Herefordshire and Worcestershire LPC



June 27, 2019 News0

PSNC have announced today agreement from DHSC that supplies of Freestyle Libre sensors on script will no longer be subject to discount deduction from July 1st.

You can find more information about this issue HERE.

We have also added this information, along with information about Price Concessions and the Drug Tariff on this PAGE on the LPC website for future reference.


June 18, 2019 News0

Please be advised that pharmacies are no longer required to submit the monthly 100-hour monitoring forms to NHS England, effective immediately.

You may, however,  occasionally be asked for this information, for example if there’s a complaint raised regarding unexpected closure during core hours.

Please direct any queries regarding this matter to the NHS Pharmacy Team:



June 18, 2019 News0

A recorded version of the joint PSNC/NHSBSA Schedule of Payments webinar held on 11th June is now available on the following LINK. You need to register or log in to gain access.

If you would like to understand the payments your pharmacy receives from the NHS, this webinar will  provide some useful insights. Over  700 people registered for this webinar originally. If you missed it, here’s your chance to catch up.

The slide deck is also available to download HERE.


June 13, 2019 News0

With the introduction of Primary Care Networks, the NHS landscape is changing affecting all pharmacies!

The LPC, along with PSNC, is going to support pharmacies throughout this ongoing process. We have added a page to our website where you can find some useful resources. You can access the PCN page on this LINK.

This page also includes copies of our PCN Newsletters, the first issue of which has been emailed to all pharmacies. There will be further issues published as more information becomes available.

If you have any questions regarding PCNs, please do not hesitate to contact the LPC.


June 11, 2019 News0

In line with national guidance, Flash Glucose Monitoring (FlashGM) is now available to eligible patients on the National Health Service in Worcestershire. This means that community pharmacists and dispensing practices will be receiving FP10 prescriptions for supply of  Freestyle Libre® sensors (which is the only type of FlashGM currently available).

The CCG has had some feedback from patients and diabetes specialist nurses (DSNs) regarding pharmacies not being able to supply FreeStyle Libre sensors, prescribed on FP10s due to the lengthy ordering process.

The attached GUIDE aims to assist pharmacies to speed up this process.

The CCG would like pharmacies to consider registering with the supplier (Abbott) now, rather than waiting for their first FreeStyle Libre prescription, to try and reduce delay. They have also asked the DSNs to manage patient expectation, and explained that it may take several days for prescriptions to be filled and that pharmacies are unable to hold stock of the sensors.

This document is also available to download from our website for future reference on this PAGE.



June 10, 2019 News0

Community Pharmacy Assurance Framework (CPAF) – arrangements for 2019/20

To ensure that patients and members of the public receive safe, effective and high quality pharmaceutical services, NHS England has processes in place to monitor compliance by pharmacy contractors, who are included in one of NHS England’s pharmaceutical lists, with the terms of service set out in the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (the 2013 regulations).

One of these processes is the use of the Community Pharmacy Assurance Framework (CPAF) to be conducted in two parts.

Part One:  All pharmacy contractors to be invited to complete a short screening questionnaire consisting of ten questions to assure themselves and NHS England that they are compliant with the terms of service.

Part Two:  The data collected from this questionnaire along with other information held by NHS England to be used to shortlist pharmacies to be considered for a contract monitoring visit. Only these pharmacies are asked to complete a full CPAF questionnaire. A copy of the full CPAF can be viewed here.

This approach means that the majority of contractors do not need to complete the full CPAF questionnaire. However, both the Pharmaceutical Services Negotiating Committee (the PSNC) and NHS England recommend that all pharmacy contractors make use of the full CPAF questionnaire to assure themselves that they are compliant with the terms of service.

Pharmacies will be asked to complete the screening questionnaire during June 2019 Please note that the CPAF screening questionnaire was updated in 2018 following development work by the CPAF working group, a working group with membership from NHS England, NHS Business Services Authority (NHSBSA) and the PSNC. The CPAF screening questionnaire again includes the two questions focusing on safeguarding and pharmacy audits; which replaced the questions on ‘owings’ and prescribed medicines advice, which have been retired and no longer need to be answered.

The NHS Business Services Authority (BSA) will carry out the administration of both the screening questionnaire and the full CPAF at a national level on our behalf and this is facilitated through a secure on-line mechanism to allow pharmacy contractors to complete their returns. The screening questionnaire is available to view in advance and can be found here. (Please note this link is for information purposes only. Contractors will have received information and instructions on how to access and complete the screening questionnaire securely online from the BSA.)

Contractors will have four weeks to complete the screening questionnaire which will be available from Monday 3 June 2019 with a closure date of Sunday 30 June 2019. The questionnaire should only take around 20 minutes to complete.

Once you have submitted the completed questionnaire you will have the facility to save, print or access your responses for further reference.

Thank you in advance for your cooperation with this exercise.

If you have any questions regarding this questionnaire, please contact The Pharmacy Team at

Further guidance is available in this PSNC Briefing.

A timeline of the 2019/2020 CPAF process can be viewed HERE.


June 10, 2019 News0

Following a recent incident, the LPC has issued some guidance on patients’ eligibility for MUR.

Please be reminded that under the current regulatory framework it is not possible to conduct an MUR for the parent, carer or guardian of a person who is not competent.

The MUR needs to be conducted with the patient in order to comply with the Directions. An MUR must be conducted with a patient who is competent and has the ability to understand their medicines (i.e. they have the capacity to give informed consent) and are able to fully engage in the discussion with the pharmacist.

Please bear this in mind when looking at MUR potential at Care Homes, certain patients, for example, those affected by Dementia, would not be eligible for an MUR under the current guidance.

Please see the attached SUMMARY for your reference.


June 4, 2019 News0

FAO: Herefordshire pharmacies!

Please find attached a communication which we received from Herefordshire CCG.  This information has previously been emailed to all Herefordshire pharmacies as well.

EMIS Web connection issues

A number of GP practice sites across Herefordshire have lost access to EMIS Web and since yesterday and a number of additional sites have lost access this morning.

The issue is thought to originate with HSCN access but could be an EMIS related issue. Both are being actively investigated. Hoople have been and continue to work with the HSCN network service provider on a solution and working closely with EMIS, as well as working with practices to support business continuity arrangements.

All practices are advised to ensure that they review their business continuity plans and that patient lists are printed off/available off line for today (4th June 2019) and tomorrow as a precaution.  Also, should any practice lost connectivity to EMIS, you should be able to get access to EMIS and by utilising any active BT N3 RSA VPN token after first connecting to your practice wifi.

Practices affected are Cradley Surgery, Hereford Medical Group (Sarum House, Moorfield House, Aylestone Hill, Bobblestock sites), Credenhill Surgery, Staunton-on-Wye (Weobley surgery branch), Hampton Dene Surgery (Hereford Medical Group branch), Alton Street and Belmont Medical Centre and Pendeen Surgery.

Hopefully, this is only a temporary problem and by the time this news article reaches you, it may have already been resolved!


June 4, 2019 News0

The Interim People Plan has been published by the NHS, which sets out how the workforce will be supported to deliver the care that the NHS needs to fulfil the NHS Long-term Plan.

In addition, a briefing has been published specifically relating to the pharmacy work force:

PSNC have compiled a summary of the key points in this briefing as follows:

  • Community pharmacists should have greater freedom to deliver more clinical care, as pharmacy technicians are supported and encouraged to practise at the top of their licence;
  • Introduction of a common foundation programme for all newly registered pharmacists;
  • New training to support community pharmacy teams in delivering care for patients with minor illnesses and supporting the public to live healthier lives;
  • Pharmacist prescribers will be a central part of multidisciplinary teams in Primary Care Networks (PCNs);
  • Appointing experienced pharmacists as clinical directors of pharmacy and medicines in every Integrated Care System; and
  • Strengthening the image and reputation of pharmacy teams to attract a larger and wider pool of people to the future pharmacy workforce.

You can read the full PSNC article HERE.


May 23, 2019 News0

Pharmacies in Herefordshire have been advised about the self-management of insect bites, including the notorious Blandford flies.

Please find the public health advice below:

Ensure that all pharmacy staffs are briefed on how best to self- manage these bites using the information as below which is also available on the Hereford Council website and  NHS Choices website information on management of insect bites.

N.B. Patients do not need to see their GP practice team unless the points under the medical advice section below are applicable.

“As the weather warms up and we head towards the summer, the number of Blandford fly cases is increasing.

The Blandford fly is a 2 to 3mm bloodsucking black fly, which lives near areas of water and gives a particularly nasty and painful bite.  The fly normally bites ankles and legs, as it flies low to the ground and is most common during May and June.

Karen Wright, Director of Public Health for Herefordshire, said:

“As the weather starts to get warmer, it is likely that we will see more cases of Blandford fly bites across the county. 

“We encourage people to take precautions if they’re out and about on our rivers and streams, especially over the forthcoming bank holiday weekends, by covering up and using a good quality insect repellent.  If you do get bitten, it can often feel very uncomfortable with swelling, blistering, joint pain and sometimes a high temperature.  However, there’s normally no need to visit a GP. 

“If you do feel unwell after a bite, please call NHS 111 or visit your local pharmacy for advice on how to ease your discomfort.  For the majority of people, the symptoms will only last a few days before clearing up.”

If you get bitten:

  1. Clean the bite area and dry gently
  2. Don’t scratch the bite, as this can lead to infection
  3. Apply a cold compress or calamine lotion
  4. Antihistamine creams are not recommended, as they can sometimes cause skin reactions
  5. Cover large blisters with a dry dressing
  6. If bites are on the lower limbs, there may be swelling of the ankles and feet for several days.  Don’t worry about this, simply rest with your feet supported on a stool

You should seek medical advice if you have:

  1. Discomfort, swelling or red lines in the groin or armpit
  2. A fever
  3. A spreading redness or hotness around the bite, which lasts longer than three days

A link to this information is available here:

Blandford Fly bites on the increase in Herefordshire – how to protect yourself | Herefordshire Council



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