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How are you helping your customers to Discover their Local Pharmacy?

The “Today in my Consultation

Room” PharmOutcomes

record shows ten different

pharmacies have recorded

activity on nineteen different

days - here is a chart showing

what they are doing:

You could:

• Promote flu vaccination

to all at risk groups –

especially targeting

those in at risk groups

under the age of 65 and people who may be carers (see page 5)

• Pick a target group for MURs and similar services – perhaps identify

regular patients who are community influencers (e.g. Parish

Councillors, members of the GP Patient Participation Group)

• Promote your Stop Smoking Service (Christmas Savings Scheme?)

• Shout about your recent Healthy Living Pharmacy accreditation –

encourage Healthy Living Champions to put their new-found

knowledge and skills into practice

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Salisbury Hospital are trialling the use of FP10s for medicines prescribed by Ophthalmology and

Dermatology clinics. Pharmacies in the area should expect to see around 100 prescriptions per month in

total coming out of these clinics. The hospital will continue to supply any Specials and unlicensed medicines

– so these prescriptions should be for standard, routinely prescribed creams and drops. These will just be

hand written prescriptions at the moment.

MDS referrals from hospital

Wiltshire Healthy Weight 4 Life e-toolkit I am pleased to announce the launch of the Wiltshire Obesity Strategy’s Healthy Weight 4 Life e-toolkit at

http://www.wiltshire.gov.uk/public-health-weight which provides a range of information to support people

to maintain/achieve a healthy weight across the life course.

There is also a separate page for Health Professionals at http://www.wiltshire.gov.uk/public-health-weight-

professionals, which includes information on the following: Wiltshire obesity strategy; Wiltshire’s tier 2

weight management care pathway; universal services across the life course; specialist services across the life

course; guidance on measurements across the life course; raising the issue of weight training information

and upcoming training dates.

Please share this new resource with your contacts, but note the Health Professionals page should not be

shared with members of the public.

Katie Davies

Public Health Specialist – Life Course Obesity, Public Health Wiltshire

We have recently collated feedback on the referrals

that pharmacies have been receiving from RUH Bath

over the past few months, and more recently started

to receive from Salisbury.

There have been 342 referrals to date, of which:

• 220 “useful”

• 20 “unsure whether useful or not”

• 10 “not useful”

• 34 not acknowledged by pharmacy

• 13 rejected

At 64% ‘useful’, these referrals are definitely worth

looking out for. I wonder how many of the 34 that

were ignored by the pharmacy would have helped a

patient?

Reasons for the 13 rejected included:

• Wrong pharmacy

• Patient changed pharmacy at discharge

• Patient readmitted

There were 24 free text notes completed:

• 2 didn’t know the patient was in hospital

• 6 gave information confirming the value of the

referral

• 1 stated that this discharge information was

different to the one supplied to the GP Practice

• 1 would have liked more information

• 4 accepted, but wrong pharmacy or unaware of

patient

• 8 information received too late (including 2

readmitted and 2 deceased)

• 3 didn’t say anything of value

More Salisbury hospital prescriptions

3

Take this opportunity to give a boost to your most

valuable asset - your team. Praise for your high

performers will instil self-belief and give them the

confidence to grow!

Community Pharmacist of the Year

Have you or a pharmacist you know in Swindon and

Wiltshire done something special? Tell us about it!

Pharmacy Colleague of the Year

Is there a special member of your team who does

that extra something to make patients/customers/

the rest of the team take notice? Tell us about it!

Public Health Initiative

As we move forward with Healthy Living Pharmacy

in the area, tell us about something that you are

doing in your pharmacy! It could be a great Stop

Smoking Service; something in collaboration with

another local team (e.g. Rotary/Health Trainers/

schools); fantastic health promotion in your

pharmacy… We would love to hear about it all!

Pharmacy Friend

Tell us about someone working for another

organisation that does something special to help

your pharmacy integrate into the “patient pathway”

and how you are working together!

Engagement Award

This award will be made based on data available to

the LPC about performance in Advanced Services

and the range of Locally Commissioned services

which are actively provided.

Please use the nomination form enclosed with this

newsletter, or the online form at http://bit.ly/2f8elLZ

Photocopy the form or use the online version if you

want to nominate in more than one category!

Nominations must be submitted by 15 February 2018.

Lis

Help us to help you encourage your staff!

Public Health at Swindon Borough Council is supporting the national campaign (18th - 25th November 2017)

to increase awareness of HIV and to encourage anyone at risk to take an HIV test. We are particularly

encouraging residents in Swindon, to take the opportunity to test in the privacy of their own home, by

using the HIV home-sampling service by going to www.test.hiv and following the prompts. Swindon Bor-

ough Council are signed up to the service and it is available to anyone at risk of HIV, resident in Swindon.

Details of the national campaign, run by HIV Prevention England can be found at the campaign website and

we are encouraging all GP surgeries and pharmacies in Swindon, to join in and promote regular HIV testing.

For further details contact Angela Smith, Public Health Specialist: HIV Prevention on 07980940631 or at

Angela.Smith@swindon.gov.uk.

HIV National Testing Week

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Smartcard governance in Pharmacies Michelle Wheatsheaf, RA Manager for NHS South,

Central and West Commissioning Support Unit,

contacted the LPC recently and asked us to circulate

the following, to improve the governance around

Smartcard use/issue.

Our working model is that each pharmacy has:

• a Sponsor (someone who approves Smartcard

access for users in that pharmacy), who can also

unlock cards that become blocked on site

• additional card unlockers if necessary to maintain

business continuity

• a RA Agent ID checker (someone who can check

ID documents and create a new smartcard user)

depending on whether that pharmacy wants to

take this on in house or would prefer to send their

staff to us for registration.

It is absolutely essential that all pharmacies have a

sponsor as this person gives us the authority to

assign access to someone in their store (or can in

fact do this themselves, along with removing access

too). In some of the chains we find that area

managers take on some of these roles for all

branches they cover.

A pharmacy sponsor is also responsible for their

staff’s Smartcard access, including removing it as

soon as someone leaves. This has become

increasingly important now SCR access can be

gained. The Smartcard Office are very seldom

informed when staff leave pharmacies and often find

that when they need to contact the sponsor who had

been set up, the Sponsor has since left.

Quality Points It can’t have escaped anyone that the next Quality Points deadline is close! Here is a reminder about the

“little things” that we are aware can be overlooked...

• New staff have had dementia friends training (to maintain 80%)

• New registered staff have completed safeguarding training (to maintain 80%)

• You are using Summary Care Records as part of routine practice (https://digital.nhs.uk/summary-care-

records/community-pharmacy/calculate-scr

-use-quality-payments)

• Check your DOS Entries (this is

different to the NHS Choices website) at

https://dos-profile.service.nhs.uk

There is also a video available on how to

complete the online tool: https://

digital.nhs.uk/directory-of-services/profile-

updater-guidance

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Carers need flu jabs

NHSmailbox: set up a footer Please watch this helpful video on setting an email signature and out of office in NHSmail. The relevant

sections start 4 minutes and 29 seconds into the video: http://support.nhs.net/advanceemailuse

We would like to encourage all pharmacies using NHSmail to set an

email signature with the name, address and telephone number of

the pharmacy as this gives your messages a much more

professional look.

We think your signature should look like the picture right, unless

you have specific guidance from your Head Office!

Carers UK says

“If you are the main carer for an elderly or disabled person who may be put at risk if you fall ill, and/or if you are in receipt of Carer's Allowance, you should be offered a free flu jab, according to government policy.”

PSNC has worked with Carers Trust to develop resources to help you identify carers who may be eligible for a flu vaccination. These include a 60-second pharmacy flu chat (see http://bit.ly/2z88jRo), which can be used to engage with someone who you think is a carer.

This suggests that pharmacists should offer to mention to a carer’s GP practice that they are a carer when they send the flu vaccination notification form to the practice. If the carer’s GP practice is aware that they are a carer, they can ‘tag’ their medical records so that everyone in the practice team will know that they are a carer.

Some practices may then offer the carer more flexible appointments (or home visits if the carer struggles to attend appointments). GPs and other healthcare workers at the practice will also be able to take into account the particular stresses and strains that being a carer might have on the person’s health.

If the carer becomes seriously unwell and is no longer able to provide care, it’s important that the practice is aware that the person is a carer so that alternative support can be put back in place for the person they look after as well.

See more useful PSNC resources at http://bit.ly/2gVGljA

Your pharmacy should sign up with the Carer Support group in your area (i.e. Carers in Wiltshire https://carersinwiltshire.co.uk/ or Swindon Carers https://www.swindoncarers.org.uk/).

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The revised service specification and PGD to enable care

workers employed by residential homes or

Domiciliary Care Agencies to receive NHS Flu vaccination

should be published shortly (mid-November).

Remember:

• You cannot vaccinate this group under the NHS

scheme until these are published

• You must then download and sign the revised PGD!

In Swindon and Wiltshire, young people are very for-

tunate to have excellent Outreach Nurses who will

follow up on sexual health issues, including access to

EHC through pharmacy.

When you record a consultation on PharmOutcomes,

and the client gives consent for follow-up, an

automated referral is sent. This includes free text

comments you may make. The nurses really value

these comments! Vicky Lofts from Wiltshire says “if

you have had a difficult consultation, or just have a

niggle that the client isn’t telling you everything, just

jot down a note about it in the “comments” box and

I will follow up sensitively.”

Wiltshire:

• If you would like to offer the “No Worries”

services, please contact Vicky Lofts at

Victoria.Lofts@wiltshire.gov.uk

• If you are treating Chlamydia – please remember

that Doxycycline is the first line choice

It is more effective

It is cheaper

Use Azithromycin if you are concerned that

the client will not be able to complete the

full doxycycline course

• When supplying EHC, remember that a copper

coil is by far the most effective method of

emergency contraception.

Ensure you know the details of local coil

fitters (GPs and clinics)

Tell the patient about the coil and encour-

age them to have this as well as the tablets

you are providing

Remember the question “How important is

it to you that you are NOT pregnant”

Swindon:

Pharmacies commissioned to provide the service

should have received copies of the “extended” PGDs

to keep you legal. New PGDs to take into account

updates will be circulated as soon as possible. The

new PGDs will reflect the reduced efficacy of

Levonnelle when the patient is overweight, changes

to the Ella-One license. We expect that pharmacies

will be able to supply Ella One on PGD shortly in line

with the latest guidance.

Training:

Training for sexual health services will be organised

for early 2018!

Sexual Health commissioning update

Wiltshire Needle Exchange pharmacies

Please look out for Naloxone supply specification coming out soon!

Flu Vaccinations for Care Workers

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Bi-monthly Swindon Diabetes Education Forum

Tuesday, 21 November, 2017, 18.30 registration, 19:00-20:00

The Holiday Inn Hotel, Swindon SN3 6AQ

“DVLA and Diabetes”

This 1 hour educational content has been accredited by the CPD Certification Service and is aimed at

Healthcare Professionals with a special interest in Diabetes.

Stop Smoking Practitioner Training Day

Friday, 1 December, 2017, 9am - 4pm

The Meadows, Penhill, Swindon

If you are interested, please book at:

https://www.eventbrite.com/e/stop-smoking-practitioner-training-tickets-39397549130

Raising the Issue of Weight

Tuesday, 5 December, 2017 9.30am-1pm.

Potterne Scout Hut, Devizes

The 3½ hour training session delivered by Public Health at Wiltshire Council, will guide practitioners through

the support and provide the opportunity for practical support to put the skills learnt into practice.

Book at https://www.eventbrite.co.uk/e/raising-the-issue-of-weight-training-tickets-37941877176

Stop Smoking level 2 practitioner training

Wednesday, 24 January, 2018 09:30 – 16:30

Salisbury City Hall, Malthouse Lane, Salisbury SP2 7TU

Booking is at :https://www.eventbrite.co.uk/e/wiltshire-stop-smoking-level-2-practitioner-training-january

-2018-tickets-31963430481?aff=es2

NEW DATE! Patient Centred Anticoagulation Training Wednesday, 21 February, 2018 18.30 – 21.00

Holiday Inn Salisbury-Stonehenge, Solstice Park, Amesbury

It is a free session (venue and food sponsored by pharma).

Booking is via an Eventbrite link where more information can be found:

https://www.eventbrite.co.uk/e/patient-centred-anticoagulation-training-a-wessex-wide-programme-

tickets-36856132685

LPC Community Pharmacy Awards 2018 Wednesday, 28 February, 2018

Food from 6.30pm, presentation begins 7.30 pm

Chippenham Golf Club, Malmesbury Road SN15

Nominations are now open for the Swindon and

Wiltshire LPC ‘Community Pharmacy Awards’.

Please use the form at http://psnc.org.uk/swindon-and-wiltshire-

lpc/our-news/community-pharmacy-awards-2017/ to nominate a

staff member, a colleague or yourself.

Upcoming events

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Check for NHS111 info

Swindon Borough Council is

looking to work in partnership

with two community

pharmacies in Swindon to pilot

the introduction of the South West Young People Friendly quality

assurance programme. Young People friendly is a framework for local

services to be assessed and verified against the nationally recognised

Department of Health 'You're Welcome' criteria and is based on the

following 6 areas:

• Access and Environment

• Staff Training, Attitudes, Confidentiality and Consent

• Involvement of Young People

• Publicity and Joined-Up Working

• Health and Wellbeing Issues for Young People

• Sexual and Reproductive Services (clinical settings only)

The quality mark is straightforward and will indicate that a service has

achieved 'You're Welcome' and has been verified and moderated

locally. The criteria identifies good practice in supporting young

people's health and well-being, whilst also supporting providers to

improve services by helping to recognise any gaps and implementing

development plans to ensure high quality services. The quality mark is

valid for a period of 3 years.

To register your interest in becoming a Swindon pilot site please email:

Jo Walsh, Senior Commissioner for Public Health, Swindon Borough

Council jowalsh@swindon.gov.uk by 30th November 2017.

Swindon Community Pharmacy Pilot

Keep checking your new NHS mail shared inboxes! Fiona has arranged

for you to receive detailed information from NHS111 if they refer a

patient to you. A pharmacist who has already received one of these

notifications commented on how useful it is. There is no obligation on

you to follow up on a patient where you have received this information

but they have not come to you. However, it is worth a check if a

patient tells you that “NHS 111 sent me”.

The LPC is here to help and advise pharmacy contractors in all NHS

matters and to improve pharmaceutical

services to the local population.

Please get in touch if

there are any questions or issues that we can

help you with.

We’d love to know what you think of our

newsletter; if you have any feedback, please contact Lis Jardine.

Committee members

Chair: Nick Jephson

Vice-Chair: Chris Shields

Treasurer: Robert Townsend

Members: Paul Hedge Sian Williams Arvinder Sagar Aga Janowska Charlie Wu Kaushik Patel John Hughes Zoë Pearce Sai Jammigumpala

Chief Officer:

Fiona Castle 07565 537319 fiona.castle@ lpcoffice.org.uk

Communi-cations Officer

Lis Jardine lis.jardine@ lpcoffice.org.uk

LPC

Support

Officer

Ilyas Piperdy 07985 308539 support@ lpcoffice.org.uk