Committee Meeting Minutes For the Committee meeting held on Tuesday 14 January 2014 at the Postgraduate Centre, Clatterbridge Hospital Apologies
Barry Downey, Stuart Cubbin, Annelize Hadland, Piotr Kawka
Andy Weinronk, Keith Byrne, Alex Carrasco, Ying Chan, William Coulter, Christine Fielding, Heather Roberts, Ian Thomason
In Attendance Expressions of Interest
No expressions of interest were received. Andy welcomed everyone to the meeting.
Minutes of the meeting held on Tuesday 26 November 2013
a) The minutes were accepted and signed.
b) Matters arising and outstanding actions identified:
i. Item 3bi – Information was received from Mike King and shared with the
committee; there are different levels and costs and it is up to the commissioner of the service to inform providers what their requirements are. MC will seek clarification from Teresa Williams regarding the DBS check requirements within the PH contract.
It has been agreed that anyone with a CRB check that is less than 3 years old will be able to continue providing the EHC service until the expiry date; they will then be expected to get a DBS.
MC is awaiting a written report from DBS following a discussion she had with them at the PH Engagement Event; MC will then take any issues up with PSNC. MC will also seek examples and experiences from fellow LPC Secretaries.
ii. Item 3biv – MC will write a paper for the next LRC meeting which details the
services which community pharmacy provide to patients.
iii. Item 3vi – Some members are still unable to get on the member only sections
of the LPC and PSNC websites; members will let AJW know if they are still experiencing problems.
iv. Item 5h – MC will invite John Lancaster (Wirral Community NHS Trust) to
attend a future LPC meeting to talk about integrated care.
v. Item 5n – MC has spoken to the commissioners of EHC to explain how VAT
works with regards to the service and drugs; the commissioner now understands the process and is not looking at changing it on the service.
Committee Reports – Melanie
A verbal update was given; matters arising:
a) MC has attended a Medicines Management QQIP and they are interested in a
Gluten Free scheme; patients would be given a number of units to order items through pharmacy and they would manage the process.
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The LPC is happy for MC to do some costings.
b) A small number of practises have been piloting a medicines review in care
c) There are some issues with Oxycodone going off patent; MC will pick this up with
Medicines Management to ensure that the palliative care services are not affected.
d) Some EPS nomination and prescription collection forms are causing difficulties.
The AT has written to the contractors involved to ensure regulation compliance.
e) There is a new midwifery led unit at Arrowe Park which has resulted in far fewer
f) GP’s are worried about their new contract and the implications around extended
opening times and the requirement of having a named GP for every person over 75. GP’s have secured a place for one LMC secretary to sit on the GPC.
Treasurer’s Report – William
a) The current balance, as at 14 January 2014, is £45,723 (this includes
b) William informed the committee that he would be meeting with Ian Cubbin
(Cheshire LPC Treasurer) and AJW to consider the Q4 projections in light of the LPC merging from 1 April 2014.
c) AJW will make the corporation tax payment.
Committee Topics
MC gave a presentation to members about NHS England’s Call to Action on Community Pharmacy. There are four events arranged across the CPCW footprint and contractors should be encouraged to attend one of the events and respond individually to the consultation. The events have been publicised through the AT weekly bulletin and are on the LPC website. The engagement event taking place in Wirral is on 26 February.
AJW will circulate the consultation document to all LPC members – members will respond in advance of the February LPC meeting so that a ‘draft’ LPC response can be pre-circulated for ratification.
It is important for community pharmacy as a whole that responses are submitted to this consultation; the LPC will respond to the consultation by 18 March.
This successful event, which proved to be a good networking opportunity with commissioners, was well attended. Presenters have reported back that they were pleased with the interactions with attendees as part of the market stall session. MC thanked LPC members for doing a ring round to chase attendees.
It was apparent on the evening that not all contractors had received the electronic copy of the contract which was emailed by Public Health on 6 January.
AJW is undertaking a piece a work to collate an accurate database of contractor email addresses which can then be shared with stakeholders as appropriate. It was recognised that effective and efficient communication needs to form part of the CPCW Business Plan going forward.
MC had a useful meeting with CWP and the commissioner. Activity levels were reported and engagement varied from very high to zero; MC reminded the committee that the AT can issue breach notices if contractors are not engaging with a directed campaign, which this was.
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The audit will be published and shared with the AT, PH and LPC.
This meeting resulted in a greater understanding about why there were some problems which affected lead times, training, distribution of materials, etc.
CWP will share further information with MC who will take any necessary action to help resolve any problems going forward.
CWP are looking to run this campaign next year, however, the decision will be up to the AT who will be conducting directed campaigns through CHAMPS.
The Dry January campaign is currently running across Cheshire and Mersey. Some members reported problems with an inability of ordering more than 1 copy of the show material. MC will feed back.
MC is working with CHAMPS on a new PGD for EHC across Cheshire and Mersey; the next meeting is planned for 28 January.
v. EHC Consent Form Sexual Health Engagement
This form is now part of the service specification and gives pharmacies the ability to fast track patients into the sexual health service.
MC has received a draft copy of section 1 of the PNA; MC will circulate the draft to members who should let her have any comments back by close of play on Monday 20 January.
i. Pharmacist Questionnaire (pre-circulated)
This will be sent out to the updated email list identified in item 5bi above. A number of points were discussed, including an amendment to section 2.3 (commissioned services) with a suggestion that the list should only include the services currently provided within the footprint.
MC shared the draft press release and a number of amendments were suggested. MC will feed these back.
iii. Patient Survey Monkey (link pre-circulated)
Members should follow the link and feedback any issues to MC.
Roll out continues and 24 out of 51 practices will be completed by end of January. Processes are being tightened up to allow roll out pan Cheshire, Warrington and Wirral.
There are a number of IT schemes and upgrades that the practices have to engage in over the next few months and EPS will have to fit around this work. The CSU has appointed a dedicated person to plan the dates for the different projects across the whole footprint.
Wirral practices will be going to fortnightly go-lives (previously weekly) to allow the project manager to work in different areas. MC is awaiting the most up to date spreadsheet which will detail the next 3 months of roll out.
It is important that pharmacies continue to attend business change sessions.
AW/MC attended a quarterly meeting with LRC colleagues; they have written to Phil Davies, Chairman of the HWB to request an LRC representative on the board; Phil has responded that it will be discussed at the next committee meeting.
AW has explained to LRC colleagues that Wirral LPC will be merging with Cheshire LPC from 1 April 2014 and reassured them that relationships and links would remain as strong.
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The group discussed a CCG document – Vision 2018 - which the LRC’s will be consulted on.
CF questioned the increase in the number of contractors opening on bank holidays – is an audit conducted regarding value for money of rota services. The AT has a responsibility to ensure that patients are able to access a pharmacy on a bank holiday. MC will feed this question back to the Contracts Group.
A document from CCA was pre-circulated; this will be used as appropriate.
A member highlighted a number of concerns regarding Pregabalin and Gabapentin.
The examples shared should be escalated to the Local Intelligence Network and Kieron Murphy and also copied to the LMC. MC/WC will work together.
Next meeting will be held on Tuesday 11 February 2014. Venue – The Postgraduate Centre, Clatterbridge Hospital, 6.45pm (food), 7pm start.
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MC will seek clarification from Teresa Williams regarding the DBS check requirements for specific services within the PH contract.
MC is awaiting a written report from DBS following a discussion she had with them at the PH Engagement Event; MC will then take any issues up with PSNC.
MC will also seek experiences from Secretaries discussion database.
MC will write a paper for the next LRC meeting which details the
services which community pharmacy provide to patients.
Some members are still unable to get on the member only sections
of the LPC and PSNC websites; members will let AJW know if they are still experiencing problems.
2biv MC will invite John Lancaster (Wirral Community NHS Trust) to
attend a future LPC meeting to talk about integrated care.
AJW will circulate the Call To Action consultation document to all
LPC members – members will respond in advance of the February
LPC meeting so that a ‘draft’ response can be pre-circulated for ratification at the February LPC meeting.
MC will feed back some problems with contractors being unable to
order multiple copies of the show material for the Dry January campaign.
MC has received a draft copy of section 1 of the PNA; MC will
circulate the draft to members who should let her have any
comments back by close of play on Monday 20 January.
MC will feed back a number of suggested amendments to the PNA
Members should follow the PNA patient Survey Monkey link and
MC will ask the Contracts Group if they undertake an audit relating to MC the rotas across Wirral.
MC/WC will highlight a number of concerns regarding Pregabalin and MC/WC Gabapentin to the Local Intelligence Network, Kieron Murphy and the LMC.
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