3 MAY 2019 TEL:07889412690

Future of Pharmacy PSNC has launched a video animation explaining how community pharmacies are likely to fit into the NHS of the future.As well as showcasing the work that pharmacies already do, the video describes the transformation that community pharmacies will need to undertake over the coming months and years.PSNC has based the video on the ambitions for community pharmacy that have been set out by NHS England and the Government; PSNC are continuing to work closely with AIM, CCA, NPA and the RPS as well as the LPCs to influence these plans and to find ways to make them work for the sector.The Government has made clear through the NHS Long Term Plan and GP

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Your pharmacy

must evolve

EMERGING PRIMARY CARE NETWORKS

SEE PAGE 4 FOR CAMPAIGN DETAILS

ASTHMA FOCAL POINT PAGE 10

REVALIDATION

Page 8

A series of webinars to support the development of PCNs is available. Two webinars focus on ‘working with pharmacy.’ No need to register. Visit https://www.england.nhs.uk/gp/gpfv/redesign/primary-care-networks/events-and-webinars/

NORTHANTS AND MK LPC NEWS

3 MAY 2019 TEL:07889412690

Contract that it wants to better utilise the skills and reach of community pharmacy. However, this will require the sector to embrace a series of changes which we must start planning for now.In particular, the emergence of Primary Care Networks (PCNs) – which must be formed by July 2019 – will bring changes for all healthcare providers working in the community, and it will be up to everyone in community pharmacy to ensure that our sector is included in these important emerging structures. Contractors and LPCs will need to be proactive in talking to one another to coordinate engagement with local GPs and PCNs, supported by PSNC and the other national community pharmacy representative bodies.PSNC is in contact with NHS England and GP representatives to highlight the role that community pharmacies can play in PCNs. National messaging to GPs will encourage them to ensure that pharmacies are kept in the loop once PCNs are formed.Our animation gives community pharmacies four action points to consider:

1 Start a conversation with other local pharmacies about how to collaborate within PCNs;

2 Together with other pharmacies and your LPC, talk to local GPs about their plans for the future;

3 Take all opportunities for further training and to provide services; and

4 Make contact with your LPC.PSNC has created a resources list to help contractors to start working towards these points, and we will add to this as we develop new resources over the coming months. This is available from the animation webpage: psnc.org.uk/futureofpharmacyView PSNC's animation and learn more about the future of pharmacy at: ow.ly/nDEY30ozJmr

Primary Care Networks Gone are the days of GP practices competing against one another. Apparently, collective working is the way forward for the NHS. And now it has been formalised through the new plans laid out in the GP 5 year contract (England).Practices will not be forced to join one of the new ‘primary care networks’ (PCNs) set up through the contract but all patients will need to be able to access one. In joining a network funding worth £1.70 per patient will be unlocked – an annual average of £14,000 per practice.But more than this, they are being tempted by other riches. A new ‘network DES’ (Directed Enhanced Service), will incorporate all the funding from the current extended hours DES – which will no longer be available to individual practices.It will provide 70% of the ongoing costs of employing pharmacists, physios, physician associates and paramedics, and 100% of those for a social prescriber. And it will give the networks 59p per patient to appoint new leaders.

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Shaping the future

The LPC stresses the need for pharmacists to move their focus from a supply function to providing a broad range of services, and encourages greater intra-professional collaboration and a desire to drive change at a local level without waiting for national solutions to be implemented.

3 MAY 2019 TEL:07889412690

The great cash giveaway doesn’t end there. CCGs will be directed to provide £1.50 per patient to the networks.In summary, Primary care networks, with general practices at its heart will see £4.5b flowing through general practice in order to fund and finance primary care network. Evidently, we need to make sure that we are integral to that. There will be new ways of working and the LPC will have a strategy to help with this.We are not forgetting the need to negotiate an outcome that is going to benefit all the community pharmacies, not particular groups. After all the LPC represents all of you equally. We will continue to promote pharmacy services not just within our sector but of course to patients. We need government support to do that. Utilising our clinical skills, the instant access to healthcare without an appointment, the fact that 1.6 million people every day visit our pharmacies, are our unique selling points.

So far, we know PCNs will comprise groupings of practices covering 30,000 to 50,000 patients and will be based on location. Every practice will have the right to join one. Beyond this, we don’t know which surgeries will register.

Clubbing together by GP practices is not a new phenomenon. We have been organised into federations for many years. It is likely however that new organisations will register and claim large chunks of the funding. Existing federations will most likely be too large (some having as many as 100,000 patients on their lists) to qualify as a network under the new t’s and c’s.Jamie Green, clinical director of the General Practice Alliance Ltd federation in Northampton, also worries that defining PCNs by regions might pose extra problems for rural practices.‘One of the big difficulties will be the difference between town-centre based practices and larger geographical areas we see in rural practice,’ he says. ‘Having between 30,000 and 50,000 patients within a rural practice population means dealing with huge areas and distances.’

Timeline for PCNs • By 15 May 2019 - All networks must submit registration information to their CCG

• By 31 May 2019 - CCGs must confirm every patient is covered by a network

• Early June - NHS England and GPC England jointly work with CCGs and LMCs to resolve any issues

• July 2019 - Practices receive £1.70 per patient for joining a network

• 1 Jul 2019  - Network Contract DES goes live across 100% of the country and national entitlements under the 2019/20 Network Contract start

Let’s hope that GPs have moved away from the culture of competing for contracts, with these new networks leading to better care. A move to a culture of collaboration, support and compassion would be a breath of fresh air. PCNs should be about people getting access to assets in their community and being supported to stay well.

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Children’s oral health campaign Community pharmacy contractors are required to participate in the NHS England community pharmacy oral health campaign, which will run between 13th May-13th June 2019. This campaign, which coincides with National Smile Month, is one of six campaigns which has been agreed between PSNC and NHS England as part of the Community Pharmacy Contractual Framework; therefore participation in this campaign is mandatory.Contractors will receive a delivery from Colgate-Palmolive (should be before 5th May) which will include one A3 ‘Monster teeth’ poster (this can be displayed in the public area of the pharmacy for the duration of the campaign) and a range of supporting materials, such as leaflets and brushing charts, which pharmacy teams may wish to give to people visiting the pharmacy.If contractors do not wish to use the Colgate-Palmolive branded materials, they can alternatively, use Public Health England’s (PHE) ‘Top 3 interventions for preventing tooth decay’ as a poster or a prompt to discuss children’s oral health with people visiting the pharmacy.Most pharmacy teams undertook learning on children’s oral health, as part of the last Quality Payments Scheme. PHE’s ‘A quick guide to a healthy mouth in children’ also provides  a short summary of the key advice for parents and carers.

Actions to take before 13th May 1 All patient-facing staff should read the campaign letter from NHS

England (which you should have received from your local NHS England team) to ensure they are familiar with the campaign and what they are required to do;

2 If you do not receive the Colgate-Palmolive promotional materials by 7th May and wish to use these resources as part of the campaign, email: communitypharmacy@nhs.net (please include your ODS code and pharmacy address in the email);

3 Ask patient-facing staff to familiarise themselves with the messages in ‘A quick guide to a healthy mouth in children ’so they are ready to communicate this advice to appropriate visitors to the pharmacy (usually parents or carers of children aged under five) –

Oral health is part of general

health and wellbeing and contributes to

the development of a healthy

child and school

readiness. Tooth decay is the most

common oral disease

affecting children and young people in England,

yet it is largely

preventable.

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patient-facing staff who completed the Centre for Pharmacy Postgraduate Education’s Children’s oral health training assessment as part of the Quality Payments Scheme should recognise the advice relating to children under the age of five in the briefing;

4 Discuss the likely opportunities for when pharmacy staff will be able to provide advice to families and carers of children under five years, for example, when someone is collecting a prescription for a child, or when they purchase a medicine for a child under five years old or purchasing products such as dummies, teething products or baby milk/food; and

5 If you have a shared a list of local dental practices welcoming child patients during the campaign, or there is a local helpline to help patients find appointments, ensure this is available to all patient-facing staff so they can share this information with people visiting the pharmacy.

Please note: The only way NHS England has been able to obtain promotional materials for this campaign has been by agreeing to use branded promotional materials from Colgate-Palmolive. Some contractors may be happy to use these but we are aware that others may not, especially since it states in the Healthy Living Pharmacy quality criteria that ‘All materials should be generic and not promoting a specific brand over another, which can be seen as endorsement or promotional’. PSNC did highlight this issue to NHS England but due to there not being resource to obtain other promotional materials, an agreement was reached that contractors could use alternative Public Health England (PHE) resources instead (please see above for specific details).

 

Local NHS England contract

managers have received an

email from the central team to advise them that contractors can use either the

branded or non-branded (PHE)

resources; therefore they

should be aware of this and

should take this into

consideration if they decide to

visit any pharmacies

during the oral health

campaign period.

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Having listened to the feedback, VirtualOutcomes is changing to make your learning experience better.

The changes are:

1 Much smaller registration form only capturing enough information to enable VirtualOutcomes to provide your management reports

2 Single, whole course library which is far more engaging (see screenshot below)3 CPD Certificate library that retains all certificates in one place for each delegate

This has meant the LPC logos are no longer on every course, however to make it clear that your LPC are supporting your learning, VirtualOutcomes have added the words: "Course provided with support from your Local Pharmaceutical Committee”  at the top of every course (to show the ownership by each LPC).  

I have attached the new Easy Guide, to show how the system now works.  (https://vimeo.com/331178972). Look out for a monthly marketing video which will show new courses available to you.

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Dementia Action Week Lots of opportunities to be a Dementia Friend. It all started with the Dementia Revolution at the London Marathon on Sunday 28 April. Alzheimer’s Society roll on to Dementia Action Week in May and that’s followed by Cupcake Day in June. The big day this year is 13 June, but you can host on any date and anywhere that suits. Get your free Cupcake Day fundraising kit, filled with exciting games, decorations and goodies to help you host your day in your Healthy Living Pharmacy. Dust off your bowls and  sign up now

Healthy Living Pharmacies Northamptonshire on Facebook If you haven’t yet interacted with our Facebook page then please take a moment to look us up! I have been posting one message or more per day (Monday to Friday) since October 2018. Healthy Living Pharmacies (HLP) were a new initiative for pharmacies in Northamptonshire. The essence is this: customers enter a HLP looking for medicine and over the counter prescriptions; they leave armed with relevant information to inspire them on their journey to becoming, or indeed, staying healthy. The focus is on prevention. To help this along I post a large variety of healthcare information and advice signposting people to your doors! Take a look at past posts and feedback to me please and include ideas for future posts. Posts with pictures and videos attract the most people; if you have come across something suitable and interesting, do send them my way. Feel free to share my posts on your own pages. I only ask that you give @HLPNorthants a plug to boost getting the HLP message out there.

Revalidation Renewal is a key process which helps to provide assurance that pharmacy professionals are competent and fit to practise, and that pharmacy premises meet GPhC standards.Both pharmacy professionals and pharmacy premises must renew their registration annually, at least two months before their registration expires. This is required by law.Go to the GPhC website to check your revalidation timeline https://www.pharmacyregulation.org/renewal Are you familiar with the standards required for pharmacy professionals? The standards apply to all pharmacists and pharmacy technicians in Great Britain. There are nine standards that every pharmacy professional is accountable for meeting. In the first year that you submit revalidation records, you will need to carry out, record and submit four CPD records. 

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You will record and submit these records on ‘my GPhC’ https://www.pharmacyregulation.org/news/mygphc-new-system-upgrade

In the second year that you submit revalidation records, and in all following years, you will need to carry out, record and submit four CPD records, a peer discussion record and a reflective account record.Pharmacy professionals with a registration renewal deadline of 31 October will be the first group to submit four CPD records, a peer retire and a reflective account, when they renew their registration. In all following years, you will need to carry out and record:

• four continued personal development (CPD) records, at least two of which must be planned learning activities

• one reflective account• one peer discussion

Take a look at your personal revalidation timeline here https://www.pharmacyregulation.org/your-revalidation-timeline

The previous CPD system, at www.uptodate.org.uk, is no longer available and all content has been deleted.

There is more information on what’s involved in carrying out a peer discussion in the revalidation framework, and on the revalidation resources page.Why not start thinking about finding a peer now so you can try out having and recording a discussion?

If you are completing your reflective account for the first time, the standards you should reflect on are:• standard 3 - pharmacy professionals must communicate effectively• standard 6 - pharmacy professionals must behave professionally • standard 9 - pharmacy professionals must demonstrate leadership

The LPC are proposing to hold a workshop with the support of CPPE to demonstrate how you can apply your knowledge and skills to support people (with a specific predetermined condition) utilising prior learning undertaken and how this can be used to form part of your revalidation journey. During the workshop we would expect you will have the opportunity to • discuss with colleagues how your knowledge of the condition has supported a service user you

have encountered• discuss with colleagues how your learning can be used to complete one CPD entry• help identify a peer and undertake a ‘mini’ peer discussion, highlighting how you can use your

learning in your CPD and revalidation. The event will be about supporting each other through the revalidation process, sharing ideas about how you put your learning in to practice, understanding how to record CPD and to start having those peer discussions.

We also have ideas in the pipeline to help support your reflective account which are very interesting so please watch this space!

Attendance at events whether arranged by LPC, CPPE, CCG or commissioners do tend to be embarrassingly low. Please support these events or they just won't be viable anymore.

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CPPE Asthma Focal Point The aim of this learning programme is for you to consider how pharmacy professionals in all sectors can support people who have asthma. You will apply your knowledge of asthma management and guidelines and explore how you can support people to manage their asthma, reduce complications and improve their quality of life

The first event in our area is at Holiday Inn Express Northampton , Loake Close, Northampton, UK, NN4 5EZ from 19.30-21.15 on Tuesday May 21st. Booking ref 48718

The Milton Keynes event is on Tuesday 11th June from 19.30-21.15 Kents Hill Park Training & Conference Centre, Swallow House, Timbold Drive, Milton Keynes, MK7 6BZ Booking ref 48719

Both workshops will be led by Sue Smith. sue.smith@cppe.ac.uk

For more information and to book please log onto your CPPE account.https://www.cppe.ac.uk/mycppe/login

Pharmacy technicians can sign up for CPPE Accuracy checking pharmacy technician programme, specifically designed to support you to carry out the final accuracy check of dispensed medicines.

Find details of local support groups including Breathe easy, exercise classes and singing groups here https://www.blf.org.uk/support-in-your-area?field_lat_long_distance%5Blocation%5D=nn4+6dz

Asthma is a chronic,long

term condition affecting

5million people in the UK.

Smoking cessation Northamptonshire The commissioners are reviewing their approach to delivering stop smoking services in Northants. They may like to run some events, for contractors currently signed up, to look at the current model and how to improve the stop smoking offer in the county. This will enable the commissioner to explore thoughts alternative models. Following on from this they will run a survey to reach a wider audience.A Champix training event will also be required because a PGD for Varenicline is in the pipeline to enhance the L2 offering currently available. I will be able to update you on this shortly.Some 60 plus pharmacies are currently signed up to provide L2 services countywide. What is your level of engagement though? This is also something the commissioner is interested in.

With immediate effect Nicotine Replacement Therapy (NRT), funded through the public health grant, is available to each quitter for up to 12 weeks in line with NICE guidelines, this includes combination therapy as well as the provision of Champix*. (*not from community pharmacy yet) Having also reviewed the effectiveness and uptake of Bupropion (Zyban), it will not be funded going forward.Public Health do realise that these changes come quickly after the 2018 changes but hope patient outcomes will be improved as a result.

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Transfer of Care around Medicines TCAM is community pharmacist support for patients leaving hospital.When some patients leave hospital they can need extra support taking their prescribed medicines. This may be because their medicines have changed or they need a bit of help taking their medicines safely and effectively.The transfer of care process is associated with an increased risk of adverse effects. 30-70% of patients experience unintentional changes to their treatment or an error is made because of a miscommunication.This is what the Transfers of Care Around Medicine (TCAM) project aims to address.When patients discharged from hospital are identified as needing extra support, they are referred through a safe and secure digital platform for advice from their local community pharmacist.Original work in the North East showed that patients who see their community pharmacist after they’ve been in hospital are less likely to be readmitted and, if they are, will experience a shorter stay.The LPC are exploring the opportunities to introduce TCAM in both Northants and MK. We are working with our hospital colleagues with meetings enabled by East Midlands Academic Health Science Network and Thames Valley Academic Health Science Network.TCAM will enable all suitable patients to be referred to their community pharmacy where appropriate. TCAM is not a commissioned service but a support tool which can be used by community pharmacies if they so wish.

Thank you for reading the LPC newsletter. Please keep an eye on our website for information on your contractual obligations, local events and more.http://psnc.org.uk/northamptonshire-and-milton-keynes-lpc/

Anne-Marie King, Northants and MK LPC Chief Officer (tel: 07889412690 email: chiefofficer@pharmacynorthamptonshire.co.uk)