
A key difficulty in conducting this assessment was the provision of activity data and a lack of quality assurance. The first recommendation is that datasets and respective commissioners should be clearly identified and contact details made available. Additionally, the Community Pharmacy Assurance Framework (CPAF) needs to be promoted among commissioners and the public as a quality standard. The CPAF only monitors the core contract, it is therefore recommended that an additional framework to monitor quality standards of the Clinical Commissioning Group (CCG) and Local Authority (LA) contracts be agreed between respective parties. The LA will work with the Local Pharmaceutical Committee (LPC) to actively audit pharmacies that are poorly performing. Provision of quality assurance training programmes, with a particular focus on equality and diversity training, will also be promoted.
The available pharmacy activity data highlights a large degree of disparity throughout Wandsworth; as such it is important to use and promote services in pharmacies to tackle local issues, for example Minor Ailments Services and in particular areas of need. Both pharmacists and the public are keen to see pharmacy do more, and the public feedback particularly expresses the desire to see pharmacists doing more outreach work to better serve their communities. The second recommendation is to encourage local pharmacies in Wandsworth to do more activity where their contractual framework permits (i.e. Domiciliary Medicines Use Reviews (MURs); Medicines Use Reviews; patient delivery service; Electronic Prescribing Service (EPS); CCG Medicine Use Reviews, and targeted Public Health interventions such as smoking cessation and sexual health services).
The suggested areas for commissioning review are:
- Falls and medication review
- Alcohol brief interventions
- Sexual health screening
- Medication and mental health
- NHS Health Checks
- Childhood immunisations
- Community equipment programme
Working with other local primary care services to tackle highly localised issues, for example sexual health in Nine Elms, and diabetes in Tooting.
In developing the outreach programme, the pharmaceutical regulations should be used to only permit core pharmaceutical services where additional locally specific needs are also met for example by providing Chlamydia testing which is outside of the core contract. Moreover, provision of pharmacy services should be consistent with pharmacies just outside Wandsworth, such as the Lambeth part of Nine Elms.
The third recommendation is for the Health and Wellbeing Board to ask NHS England how they can assess the gaps and issues identified in this assessment.
A summary version and presentation of the Pharmacy needs assessment can be found here.