Pharmaceutical Needs Assessment (PNA) Consultation Response Form

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1 Pharmaceutical Needs Assessment (PNA) Consultation Response Form Hertfordshire Health and Wellbeing Board is consulting on the draft Hertfordshire PNA and welcome all views and comments. The consultation period will run from 7th October to 7th December The PNA will be reviewed in light of all comments received and the final PNA will be published in February To give us your views on the draft PNA, please complete this consultation response form and return it by to: or by post to: PNA Correspondence Address Pharmacy and Medicines Optimisation Team NHS East and rth Hertfordshire CCG Charter House Parkway Welwyn Garden City Hertfordshire AL8 6JL The draft PNA is also available to download from the Hertfordshire County Council website: or to request a hard copy, please contact: Chris Gunnings, Pharmacy and Medicines Optimisation Team Phone: or

2 PLEASE USE THIS FORM TO GIVE HERTFORDSHIRE HEALTH AND WELLBEING BOARD YOUR VIEWS ON THE DRAFT PHARMACEUTICAL NEEDS ASSESSMENT (PNA) Question 1: Do you feel that the purpose of the PNA has been explained sufficiently? Question 2: Do you agree with the key findings about pharmaceutical services in Hertfordshire? Question 3: Do you feel the information contained within the PNA adequately reflects the current provision by community pharmacy or Dispensing GPs within Hertfordshire? rth Hertfordshire CCG, Charter House, Parkway, Welwyn Garden City, Hertfordshire, AL8 6JL

3 Question 4: Do you feel the needs of the population of Hertfordshire have been adequately reflected? Question 5: Are there any pharmaceutical services currently provided that you are aware of that are not currently highlighted within the PNA? If no, please explain Question 6: Do you agree that pharmacy services are available at convenient locations and opening times? If no, please explain rth Hertfordshire CCG, Charter House, Parkway, Welwyn Garden City, Hertfordshire, AL8 6JL

4 Question 7 for Community Pharmacies only Question 7: Has the PNA given you adequate information to inform your own future service provision? Question 8: Is there any additional information that you feel should be included? If yes, please let us know what additional information should be included Question 9: Do you have any other comments? If yes, please write your comments below rth Hertfordshire CCG, Charter House, Parkway, Welwyn Garden City, Hertfordshire, AL8 6JL

5 About you This helps us to know if we have responses from a broad range of people. You can leave blank any questions you prefer not to answer. Your name address Are you responding: 1. As a member of the public 2. As a health or social care professional 3. As a community pharmacy contractor 4. On behalf of an organisation 5. Other Please state: Please state: Gender: Male Female Age group 16 or under and over Your village / town / city Postcode Ethnic Origin White (British, Irish, any other white background) Mixed (White and Black Caribbean, White and Black African, White and Asian, any other mixed background) Asian or Asian British (Indian, Pakistani, Bangladeshi, any other Asian background) Black or Black British (Caribbean, African or any other Black background) Chinese Any other ethnic group Do you consider yourself to have a disability? rth Hertfordshire CCG, Charter House, Parkway, Welwyn Garden City, Hertfordshire, AL8 6JL

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