HDA Media And Political Bulletin – 2 March 2016

Local elections will raise awareness of cuts, says Labour MP

C&D, Samuel Horti, 01 March 2016


Michael Dugher, a Labour MP, stated that May’s local elections will put pressure on the government to review its planned cuts to community pharmacy.  Mr Dugher claims the cuts are illogical and inconsistent with the government’s objective to promote the use of community pharmacy.


Further coverage on proposed Government reforms to community pharmacy can be found on C&D here, Dispensing Doctors’ Association, and Pharmacy Biz.


Parliamentary Coverage

NHS England: NHS Chief announces plan to support ten healthy new towns


The head of NHS England will today announced plans to create ten NHS-supported ‘healthy new towns’ across the country, covering more than 76,000 new homes with potential capacity for approximately 170,000 residents.


Simon Stevens, Chief Executive, will use a speech to the Kings Fund in London to name the sites that form NHS England’s  Healthy New Town programme , supported by Public Health England (PHE).


The NHS will help shape the way these new sites develop, so as to test creative solutions for the health and care challenges of the 21st century, including obesity, dementia and community cohesion. NHS England is bringing together renowned clinicians, designers and technology experts to reimagine how healthcare can be delivered in these places, to showcase what’s possible by joining up design of the built environment with modern health and care services, and to deploy new models of technology-enabled primary care.


Mr Stevens says:  “The much-needed push to kick start affordable housing across England creates a golden opportunity for the NHS to help promote health and keep people independent. As these new neighbourhoods and towns are built, we’ll kick ourselves if in ten years time we look back having missed the opportunity to ‘design out’ the obesogenic environment, and ‘design in’ health and wellbeing.


“We want children to have have places where they want to play with friends and can safely walk or cycle to school – rather than just exercising their fingers on video games. We want to see neighbourhoods and adaptable home designs that make it easier for older people to continue to live independently wherever possible. And we want new ways of providing new types of digitally-enabled local health services that share physical infrastructure and staff with schools and community groups.”


Expressions of interest in the Healthy New Towns programme were invited last summer, and attracted 114 applications from local authorities, housing associations, NHS organisations and housing developers, far exceeding expectations. After a rigorous selection process and presentations from the shortlisted projects, the first ten sites have now been chosen:


•           Whitehill and Bordon, Hampshire  – 3,350 new homes on a former army barracks. A new care campus will co-locate ‘care-ready homes’ specially designed to be adaptable to the needs of people with long term conditions with a nurse-led treatment centre, pharmacy and integrated care hub.

•           Cranbrook, Devon  – 8,000 new residential units. Data suggests that Cranbrook has three times the national average of 0-4 year olds and will look at how prevention and healthy lifestyles can be taught in schools from a young age.

•           Darlington  – 2,500 residential units across three linked sites in the Eastern Growth Zone. Darlington is developing a ‘virtual care home’ offer where a group of homes with shared facilities are configured to link directly into a digital care hub, avoiding institutionalisation in nursing homes.

•           Barking Riverside  – 10,800 residential units on London’s largest brownfield site.

•           Whyndyke Farm in Fylde, Lancashire  – 1,400 residential units.

•           Halton Lea, Runcorn  – 800 residential units.

•           Bicester, Oxon  – 393 houses in the Elmsbrook project, part of 1300 new homes planned.

•           Northstowe, Cambridgeshire  – 10,000 homes on former military land.

•           Ebbsfleet Garden City, Kent  – up to 15,000 new homes in the first garden city for 100 years.

•           Barton Park, Oxford  – 885 residential units.


Options to be tested at some of these sites include fast food-free zones near schools, designing safe and appealing green spaces, building dementia-friendly streets and ensuring people can access new GP services using digital technology. The developments will reflect the needs of their local populations when working up their plans. Design questions being asked include: Why are children happy to walk all day round a theme park but often get bored on every-day journeys?  Could adventure areas be designed into streets to encourage walking and play? And for the aging population, How far away are we from a town where more older people live independently and safely in their own home, backed by better technology and social support?


Mr Stevens will point to facts showing that:

•           Britain loses over 130 million working days to ill-health each year.

•           19 per cent of children aged 10-11 were obese and a further 14 per cent were overweight in 2014/15.  The figures for 4-5 year olds were 9 per cent obese and 13 per cent overweight. In other words, the proportion of children who are obese doubles during primary school – from one in ten five year olds, to one in five eleven year olds.

•           Today only 21 per cent of children play outdoors, compared to 71 per cent of their parents when they were children, Design Council figures show.

•           A Design Council guide also estimates that a quarter of British adults now walk for less than nine minutes a day.

•           Physical inactivity is a direct factor in 1 in 6 deaths, and has an overall economic impact of £7.4 billion.

•           The Building Research Establishment has published a report on the cost of poor quality housing to the NHS. It estimates that the 3.5m homes in England that have serious hazards such as damp and pests has led to health problems that cost the NHS at least £1.4bn every year.


Professor Kevin Fenton, National Director for Health and Wellbeing at Public Health England said:  “Some of the UK’s most pressing health challenges – such as obesity, mental health issues, physical inactivity and the needs of an ageing population – can all be influenced by the quality of our built and natural environment. The considerate design of spaces and places is critical to promote good health. This innovative programme will inform our thinking and planning of everyday environments to improve health for generations to come.


“PHE is proud to have played an active role in the development of the Healthy New Towns programme and we will continue to support the delivery of high quality, healthy environments.”

Full Coverage

Hub and spoke liability queried in future of pharmacy consultation

DDA, Alisa Coquhoun, 01 March 2016


The pharmacy regulator has weighed into the debate about the future of community pharmacy with concerns about the changes to accountability suggested by new ‘hub and spoke’ models.


In a response to the Department of Health consultation about realising efficiencies in the community pharmacy network, the General Pharmaceutical Council (GPhC) points out that moves to enable a hub and spoke model across different legal entities and a related ‘spoke’ raise significant issues of responsibility, accountability and liability. “[These] will need to be worked through,” it says.


In the DDA’s response to the consultation, DDA chairman Dr Richard West has called for hub and spoke legislation relating to dispensing doctors to be amended in line with amendments affecting community pharmacies, so that rural patients are not disadvantaged.


The GPhC’s response also notes the Government’s intention to move forward with changes to the framework for supervision within pharmacy, which could see pharmacies operate in the physical absence of a pharmacist. “Getting this right will be important if outcomes for patients are to be improved and opportunities for pharmacy are to be realised,” says the regulator, which has pledged to discuss the regulatory implications in the Rebalancing Medicines Legislation and Pharmacy Regulation Programme workstreams.


Government plans to decimate pharmacy? I utterly reject that, Burt insists

Pharmacy Biz, Neil Trainis, 01 March 2016


The social care minister Alistair Burt has insisted he “utterly” rejects the idea that the government will decimate the community pharmacy sector with its controversial austerity measures.


Speaking at the launch of a Royal Pharmaceutical Society report on medicines in care homes at a King’s Fund event, Burt (pictured) dismissed charges levelled by influential pharmacy figures that the 6% cut in pharmacy revenue as well as the promotion of a hub and spoke and click and collect model will ruin community pharmacy.


Ian Strachan, chairman of the National Pharmacy Association, has insisted the measures will “disable community pharmacy and marginalise it.” Sue Sharpe, the chief executive of the PSNC, has been another staunch critic of the plans.


“This is the time to embrace developments in technology to provide the best possible service. We are not suggesting moving to a solely online system for pharmacy,” Burt said.


“Online, click and collect, or home delivery models are already available. We want to promote their greater use, but they’re not an end in themselves.


“One of the reasons pharmacies are used so widely, are so trusted, is because of the high quality clinically and public health focussed services that are available to people face to face.


“We want to modernise and enable patient choice, but also hold on to what patients and the public cherish the most about their local pharmacies.


“We will also consult on amending legislation to allow independent pharmacies to benefit from ‘hub and spoke’ dispensing models which will free up pharmacists to spend more time delivering personal advice and support.


“I know there are some that say that this signals the end of community pharmacy as we know it. I utterly reject this.


“What it is about is ensuring that we move towards a sustainable long-term future for pharmacy in all its guises.”


A government consultation on the plans has also been vigorously attacked. It is thought the pharmacy sector is considering legal action against the validity of that consultation, although when approached by Pharmacy Business, Pharmacy Voice refused to say whether it would launch legal action.


A source also told Pharmacy Business during the Sigma conference in Jamaica that it is futile to fight the £170 million in cuts for 2016-17 and said the aim was to prevent larger cuts after that being implemented.

HDA Media And Political Bulletin – 2 March 2016

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