3.00 p.m.
To consider the Oxfordshire Pharmaceutical Needs Assessment (PNA) 2022
Minutes:
The Board considered a report by the Deputy
Director of Public Health, David Munday, RECOMMENDING that the Health and
Wellbeing Board –
(i)
Accept
the draft Oxfordshire Pharmaceutical Needs Assessment (PNA) 2022 for
publication as a report of the Health and Wellbeing Board, and as fulfilment of
the Board’s statutory duty to publish a PNA at least once every three years.
(ii)
Note
that the PNA [had] not identified any gaps in general access to community
pharmacies in the present situation in Oxfordshire and in the expected
situation in Oxfordshire to 2025, that is, during the lifetime of the current
PNA.
(iii)
Note
that NHS Resolution [had] adjudicated that a new pharmacy could be opened in
Upper Heyford in Cherwell.
(iv)
[That]
special note should be made of the situation in the centre of Oxford City,
where there was, at present, one large pharmacy [and that] the public had
identified a need for service improvement and extra choice [and that] a second
pharmacy in central Oxford could provide this.
(v)
Note
that the Valley Park Housing development, west of Didcot, part of the Didcot
conurbation and in Vale of White Horse, may have a future need after building
[was] completed and as the community [matured], but beyond the lifetime of the
current PNA.
(vi)
Adopt
all the Recommendations of the Oxfordshire Pharmaceutical Needs Assessment
2022.
Mr
Munday presented the report.
In
the subsequent discussion, the following points were raised.
(a)
Referring
to the Paragraph starting “Oxford City: Special Note” on page 78 of the
agenda pack, it was noted there used to be two pharmacies in Central Oxford
until the pharmacy in Boswell’s closed in 2020. Given the large community
served by the Boswell Pharmacy, and the high concentration of GPs in the area,
it was proposed that the Board support Recommendation (iii)[1]
on Page 243: Oxfordshire Pharmaceutical Needs Assessment (PNA) 2022 –
Recommendations.
It
was noted that the recommendation would allow NHS England to consider
applications to open a pharmacy in Central Oxford in accordance with the
relevant section of the PNA.
(b)
Regarding
pharmacy opening hours, the Board was advised that all pharmacies were required
to confirm their core opening hours, or any proposed variation to their core
opening hours, with NHS England. It was not practicable to map the core hours
of all 105 pharmacies in Oxfordshire but the requirement that pharmacies notify
NHS England about their core hours was a means of ensuring that there was
sufficient pharmacy provision at different times of the week.
(c)
It
was noted that, during the coronavirus pandemic, GP surgery hours and pharmacy
opening hours did not always correspond, and it was for NHS England to set the
guidelines on opening hours. It was noted that the Oxford Clinical
Commissioning Group (OCCG), the Medicine Optimisation Team, and the NHS England
Regional Teams would liaise on local issues and on how best to coordinate
future working.
(d)
If
there were concerns about local opening hours, which was beyond the scope of
the PNA, it would be appropriate to raise these concerns with NHS England and
there were existing mechanisms for this.
(e)
Under
the Heading “Comments and Emerging Themes from the Consultation on the Draft
PNA: General Issues” on Page 233 of the Agenda Pack, where it was stated that
“Communication between GPs and pharmacists is often not good leading to greater
misunderstandings about medicines and health problems”, it was proposed that
these issues were best dealt with at a local level and had been included in the
PNA to provide a comprehensive overview of the issues relevant to the PNA.
(f)
It
was noted that the arrangement whereby Primary Care Networks (PCNs) were
allocated a PCN Community Pharmacist had been disrupted because of the
coronavirus pandemic.
(g)
The
production of the PNA was a statutory requirement with a defined remit. Issues
beyond the remit of the PNA, such as access times and joint working with
Primary Care, could be considered by the PCN.
RESOLVED: to approve the report’s recommendations.
[1]
Recommendation (iii): "Special note should be made of the situation in the
centre of Oxford city, where there is at present one large pharmacy and the
public have identified a need for service improvement and extra choice. An
additional pharmacy in the centre could meet this need. The steering group That
recommends 48 core hours and 15 supplementary hours for a second pharmacy, to
include opening on Monday to Saturdays and six hours on Sundays…"
Supporting documents: