Thursday 5th September 2019

Sep 2019 Oct 2019 Nov Dec 2019 NHSE –What’s

coming up…

CPAF Verification Visits Commence for select Contractors

(notice to relevant contractors will be provided in advance accordingly). 2nd Public Health Campaign,

AMR, Commences…

CPCF Framework 2019-2024 comes

into force from 01.10.2019.

3rd Public Health Campaign,

Stoptober, commences…

Flu Season continues…

Week1 MUR & NMS Returns via NHSBSA Due (Qtr 2 2019-20):

Contractors must submit MUR electronic returns via the NHS BSA Online form within 10 working

days from the last day of the quarter the data refers.

CPAF Full Questionnaire Open for Selected Pharmacies.

(notice to relevant contractors will be provided in advance accordingly).

Week2 2nd Public Health Campaign (AMR) Evaluation due on PharmOutcomes.

3rd Public Health Campaign (Stoptober) Evaluation Due on

PharmOutcomes

Week3 Preparation for 3rd Public Health Campaign - Stoptober.

Christmas Day 25.12.2019 Boxing Day 26.12.2019

Week4

New Year’s Day 01.01.2020

Thursday 5th Sep 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

IN THIS WEEK’S ISSUE: White Bold Text = New Articles Added This Week. CONTRACT: → Check that Your Pharmacy is Accredited as an HLP Level

1…HERE → The 2019-2020 Seasonal Influenza Vaccination

Service…HERE → Mandatory Public Health Campaigns…HERE IMPORTANT: → CPCS…HERE → Contract Award for Translation and Interpretation

Services…HERE → Supply Issue - Diamorphine 5mg injection…HERE → Submitted Incorrect MUR/NMS Data to the NHSBSA?...HERE → Primary Care Networks (PCN’s)…HERE TRAINNG: → CPPE: Southwest Workshops and Study Days…HERE → Virtual Outcomes…NEW Virtual Outcomes Training

Platform for the new CPCF- NOW LIVE… HERE → Antimicrobial Stewardship…HERE Area Specific: → DEVON: LPC Pharmacy Awards – Nominations Open

Now…HERE → CORNWALL: Community Pharmacy Emergency Supply

Service - Summer Holidays In-Hours Extension…HERE

NHS Community Pharmacist Consultation Service (CPCS)… Contractors are encouraged to register to deliver the NHS Community Pharmacist Consultation Service (CPCS) via the NHSBSA Manage Your Service (MYS) Portal to prepare for the service going live on 29 October 2019. This includes claiming the Transition payment supplement, which will be £900 for those who claim by 1st December 2019. A service specification has been published by NHE England and NHS Improvement on the NHS CPCS registration page on the NHS Business Services Authority’s Manage Your Services portal, which will also host a self-assessment tool; and an NHS CPCS toolkit shortly. The PSNC will also publish a template standard operating procedure (SOP) for the service which contractors can amend and adopt for use in their pharmacy if they wish. The new CPCS service replaces the NHS Urgent Medicines Supply Advanced Service and Digital Minor Illness Referral Service pilots which were funded by the Pharmacy Integration Fund. The new service will offer faster access for patients who will be able to see a pharmacist for a same-day consultation for minor illnesses or urgent medicines supply by calling NHS 111.

PSNC and NHSE&I will be holding a joint webinar for pharmacy teams and others interested in learning more about the service and how to implement it; the date and time of the webinar will be announced shortly. Further detail and links to relevant info is attached.

Thursday 5th Sep 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

Mandatory Public Health Campaigns… Please note that your Contractual AMR campaign runs from Monday 2nd September until Monday 30th September. For efficiency, materials for both AMR & Stoptober campaigns were delivered to all community pharmacies together in the same clearly marked envelope - Packs will have now arrived with pharmacies.

If you have not received your pack please contact

partnerships@phe.gov.uk stating pharmacy name, address and name of the campaign(s) you have not received materials for.

As part of your contractual requirements all pharmacies should participate in the 6 national campaigns, contractually you are required to report back the number of conversations that you undertake, even if it is a nil response. A Crib sheet is attached for your convenience with this task. Please note that only submission of evaluation through PharmOutcomes will be accepted as proof of participation in the campaign.

A range of posters and information pertaining to each campaign is attached.

Contract Award for Translation and Interpretation Services… Following a robust procurement process, NHS England with NHS Improvement and CCGs wish to announce that Language Empire will be providing translation and interpretation services for general practices, pharmacists, optometrists and dentists in BNSSG, Somerset, Devon, Cornwall and Isles of Scilly (DCIOS). The service will start from 1 October 2019 and will replace previous contracts which had been commissioned prior to delegated commissioning of medical services. All the information available is within the letter ‘Translation Procurement’, attached.

The 2019/2020 Community Pharmacy Seasonal Influenza Vaccination Advanced Service Commenced on 1 September 2019… The main changes to the service specification are: • Notification of the patient having received a vaccination can no longer be sent to the patient’s GP practice by fax – see section 3.14 of the service specification for the alternative methods that can be used • Pharmacy contractors are no longer required to ask patients to complete a patient questionnaire after they have received a flu vaccination • Claims for payments must now be made using the NHSBSA Manage Your Service (MYS) platform within 6 months of the activity taking place, or by 31 August 2020 whichever is the earlier – see section 7.2 for further details • Payment per administered dose of vaccine has increased from £7.98 to £8.08; therefore, with the additional fee of £1.50 per vaccination, contractors will receive a total payment of £9.58 per dose of vaccine administered – see section 7.3 for further details Key next steps for contractors: • Familiarise yourself with this service specification. • Ensure your standard operating procedure (SOP) is up to date. • Ensure training of all pharmacists providing vaccinations on behalf of the pharmacy is up to date, and that support staff are aware of the service and eligible cohorts. • Ensure that all pharmacists providing vaccinations on behalf of the pharmacy sign the patient group direction (PGD). • Be aware of expected delivery timelines and storage requirements for vaccines. • Ensure adequate stocks of consent forms and any other relevant paperwork that is not being completed electronically. • Ensure you are registered on the MYS platform so that you can submit claims for payment. Advanced service specification and patient group direction (PGD) available, HERE.

Jump back to the title page of

this bulletin HERE.

Thursday 5th Sep 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

Primary Care Networks (PCN’s)… Primary Care Networks (PCN’s) are a key part of the NHS Long Term Plan, with all general practices being required to be in a network by June 2019, and Clinical Commissioning Groups (CCGs) being required to commit recurrent funding to develop and maintain them. The networks will have expanded neighbourhood teams which will comprise a range of staff such as GPs, pharmacists, district nurses, community geriatricians, dementia workers and Allied Health Professionals such as physiotherapists & podiatrists/chiropodists, joined by social care and the voluntary sector. Under the plans, all general practices will be aligned to a PCN, covering 30,000-50,000 patients, with local Enhanced services funded by CCGs and provided through the new network contracts. The networks will provide the structure and funding for services to be developed locally, in response to the needs of the patients they serve. It is important that community pharmacy teams are fully involved in the work of their PCN. There is lots more information for contractors via the PSNC, HERE, along with dedicated resources and Guidance, HERE.

Supply Issue…Diamorphine 5mg injection… NHS England and DHSC have been notified by Accord that they are experiencing ongoing manufacturing constraints with Diamorphine Injection which will not resolve until early October 2019. To mitigate this, it has been arranged for Wockhardt to supply additional quantities of diamorphine 5mg injection. Unfortunately, an expected batch of 5mg diamorphine was not able to be manufactured. This has led to a need to restrict supply as described below: CMU (Commercial Medicines Unit) and the Medicine Supply team have been working closely with both suppliers of diamorphine and other suppliers of alternative opioids in the formation of a management plan to support the NHS over this period. Diamorphine Injection (other strengths) There are enough stocks of all other strengths of diamorphine injection to support forecasted demand of these strengths in the UK but insufficient stocks to cover the forecasted demand of 5mg strength in both primary and secondary care. >The updated UKMI memo can be found HERE which provides more information about the alternatives to diamorphine, the first line agent being Morphine injection.

Jump back to the title page of this bulletin HERE.

CPPE Southwest Workshops and Study Days… The South West CPPE team have a great programme of CPD learning opportunities planned over the autumn and winter for you. Please take a look at the great choice of events and book your place at: https://www.cppe.ac.uk/mycppe/login Refreshments will be served before the start of our evening workshops, and refreshments and lunch at full day events.

Check that Your Pharmacy is Accredited as an HLP Level 1… Community pharmacy contractors will be required from 1st April 2020 to be a Healthy Living Pharmacy (HLP) Level 1 as part of their Terms of Service. Achieving HLP Level 1 status is also a quality criterion which is part of the Prevention composite bundle for the Pharmacy Quality Scheme (PQS) 2019/20. HLP accreditation is only valid for two years therefore contractors who are currently an HLP Level 1 are encouraged to check the date when they were accredited as an HLP Level 1 to see if they need to start the process of re-accreditation to ensure they will still be accredited for the date of declaration for PQS (this will be in February 2020) and for the 1st April 2020 deadline. Contractors who are not currently HLP Level 1 are encouraged to start the process of accreditation as soon as possible to again ensure they meet the above deadlines.

Thursday 5th Sep 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

Virtual Outcomes…New Training Platform for the new CPCF- NOW LIVE… Over the coming months, VirtualOutcomes will release a library of courses that will help you to understand, implement and maximise the opportunity with the new contract. The first 3 courses are: • New Contract Summary Course • NHS Community Pharmacy Consultation Service • Sepsis Team Training

Access the online training library, HERE.

CORNWALL: Community Pharmacy Emergency Supply Service - Summer Holiday In-Hours Extension… …Will run from Monday 1 July through to Friday 27 September. During this time, pharmacists working in participating pharmacies will be able to supply a sufficient quantity of medication to Cornish residents (up to five days treatment) and to visitors to the area, (up to 14 days treatment) both in and out of hours. The Emergency Supply Service (in-hours and out-of-hours) is only available for UK registered patients. See link to the Cornwall LPC website, HERE.

Devon: LPC Pharmacy Awards…Nominations Now Open… Help celebrate and recognise Community Pharmacy achievements and value across Devon for the previous year. The awards ceremony will take place on 11th November 2019. Categories are: • Community Pharmacist of the Year…………… Nomination Form • Community Pharmacy Team of the Year…… Nomination Form • Pharmacy Team Member of the Year……….. Nomination Form • Community Pharmacy Team of the Year…… Nomination Form • Multi-Disciplinary Working……………………….. Nomination Form • Innovation of the Year………………………………. Nomination Form

Nominations will be open for the awards from July to the end of October. Nominations can come from any source, e.g. patient, CCG, Owner, Company etc. A nomination form can be posted to the LPC (Devon LPC, Deer Park Business Centre, Haldon Hill, Kennford, Exeter EX6 7XX) or emailed HERE.

For more information on the awards, to nominate or any other queries, visit the LPC website, HERE.

Jump back to the title page of this bulletin

HERE.

Antimicrobial Stewardship… CPPE have a range of learning activities to support engagement in antimicrobial stewardship (AMS), improving appropriate prescribing of antimicrobials and educating the public about the problems associated with antimicrobial resistance (AMR). Courses include: • A distance learning programme Antibacterial resistance – a global threat to public health:

the role of the pharmacy team will enable you to learn more about the important role the pharmacy team can play in supporting healthcare professionals and patients to optimise patient outcomes in antimicrobial therapy, while minimising harm.

Or if you prefer a face-to-face learning environment you can sign up to one of the Antimicrobial stewardship workshops: • The Antibacterials floor of theLearningpharmacy.com™ offers bite-sized interactive

challenges that will help you and your team understand such issues as antimicrobial resistance and appropriate antibiotic prescribing, while also supporting patients presenting with winter ailments.

Find out more, HERE, about the challenges experienced in the 2017 campaign; they’re just as relevant now as they were then!

Thursday 5th Sep 2019 NHS England and NHS Improvement – South West

E: england.pharmacysouthwest@nhs.net | W: https://www.england.nhs.uk/south/info-professional/pharm-info/sw-pharm/ | A: Peninsula House, Kingsmill Rd, Saltash, PL12 6LE.

Team Member

Address Telephone

Janet Newport NHS England - South West**

Peninsula House Kingsmill Road Tamar View Industrial Estate Saltash, PL12 6LE **Please note that any items posted to NHS England will NOT be received unless sent to our Saltash office, details above.

01138248777

Michele Toy 01138249612

Sally Dutton 01138248797

Julie Hancock 01138248842

Kath Hughes 01138248784

Hayley Colledge 01138251479

Sarah Lillington 01275 547119

If you have any articles you would like us to include in the weekly bulletin, then please send to our generic mailbox - HERE.

In addition, if you know of any colleagues who would like to receive a copy of the E-Communication each week please send an e-mail with their name, place of work and e-mail address to our generic mailbox and we will add them to our distribution list.

Please see our website “NHS England South West (South) Community pharmacy” for more information and any blank templates, forms and documents. For reference available documents are, Contact Details (UPDATED MARCH 2019); Forms for requesting changes to Core or Supplementary hours; Blank unplanned closure form; links to the Pharmaceutical Needs Assessments (PNAs); links to LPCs; MUR guidance, MUR/NMS blank templates; Significant Incident reporting form; Serious Difficulty application form; and log for 100-hour pharmacies.

…NEWLY ADDED TO THE WEBSITE – Forged Prescription and Medicine Shortage Guidance…

Community Pharmacy Consultation Service (CPCS) Registration NOW OPEN

NHS England and NHS Improvement

Announcement summary

Contractor information

The launch date for the NHS Community Pharmacist Consultation Service (CPCS) has been set as 29th October 2019.

This date has been agreed by NHS England and NHS Improvement (NHSE&I), the Department of Health and Social Care (DHSC) and PSNC as part of the ongoing work to implement the first phase of the service, which will see NHS 111 call advisers referring suitable patients to community pharmacy.

To help pharmacy contractors and their teams to prepare to provide the service, which will connect patients who have a minor illness or need an urgent supply of a medicine with a community pharmacy, the draft service specification has been published on the NHS Business Services Authority (NHSBSA) website; the final version will be published by NHSE&I once it has completed its journey through their internal governance process.

https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/dispensing-contractors-information/nhs-community

A draft version of the toolkit to support pharmacy teams to provide the service will similarly be published in the next few days and the PSNC will also publish a template standard

NHS England South West england.pharmacysouthwest@nhs.net

5th September 2019

operating procedure (SOP) for the service which contractors can amend and adopt for use in their pharmacy if they wish.

Pharmacy contractors can now register to provide the service via the NHSBSA Manage Your Service (MYS) portal. This includes claiming the Transition payment supplement, which will be £900 for those who claim by 1st December 2019.

PSNC and NHSE&I will be holding a joint webinar for pharmacy teams and others interested in learning more about the service and how to implement it; the date and time of the webinar will be announced shortly. As well as this - the PSNC will be running some workshops to give an overview of the CPCF and what this means for contractors. Spaces are still available at the following venues:

Upcoming events in CPCF Roadshow

CPCF Roadshow – Southampton

Sunday, 8 September 2019, 10:00-12:00 Hilton at The Ageas Bowl Southampton

This is one of a series of Sunday roadshow events for community pharmacists across England, hosted by PSNC Chief Executive...

CPCF Roadshow – Bristol

Sunday, 8 September 2019, 15:00-17:00 The Bristol Pavilion, Gloucestershire Cricket Club (Click on the Highlighted text which will take you straight to the page). Further information on the CPCF and the five year funding deal is available here https://www.england.nhs.uk/primary-care/pharmacy/community-pharmacy-contractual-framework/

Antimicrobial resistance campaign – tally sheet

Thank you for your support during this pharmacy contract campaign and for making a positive impact on the health and wellbeing of your local population. We will be producing evaluations for each campaign and will

ensure you receive regular updates on the impact of the campaigns.

Criteria Number of interventions – from Monday 2nd Sept 2019 to Sunday 29th Sept 2019

Total

Example 15

Total conversations regarding the

campaign?

Campaign conversations during

MUR or NMS consultations?

Customers referred to GP due to

campaign?

NHS England and NHS Improvement

Contract award for Translation and Interpretation services in BNSSG, Somerset, Devon and Cornwall. Following a robust procurement process, NHS England & NHS Improvement and CCGs wish to announce that Language Empire will be providing translation and interpretation services for general practices, pharmacists, optometrists and dentists in BNSSG, Somerset, Devon, Cornwall and Isles of Scilly (DCIOS). The service will start from 1 October 2019 and will replace previous contracts which had been commissioned prior to delegated commissioning of medical services. The new provider will undertake the following services:

• interpretation - spoken word NOT including British Sign Language (BSL); • translation - written word or braille transcription.

NHSEI and CCGs will be working with the new provider to ensure the smooth mobilisation of the service. The new provider will be in touch with primary care colleagues shortly to introduce themselves and confirm working arrangements. We have removed British Sign Language (BSL) from the new contract as we did not secure sufficient assurance on the quality of this element of the service. This decision also reflected feedback from engagement with patients and stakeholders ahead of the assessment of bids. We intend to procure this service separately from the current process.

We have contacted current BSL providers with the intention to continue their service for another year whilst we procure this service separately, excluding Devon where the CCG have made other arrangements for medical services. Pharmacy, optometry and dental practices in Devon will continue to be commissioned by NHSEI until the second procurement is completed.

NHS England South West Peninsula House

Kingsmill Road Tamar View Industrial Estate

Saltash PL12 6LE

england.pharmacysouthwest@nhs.net

30th August 2019

South West workshops and study days

Autumn-winter 2019-2020

www.cppe.ac.uk

Your South West CPPE team have a great programme of CPD learning opportunities planned over the autumn and winter for you.

Please take a look at the great choice of events below and book your place at: www.cppe.ac.uk/programmes/e

Click on the titles of the event to go the CPPE webpage for further information where you can also login and book.

Refreshments will be served before the start of our evening workshops, and refreshments and lunch at full day events.

Antimicrobial stewardship workshop The aim of this programme is to support you to develop your skills to engage with patients and the public about antimicrobial stewardship and develop our knowledge and skills to optimise the prescribing of antimicrobials.

Emergency contraception workshop This programme will help you acquire the knowledge, develop the skills and demonstrate the behaviours needed to provide high-quality emergency contraception services under the patient group direction (PgD) in the area the event is held.

Depression optimise workshop This workshop will help you to develop confidence in engaging in person-centred discussions with people with depression.

Location Date - evenings Booking ref.

Bath Wed 09 Oct 49261

Leadership programmes: The NHS Long Term Plan and Community Pharmacy Contractual Framework 2019-2024 provide vital opportunities for pharmacy professionals to become more integrated into the NHS to deliver improved care and outcomes for patients and the public. The following amazing leadership programme opportunities will enable you to develop your leadership skills which you can then use to navigate you and your team through the changes and opportunities currently on offer for community pharmacy.

NHS Leadership Academy Mary Seacole Leadership programme

Places for pharmacists and pharmacy technicians working in Community Pharmacy or Health in Justice have been secured on future integrated cohorts of the NHS Leadership Academy Mary Seacole Leadership programme. Click here to find out more and apply now!

Leadership - Building on your Mary Seacole award: Workshops 1 and 2 (SOUTH WEST) Have you completed the Mary Seacole programme for community pharmacy? If so, CPPE have developed two short linked workshops to support you to take your leadership skills to the next level. You need to attend workshop 1 and 2:

Taunton:

Workshop 1 - Sat 21 Sep 2019 (10.00-13.00)

Workshop 2 - Sat 09 Nov 2019 (10.00-13.00)

Leading for Change programme If you are a mid-to-senior grade pharmacist or pharmacy technician working in primary or secondary care, Health and Justice or the armed forces you are eligible to apply for this fully funded programme.

South West Workshop venue: Doubletree By Hilton, Bradley Stoke, Bristol:

Online access: 16 Dec 2019

Workshop 1: 16 Jan 2020

Workshop 2: 23 Apr 2020 Closing date for applications: 20 Dec 2019

Location Date - evenings Booking ref.

Wimborne Tue 12 Nov 2019 49195

Bristol Wed 13 Nov 2019 49238

Exeter Thu 14 Nov 2019 49332

Location Date - evenings Booking ref.

Swindon Thu 17 Oct 2019 48912

Taunton Tue 22 Oct 2019 49289

St Austell Thu 31 Oct 2019 49401

@CPPESouthWest

@CPPESouthWest

Falls prevention workshop The aim of this programme is to develop your knowledge and skills to help you manage and optimise care patients who are at risk of having a fall and enable the pharmacy team to help prevent and support those who have had a fall.

Clinical medication review study day

This study day will equip you with the knowledge, skills and confidence that you need to engage effectively in clinical medication review of your patients and their medicines.

Sat 21 Sep 2019 (all day) - Cheltenham (ref. 48947)

Care homes, medicines and older people study day This programme is for pharmacy professionals who are new to, or are considering providing medicines optimisation for residents in care homes for older people.

Sun 17 Nov 2019 (all day) - Exeter (ref. 49309)

Mental health and wellbeing study day

This study day focuses on mental health conditions commonly encountered in primary care to help you to support patients with mental health problems and optimise their medicines.

Sun 22 Sep 2019 (all day) - Bristol (ref. 48913)

Polypharmacy focal point workshop

This programme will help you to develop the confidence, competence and communication skills to work in partnership with patients and other healthcare professionals to enable patients to get the most from their multiple medicines.

Location Date - evenings Booking ref.

Exeter Wed 30 Oct 2019 49331

St Austell Thu 07 Nov 2019 49333

Asthma focal point workshop

This programme will help you to apply your knowledge of asthma management and guidelines and explore how you can support people to improve their control, reduce their complications and improve their quality of life.

Location Date - evenings Booking ref.

Plymouth Tue 08 Oct 2019 49400

Weston-super-Mare

Tue 15 Oct 2019 49239

Cheltenham Wed 23 Oct 2019 49262

Wimborne Tue 29 Oct 2019 49194

Dementia focal point workshop (new) This new programme will help you develop your role in the early identification of dementia and to recognise signs and symptoms of its different types, while helping you to deliver improved outcomes and signposting.

Inhaler technique: improving outcomes This programme has been developed for healthcare professionals providing advice to people using inhaled medicines, to optimise their inhaler use and improve outcomes.

Confidence in consultation skills (full day event) This study day has been developed to support pharmacy professionals working in any sector to deliver high-quality, person-centred consultations.

Sun 22 Mar 2020 (all day) - Taunton (ref. 49254)

Location Date - evenings Booking ref.

Bristol Wed 18 Sep 2019 Book via Avon LPC

Bristol Wed 25 Sep 2019 Book via Avon LPC

Dorchester Wed 06 Nov 2019 49197

Bath Tue 17 Mar 2020 49255

St Austell Thu 19 Mar 2020 49242

Location Date - evenings Booking ref.

Yeovil Tue 07 Jan 2020 49210

Wimborne Tue 11 Feb 2020 49196

Location Date - evenings Booking ref.

Taunton Wed 12 Feb 2020 49259

Bristol Tue 25 Feb 2020 49409

CPPE is funded by Health Education England to provide continuing professional development (CPD) opportunities for pharmacists, pharmacy technicians and pre-registration pharmacist trainees providing NHS services in England.

P.T.O