Minutes

Swindon and Wiltshire LPC Meeting Thursday 12th October 2017, Marlborough Golf Club, Marlborough Common, Marlborough

Item Actions

1. Present: Robert Townsend, Sai Jammigumpala, Kaushik Patel, Aga Jankowska, Zoe Pearce, Sian Williams, Nick Jephson, Lis Jardine (notes), Fiona Castle.Chris Shields was present except 11am-2pmApologies: John Hughes, Paul Hedge, Arvinder Sagar.Guests: Rachel Hobson, Liz Luckett (item 2); Vicky Lofts, Jo Walsh, Ayo Oyinloye, Xenia Bray (item 6)Contractor for potential co-option: Charlie Wu until 1pm.

2. Guests: Rachel Hobson, Liz LuckettWiltshire Antibiotics Guidance

Risks increasing re antibiotic resistance. FC will send link to anticoagulants report to RH

Changes in UTI Treatment adviceIbuprofen may provide symptomatic relief of bacterial infections. Communications re new guidance will be coming out soon.

AKI AuditHighlighted as a useful exercise for pharmacies to participate in. Details available from RPS. Record form available on PharmOutcomes

Flu vaccination – encouraging uptake in at risk groupsGP stats aren’t great. Liz Luckett to approach LMC for joint statement with LPC/NHSE re identifying carers. Poster for dispensary display with ‘this is a carer’ definition? LJ to continue to tweet. Anti-vax letter being passed around, needs an evidence based rebuttal by Public Health England.Vaccine this year is proving a very close match to circulating strains.

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LLLJ

3. Minutes of previous meetingAccuracy

The minutes were accepted as a true record.Items for redaction from publicly published minutes

NoneMatters Arising

CW was unanimously accepted as a co-opted independent LPC member until April 2018.Action Report

Boots developing business case for PGD for sore throat: will trial before wider roll out.Ask Your Pharmacist Week: NPA packs not available to multiples – LPC will concentrate on independents. (Post meeting note – appears some work is being done to distribute materials for joint campaign through company head offices)POD update: collection expectations confused (misleading message on their web site).

Phone problems? Callback request issues? Delivery information not getting through. FC to feed back.Survey Monkey blocked by Lloyds so use PharmOutcomes for POD feedback.eRD: info from AHSN? EPS phase 4 may not update functionality, CW to look into it.MDS ordering on PO: should be obvious which items go in.Change of ownership in Trowbridge: LJ to supply new phone numbers to AJ. Adcroft and Cohens PharmOutcomes contact details are broken.PO flu problems: RT to send list to FC – will feed back to Pinnacle. Awards: need a splash article for nomination encouragement in newsletter.

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4. Chief Officer/Chair ReportsQuality Points published data

Swindon & Wiltshire did v well – just one who FC expected to claim didn’t. NHSmail still problem-solving. All multiples should now be equipped through head office. Newsletter article needed to encourage use of email footers – instructions available.

LPC ElectionsMembership numbers were debated. The membership is currently 12.

Total members CCA reps AIMp reps Independent reps

13 8 2 312 8 2 211 7 2 210 6 1 3

The Committee expressed concern at the loss of so many independents on a 12-member committee. Points made were:

Is it better to increase the membership to keep a balance, as there are nearly double the actual number of independents in the area than AIMp?

Is it the wrong climate to increase numbers – extra cost of £2,500 per year?A vote was taken on the alternative vote system: a membership of 13 was chosen with a majority of 1st preference votes.NJ announced he would be stepping down as Committee Chair in April.

LJ

FC

5. Stakeholder Relationship DevelopmentRelationships for further development

Accountable care in Swindon – invite Tess Green to speak to LPC.Joint event to bring Practice Pharmacists and Community Pharmacists together to talk about POD, EPS etc? At very least collate a list of names to share.

Shared care meeting ZP: Few new contracts signed and returned in Wiltshire – disappointing. FC to speak to Jill Thomas. Steroid NX – FC to add free text box to PharmOutcomes for record. Tender out for Substance Misuse throughout Swindon & Wiltshire. Unlikely to change community pharmacy role, FC will remain alert.

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6. Guests – public health focus: Vicky Lofts, Jo Walsh, Ayo Oyinloye, Xenia BraySexual Health Service – development and trainingVicky Lofts

Guidance changes - double dose of Levonelle if patient BMI over 26. Reminder that weight conversation training is available. Would like to know needs for equipment – scales? New PGD being signed off imminently. Changes minimal, VL to send PharmOutcomes changes to CS/FC. LPC fed back that current PGD does give option to supply the correct

VL

course (just says full pack). VL to chat with Steve Maddern and update.FC to follow up on unreturned contracts.More training needed locally - alongside Swindon? Signposting to copper coil fitters. Suggestion that pharmacists tell VL if they’ve had a difficult consultation so she can follow up sensitively. To note in newsletter.Bulletin – contact VL if you want to be an EHC provider.Doxycycline first line for Chlamydia treatment.

Jo Walsh/Ayo OyinloyeSwindon is updating PGDs too. No contractual arrangement at present (issues with GWH). Will look in to option of supply to over 25s? E.g. PharmOutcomes check box - professional opinion in best interests of the patient. Send Swindon 13+ safeguarding screening tool to FC for recording on PO? Swindon wants to work on pharmacy awareness of the system and improved relationships.‘Young people friendly’ – need a pilot site. Portfolio of evidence (may overlap with HLP?). JW to circulate criteria to FC, committee.

Xenia Bray/CPPE update:Options for Sexual Health training of pharmacists and technicians. Ideally a clinical update to attract attendees but with soft skill element – safeguarding of vulnerable patients.Mental health campaign info still being distributed.Mary Seacole leadership programme available free. XB looking for new/more accessible venues for future events.

Other public health issuesStop smoking training – more dates requested.

Needle Exchange issuesReducing drug litter (Swindon)Increasing complaints about paraphernalia in the streets. May be a national issue. PHS were not collecting returns – should be sorted out now. May move to smaller pack sizes or pick and mix. Hampshire already using this system. FC to look into costings and reimbursements.FC to add NX audit to Wiltshire PharmOutcomes. Introduction of Prenoxad (Wiltshire)Pharmacy supply with NX for replenishment. Poster on hatch, sticker on pack and window. Need training and info around naloxone. Pharmacists will want to know exactly how they should be used and why a pharmacist is allowed to supply!Hold just one in stock.PharmOutcomes: Initials and DOB enough to record. One question – have you been trained?Record batch number/expiry/person supplying?

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JW

JW/FC

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7. Any other businessMidazolam – still coming through as generic not branded. Feedback to MMT. FC