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Andrew Scott-Clark. Pharmaceutical Needs Assessment. Why do PNA. Statutory Required for determining new service provision in the future putting provision of pharmaceutical services in line with other primary care contractors
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Andrew Scott-Clark Pharmaceutical Needs Assessment
Why do PNA Statutory Required for determining new service provision in the future putting provision of pharmaceutical services in line with other primary care contractors Unusual in that part of the statutory requirement is for formal consultation with the public All other needs assessments and service review work we use members of the public to guide the work but this is not specifically laid in statute NHS Constitution is beginning to come close
Structure County wide steering group with lay members, LPC and LMC representation together with KPCA and PCT officers from NHS Eastern and Coastal and West Kent. NHS Medway also invited and have attended. NHS Eastern and Coastal Kent Small internal virtual team to manage the local production and consultation of the PNA
Needs Assessments: general Needs assessments are essentially strategy documents and set out to answer the questions:‘where are we now?’ and ‘where do we want to get to?’ Pure needs assessments (PH viewpoint) are those based from an epidemiological or cohort view point: people with heart failure
Layout Executive Summary: written after consultation Introduction and Background National Policy NHS Eastern and Coastal Kent overview Analysis at Locality level (using district boundaries) Ashford Canterbury Dover Shepway Swale Thanet Summary of conclusions Appendices: 7 containing suite of maps and demographic information.
Associated resources Further health and social needs are published on NHS Eastern and Coastal Kent’s website: http://www.easternandcoastalkent.nhs.uk/about-us/publications-reports-and-strategies/health-and-social-care-maps/ashford/ and on the Kent and Medway Public Health Observatory: http://www.kmpho.nhs.uk/geographical-areas/local-authorities/ashford-local-authority/
Benchmarking Used the national bench mark to compare pharmacies per head of population National benchmark published by the NHS Information Service: latest 2009 Adjusted local analysis for exact number of dispensing patients in a locality Also aligned benchmark with population density to get a feel for adequacy
Conclusions For each locality we’ve concluded that there is adequate pharmaceutical provision We are aware of the cessation of the ESPS and this may have an effect on the one ESPS pharmacy in Canterbury serving the population of the university We are also aware of future potential population growth in Ashford and need will require monitoring We think a number of areas will benefit from greater access through the provision of 100 hour pharmacies especially Dover and Swale We also need to improve the service uptake for specific enhanced services such as EHC in Swale and Thanet and palliative care drugs in Swale
Issues Mapping GIS use the postcode (full digit) to map Some pharmacies do not appear exactly at the correct place on the map You need to tell us Controlled localities Problem with getting all these transferred to GIS Enhanced services No only provided by community pharmacies The version of the truth How many, where, and what do they provide Only as good as the information we have