East Sussex Local Pharmaceutical Committee Annual Report to March 31st 2011 Officers 20010-2011: 1 To promote, represent, develop and support NHS Community Pharmacy in East Sussex in the interest of contractors and service users. Chair: Craig McEwan Tel: 07771696890 E mail craigmcewan@nhs.net Vice chair Sally Jackson Tel: 01825 722203 E mail sal_jim@yahoo.com Secretary: Flick Johnston Tel: 01892-665565 50 Rockington Way, Crowborough, East Sussex, TN6 2NL E mail eastsussexlpc@aol.com Treasurer: Paul Antenen Tel: 07968 535970 E mail paul.antenen@nhs.net Professional Executive Officer: Vanessa Taylor Tel: 07770430186 E mail vanessam.taylor@btopenworld.com THE COMMITTEE The LPC is a statutory committee representing the interests of pharmacy contractors at local level. In this respect, your committee maintains links with the Pharmaceutical Services Negotiating Committee (PSNC) on matters affecting remuneration and other aspects of the pharmaceutical service.
Contents: Chair s Report. Page 2 Vice Chair and Treasurer s Report Page 4 Secretary s Report Page 5 Professional Executive Officer s Report Page 6 LPC Members Attendance Record Page 9 LPC members expenses and travel costs Page 10 LPC Statistics including Contract Applications, MUR and Prescription Statistics Page 11 Annual Accounts Page 12 Chairman s Report for the AGM for the year April 2010 to March 2011 Another year has passed and I find myself writing the Chairman s report again. This year saw a large change in the committee structure, the previous committee s term coming to the end of its four year cycle. With all the voting out of the way the committee was ready to put the new constitution in action. We welcomed four new members to our first committee meeting in April. Witesh Parekh (Company Chemists Association, CCA); Julia Powell (CCA); Karen Daniels (Association of Independent Multiples, AIMS) and Ian Wilkinson (Independent). 2 At our first committee meeting the members also took the decision to elect a Vice Chair able to take the chair if the chairman was unable to attend a committee meeting and I was delighted that Sally Jackson (CCA) was elected. Paul Antenen was returned as Treasurer. Flick Johnston and Vanessa Taylor were invited to continue in their roles as Secretary and Professional Executive Officer, and both agreed to do so. I would like to thank all the Executive team of the LPC who have worked extremely hard to support you the contractors as I am sure you will agree from the individual reports which follow on the accompanying pages. I would also like to thank the rest of the committee members for their valuable contributions and support particularly in rewriting our LPC strategy which is available for all to view on our website. I would like to take this opportunity to ask all contractors and pharmacists, whenever possible, to relay information to the LPC about what is going on in your locality and affecting you directly. With any difficult issues which arise we always consult with the PSNC however I am conscious that sometimes we don t get the reply you might have wished. It was also good to have more regular contact this year with our Regional PSNC representative Allan Robinson an Independent Community Pharmacist from West Sussex. Allan attended several LPC meetings and was able to relay back to the PSNC executive some of the concerns the local contractors had been raising with us. Could I take this opportunity to remind you all about our website and newsletter that does have the dates of our meetings. Should you have an issue that you want to raise please let Flick our secretary know so that we can add it to our agenda. Probably the biggest issue for the committee
Chairman s Report for the AGM for the year April 2010 to March 2011 (cont) this year was to scrutinise and ensure that the Primary Care Trust s Pharmaceutical Needs Assessments were robust. These PNAs will be used to decide on future control of entry decisions. No longer will new contracts be granted on necessary and desirable expedient but on whether the necessary services are provided by contractors in the locality. Vanessa Taylor and I were asked to sit on the PNA working group and after some months and various revisions we were happy to ask the full committee to sign off the PNAs for the three Primary Care Trusts we represent. This year was also a challenging one for the committee in trying to retain and instigate new locally enhanced services. It would be fair to say that we had mixed results. We were able to start an Asthma MUR+ service; a new Sexual Health all-in- one service for c -card, EHC and Chlamydia in Brighton and Hove and a MUR dermatology service in Hastings and Rother. However with all the PCT cut backs and reconfiguring we lost the Minor Ailments scheme in Hastings and Rother and Eastbourne Downs and Weald. Towards the end of the year the PCT also served notice on the Advice to Care Home Locally Enhanced Service. We have also had challenging discussions with the PCTs over matters which directly affect you the contractors. These being Specials; Branded Generics; Gluten Free Prescribing; 7 day prescriptions. We will continue to do our upmost to support you the contractors with strong and robust counter arguments. With the restructure of Primary Care Trusts and lack of clarity with how the new landscape will look we started looking at how as a committee we could better promote Community Pharmacy within the local community. We have had great success in inviting local MPs to community pharmacies during the year and Stephen Lloyd (MP, Eastbourne) is now Secretary of the All Party Pharmacy Group. Caroline Lucas (MP, Brighton) has also tabled questions in the House of Commons around community pharmacy. We hope we can build these links going forward. We have also taken the step to start engaging with Public Health providers as the information we are gathering is that in the wake of the PCT close down, Health and Wellbeing boards will start to have much more authority. We will continue to build these relationships in 2011-12. As you can see from above it has been a busy year and I suspect the year ahead will be even busier. Can I please ask that you continue to monitor the website and read our monthly newsletters. (A big thank you to Vanessa who spends a large amount of time keeping these up to date). A quick reminder of the Annual General Meeting on Thursday 22 nd September 2011. I look forward to seeing many of you there. Craig McEwan LPC Chair 3
Vice Chairman s Report for the AGM for the year April 2010 to March 2011 In April 2010 the committee decided that the LPC required someone to fill the position of Vice Chair to help support the Chair and the rest of the executive team. I was duly elected to this post after being proposed and seconded by LPC members. I feel very privileged to have been given this opportunity and to represent the pharmacy contractors in East Sussex. In the last year I feel we have become more focussed and streamlined in the way we conduct our LPC meetings and we continuously aim to deliver outcomes that meet the needs of all pharmacy contractors in a timely and cost effective way. As a Company Chemist Association (CCA) representative I represent all members of the CCA which include Boots, Lloyds, The COOP, Tesco, Sainsburys, Superdrug and Asda. As vice chair I am part of the LPC executive team which on occasions needs to makes decisions on behalf of LPC members, who will later ratify those decisions by e mail correspondence. The executive is made up of the Secretary, Flick Johnston, the Professional Executive Officer, Vanessa Taylor, the chair, Craig McEwan and the treasurer, Paul Antenen. The executive provides a good representation of contractors as the treasurer is a member of the Association of Independent Multiples (AIMs) and the chair represents an independent contractor. Through my contacts I was able to support the biannual LPC conference in October 2011 by facilitating Baroness Cumberlege to be our keynote speaker. Baroness Cumberlege lives in the village where I have practiced as a community pharmacist for Lloyds Pharmacy for the past 11 years. During the year I have been on a steep learning curve, but feel that I have progressed to enable me to understand much better the needs of all pharmacy contractors in East Sussex. I hope in my next year as vice chair that I will build on this knowledge and deliver more for the contractors of East Sussex. Sally Jackson Vice Chair Treasurer s Report for the AGM for the year April 2010 - March 31st 2011 The role of the treasurer is to be accountable to the LPC for the proper management of all aspects of the committee's finances and ensure payment of the PSNC levy on time. The committee raises it's funds by a statutory levy paid by all pharmacy contractors on the PCT's list, for 2010/11 this was set at 11 pence per 100 of net ingredient cost (0.11%), this was collected on 11 out of 12 months a payment holiday being taken at the end of the financial year. Additional income of 3800 by way of educational grants from seven pharmaceutical companies was also received. This enabled a very 4 successful conference for contractors to be held at no cost to them, made possible by the ongoing relationships that the committee has forged courtesy of Vanessa. The way that the Chair is remunerated changed this year moving from a set honorarium to an hourly rate paid for work done resulting in a saving to the committee of 1555. The Secretary and Professional Executive Officer had a pay freeze for an additional year in recognition of the effects of the recession on contractors, the Secretary also worked less hours this year but the PEO's workload increased. Training/locum costs increased due to the cost of the conference which as previously mentioned was met by sponsorship and attendance costs for an extra joint meeting of all the south east coast LPCs. The largest single expenditure is the PSNC levy which increased by 1.7% this year. I believe that the committee delivers good value for money to contractors in the work that it does as hopefully demonstrated in the reports of the other officers. Paul Antenen Treasurer
Secretary s Report for the AGM for the year April 20010 - March 31st 2011 The role of the secretary covers all the administrative work of the committee. I working close with the LPC Professional Executive Officer, LPC Chair, LPC vice Chair and LPC Treasurer on all LPC matters I plan and arrange the LPC meetings which are held every two months. Both Sue Mills, Medicines Management Manager from the East Sussex PCTs and Amanda Marshall, Community Pharmacy Development Manager from Brighton and Hove City PCT regularly attend the committee meetings. On behalf of the contractors the committee and officers work closely with the PCTs to support contractors on all issues, particularly development of services, contract monitoring and EPS. PSNC south east representative, Alan Robinson, attended two of the LPC meetings in the year 2010-11 I am the committee s first point of contact when the LPC is notified by the PCTs about any Control of Entry issues and feedback to the PCT or the NHS Litigation Authority the committee s comments on any application or appeal against a PCT s decision relating to an application. The LPC works to ensure the interests of all the contractors are met when there are applications to be included in the Pharmaceutical List and also applications to dispense from Dispensing Doctors. During the year 2010-2011 I have facilitated the setting up of Subcommittees within the committee to enable quicker and easier communications and discussions on matters affecting contractors. The individual subcommittees are charged with dealing with issues around Control of Entry, Finance and Governance, LPC Strategy and Performance Management. The work undertaken by the subcommittees is presented to the full committee either electronically or at a full committee meeting. I worked with Vanessa Taylor, LPC PEO and the committee to organise a very successful Contractors conference, attended by 60 pharmacists, in October 2010. We were very fortunate to welcome Baroness Cumberlege, vice chair of the All Party Pharmacy Committee as keynote speaker at October s conference. Baroness Cumberlege in her address at the conference confirmed that she is very supportive of community pharmacy generally and her local pharmacy particularly. I attend on behalf of the LPC and the pharmacy contractors the CD LIN (Controlled Drug Local Intelligence Network) meetings in both East Sussex PCTs and Brighton and Hove PCT. These network meetings are an opportunity for a sharing of concerns and sharing of information around any Controlled Drug issues between all parties who prescribe, manage, dispense and the substance misuse teams. Contractors are reminded that they may attend any LPC meeting, details of which are published on the LPC web site, as an observer. Flick Johnston LPC Secretary 5
Professional Executive Officer s (PEO) Report for the AGM for April 2010 - March 31st 2011 Like other officers of the LPC I have been working to deliver the operational activity identified in our strategy. The LPC held its biannual conference in October, which was a very successful and well attended event. Our keynote speaker was Baroness Cumberlege vice chair of the All Party Pharmacy Group. The conference focussed on long term conditions. Before the May general elections I wrote to all prospective MPs enclosing a copy of the pharmacy charter. Stephen Lloyd MP for Eastbourne visited a community pharmacy in Eastbourne and following the visit joined the APPG with which he has since become closely involved. Caroline Lucas MP for Brighton Pavilion also visited a community pharmacy in Brighton and has since joined the APPG and has tabled an early day motion about pharmacy and waste. At the beginning of 2011 I started the process of recommending the involvement of the PCTs in healthy living pharmacies. Which we hope will come to fruition in late 2011. Contractors: I respond to many queries of a confidential nature from contractors on relevant topics which this year included supply problems, branded generic issues and the problem of seven day prescribing. This led to the development of a joint statement on supply of medicines in compliance aids in conjunction with the East Sussex PCTs and the LMC. I have been supporting the LPC to look at controlled localities with regards to doctor dispensing. This is an ongoing issue which will be resolved by March 2012. Pharmacy Development Groups: During the year the LPC has supported the Brighton and Hove Pharmacy Forum, ESDW Pharmacy Development Group and the 1066 Hastings Forum Working with East Sussex Primary Care Trusts: Part of the role of the LPC is work with PCTs to understand their strategies and support them in delivering improved services to patients. To do this I regularly meet with PCT personnel involved in supporting community pharmacy. This year a great deal of time was spent supporting PCTs in the development of their Pharmaceutical Needs Assessments) PNAs, these are statutorily required documents which define community pharmacy services within the PCTs. I have also worked with our three PCTs with regards to the electronic prescription service. Letters were written to the Chief Executives of all East Sussex PCTs explaining supply chain problems. Letters were also written to PCT Directors of Primary Care explaining the devolvement of the Global sum and the importance of the development of robust PNAs. Letters were also written to PCTs heads of medicines management to explain the implication of the prescribing of branded generics and the effects on 6
PEO Report for the AGM for the year April 2010 - March 31st 2011 (cont) contractors locally. Up to date information on LPC communications can be found on the LPC website Brighton and Hove PCT I attend the bimonthly meeting of the Pharmacy Strategy and Implementation Group - this group discusses all relevant issues concerning community pharmacy within the PCT area and also looks at new enhanced services. I also have regular informal meetings with both the Community Pharmacy Clinical Governance lead and the Community Pharmacy Manager. I am also invited and attend the GP protected learning events as an LPC and community pharmacy representative. I am also involved with the Brighton and Hove wide anti-coagulation service provided by community pharmacy headed up by Alliance Boots, who hold the contract but sub contract to other community pharmacy providers. East Sussex Downs and Weald and Hastings and Rother PCTs 7 The PCTs set up PNA project board and community pharmacy clinical governance committee I sat on both where I represented the LPC. I also prepared a presentation on community pharmacy for the chair to deliver at ESDW s AGM. The LPC in conjunction with ESDW and H&R PCTs have set up regular meetings with the Assistant Director of Commissioning and Medicines management manager to better understand the changes happening to the NHS locally. Communications I have set up communication links with the local press and submitted a number of press releases and been interviewed by the Argus with regards to vending machine dispensing. One of the most important functions of the LPC is to communicate with contractors and pharmacists to explain regularly everything that the LPC is achieving and also to support contractors with relevant information. To do this on behalf of the LPC I produce a monthly newsletter, which will be faxed and e mailed to all contractors and pharmacists held in the LPC s database. To support contractors and provide up to date information both about the LPC and everything relevant to community pharmacy in East Sussex. The LPC has a website, which I regularly update. Contractors and pharmacists can access the website by the link http://www.lpc-online.org.uk/ east_sussex_lpc/ Essential Services: The LPC has supported any contractor who required help with regards to monitoring visits. Advanced Services: During the year further work has been completed on promoting the Medicines Use Review service in East Sussex. We have worked with ESDW and H&R PCTs to introduce dermatology supported MURs and in Brighton Asthma+ MURs. Local Enhanced Services (LES) On behalf of the LPC I have worked with
PEO Report for the AGM for the year April 2010 - March 31st 2011 (cont) the PCTs to look at LES specifications and also to support changes to these specifications. Including introducing a breathalyzer test for substance misusers and raising awareness to the Chlamydia screening LES in ESDW and H&R. Other Activities: With changes to the NHS planned part of the LPC strategy was to become involved with Local Authorities. East Sussex is to develop their Health and Wellbeing Board (H&WB) as a pathfinder site and with the secretary we have started networking with Barbara Deakin (heads up the implementation of H&WB) and also Sylvia Tidy East Sussex Councillor and chair of the Health, Overview and Scrutiny Committee (HOSC). Annually I give a talk to final year students on community pharmacy encouraging them to get involved locally. As part of my role as Professional Executive Officer I respond to many consultation documents. Notably this year these have been: Response to the NHS white paper, which was in four parts. 8 Response to the NHS listening exercise I support our secretary with setting the LPC meeting agendas and write up any actions following each LPC meeting and ensure that all actions are followed up. I liaise with Pharma Companies to look at joint working for the benefits of patients and community pharmacy. This year I gained sponsorship for the LPC conference, which meant that the Conference was delivered free of charge to delegates and was cost neutral for contractors. I attend local and national events to ensure that I am aware of any changes that may affect Community Pharmacy in East Sussex. These have included: The National Local Authorities Commercial Capabilities Conference. Healthcare professionals commissioning network. NPC national steering group to produce GP guidance for prescribing specials. PSNC workshop session on the future role of LPCs. PCC events to include Social Enterprise; As an LPC representative I am in regular communication with the chief executive of Surrey/Sussex LMC, Julius Parker. I have supported the LMC with a communication regarding specials prescribing. At a South East Coast (SEC) Strategic Health Authority (SHA) Level I attend: Foundation board (pharmacist and technician T&D) meetings, as a community pharmacy representative. Advisory board meetings - to look at workforce planning for pharmacy within the South East. In my role as Secretary of the SE Forum of LPCs I attended a meeting with Yvonne Doyle Public Health lead at the SHA. In this role I also presented on community pharmacy to all the chief Executives of SEC SHA PCTs. I also meet with other LPC chief officers within the SHA area to share learnings and look at ways for joint working. I also attend nationally the All Party Pharmacy Group Meetings. Vanessa Taylor Professional Executive Officer
LPC Members and their Meeting Attendance 2010-2011 - Total number of meetings = 6 Member Location Meetings attended Representing Paul Antenen (Treasurer) Uckfield 5 out of 6 Association of Independent Multiple Pharmacies Brent Auld St Leonards on Sea 6 out of 6 Association of Independent Multiple Pharmacies Claire Condon Eastbourne 0 out of 2 Company Chemist Association Karen Daniels Battle 6 out of 6 Association of Independent Multiple Pharmacies Sarah Davis East Sussex 4.5 out of 6 Company Chemist Association Mark Heard Newhaven 6 out of 6 Association of Independent Multiple Pharmacies Sandy Jack East Sussex 2 out of 3 Company Chemist Association Sally Jackson (Vice chair) Newick 5 out of 6 Company Chemist Association Nasim Ladek Brighton 5 out of 6 Independent Contractors Craig McEwan (Chair) Hastings 6 out of 6 Independent Contractors Witesh Parekh Brighton 5 out of 6 Company Chemist Association Gopal Patel Brighton 5 out of 6 Company Chemist Association Julia Powell East Sussex 5 out of 6 Company Chemist Association Shammi Radia Hastings 4 out of 6 Independent Contractors Annarita Ressa Eastbourne 3 out of 4 Company Chemist Association Hashem Soozandehfar Uckfield 3 out of 3 Company Chemist Association Ian Wilkinson Herstmonceux 5 out of 6 Independent Contractors Alan Robinson South East Coast 2 out of 6 PSNC (Meetings held 22/4/10, 24/6/10, 9/9/10, 18/11/10, 13/1/11, 10/3/11) Officers 2009-2010 (in attendance at all LPC meetings) Secretary Professional Executive Officer Flick Johnston 50 Rockington Way, Crowborough, East Sussex, TN6 2NL Tel: 01892-665565 Vanessa Taylor Tel: 07770-430186 9
Summary of attendance and travel costs Member No. of Meetings Attended Cost of Attendance Travel ( ) Representing Craig McEwan (Chair) 6 out of 6 2471.00* 508.20 Independent Paul Antenen (Treasurer) 6 out of 6 1575.00 192.80 AIMs Sally Jackson (Vice Chair) 5 out of 6 1575.00 112.00 CCA Brent Auld 6 out of 6 1600.00 319.20 AIMs Claire Condon 0 out of 2 CCA Karen Daniels 6 out of 6 1475.00 221.90 AIMs Sarah Davis 4.5 out of 6 CCA Mark Heard 6 out of 6 1525.00 125.10 AIMs Sandy Jack 2 out of 3 36.80 CCA Nasim Ladak 5 out of 6 1242.00 148.80 Independent Witesh Parek 5 out of 6 1750.00 133.20 CCA Gopal Patel 5 out of 6 1900.00 205.60 CCA Julia Powell 5 out of 6 CCA Shammi Radia 4 out of 6 862.50 Independent Annarita Ressa 3 out of 4 180.00 57.60 CCA Hashem Soozandehfar 3 out of 3 862.50 45.60 CCA Ian Wilkinson 5 out of 6 1449.00 160.80 Independent Flick Johnston 6 out of 6 506.70 Officer Vanessa Taylor 6 out of 6 3315.20^ Officer Alan Robinson 2 out of 6 PSNC regional Rep. NB The above is a summary of payments cleared from the LPC bank account during 20010/11 and does not directly relate to activity undertaken in all cases. * Includes attendance at external meetings ^total expenses for all meetings 10
East Sussex LPC Statistics - The LPC represents a total of 168 contractors at March 2011 Brighton and Hove City PCT Hastings and Rother PCT E Sussex Downs and Weald PCT 60 contractors 38 contractors 70 contractors Control of Entry issues 2010 2011 Medicine Use Reviews (MURs) Application for Inclusion in the Pharmaceutical List, Regulation 13 (National Health Number of MURs Nationally 2,102,255 Service (Pharmaceutical Services) Regulations 2005) Exemption Criteria over 100 hours opening per week 2 Number of MURs for East Sussex LPC contractors 35,665 Application for minor relocation of 500 metres and above 5 Number of MURs BHCPCT 14,000 Application for Inclusion in the Pharmaceutical List 4 Number of MURs ESDWPCT 13,674 Application for Preliminary Consent prior to inclusion on the Pharmaceutical List 4 Number of MURs H&RPCT 7,69 1 Change of Ownership 4 Application for a minor relocation 2 Application for Inclusion in the Pharmaceutical List (Appliance Contractor) 1 National Prescription Research Centre National - England Total number of prescription items dispensed - 926,657,600 Average item value - 9.53 East Sussex Downs and Weald PCT Total number of prescription items dispensed 6,423,713 Average item value - 8.92 Hastings and Rother PCT Total number of prescription items dispensed 3,731,975 Average item value - 9.52 Brighton and Hove City PCT Total number of prescription items dispensed 4,208,106 Average item value - 10.52 11
East Sussex Local Pharmaceutical Committee Statement of Income and Expenses for Year Ended 31st March 2011 Income 2011 2010 Bank Balance as at 1st April 2010 84650 21709 Bank Interest (Gross) 34 9 NPA Insurance Windfall 0 639 Educational Grant 3800 3160 LPC Levies 142021 188732 230505 214249 Expenses 2011 2010 Insurances 508 479 Stamps, Stationery 621 857 Training/Locum Fees 26109 19415 Legal Fees 294 0 Sundries 53 170 Printing 90 252 Telephone 1021 937 Members Travelling Expenses 6195 5018 Accountancy 188 184 Service Charge - Secretary 11880 14460 Service Charge - Treasurer 720 700 Honorarium - Chairman 3945 5500 Bank Charges 106 105 Service Charge-PEO 40998 39082 PSNC Levy 43180 42438 135908 129597 Bank Balance as at 31st March 2011 96097 84650 and Hove PCT -6000 0 Money paid to Brighton and Hove PCT, sexual health pharmacist 4500 0 230505 214247 ACCOUNTANT'S REPORT As described on page you have approved the accounts for the year ended 31st March 2010. In accordance with your instructions we have compiled these unaudited accounts from the accounting records and information and explanations supplied to us. Signed P Antenen FRIEND-JAMES 12. Date