Draft Peterborough Pharmaceutical Needs Assessment (PNA) 2018


1. Introduction

What do you think about local pharmacies and GP dispensaries in Peterborough?

About this consultation

We, the Peterborough Health and Wellbeing Board (HWB), are looking at whether we have enough providers of pharmaceutical services for the population of Peterborough. Pharmaceutical services include filling prescriptions, selling medicines that don’t need to be prescribed by a doctor, giving advice about medicines, supporting people to quit smoking, and other services. These services can also supply appliances.
We have written a report called a Pharmaceutical Needs Assessment (PNA) based on information about local health needs and existing services and results of a survey with local pharmacies and GP dispensaries. This report will be used by NHS England when making decisions on applications to open new pharmacies. 
What is the purpose of the consultation?

We want to know your thoughts about what we have written about pharmaceutical services in Peterborough, and if the PNA covers what is important to you regarding the pharmaceutical services you need. We want to know how easy it is for you to get and use medicines or medical equipment safely and access the services you need or want from pharmacies.  Your views will be summarised and included in the final report.
Please give us your feedback. A summary below describes the key findings in our draft report.  More detail is also available in the executive summary or the full draft PNA document which is available online at www.peterborough.gov.uk/healthcare/pna 

Timeline for the consultation
This consultation will run from 23 October 2017 to 23 December 2017.  This is the time you have to comment on the draft of the PNA.
We will revise the draft based on the feedback we get, and present a report to the Peterborough Health and Wellbeing Board. We plan to publish the final PNA by the end of March 2018.

Please complete the following survey to let us know your views by 23 December 2017
Please click "next" below to begin the survey.

If you would like a copy of this document either in paper format, large print or in other languages please email us at: 

The information you are providing will be held in accordance with the Data Protection Act 1998.

On clicking “next” you confirm you are happy for your response to be used in the consultation analysis and results. Your responses may be included as valid answers, even if you do not click “Submit” at the end of the survey.
Summary of Key Findings from the draft Peterborough Pharmaceutical Needs Assessment (PNA) for 2018

Local pharmaceutical services in Peterborough

Peterborough is well provided for by pharmaceutical service providers. This PNA recommends that no new NHS pharmaceutical service providers are needed across Peterborough at present.  There are 41 pharmacies across Peterborough and three GP dispensaries. This works out at 23 pharmaceutical service providers per 100,000 people in Peterborough, which is the same as the England average. The East of England average is only slightly higher at 24 per 100,000.  

We recognise that this may change during the next three years. The local population is forecast to increase substantially in the coming years with an average expected increase of approximately 3,650 people each year between now and 2021. Several large-scale housing developments are in progress and a number of factors may influence the potential need for additional pharmaceutical service providers. The Health and Wellbeing Board partners will monitor the development of major housing sites and produce additional information to this PNA when necessary, to ensure that appropriate information is available to determine whether additional pharmacies might be required.
90% (37) of pharmacies and one of the three GP dispensaries responded to our PNA questionnaire about service provision. 92% of the responding pharmacies did not consider there to be a need for further pharmaceutical service provision in their locality.

There appears to be good coverage in terms of opening hours for most days of the week. The extended opening hours of some community pharmacies are valued and should be maintained. Five pharmacies are commissioned by NHS England to open for 100 hours a week and the out-of-hours provider, Herts Urgent Care, is required to arrange medications when clinically necessary until a community pharmacy opens.
Most pharmacies (95% of respondents) and the one responding GP dispensary reported that they offer some kind of home delivery service which can help to provide medications to those who do not have access to a car or who are unable to use public transport. Many pharmacies and dispensaries also report they have wheelchair access.

Page 2 - Summary of the PNA (continued)

The role of pharmacy in improving the health and wellbeing of the local population
Providers of pharmaceutical services have an important role to play in improving the health of local people. They are easily accessible and are often the first point of contact, including for those who might otherwise not access health services.

Community pharmacies can contribute to the health and wellbeing of the local population in a number of ways, including providing information and brief advice, providing on-going support for behaviour change, motivational interviewing, and signposting to other services.

As part of their national NHS contract, all pharmacies offer services to support individuals to understand their medicine and ensure they take them safely. 29 community pharmacies (78% of respondents) reported that they offer flu vaccinations to those at risk under the NHS Seasonal Flu vaccination programme, commissioned by NHS England. The Cambridgeshire & Peterborough Clinical Commissioning Group also employs a small team of CCG pharmacists and pharmacy technicians to work collaboratively with General Practices and care homes to rationalise prescribing, optimise medicines usage and reduce medicines waste.

Many pharmacies are commissioned (paid) by Peterborough City Council Public Health department to play a role in supporting particular healthy behaviours. These include helping people to give up smoking, contraception and sexual health services, and specialist drug and alcohol treatment and support:
  • Stop smoking activities in community pharmacies in Peterborough have decreased, and there are still many community pharmacies that do not provide a smoking cessation service. There is potential for further development in this area.
  • All pharmacies in Peterborough have been offered the opportunity to deliver the Emergency Hormonal Contraception service and 12 pharmacies are currently signed up to do so. Chlamydia screening is offered when Emergency Hormonal Contraception is provided, since those requiring such contraception may also be at risk of infection.
  • Public Health commission CGL Aspire to provide specialist drug and alcohol treatment across Peterborough. CGL Aspire sub-contract a number of pharmacies to provide the following services: needle and syringe exchange, supervised administration, naloxone kits, blood borne virus screening and alcohol brief interventions.
  • All pharmacies support six public health campaigns every year which involves putting up posters and offering information, as part of their NHS contract.
Peterborough Health and Wellbeing Board consider community pharmacies a key public health resource and recognise that they offer potential opportunities to commission health improvement initiatives and work closely with partners to promote health and wellbeing. Pharmacies are encouraged to bid for local health improvement contracts to provide services. Commissioners are recommended to commission service initiatives in pharmacies around the best possible evidence and to evaluate any locally implemented services, ideally using an evaluation framework that is planned before implementation.