Section II: Report and Analysis by GP Federation

5. North Sedgemoor

5.1 Pharmacies and Dispensing Practices

5.1.1 The pharmacies and dispensing practices in North Sedgemoor are shown in the tables below:

Table II.5.1 Pharmacies in North Sedgemoor

Enhanced

Services

Advanced

Services

Locally Commissioned

Services

Contract

code

Contract

Name Trading Name Address1 Address2 Address3 Postcode Type Min

or

Ailm

en

ts

Sp

eci

alis

t (P

alli

ati

ve

Ca

re)

Dru

gs

Me

dic

ine

s U

se R

evie

ws

Ne

w M

ed

icin

es

Se

rvic

e

Ap

plia

nce

Use

Re

vie

ws

Sto

ma

Cu

sto

mis

ati

on

Su

pe

rvis

ed

ad

min

istr

ati

on

of

me

dic

ine

Em

erg

en

cy H

orm

on

al

Co

ntr

ace

pti

on

Ch

lam

yd

ia S

cre

en

ing

Bin

s

Sto

p S

mo

kin

g S

erv

ice

Ne

ed

le e

xch

an

ge

FHT28

Axbridge

Square Co Ltd Axbridge Pharmacy

The Medieval

House The Square Axbridge BS26 2AR 40 hr Y Y Y S y y y y

FGN17 Day Lewis plc

Day Lewis

Pharmacy Brent Road Berrow TA8 2JU 40 hr Y Y Y

FEY11 Boots UK Ltd

Boots Pharmacy

(417) 15-17 High Street

Burnham-

on-Sea TA8 1NX 40 hr Y Y Y y y y y

FXE94 Day Lewis plc

Day Lewis

Pharmacy

Burnham Medical

Centre Love Lane

Burnham-

on-Sea TA8 1AX 40 hr Y Y Y y

FF236

National Co-

operative

Chemists Ltd

Co-operative

Pharmacy (200281) 18 Victoria Street

Burnham-

on-Sea TA8 1AN 40 hr Y Y y y y y

FQH69

Tesco Stores

Ltd

Tesco In Store

Pharmacy Ben Travers Way

Burnham-

on-Sea TA8 1EZ 100 hr Y Y y y y y

FF263

Lloyds

Pharmacy Ltd

Lloyds pharmacy

(0771) Church Street Cheddar BS27 3RA 40 hr Y Y S y

FCW38 Tout Ltd Tout's Pharmacy Budgens Cheddar Roynon Way Cheddar BS27 3RB 100 hr Y Y y y y

FDN44

Lloyds

Pharmacy Ltd

Lloyds pharmacy

(6252) 22 Market Street

Highbridg

e TA9 3BT 40 hr Y Y S

FJH13

Lloyds

Pharmacy Ltd

Lloyds pharmacy

(6251)

Highbridge

Medical Centre

Pepperell

Road

Highbridg

e TA9 3YA 40 hr Y Y S y y y y y

FY109

Lloyds

Pharmacy Ltd

Lloyds pharmacy

(0402) 1 Church Street Wedmore BS28 4AB 40 hr Y L S

PHARMACY ENHANCED AND ADVANCED SERVICES: KEY

Minor Ailments Y Commissioned and providing the service (4 or more monthly claims in 2013/14)

L Commissioned but 3 or fewer claims in 2013/14

X Commissioned but no claims in 2013/14

Blank Not commissioned

Specialist Drugs Y Commissioned

Blank Not commissioned

Medicines Use Reviews Y Providing Medicines Use Reviews (max. 400 in a year)

L Carried out less than 24 MURs in 2013/14

Blank No MURs claimed in 2013/14

New Medicines Service Y Providing New Medicines Service

L Carried out less than 24 NMSs in 2013/14

Blank No NMS claimed in 2013/14

Appliance Use Reviews Note: no valid claims made by any pharmacy in 2013/14

Stoma Customisation S Has received Stoma Customisation fee in 2013/14 (paid automatically) but AreaTeam yet to verify whether actually providing this service

Blank No Stoma Customisation fees paid in 2013/14

Table II.5.2 Dispensing Doctors’ Practices and Branches in North Sedgemoor

Contract Code Contract Name Address1 Address2 Address3 Postcode Opening Hours Type

L85601 Brent Area Medical Centre Anvil House East Brent Highbridge TA9 4JD

Monday-Thursday

08.30-18.30; Friday

08.30-12.30, 14.00-

18.30 dispensing GP practice

5.1.2 North Sedgemoor is supported by nine 40 hour pharmacies and two 100 hour pharmacies, one in Burnham-On-Sea and the other in Cheddar. The

rural areas in the north-west of the Federation are supported by Brent Area Medical Centre which is a dispensing GP practice.

Table II.5.3 Number of Pharmacies and Dispensing Practices – North Sedgemoor

Pharmacies Dispensing GP

Total

GP

registered

population

Pharmacies

/100,000

Providers

/100,000 100 hr 40 hr practice branch

North

Sedgemoor 2 9 1

12 48,400 22.7 24.8

Somerset 12 91 22 5 130 554,100 18.6 23.5

South West 1048 181 1229 5,301,000 19.8 23.2

Federation and Somerset Pharmacies, Dispensing GP and population figures as at July 2014, rounded to nearest 100

South West Pharmacies and Dispensing GP figures as at March 2013; population mid-2011 ONS estimate rounded to nearest 1000

5.1.3 The number of pharmacies per 100,000 and the number of pharmaceutical providers in

North Sedgemoor is above that for Somerset and the South West region as a whole. This figure is

only indicative and does not indicate a required or standard ratio for pharmacies per head.

Table II.5.4: Location of Pharmacies in relation to local distribution (Addresses)

Total

Addresses

(2013)

Addresses

within 1.6km of

pharmaceutical

service provider

Addresses more

than 1.6km of

pharmaceutical

service provider

Percentage of

addresses within

1.6km

North

Sedgemoor 22,500 16,300 6,200 72%

Somerset 257,200 193,900 63,300 75%

5.1.4 The number of addresses within effective walking distance of a pharmaceutical service

provider is close to the county average, with just under three quarters of addresses within 1.6 km.

This shows that the pattern of providers very broadly reflects the distribution of dwellings and

workplaces. Access by car (see Map 5.2 in county analysis) suggests that almost all of the

Federation’s population is within 15 minutes’ drive of a pharmacy. There are two 100 hours

pharmacies in the Federation (Tesco in Burnham and Tout’s in Cheddar) that serve to bring almost

all of the Federation’s population less than 20 minutes’ drive from a provider with extended hours

opening.

5.2 Population & context for health (from the Somerset Public Health Federation Profile)

5.2.1 The Federation has a lower proportion of the population aged 0-14 than the Somerset

average and a higher proportion of the population aged 75+ than the Somerset average. North

Sedgemoor has low average levels of deprivation with only 3% living in the most deprived 10% of

neighbourhoods in Somerset and 10% living in the 20% most deprived areas. Wider determinants of

health also show a very favourable picture and often are the best in the county. The Index of

Multiple Deprivation score for the Federation is 13.8. This is much lower than the average for

Somerset of 16.9.

5.2.2 Mortality, causes and places of death

Life expectancy is slightly below average. Premature mortality is the lowest in the county, with 11%

of deaths occurring before age 65 compared to 13% Somerset average. Mortality rates due to

respiratory disorders and COPD are some of the worst in the county. A lower proportion of people

die at home in this Federation compared to any other.

5.2.3 Disease prevalence

5.2.4 Disease prevalence is about average compared to modelled rates. The Federation has the

lowest rates compared to expected levels for asthma and hypertension. Disease levels compared to

the rest of Somerset are slightly lower than average. The proportions of people with diabetes, COPD

and dementia who have been diagnosed is similar to other areas in the county. Overviews of

respiratory and cardiovascular health issues for the Federation are shown in the immediately

following summary pages.

5.2.5 Smoking

5.2.6 Smoking rates are low with only 13% of adults 16+ recorded as smokers compared to 16%

Somerset average. Smoking in pregnancy remains a challenge for the whole county with high rates

compared to the rest of England, although a Federation breakdown is not available.

5.2.7 Excess weight

5.2.8 Rates of adult obesity and childhood excess weight are slightly lower than Somerset average.

5.2.9 Drugs and Alcohol

5.2.10 Hospital admissions for drug and alcohol related reasons are lower than the Somerset

average. However the Federation has the highest rate of drug related deaths.

5.2.11 Sexual health

5.2.12 Cervical screening rates (25-49y) are better than the county average. Rates of teenage

deliveries are much lower compared to the county average.

5.2.13 Immunisations

5.2.14 Childhood vaccination rates are generally excellent. This is a similar situation to last year and

most absolute rates have increased. DH targets are for 95% uptake for all so there is still room for

improvement. Seasonal flu vaccination rates are about average although the Federation achieves the

highest rates for vaccination of pregnant women.

5.2.15 Screening

5.2.16 Similar to last year, cancer screening rates are some of the best in the county. The

Federation has the highest rates of invitation and checking of those eligible for NHS Health Checks

programme, although there is still room to improve against national targets. Notably only 31% of

those in the most deprived population quintile are being checked so a greater focus on this

population segment is recommended to reduce inequalities.

5.2.17 Hospital admission rates

5.2.18 Emergency admission rates are in general the lowest of the county. Against this background,

rates of emergency admission for respiratory conditions are notable for being about average. This is

more attributable to asthma than COPD conditions. As a proxy for mental health, emergency

hospital admissions for self-harm and mental and behavioural disorders are the lowest the county.

5.2.19 Suggested public health areas to prioritise

i. Improve respiratory health

ii. Increase uptake of flu vaccination for those aged over 65.

iii. Increase chlamydia screening rates

iv. Increase delivery of health checks for those in the most deprived population segment.

5.3 Population Growth

5.3.1 North Sedgemoor lies almost entirely within Sedgemoor District, which is projected by the

ONS to grow by 5.9% between 2012 and 2018. The population aged 65 to 84 is expected to increase

roughly in line with the county average, with an increase in the population of 21.7%. However, the

population aged 85 and over is expected to increase by 24.2% which is above the county average.

Approximately 700 dwellings are planned in the Federation to accommodate this growth.

Map II.5.1 Housing Developments and Pharmacy Services in North Sedgemoor

5.3.2 The map indicates the limited scale of housing development expected in North Sedgemoor,

notably in Highbridge, and that the sites of such development are relatively close to existing

pharmacies.

Map II.5.2 Deprivation and Pharmacy Services in North Sedgemoor

5.3.3 The map, showing Somerset quintiles of deprivation in the 2010 Index of Multiple

Deprivation, indicates that deprivation levels are low across the Federation, except in the areas

around Highbridge and Burnham-On-Sea where there is pharmaceutical provision.

5.3.4 North Sedgemoor is a relatively prosperous part of the county with a good range of

pharmaceutical services and effective provision. It is unlikely that existing pharmacies and

dispensing practices would fail to cope with the comparatively low levels of expected growth.

5.4 Conclusion

5.4.1 The population of North Sedgemoor is well served by existing providers of pharmaceutical

services. There are no expected changes in population need that lead the Board to conclude that a

gap in provision will emerge in the period of the PNA.