Agenda and minutes

The Chair welcomed Simon Fogell, Executive Director, Engaging Communities Staffordshire, who had been awarded the contract for Leicester and Leicestershire Healthwatch.

Apologies for absence were received from:-

John Adler                                       Chief Executive, University Hospitals of

Leicester NHS Trust

Andrew Brodie                                 Assistant Chief Fire Officer, Leicestershire Fire and Rescue Service

Councillor Piara Singh Clair         Deputy City Mayor, Culture, Leisure and Regulatory Services

Professor Azhar Farooqi                Co-Chair, Leicester City Clinical Commissioning Group

Chief Supt Andy Lee                     Head of Local Policing Directorate, Leicestershire Police

Ros Lindridge                                   Locality Director Central NHS England, Midlands and east (Central Area)

Dr Peter Miller                                   Chief Executive, Leicestershire Partnership NHS Trust

Dr Avi Prasad                                   Co-Chair, Leicester City Clinical Commissioning Group

Members are asked to declare any interests they may have in the business to be discussed at the meeting.

Members are asked to declare any interests they might have in the business to be discussed at the meeting. No such declarations were received.

The Minutes of the previous meeting of the Board held on 7 December 2017 are attached and the Board is asked to confirm them as a correct record.

RESOLVED:-

The Minutes of the previous meeting of the Board held on 7 December 2017 be approved as a correct record.

The Director of Public Health submits a report on the Pharmaceutical Needs Assessment (PNA).  Consultation on the draft PNA was conducted from 2 October 2017 to 2 January 2018 and the responses to the consultation are summarised in Appendix 1 to the report. 

The Board is asked to:-

•           Note that all mandatory consultation is complete and the PNA is ready for publication.

•           Note the detail of the PNA specifically the recommendations to commissioners.

•           Consider the role of the Health and Wellbeing Board in ensuring the recommendations contained within the PNA are enacted.

•           Consider the role of the Health and Wellbeing Board in supporting the development and accreditation of Healthy Living Pharmacies.

The Director of Public Health submitted a report on the Pharmaceutical Needs Assessment (PNA).  Consultation on the draft PNA was conducted from 2 October 2017 to 2 January 2018 and the responses to the consultation were summarised in Appendix 1 to the report.

The Board also received a presentation which is attached to these minutes.

It was noted that, in addition to the contents of the presentation:-

·         It was expected nationally that there would be a reduction in the number of pharmacies and there would be a continuing trend of pharmacies consolidating and joining together.  The Board was now required to make a statement within 45 days of any consolidation of local pharmacies as to whether the change would make a difference to the area.

·         The City had an above average number of pharmacies per 10,000 population; but their distribution was not evenly spread across the City.

·         88% of pharmacies currently offered Medicine Use Reviews for patients and each pharmacy was permitted to undertake up to 400 per year.  10 pharmacies in the City had undertaken the maximum of 400 reviews but 4 pharmacies had only carried out as few as 9 reviews.

·         New Medicines Service were offered by 76% of pharmacies.

·         45 pharmacies offered flu vaccinations and over 5,000 had been carried out in 2016/17.  The national average for pharmacies offering flu vaccinations was 62% but the proportion of pharmacies offering flu vaccinations in the City was lower.

·         The Council had complied with the new statutory duties.

Members of the Board commented that:-

·         The emerging number of pharmacies situated within supermarkets were acknowledged as being a convenient place to collect prescriptions but it was questioned whether they engaged sufficiently in health promotion campaigns to the same degree as other ‘high street’ pharmacies.

·         There were differing health needs in different parts of the City – for example, the west area of the City had higher incidents of lung conditions/smoke rates and it was questioned whether there was any information to link the take up pharmacies to offer specific services to the health needs of specific localities and how they could be encouraged to deliver services to match those local needs and how better links with NHS England could be established to share data etc.

·         Healthwatch, indicated they had concerns about the low levels of self-care currently used by the public and their awareness of the services offered by pharmacies and wished to work with the Board to increase the level of understanding of services that were available to reduce the pressures on the GP services.

In response to the comments made by Board members it was stated that:-

·         The Local Pharmacy Committee (LPC) were aware that 5-6 pharmacies in supermarkets had carried out approximately 200 health checks in 6 months and that some regular shoppers had established a regular relationship with the pharmacist as part of their daily shopping routines. 

·         The LPC now had statistical evidence that it could share to demonstrate the levels of engagement  ...  view the full minutes text for item 117.

To receive a presentation from Luvjit Kandula, FRPharmS, Chief Officer, Leicestershire and Rutland Local Pharmaceutical Committee.

The Board received a presentation from Luvjit Kandula, FRPharmS, Chief Officer, Leicestershire and Rutland Local Pharmaceutical Committee on promoting the use of pharmacy services to promote health and healthcare management.  Copy attached to these minutes.

It was noted that:-

·         Pharmacy Services were seen as part of an integrated patient care pathway to give patients the skills and knowledge to promote a structured patient led self-care process to assist with the promotion and prevention of both minor and long term illnesses.

·         A shared summary of the patient record was a key factor on this process.

·         Pharmacy Services were already starting to work towards the key recommendations of the PNA to promote the optimal use of pharmacy services in promoting health and healthcare management. and there was a desire to take these forward in partnership with the Board at a local level and as part of the Public Health’s strategic approach in “A Way Forward for Public Health”.

·         The constituent elements of a Healthy Living Pharmacy were outlined in the presentation.

·         Locally there were now 150 qualified level 2 Health Champions and 169 pharmacies were accredited to RSPH Level 1.  These figures did not include those trained by Boots, Lloyds, Tesco and Morrisons etc.  It was further noted that Boots were aiming to put 2 champions into each pharmacy and it was accepted that this needed to be clarified on the presentation.

·         Locally a patient visits a pharmacy 11 times a year and equates to more than 15,000 visits daily in the LLR area.

·         Some pharmacies were facing financial pressures and there were concerns that depending on what the next level of cuts looked like, the government had suggested that 3,000 pharmacies may close.

·         This proposed model had some advantages as it established closer relationship with GPs and was a seamless process with the patients, especially where pharmacies are co-located within GP surgeries or adjacent to them.  Even so, patients would still retain the freedom of choice of where they wished to collect their prescription.

Members of the Board made the following comments and observations:-

·         The JSNA was a living web-based document that was constantly updated and was could not be printed as it was viewed that if the document was enabled to be printed once a copy had been taken people would not go back and view subsequent updates.

·         The STP recognised that increased use of pharmacies and the promotion of patient self-help was seen as one solution to reducing GP pressures.   The expected change in regulation could reduce the number of pharmacies and the likely impact of these reductions were unknown at this stage and some local and community pharmacies would be a loss of a good community  asset

The Chair commented that it would be helpful to have sight of the data that was held by the LPC in order to have a better understanding of the presentation and its implications.  He was also supportive of the Board having a more strategic approach to pharmacies in the  ...  view the full minutes text for item 118.

The Director of Public Health to give a verbal update on the Health and Wellbeing Strategy.

The Director of Public Health to give a verbal update on the Health and Wellbeing Strategy.  It was anticipated that the Draft Strategy would be circulated to Board Members in the next 2 weeks.  Frailty had emerged as a local issue and this was now reflected in the Draft Strategy. Another emerging challenge reflected in the Strategy was recognising the need to provide a way to manage people with multiple long term health conditions, rather than looking at each illness in isolation.

Members were asked to submit comments upon the Draft Strategy when it was circulated.

The Chair to invite questions from members of the public.

There were no questions from Members of the Public.

To note that future meetings of the Board are currently under discussion and will be approved at the Annual Council Meeting on 17 May 2018. 

Meetings of the Board are scheduled to be held in Meeting Room G01 at City Hall unless stated otherwise on the agenda for an individual meeting. 

It was noted that future meetings of the Board were currently under discussion and would be approved at the Annual Council Meeting on 17 May 2018.

Meetings of the Board were scheduled to be held in Meeting Room G01 at City Hall unless stated otherwise on the agenda for an individual meeting.

Minutes of the Meeting of the

Health and Wellbeing Board

Held: Thursday, 7 December 2017at 10:30 am

P R E S E N T :

There were no other items of Any Other Urgent Business.

The Chair declared the meeting closed at 3.10pm.