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					                        NHS Berkshire West

                  Pharmaceutical Needs Assessment


Made in accordance with the National Health Service (Pharmaceutical Services and Local
              Pharmaceutical Services) (Amendment) Regulations 2010




       NHS Berkshire West is the operating name of Berkshire West Primary Care Trust
PNA version control

Version               Date

1.0                   23rd November 2010




Supplementary statements

Statement number      Date of publication   Comments              Author

1.1                   1st February 2011     Wellbrooke Products
                                            Ltd (t/a Shinfield
                                            Pharmacy) Shinfield
                                            Primary Care Centre
                                                                        NHS Berkshire West
                                                           Pharmaceutical Needs Assessment

Abbreviations and Glossary

BMI     Body Mass Index                           LPS     Local Pharmaceutical Services

BP      Blood Pressure                            LTC     Long Term Condition

CHD     Coronary Heart Disease                    LTLI    Long Term Limiting Illness

CKD     Chronic Kidney Disease                    MDS     Monitored Dosage System

        Chronic    Obstructive      Pulmonary
COPD    Disease                                   MUR     Medicines Use Review

        Community        Pharmacy       Patient
CPPQ    Questionnaire                             NHSIC   NHS Information Centre

CSP     Commissioning Strategy Plan               NRT     Nicotine Replacement Therapy

CVD     Cardio Vascular Disease                   ONS     Office of National Statistics

DDA     Disability Discrimination Act             PCT     Primary Care Trust

EHC     Emergency Hormonal Contraception          PMR     Patient Medication Record

EPS     Electronic Prescription Service           PNA     Pharmaceutical Needs Assessment

GP      General Practitioner                      PWP     Pharmacy White Paper

HbA1c   Glycosylated haemoglobin                  QOF     Quality and Outcomes Framework

HF      Heart Failure                             RD      Repeat Dispensing

JSNA    Joint Strategic Needs Assessment          SHA     Strategic Health Authority

LES     Local Enhanced Service                    TVPCA   Thames Valley Primary Care Agency

LMC     Local Medical Committee

LPC     Local Pharmaceutical Committee




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                                                                         NHS Berkshire West
                                                            Pharmaceutical Needs Assessment

Community pharmacy contract      The community pharmacy contract is made up of three service
                                 levels:    Essential   Services,   Advanced      Services      and
                                 Enhanced Services. A definition can be found on page 14

Consultation facilities / area   Most community pharmacies now have an area in the pharmacy
                                 where the patient and pharmacist can have a private
                                 consultation. The design and specification of these facilities
                                 varies from pharmacy to pharmacy.

Medicines Use Review             See page 82 for a definition

ONS Cluster                      PCTs which are grouped according to local social and economic
                                 factors.

Pharmacist                       A registered pharmacist has typically completed five years of
                                 training which includes a degree and post graduate training.

Pharmaceutical Services          These are services available from pharmacies and dispensing
                                 appliance contractors and dispensing GPs. Pharmaceutical
                                 services are defined on page 14

Pharmacy                         A registered pharmacy premises that is regulated by the Royal
                                 Pharmaceutical Society and appears on the PCT’s list.

Prescription item(s)             Each medicine on a prescription is counted as one item. A
                                 prescription may have many items.

Quartile                         One of four division which divide a series of data into four equal
                                 parts

Quintile                         One of five division which divide a series of data into five equal
                                 parts

Repeat Dispensing                Repeat dispensing is a mechanism by which the patient’s GP
                                 may issue the pharmacist with a prescription to dispense at
                                 agreed intervals for on-going treatment. The benefits of repeat
                                 dispensing are that it removes the need for the patient to return
                                 to the practice for a repeat prescription between reviews. It
                                 allows patients to be treated for periods up to one year without




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                                                            NHS Berkshire West
                                               Pharmaceutical Needs Assessment

                 returning to the GP. Around 80% of prescriptions are repeat
                 prescriptions.   Repeat   dispensing    also   has   benefits   for
                 pharmacists; it allows the workflow in the pharmacy to be
                 shaped to match the resources in the pharmacy and smoothes
                 out peaks and troughs in demand.




Secondary Care   Hospital based care

Tertiary Care    Specialist residential care




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                                                                                                                              NHS Berkshire West
                                                                                                                 Pharmaceutical Needs Assessment

Contents

1.     EXECUTIVE SUMMARY ......................................................................................................................................... 8

     1.1.     CONTEXT ................................................................................................................................................................ 8
     1.2.     THE PHARMACEUTICAL NEEDS ASSESSMENT .................................................................................................................. 8
     1.3.     OUR ASSESSMENT .................................................................................................................................................... 9
     1.4.     CONCLUSIONS ....................................................................................................................................................... 13
     1.5.     NEXT STEPS ........................................................................................................................................................... 13

2.     INTRODUCTION ...................................................................................................................................................14

     2.1.     BACKGROUND ....................................................................................................................................................... 14
     2.2.     DEFINITION OF THE PHARMACEUTICAL SERVICES WITHIN THE SCOPE OF THE PNA TO INCLUDE: .............................................. 14
     2.3.     WHAT IS EXCLUDED FROM SCOPE OF THE ASSESSMENT................................................................................................... 18

3.     PROCESS FOLLOWED IN THE DEVELOPMENT OF THE PNA ...................................................................................20

     3.1.     DEVELOPMENT PROCESS AND METHODS ..................................................................................................................... 20
     3.2.     GOVERNANCE AND STEERING GROUP.......................................................................................................................... 21
     3.3.     ENGAGEMENT DURING THE DEVELOPMENT OF THE PNA ................................................................................................ 21
     3.4.     REGULATORY CONSULTATION.................................................................................................................................... 22

4.     POLICY CONTEXT FOR THE PNA ...........................................................................................................................23

     4.1.     THE LOCAL CONTEXT ............................................................................................................................................... 23
     4.2.     LOCALITIES, DEFINITION AND DESCRIPTION .................................................................................................................. 27
     4.3.     MAPS OF THE LOCALITIES ......................................................................................................................................... 28
     4.4.     CONTROLLED LOCALITIES .......................................................................................................................................... 30

5.     LOCALITY DEMOGRAPHICS ..................................................................................................................................31

     5.1.     POPULATION ......................................................................................................................................................... 31
     5.2.     AGE & GENDER ..................................................................................................................................................... 32
     5.3.     DEPRIVATION ........................................................................................................................................................ 34
     5.4.     ETHNICITY ............................................................................................................................................................. 41
     5.5.     CAR OWNERSHIP .................................................................................................................................................... 42

6.     LOCALITY HEALTH NEEDS ....................................................................................................................................44

     6.1.     PRE-EXISTING DISEASE ............................................................................................................................................. 44
     6.2.     LIFE EXPECTANCY.................................................................................................................................................... 45
     6.3.     MORTALITY ........................................................................................................................................................... 46
     6.4.     DISEASE PREVALENCE .............................................................................................................................................. 47
     6.5.     ADMISSIONS.......................................................................................................................................................... 49
     6.6.     PREVENTION ......................................................................................................................................................... 52



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                                                                                                                 Pharmaceutical Needs Assessment

     6.7.        CHILD AND MATERNAL HEALTH.................................................................................................................................. 55

7.      INSIGHTS FROM PATIENTS AND THE PUBLIC .......................................................................................................56

     7.1.        RESULTS OF THE PATIENT QUESTIONNAIRE ................................................................................................................... 56

8.      THE ASSESSMENT ................................................................................................................................................75

     8.1.        ESSENTIAL SERVICES ................................................................................................................................................ 75
     8.2.        ADVANCED SERVICES .............................................................................................................................................. 83
     8.3.        ENHANCED PHARMACEUTICAL SERVICES ...................................................................................................................... 89
     8.4.        CONCLUSION – NEEDLE EXCHANGE AND SUPERVISED CONSUMPTION SERVICE ................................................................... 96
     8.5.        PILOT SERVICES - COMMUNITY PHARMACY HEALTH CHECK+........................................................................................... 97
     8.6.        FUTURE SERVICES COMMISSIONING - PALLIATIVE CARE DRUGS ACCESS SERVICE ................................................................... 98
     8.7.        OTHER ENHANCED SERVICES ..................................................................................................................................... 99

APPENDIX 1: PHARMACEUTICAL SERVICES PROVIDERS IN BERKSHIRE WEST .............................................................101

APPENDIX 2: CONSULTATION AREAS, ADVANCED AND ENHANCED SERVICES PROVISION BY PHARMACY
CONTRACTORS ..........................................................................................................................................................105

APPENDIX 3: OPENING HOURS OF PHARMACY CONTRACTORS .................................................................................108

APPENDIX 4: MAPS OF LOCALITIES SHOWING PHARMACEUTICAL SERVICES PROVIDERS ..........................................115

APPENDIX 5 – MEMBERSHIP OF THE STEERING GROUP .............................................................................................122

APPENDIX 6: POLICY CONTEXT AND BACKGROUND PAPERS ......................................................................................123

APPENDIX 7 – KEY DEMOGRAPHIC INFORMATION ....................................................................................................128

APPENDIX 8: BENCHMARKING OF PHARMACY SERVICES IN BERKSHIRE WEST ..........................................................132

APPENDIX 9: ADDITIONAL DATA FROM PHARMACY CONTRACTOR QUESTIONNAIRE ................................................134

     INFORMATION TECHNOLOGY................................................................................................................................................ 134
     RELATIONSHIPS WITH GPS .................................................................................................................................................. 134
     ENHANCED PHARMACEUTICAL SERVICES ................................................................................................................................. 135

APPENDIX 10: REPORT OF THE CONSULTATION ON THE DRAFT PNA .........................................................................137




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                                                                             NHS Berkshire West
                                                                Pharmaceutical Needs Assessment

1.       Executive Summary
This document describes NHS Berkshire West’s pharmaceutical needs assessment (PNA). This
document has been prepared to meet the requirements of the National Health Service
(Pharmaceutical Services and Local Pharmaceutical Services) (Amendments) Regulation 2010
These regulations require PCTs to prepare and publish a PNA by 1st February 2011.

The purpose of the PNA is:

     •   To inform and support the PCT’s commissioning plans for pharmaceutical services
     •   To inform and support the PCT’s decision making process in relation to market entry, this
         function requires further enabling regulation which is expected in the autumn of 2010.

We have developed this PNA through a process of engagement and collaboration with patients and
the public, pharmacists and dispensing doctors and local stakeholders.

     1.1. Context
Pharmaceutical services in Berkshire West are provided by pharmacy contractors, dispensing
practices and dispensing appliance contractors. Through this network of providers we ensure that
our population has good access to safe, effective and reliable pharmaceutical services.

The PNA has been prepared at a time of significant change in the NHS, the recent White Paper,
Liberating the NHS, has set in motion a significant programme of change which will have an impact
on how we plan and use pharmaceutical services. It is too early to say how this change will affect
the PNA or pharmaceutical services. We expect that some aspects of pharmaceutical services will
be managed by the NHS commissioning board, it is also likely that many of the enhanced services
commissioned today will be commissioned through public health departments within local
authorities. It is not clear how pharmaceutical services commissioning will fit with the proposed
commissioning consortia set out in the White Paper.

At the same time the NHS is being asked to reduce costs and find savings, following a period of
sustained growth in spending. As a result all areas of NHS spending, including pharmaceutical
services will be scrutinised to ensure that money is spent to deliver the outcomes expected by
patients and the public.

     1.2. The Pharmaceutical Needs Assessment
The pharmaceutical regulations governing PNA require the PCT to define pharmaceutical services
in terms of:

     •   Services currently commissioned that are necessary to meet a current need
     •   Services not currently commissioned that will be necessary in specified future circumstance
     •   Services not currently commissioned that would secure improvements or better access to
         pharmaceutical services



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                                                                           NHS Berkshire West
                                                              Pharmaceutical Needs Assessment

   •   Services that are currently commissioned which are relevant but do not constitute necessary
       services.

In making this assessment we have tried to balance the need for a high quality, accessible network
of pharmacies that are able to invest and develop to deliver services with the needs of our patients
for services when and where they are needed.

In the last five years the number of pharmacies in Berkshire West has grown in response to
relaxation of the rules governing the opening of pharmacies. We have four new 100 hour
pharmacies which did not exist in 2005, a growth of 6% against a growth of population of just 2.7%.

We also have a strong network of dispensing GP practices who ensure that our population can get
access to dispensing services where the population is not sufficient to support a pharmacy. This
network is an essential element of ensuring our population has good access to pharmaceutical
services.

Over the last five years community pharmacy has developed through the national contract and
through local commissioning by the PCT, as a result our patients can access a wider range of
services from our pharmacies than ever; we plan to build on these services to develop pharmacies
as a resource for health and wellbeing in our communities.

   1.3. Our assessment
This section summarises the main finding from the review of each of these services in the PNA.

The PNA regulations require the PCT to consider whether services are:

   •   Necessary services – these are services that the regulations describe as necessary to
       meet a current need
   •   Relevant services – these are services which secure improvements, or better access to
       pharmaceutical services

Each of the services describe here is considered against these definitions.

We have reviewed the health needs of our population from the perspective of pharmaceutical
services, using the JSNAs for each of our local authority partners, we have consulted with patients
and our pharmacy and GP providers, we have looked at our current commissioning of
pharmaceutical services and our plans as an organisation for the future as expressed in our
strategic plan. Finally we have looked at where other providers are helping to meet the need for
services in our area.

1.3.1. Localities
We have divided the PCT into three localities based on the borders of the three Local Authority
areas within NHS Berkshire West, for the purposes of the PNA our localities are:



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                                                                            NHS Berkshire West
                                                               Pharmaceutical Needs Assessment

   •   Reading
   •   West Berkshire
   •   Wokingham

However when assessing need we have, where possible, looked at how the needs and provision
are matched at ward level.

1.3.2. Access to the essential and dispensing services
The core function of our pharmacies and the dispensing service provided by our dispensing GP
practices is to ensure a safe and accessible dispensing service is available to our population. In the
pharmacy contract, dispensing services are a sub set of essential services.

Our PNA has found that our population has good access to dispensing services. The distribution of
pharmacies in Berkshire West is as good or better when compared to our peers. In our rural areas,
a mixture of pharmacies and dispensing GP practices ensure that there is access in all communities
to dispensing services. Access in Berkshire West has improved recently as four new 100 hour
pharmacies have opened in the last 5 years. The PCT has concluded that our current 100 hour
contractors perform an important role in opening up access in the evening and at weekends, which
we will seek to retain. We do not believe that any further extended hours pharmacies are required to
meet the needs of our patients.

We have decided that dispensing services are a necessary service. Dispensing is a core service
that we need to ensure our population can obtain with reasonable ease. We have concluded that
there are no current gaps in this service.

In relation to our 100 hour pharmacy contractors the PCT has considered the current provision from
these contractors and the potential for them to apply to reduce their hours in the future based on the
PNA. The PCT has concluded that our current 100 hour contractors perform an important role in
securing better access in the evening and at weekends, which we will seek to retain.

We do not believe that any further extended hours pharmacies are required to meet the
needs of our patients.

1.3.3. Advanced Services
Since 2005 community pharmacies have been able to provide medicines use reviews / prescription
interventions (MUR/PI) under the Advanced Services within the community pharmacy contract.

The MUR/PI service is intended to improve patients' understanding of their medicines; highlight
problematic side effects & propose solutions where appropriate; improve adherence; and reduce
medicines wastage, usually by encouraging the patient only to order the medicines they require.

The stated purpose of Advanced Services fits well with the PCT’s strategic aims, particularly
improving outcomes for patients with long term conditions (LTCs). Evidence for the effectiveness of


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                                                                            NHS Berkshire West
                                                               Pharmaceutical Needs Assessment

MUR/PI is not yet well developed although some early studies show that the service can improve
self-reported rates of adherence among patients.

At this time we do not believe that Advanced Services are a necessary service, however the service
is relevant to the needs of our population and we will continue to work with our pharmacies to
ensure that it is delivered where and when patients need it.

1.3.4. Emergency Hormonal Contraception Service
NHS Berkshire West commissions an Emergency Hormonal Contraception Service from community
pharmacies. The EHC service is provided in two forms, an “under 20” service aimed at women aged
13 to 19 and a “20 and over service” which is available to women aged 20 or over.

These enhanced services address the need to provide easy and convenient access to emergency
hormonal contraception to women. The impact that the service seeks to make is to address the
rates of teenage pregnancy in Berkshire West.

The EHC service through pharmacies provides important access to EHC for women in Berkshire
West. Without this service access would only be available via a GP or nurse appointment or sexual
health service clinic, this would limit access considerably. We are in the process of piloting a new
Sexual Health Local Enhanced Service (LES) which will incorporate the supply of EHC with
Chlamydia testing and condom supply in one service.

We consider the EHC service (both u20 and o20) are necessary services, we do not believe that
there are any current gaps in provision. Following the pilot of our Sexual Health LES we will review
the status of this service and consider whether the Sexual Health LES should become a necessary
service.

1.3.5. Smoking Cessation Service
NHS Berkshire West commissions a Stop Smoking Service from community pharmacies. The
service includes the provision of advice on stopping smoking and supply of nicotine replacement
therapy (NRT), a key differentiator of pharmacy stop smoking services from other providers of stop
smoking services. Pharmacies are seen as key providers of stop smoking services due to their
opening hours, accessibility and ability to advise and supply NRT.

The stop smoking service directly addresses a key outcome measure for the PCT. Stopping
smoking is the single most effective health care intervention that can be made. Rates of smoking
are highest in areas of deprivation and particularly in Reading.

Pharmacy is a unique provider with a high quit rate and the ability to provide access to NRT at the
point of care. Given this and the priority placed on reducing smoking rates in Berkshire West we
consider the smoking cessation service to be a necessary service. We do not believe there are
any gaps in provision.



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                                                                                 NHS Berkshire West
                                                                    Pharmaceutical Needs Assessment

1.3.6. Needle Exchange Service and Supervised Consumption Service
Pharmacies in NHS Berkshire West provide two services to support drug treatment services:

   •   a needle exchange service which is focused on ensuring that injecting drug users have
       access to clean injecting equipment, are able to safely dispose of used equipment and have
       access to advice from pharmacists.
   •   A supervised consumption service which is focused on ensuring that clients in drug
       treatment programmes take and use their treatment as prescribed and to provide an
       opportunity for the pharmacist to make relevant interventions.

Drug treatment and harm minimisation services directly address an important strand in the PCT’s
strategic plan. Although the numbers of people affected are small the impact on the wider
community can be significant if not properly managed. With consequences for blood borne disease,
health and safety and drug related crime.

The provision of needle exchange and supervised consumption from pharmacies is a necessary
service, through pharmacy we secure good access across the PCT area. The pattern of provision
is consistent with the needs of our population and we do not believe that there are any gaps in
provision.

1.3.7. Advice to care homes
The PCT commissions advice and support to care homes through a contract with a single
pharmacy. This ensures that there is a consistent and robust service available to care homes.

The Medicines Management team at the PCT also provides patient level advice and medication
review services to care homes. A recent study has highlighted the need for more comprehensive
and “joined up” management of medicines in care homes involving, GPs, pharmacies, care home
staff and secondary care providers to minimise risk and maximise benefit from prescribed
medication.

We believe this service is a necessary service and that the current contractual arrangements meet
the need for advice to care homes on storage and handling of medicines. When the contract is next
due for review we will consider how the service could be better integrated with the role of the
medicines management team.

1.3.8. Other services and future commissioning
The PCT is piloting a “Healthcheck+” service which incorporates vascular risk assessment five
pharmacies. The service exploits opportunistic intervention between patient and pharmacist by
offering advice and sign posting on a range of health issues together with an NHS health check
service for patients meeting the age and risk inclusion criteria.




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                                                                             NHS Berkshire West
                                                                Pharmaceutical Needs Assessment

The service is open to any patient aged 18 and over. Patient’s aged between 18 and 40 with a BMI
of over 25 are offered advice on smoking cessation, weight management, physical activity and
alcohol intake. Patients aged 40 and over who meet specific inclusion criteria are offered an NHS
health check.

The PCT intends to review and evaluate the pilot for subsequent roll out to other pharmacies and at
this time we believe the Community Pharmacy HealthCheck+ service is a relevant service which is
provided to an appropriate level to meet the needs of the pilot arrangements.

The PCT plans to commission a palliative care access service, this is to secure access to drugs
used in end of life care through an extended period. Expressions of interest have been sought from
pharmacies that are open extended hours who will hold stock of agreed drugs for clinicians and
patients to access. The PCT intends to appoint six pharmacies to provide this service across
Berkshire West.

This service is a necessary service which when commissioned will meet the need for improved
access to these important drugs across Berkshire West.

   1.4. Conclusions
This is our first PNA under the new regulations. The PCT conducted a consultation on a draft of the
PNA with a broad cross section of stakeholders. The consultation built on the PCT’s significant
engagement activity with patients and the public during the development of the PNA. A report of the
consultation is provided at appendix 10.

We have reviewed the services available from our pharmacies and our plans for future services,
looking at the needs of our population and the current provision from our pharmacies and
dispensing GP practices.

Our assessment has found that there is good access to pharmaceutical services for our population,
which has been improved in recent years by the opening of new pharmacies. The services we
commission have each been assessed, many of these services we now consider necessary for our
population.

We intended to continue to work with our pharmacies and dispensing GPs to develop and improve
pharmaceutical services in Berkshire West for our population.

   1.5. Next steps
We expect new regulations to be published in 2011 telling us how PNAs will be used to manage
market entry. These regulations will then shape how our PNA is used and developed for the benefit
of the people of Berkshire West.




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                                                                              NHS Berkshire West
                                                                 Pharmaceutical Needs Assessment

2.         Introduction
NHS Berkshire West is the local NHS organisation responsible for health services in the local
authority areas of Reading, West Berkshire and Wokingham. We are responsible for commissioning
and planning health services for the people who live in our area. This includes responsibility for
ensuring that our population can obtain safe, effective and personal pharmaceutical services.

This document sets out our first pharmaceutical needs assessment (PNA) which we have prepared
to meet the legal and regulatory requirements set out in the Health Act 2009 and the subsequent
pharmaceutical regulations1.

      2.1. Background
The pharmaceutical needs assessment (PNA) is a document that records our assessment of the
need for pharmaceutical services in our area. This assessment is then used to help us to plan
pharmacy services for our population by identifying where we should focus our efforts to
commission services for our population.

At this time PCTs are under a duty to prepare a PNA which must be published by 1st February 2011.
Further legislation is expected to require PCTs to make commissioning decisions using the PNA, in
particular in relation to market entry.

The PNA will also help us to shape the future of pharmaceutical services for our population by
providing a single point of reference for all of our information about pharmaceutical services in
Berkshire West.

The PNA differs from other needs assessments in that the contents and manner of preparation are
set out in regulations, in some ways this is similar to the requirement on PCTs to prepare JSNAs.
However the PNA differs in that there is a PNA specific consultation process, the PNA is asked to
consider the need for a specific type of service (e.g. pharmaceutical services) and the PNA is being
prepared in order to support market entry decisions.

      2.2. Definition of the pharmaceutical services within the scope of the PNA to include:
A pharmaceutical needs assessment is defined in the regulations as:

               “The statement of the needs for pharmaceutical services [in its area]
               which each Primary Care Trust is required to publish”

Ref: 2010 Regulations

It follows, therefore, that we must understand what is meant by the term “pharmaceutical services”
in order to assess the need for such services in the PCT’s area.




1
    http://www.opsi.gov.uk/si/si2010/uksi_20100914_en_1


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                                                                                 NHS Berkshire West
                                                                    Pharmaceutical Needs Assessment

Pharmaceutical services are defined by reference to the regulations and directions governing
pharmaceutical services provided by community pharmacies (which may be LPS providers),
dispensing doctors or appliance contractors.

Whether a service falls within the scope of pharmaceutical services for the purposes of PNA
depends on who the provider is and what is provided:

For dispensing practices the scope of the service to be included in the PNA is the dispensing
service. This means that, for the purposes of the PNA, we are concerned with whether patients
have adequate access to dispensing services, which might include dispensing by GPs but not
concerned with other services dispensing GPs may provide. There are 12 dispensing practices in
Berkshire West with 85,000 patients registered to receive dispensing services from their practice.

For appliance contractors the scope of the service to be included in the PNA is the dispensing of
appliances and the provision of the recently introduced Appliance Use Review (AUR) service. This
means that, for the purposes of the PNA, we are concerned with whether patients have adequate
access to dispensing services and AUR, which might include dispensing of appliances or AURs by
an appliance contractor but not concerned with other services appliance contractors may provide to
patients. There are two appliance contractors in Berkshire West who serve patients across England
from their base here in Berkshire.

For community pharmacy contractors the scope of the services to be included in the PNA includes
the Essential, Advanced and Enhanced services which form part of their contract. These services,
whether provided under the terms of services2 for pharmaceutical contractors or under Local
Pharmaceutical Services contracts, are all pharmaceutical services within the meaning of the
regulations.

Pharmaceutical services in relation to community pharmacy contractors are defined as:

    •   Essential Services – which are set out in the 2005 NHS Regulations, these include:
            o   Dispensing and actions associated with dispensing (e.g. keeping records)
            o   Repeatable dispensing
            o   Disposal of unwanted / waste drugs
            o   Promotion of healthy lifestyles
            o   Prescription linked interventions
            o   Public health campaigns
            o   Signposting
            o   Support for self care


2
  Pharmacy contractors do not have a contract in the legal sense with primary care trusts, they operate under
terms of service set out in regulations. These are often referred to as the “community pharmacy contract”.


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                                                                            NHS Berkshire West
                                                               Pharmaceutical Needs Assessment

All contractors must provide the full range of Essential Services.

   •   Advanced and Enhanced Services – which are set out in the Directions made subsequent to
       the 2005 Regulations, these include:
            o   Advanced Services, specifically:
                      Medicines Use Review and Prescription Interventions (MURs)
                      Appliance Use Reviews (AUR)
                      Stoma Appliance Customisation Service (SAC)

Any contractor may choose to provide this service and must notify the PCT of their intention
to do so. At this time a pharmacy may undertake up to 400 MURs per annum, a limited
number of AURs linked to the dispensing of appliances and as many SACs as required.

            o   Enhanced Services, specifically:
                      Anticoagulant monitoring service
                      Care home service
                      Disease specific medicines management service
                      Gluten free food supply service
                      Home delivery service
                      Language access service
                      Medication review service
                      Medicines assessment and compliance support service
                      Minor ailments service
                      Needle syringe exchange service
                      On demand availability of specialist drugs service
                      Out of hours service
                      Patient group directions service
                      Prescriber support service
                      Schools service
                      Screening service
                      Stop smoking service
                      Supervised administration service
                      Supplementary prescribing service

The regulations are intended to be permissive and allow PCTs to interpret how any of the above
Enhanced Services should be commissioned, its scope and method of delivery.

Each PCT may make arrangements for the provision of these services in its area. In the case of
NHS Berkshire West arrangements are in place for the provision of the following Enhanced
Services:



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                                                                           NHS Berkshire West
                                                              Pharmaceutical Needs Assessment

Local enhanced        Name used in NHS
                                                                   Description
  service name            Directions
Needle exchange     Needle syringe              The PCT commissions a needle exchange service
service             exchange service            whereby the pharmacy provides clean injecting
                                                equipment to drug users and takes in used injecting
                                                equipment for safe disposal
Emergency           Patient group directions    The PCT commissions a service whereby some
contraception       service                     pharmacies provide access to emergency
service (under 20                               contraception under patient group directions. The
and 20 and over)                                PCT is in the process of rolling out a wider Sexual
                                                Health Local Enhanced Service (LES)
Stop cessation      Stop smoking service        The PCT commissions a service for the supply of
service                                         nicotine replacement therapy (NRT e.g. patches,
                                                gums, inhalers) and advice and counselling to
                                                support smokers to give up.
Supervised          Supervised                  The PCT commissions a service whereby patients
consumption         administration service      prescribed drug treatments for addiction can obtain
service                                         their treatment on a frequent basis, often daily and
                                                that this treatment is taken in the presence of the
                                                pharmacist.
Advice to care      Care home service           The PCT commissions advice and support to care
homes                                           homes through a contract with a single pharmacy.
                                                The scope of the service is provide basic advice and
                                                support to care homes on the safe storage and
                                                administration of medicines.

The PCT is piloting the following service:

Community                                       The PCT is piloting a vascular risk assessment
                    Screening service
Pharmacy Health                                 service in three pharmacies. The service exploits
Check+                                          opportunistic intervention between patient and
                                                pharmacist by offering advice and sign posting on a
                                                range of health issues together with an NHS health
                                                check service for patients meeting the age and risk
                                                inclusion criteria.

The PCT is developing the following service in the future

Palliative care     On demand availability of   The PCT commissions a service whereby some
service             specialist drugs            pharmacies maintain and guarantee to supply drug
                                                so end of life care


The PCT is also piloting a Community Pharmacy Health Checks + service which is a form of
vascular risk assessment service, in three pharmacies.

The PCT is planning to commission a palliative care access service from six pharmacies in the near
future.




                                                                                                 17
                                                                            NHS Berkshire West
                                                               Pharmaceutical Needs Assessment

Community pharmacy contractors also provide services directly to patients which are not
commissioned by the Primary Care Trust, for example some pharmacies provide a home delivery
service but this is not commissioned or paid for by the PCT.

In making its assessment the PCT needs to take account of any services provided to its population
which may affect the need for pharmaceutical services in its area. This could include services
provided across a border to the population of Berkshire West. We have identified dispensing
appliance contractors and pharmacies outside Berkshire West which play a significant role in
providing a service to our patients.

    2.3. What is excluded from scope of the assessment
The PNA has a regulatory purpose which sets the scope of the assessment. However
pharmaceutical services and pharmacists are evident in other areas of work in which the PCT has
an interest but are excluded from this assessment. These include prison and secondary and tertiary
care sites where patients may be obtaining a type of pharmaceutical service that is not covered by
this assessment.

2.3.1. Prison pharmacy
Pharmaceutical services are provided in prisons by providers contracting directly with the PCT’s
provider services arm.

In Berkshire West HMP and YOI Reading incorporates a Health Care Unit which aims to provide
offenders with access to the same quality and range of health care services as the general public
receives from the NHS.

HMP and YOI Reading is a relatively small prison with a capacity of 294 male offenders aged 18 to
21 years of age.

2.3.2. Secondary care pharmacy
Patients in Berkshire West have a choice of provider for their elective hospital services. Most of our
hospital services are provided by the Royal Berkshire NHS Foundation Trust which operates three
sites:

         •   Royal Berkshire Hospital Reading
         •   West Berkshire Community Hospital near Newbury
         •   Prince Charles Eye Unit in Windsor (located in Berkshire East)

In addition patients can also choose to access services at

         •   Heatherwood and Wexham Park Hospitals
         •   Berkshire Healthcare NHS Foundation Trust




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                                                                         NHS Berkshire West
                                                            Pharmaceutical Needs Assessment

Berkshire Healthcare NHS Foundation Trust provides specialist care, both in- and out-patient for
people who experience ongoing or complex mental health conditions, substance misuse issues and
some people with learning disabilities.

The PNA makes no assessment of the need for pharmaceutical services in secondary care,
however we are concerned to ensure that patients moving in and out of hospital have an integrated
pharmaceutical service which ensures the continuity of support around medicines. To this end the
PNA makes some assessment of the needs of patients moving into and out of hospital who may
have received, or may be receiving pharmaceutical services from a secondary care trust.




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                                                                                  NHS Berkshire West
                                                                     Pharmaceutical Needs Assessment

3.      Process followed in the development of the PNA
Berkshire West’s PNA was developed using a mixture of methods drawing on a range of information
source and reinforced through consultation with patients. The process was divided into five steps
which are illustrated using Figure 1, below.

     3.1. Development process and methods

                                                                                 The       development
               PNA development process                                           process combines the
                                                                                 PCT’s strategic plans,
                                                                                 draws on the JSNA
      Step 1    Step 1: PCT priorities, health needs                             which describe the
                                                                                 health needs of our
      Step 2    Step 2: Pharmacy profile and audit                               population and links
                                                       Pharmaceutical            this      to       the
      Step 3        Step 3: Patient experience             Needs                 commissioning       of
                                                        Assessment               pharmacy services.
      Step 4     Step 4: Synthesis and assessment


      Step 5    Step 5: Consultation and consensus                               The PNA provides a
                                                                                 foundation for further
                                                                                 work to develop a
                                                            Pharmacy
                                                       commissioning strategy    pharmacy
                                                                                 commissioning
                                                                                 strategy for the PCT.

Figure 1: Berkshire West PNA development process


Each step has a specific function and / or source of data which is described in Figure 2, below.

These data have been combined to provide a picture of our population, their current and future
health needs and how our pharmacy network can be used to support the PCT to improve the health
and wellbeing of our population.




                                                                                                    20
                                                                                   NHS Berkshire West
                                                                      Pharmaceutical Needs Assessment

Step      Data source(s)                                       Activity


          •     Strategic Plan 2009 - 14                       Analysis and synthesis of relevant data for the
Step 1
          •     JSNA 2009                                      PNA.


          •     Routine contracting and activity data which
                is held by the PCT
          •     A postal survey of pharmacy contractors in
                Berkshire West
Step 2    •     A postal survey of dispensing contractors in
                Berkshire West
          •     National benchmarking using NHS
                Information Centre data




Step 3    •     A postal survey of Berkshire West residents


                                                               •   Drawing together and synthesis of emerging
Step 4                                                             themes and ideas
                                                               •   Drafting of the PNA and synthesis of the
                                                                   assessment and recommendations
          •     PCTs are required to consult on their PNA
Step 5          before publication.




Figure 2: Berkshire West PNA development data sources and activity

    3.2. Governance and steering group
The development of the PNA was overseen by a steering group whose membership was drawn
from the PCT’s Medicines Management, commissioning, primary care and public health
departments. The steering group was also supported by the TVPCA and had representation from
the LPC, LMC, community pharmacy contractors and dispensing contractors. The membership of
the steering group is described in Appendix 5.

    3.3. Engagement during the development of the PNA
The PCT has engaged in a process of consultation throughout the development of the PNA, this
has included:

•   A postal survey which secured responses from 1,298 people living in Berkshire West
•   A workshop with stakeholders, commissioners and providers in Berkshire West
•   A presentation to the PCT’s local involvement network in Newbury




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                                                                         NHS Berkshire West
                                                            Pharmaceutical Needs Assessment

3.4.   Regulatory consultation
The PCT conducted a consultation on a draft of the PNA with a broad cross section of stakeholders.
The consultation built on the PCT’s engagement activity with patients and the public during the
development of the PNA. Responses to the formal consultation were received 99 members of the
public, 19 organisations which included pharmacy and dispensing contractors and the LPC.

A report of the consultation is provided at appendix 10.




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                                                                                     NHS Berkshire West
                                                                        Pharmaceutical Needs Assessment

4.         Policy context for the PNA
PNAs were first developed in 2005 to assist PCTs in preparing for changes to market entry. Since
that time PNAs have been used to support market entry decisions but are not required. The White
Paper, Pharmacy in England: Building on strengths – delivering the future3 was published by the
Department of Health in April 2008.               It highlighted the variation in the structure and data
requirements of PCT PNAs and confirmed that they required further review and strengthening to
ensure they are an effective and robust commissioning tool which supports PCT decisions.

The Health Act 2009 amended the National Health Service Act 2006 to include provisions for
regulations to set out the minimum standards for PNAs. The regulations4 were consulted on in late
2009 and early 2010 and were laid in Parliament on 26 March 2010 and came into force on 24 May
2010.

Appendix 6 has a detailed description of the policy background and references to further reading on
PNAs.

      4.1. The local context
NHS Berkshire West is responsible for planning and buying services for our population, to support
the decisions we take we regularly review the needs of our population and then prioritise how we
invest in the services we are responsible for.

There are two key documents which support this process. The first is the JSNA which is prepared
with our local authority partners, this holds the detailed information about the needs of our
population, some of this data has been used in our PNA. The other is our Strategic Commissioning
Plan, which covers a five year period and describes our plans for investment and results in
Berkshire West.

4.1.1. JSNA
Each of the three unitary authorities, Reading, West Berkshire and Wokingham have prepared a
JSNA in collaboration with the NHS Berkshire West. The latest JSNA for each local authority was
published in January 2010 and can be found on the PCT’s website. (http://www.berkshirewest-
pct.nhs.uk/)

The JSNA brings together data across a wide spectrum of areas including: health, social, education,
housing, crime and the local economy to provide a resource against which local partners can plan
and prioritise their work in order to bring about meaningful change in the lives of local people. From
a health perspective the JSNA provides, in one place, the indicators which describe the health and




3
    http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_083815
4
    http://www.opsi.gov.uk/si/si2010/uksi_20100914_en_1


                                                                                                             23
                                                                             NHS Berkshire West
                                                                Pharmaceutical Needs Assessment

well being of our population and the insight to look ahead to anticipate and plan for the future needs
of our population.

The key messages emerging from the JSNA’s covering Berkshire West are:

Overall the health of people in Berkshire West is relatively good

   •   Circulatory diseases and cancers remain the main causes of death
   •   There are inequalities in health experience and health outcomes
   •   Most disadvantaged areas are in Reading but there are areas of deprivation in West
       Berkshire and Wokingham as well.
   •   The population is expected to increase, becoming older and more diverse
   •   There are significant black and minority populations particularly in Reading, with particular
       health needs.
   •   The proportion of older people is expected to rise, particularly in West Berkshire and
       Wokingham, increasing the need for health and social care, with a notable increase in
       people affected by dementia.
   •   Long term conditions will be more common as the population ages.
   •   More action is needed to tackle lifestyle and risk factors in both adults and children
   •   There is a need to promote children’s physical, emotional and mental wellbeing.
   •   There are concerns about the health of children and young people in Reading particularly
       relating to infant mortality, teenage pregnancy and oral health.

The main changes emerging from the revised JSNA prepared for 2009 are:

   •   Evidence that inequalities in health have increased in some areas - men in Wokingham and
       West Berkshire, women in Reading;
   •   Evidence of increasing numbers of people from ethnic minority groups (but no definitive data
       will be available until the next census);
   •   Evidence of greater increases in numbers of older people than previously estimated, but less
       of an issue in Reading than West Berks and Wokingham.
   •   Local authority data is providing more specific deprivation and inequalities information which
       will inform targeting.

4.1.2. Strategic Plan
The Strategic Plan (2009 – 2014) was published by NHS Berkshire West in January 2010, this
document sets out the PCT’s plans and priorities for the next five years linking investment to health
outcomes through a series of initiatives. The strategic plan sets the priorities for investment and
therefore any investment in pharmaceutical services, whether through extension of existing services
or commissioning new services needs to demonstrate links to the strategic plan.



                                                                                                   24
                                                                                                                  NHS Berkshire West
                                                                                                   Pharmaceutical Needs Assessment
We can map the current commissioning of pharmaceutical services to our strategic plans to identify where there is a current contribution
towards meeting our goals through pharmaceutical services. This exercise has identified a contribution from essential, advanced and enhanced
services.

                                                                                                    Supporting older
Goal                Reducing health              Keeping children and young people                                                        Promoting wellbeing and
                                                                                                 people and those with
                      inequalities                         safe and well                                                                      independence
                                                                                                  long term conditions
               We will increase life            Working with partners we will support            We will promote and              Our population will be encouraged to make
Ambition       expectancy for our whole         children and young people to achieve             maximise independence for        healthy life choices and to take responsibility
               population ensuring that we      improved health and wellbeing.                   older people, by focusing        to improve their own health. Every contact
               narrow the gap between the                                                        on long term conditions,         will provide opportunity for prevention as well
               healthiest and least healthy                                                      recognising the importance       as treatment.
               areas of our population.                                                          of compassionate care at
                                                                                                 the end of life.
               •    Reduce gap in life          •   Infant mortality                             •    Reduce unscheduled          •   Chlamydia screening in 15 – 24 year
Outcomes            expectancy                  •   MMR uptake                                        admissions in over 75s          olds
               •    Increase life expectancy    •   Child obesity                                •    Increase prevalence on      •   Smoking quitters
(abridged)     •    Reduce death from                                                                 GP palliative care
                    strokes                                                                           registers
               •    Patients controlled
                    within HbA1c threshold
               Cardiovascular including         Infant mortality – reducing the risk of infant   Strengthening community          Alcohol & Substance Misuse - ensuring
Initiatives

               ‐Identification and
               CVD, Diabetes, CHD and           death for all babies in Berkshire West and       services – strengthening         that people who drink alcohol at increasing
               CHD risk assessment              reducing inequalities by targeting the           community services to            risk and high risk levels, are supported
                                                Reading area                                     provide care closer to home      through a range of services to access
               intervention of people at high                                                    to increase quality of patient   treatment and support to reduce their alcohol
               risk of developing vascular      Emotional Health & Wellbeing – providing         care and experience and          consumption levels and improve access to
               disease, whilst improving        appropriate support for children and young       prevent avoidable                substance misuse services to address
               services for those with the      people to help them achieve and maintain         admissions of older people       addiction
               disease                          their emotional health and wellbeing through     and those with long term
                                                a jointly commissioned Child and                 conditions (see NHS              • Improving Sexual Health and Reducing
               Cancer – having a range of       Adolescent Mental Health Service (CAMHS)         Berkshire West                   Teenage Pregnancy – ensuring that
               screening and prevention         which will commence in January 2011              Transforming Community           information is available to support people in
               programmes in place and to                                                        Services Strategy –              making informed choices about their sexual
               ensuring speedy access to        Oral Health – ensuring that local children       October 2009)                    health, ensure that high quality accessible
               diagnosis and treatment for      benefit from a range of preventive                                                services are available to enable them to
               people suspected of having       interventions, initially targeted at the under   Dementia - ensuring the          improve their sexual health and reduce
               a cancer                         fives, which will lead to a sustained            early detection and              unplanned conceptions
                                                improvement in oral health                       diagnosis, improving the
               Mental Health – ensuring                                                          quality of general health
               that people with mental           Children with complex needs –                                                    • Obesity – ensuring that people gain a
                                                                                                 care for people with             better understanding of the health risks
               illness in Berkshire West        commissioning appropriate packages of            dementia and supporting
               have access to a range of        care that will support children with complex                                      associated with obesity, and commission

                                                                                                                                                                              25
                                                                                                                                          NHS Berkshire West
                                                                                                                             Pharmaceutical Needs Assessment
                local and specialist mental   needs                                          people in the community for     services that enable people to achieve and
                health services                                                              as long as possible             maintain healthy weights through provision of
                in order to maximise their    Improving immunisation coverage –                                              information and support for healthy lifestyles,
                mental health and wellbeing   providing support to primary care to improve   End of Life – ensuring that     a healthy diet and increased levels of
                                              immunisation rates and data capture.           there is a high quality and     physical activity.
                                                                                             comprehensive range of
                                                                                             services along the end of       • Smoking – reducing the number of
                                                                                             life pathway which provide      smokers within Berkshire West through
                                                                                             excellent palliative care and   raising awareness of the dangers of smoking,
                                                                                             enable the choice of place      promoting tobacco control and supporting
                                                                                             of death                        existing smokers to stop smoking through the
                                                                                                                             provision of stop smoking services

                                                                                                                             • Communicable Disease - to ensure robust
                                                                                                                             protection against communicable disease, by
                                                                                                                             improving immunisation coverage and
                                                                                                                             services to detect and treat TB.
Pharmacy’s      •   Medicines use reviews     •   Public health campaigns advice             •   Collection and delivery     •   Public health campaigns advice
current             for patient with LTCs     •   Sign posting                                   services                    •   Sign posting
                •   Public health campaigns                                                  •   MDS provision               •   Smoking cessation/NRT service
contribution        advice                                                                   •   Medicines use review        •   EHC service
(current
                •   Sign posting                                                                                             •   Supervised consumption
commissioning
examples)                                                                                                                    •   Needle exchange




At this time all future commissioning proposals need to be considered within the context of the limited resources available to the PCT and the
changes proposed in the recently published NHS White Paper. Future commissioning is likely to rest with a combination of the NHS
commissioning board, public health services which will be moving to local authorities and proposed GP consortia.

The PCT has not identified services not provided in the localities that will, in specified future circumstances, need to be provided in order to
meet a need for pharmaceutical services or to secure improvements or better access to pharmaceutical services.




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                                                                           NHS Berkshire West
                                                              Pharmaceutical Needs Assessment

    4.2. Localities, definition and description
The PNA regulations require that the PCT divide the PCT area up into localities which are then used
as a basis for structuring the assessment. For the purposes of the PNA the steering group decided
that the unitary authorities making up the PCT area would form the basis for dividing up the PCT for
the purposes of the PNA. These are:

•   Reading
•   West Berkshire
•   Wokingham

Throughout this document, where data is available, we refer to these localities in describing
services or assessing the need for services. These localities can be subdivided into electoral wards
or into Super Output Areas (SOAs). Electoral wards are political units of geography whose
boundaries are managed by the electoral commission, ward boundaries change over time. SOAs
are administrative units of geography which have been established by the ONS. SOA boundaries do
not change and provide a consistent basis for tracking changes in the population over time. These
areas can be aggregated up to ward level, however, ward boundaries do change occasionally as
electoral boundaries are redrawn so links between any one SOA and a particular ward can be lost.
SOAs exist at three levels:

    •   Lower Layer SOAs – have a population of approximately 1,500 persons
    •   Middle Layer SOAs – have a population of approximately 7,200 persons
    •   Upper Layer SOAs – are not yet developed but are expected to have a population of approx
        25,000 persons.

The electoral wards in West Berkshire vary in size from 2,746 persons to 10,275 persons.




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                                                                         NHS Berkshire West
                                                            Pharmaceutical Needs Assessment

   4.3. Maps of the localities
The localities used in the development of the PNA are shown in the map below. The three localities
bring together contrasting areas, the PCT is transected by the M4 motorway running from London to
the west of England. West Berkshire is, on the whole a largely rural area with concentration of
population in Hungerford, Newbury, Thatcham and Aldermaston. By comparison Reading is a
densely populated built up area with mainline train links to central London. Wokingham has
elements of both rural and urban characteristics with centres in Wokingham and Twyford.




4.3.1. Berkshire West – setting and context
NHS Berkshire West is located to the west of London within the South Central Strategic Health
Authority area. The PCT shares a border with:

   •   Oxfordshire PCT
   •   Buckinghamshire PCT
   •   Berkshire East PCT
   •   Hampshire PCT
   •   Wiltshire PCT

The PCT has a population of around 450,000 residents (ONS mid-2007 estimate).




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                                                                              NHS Berkshire West
                                                                 Pharmaceutical Needs Assessment

The PCT is grouped with seven other PCTs with similar characteristics by the Office of National
Statistics (ONS):

   •    Buckinghamshire PCT
   •    Cambridgeshire PCT
   •    Mid Essex PCT
   •    Oxfordshire PCT
   •    Surrey PCT
   •    West Hertfordshire PCT
   •    West Kent PCT

This group is described by the ONS as the “Prospering Southern England” cluster group. More
information     about     clusters     and     their    construction     can         be   found   here:
http://www.statistics.gov.uk/about/methodology_by_theme/area_classification/ha/cluster_summaries
.asp)

In this document data is presented at the following levels, where it is available:

   •    Within the PCT – populations are compared to identify patterns and differences and to
        explain these in the context of the population and its needs
   •    Within the SHA – populations are compared to show how Berkshire West compares with
        South Central PCTs, although the benefits of this are limited since South Central PCTs are
        not homogenous
   •    Within the ONS cluster group – populations are compared across PCTs with similar
        population and geographic characteristics




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                                                                              NHS Berkshire West
                                                                 Pharmaceutical Needs Assessment

   4.4. Controlled localities
Dispensing services in Berkshire West are provided by GPs and community pharmacies. GP
dispensing may be required where a pharmacy service would not be viable due to the nature or size
of the population. GPs may dispense for their patients who have requested them to do so, if
permission has been granted by their PCT. Generally, the patients who ask their GPs to dispense
must be resident in a ‘controlled locality’ (i.e. an area which is rural in character) and live more than
1.6km from a pharmacy. The PCT may determine whether an area is a controlled locality on the
request of its LPC or LMC, or because it believes that a determination should be undertaken, for
example if an application is made in or near the area. If the PCT decides that an area is rural in
character, it will publish a map showing the precise boundaries of this ‘controlled locality’, and this
will generally be valid until a new determination finds that they no longer satisfy the requirements of
being rural in character.

If a new pharmacy wishes to open in a controlled locality then there are additional tests that the
applicant must satisfy, so as not to prejudice any dispensing by doctors being undertaken for
patients in that area.

If a GP is asked to dispense by his patients resident in a controlled locality, the PCT must undertake
a test to ensure that there is no prejudice to any pharmacies.

Mapping controlled localities in Berkshire

As part of the PNA development process we have reviewed the status of previous determinations of
controlled localities. Determinations made since 1983 required a map to delineate the boundaries of
the areas being determined, however at that time current mapping software did not exist, there are
also historical rights and determinations which were decided prior to 1983 for which a map showing
boundaries does not exist.

Preparing maps to show all controlled localities in Berkshire West would be a significant undertaking
involving considerable resources at a time when the NHS is being asked to manage resources more
efficiently. We have decided that it would be prudent to wait until the draft regulations describing
how PNAs will be used in market entry are published for consultation before progressing any work
in relation to mapping controlled localities.




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                                                                                     NHS Berkshire West
                                                                        Pharmaceutical Needs Assessment

5.      Locality demographics
     5.1. Population
The population of Berkshire West is estimated to be just over 450,000 persons. This population is
distributed almost evenly across the three localities with Reading having a slightly smaller
population and Wokingham a slightly larger population.

                              Wards (n)       Population (n)
  Reading                           16             143,744
  West Berkshire                    30             150,684
  Wokingham                         25             156,619
Berkshire West                      71             451,047

Table 1: Population by locality (Source: ONS mid year estimates 2007)

The population is distributed across 71 electoral wards which make up the PCT’s area. The
population in each electoral ward varies from 2,746 in Shinfield North ward (Wokingham) up to
10,275 in Church ward (Reading). Appendix 7 sets out the list of wards and population based on the
2007 ONS mid-year estimates.

The population of Berkshire West is forecast to rise by 11% over the next 20 years, however this
growth is expected to be greater in West Berkshire and Wokingham with Reading experiencing
slower growth. The overall forecast growth in Berkshire West is lower than that expected in the SHA
group, ONS cluster group or for England.

                                                                 South
          Reading      West Berks Wokingham          PCT         Central     ONS Cluster   England.
2010
2015           1.32%        3.60%        3.15%         2.72%         3.79%        3.79%       3.87%
2020           2.78%        7.07%        6.68%         5.58%         7.67%        7.72%       7.76%
2025           4.58%       10.54%        9.82%         8.41%        11.51%       11.54%      11.50%
2030           6.67%       13.49%       12.59%        11.02%        15.02%       14.90%      14.91%

Table 2: Population forecast (Source: ONS based on 2006 mid-year estimates)




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                                                                                  NHS Berkshire West
                                                                     Pharmaceutical Needs Assessment

    5.2. Age & Gender
The population of Berkshire West is younger than found in England with more people in the 25 – 45
age group and fewer in the over 60 age groups.




Figure 3: Data Source: Office for National Statistics mid-2007 estimates
Berkshire West: Columns / England: Line. Males – aqua – Females – pink



                                             % Males over 65 and
                         % Under 16           Females over 60
England                           18.9%                    18.9%
ONS Cluster                       19.9%                    18.9%
South Central                     19.1%                    19.6%
Berkshire West                    19.6%                    15.9%
 Reading                          17.9%                    14.5%
 West Berkshire                   20.8%                    17.0%
 Wokingham                        20.1%                    16.1%

Table 3: Population structure by age
Data source: ONS 2007 mid-year estimates



The moderate growth in population is also going be accompanied by a change to the structure of
the population, increasing the proportion of older people with a consequent increase in demand for
support for long term conditions and escalation in the complexity of care.




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                                                                                    NHS Berkshire West
                                                                       Pharmaceutical Needs Assessment

                                                                         South
                 Reading     West Berks Wokingham           PCT          Central     ONS Cluster   England.
2010 % O65           12.5%         15.1%         14.2%         14.0%        17.2%         16.6%       16.4%
2015 % O65           13.2%         17.2%         16.1%         15.6%        18.9%         18.4%       17.9%
2020 % O65           13.4%         18.3%         17.0%         16.4%        19.9%         19.4%       18.7%
2025 % O65           14.2%         19.6%         17.9%         17.4%        21.1%         20.6%       19.9%
2030 % O65           15.1%         21.5%         19.4%         18.8%        22.8%         22.2%       21.4%

Table 4: Population structure forecast (over 65 years)
Data Source: Office for National Statistics based on ONS mid-2006 population estimates



The proportion of the population aged under 16 years is expected to remain constant meaning that
the combined effect of the growing ageing population, static younger population will be a smaller
proportion of the population of working age which will decrease over time.

                                                                         South
                 Reading     West Berks Wokingham            PCT         Central     ONS Cluster   England.
2010 % U16           18.8%         21.7%         21.2%         20.6%         20.0%        21.0%        19.8%
2015 % U16           18.7%         21.5%         21.4%         20.6%         19.8%        20.9%        19.8%
2020 % U16           19.3%         21.5%         21.9%         21.0%         20.1%        21.1%        20.1%
2025 % U16           19.1%         21.1%         22.0%         20.8%         19.9%        20.9%        20.0%
2030 % U16           18.6%         20.7%         21.5%         20.3%         19.4%        20.4%        19.4%

Table 5: Population structure forecast (under 16 years)
Data Source: Office for National Statistics based on ONS mid-2006 population estimates



The wards with the largest proportion of older people can be found in West Berkshire, however both
Reading and Wokingham have some wards in the top quintile for older people.

                                                               % Males over 65 and
     Locality                        Ward
                                                                Females over 60
Reading             Mapledurham                                              25.9%
Reading             Peppard                                                  23.0%
Reading             Southcote                                                22.1%
West Berkshire      Aldermaston                                              22.6%
West Berkshire      Hungerford                                               21.3%
West Berkshire      Mortimer                                                 20.9%
West Berkshire      Pangbourne                                               21.3%
West Berkshire      Speen                                                    23.8%
West Berkshire      St Johns                                                 22.1%
West Berkshire      Westwood                                                 21.4%
Wokingham           Bulmershe and Whitegates                                 21.9%
Wokingham           Remenham, Wargrave and Ruscombe                          24.5%
Wokingham           Sonning                                                  21.3%
Wokingham           Wescott                                                  20.8%

Table 6: Wards in Berkshire West in top quintile for population aged over 60/65 years
Data source: ONS 2007 mid-year estimates




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                                                                                   NHS Berkshire West
                                                                      Pharmaceutical Needs Assessment

The wards with the largest proportion of younger people can also be found, generally, in West
Berkshire. This suggests that West Berkshire has a lower proportion of population of working age
than the other two localities. Both Reading and Wokingham have wards in the top quintile for
population aged under 16.

     Locality                        Ward                           % Under 16
Reading            Whitley                                                      23.4%
Reading            Thames                                                       22.7%
West Berkshire     Cold Ash                                                     27.5%
West Berkshire     Chieveley                                                    26.9%
West Berkshire     Thatcham North                                               25.5%
West Berkshire     Bucklebury                                                   23.8%
West Berkshire     Greenham                                                     23.3%
West Berkshire     Basildon                                                     22.8%
West Berkshire     Compton                                                      22.3%
West Berkshire     Burghfield                                                   22.3%
Wokingham          Arborfield                                                   26.6%
Wokingham          Finchampstead North                                          23.0%
Wokingham          Shinfield North                                              22.8%
Wokingham          Wokingham Without                                            22.7%

Table 7: Wards in Berkshire West in top quintile for population aged under 16 years
Data source: ONS 2007 mid-year estimates



    5.3. Deprivation
The PCT is sub-divided into discrete areas for the purposes of national statistics and census
analysis. These areas (called Super Output Areas) do not change and provide a consistent basis for
tracking changes in the population over time. These areas can be aggregated up to ward level,
however, ward boundaries do change occasionally as electoral boundaries are redrawn.

The national Index of Multiple Deprivation (IMD) provides a comparative measure of the deprivation
experienced by a population based on their circumstances which can then be applied to a
geography. The index provides a score for each output area and ranks areas relative to each other.
The relative level of deprivation experienced by a population has a direct correlation with health
outcomes for that population.




                                                                                                  34
                                                                                   NHS Berkshire West
                                                                      Pharmaceutical Needs Assessment




Figure 4: Distribution of LSOAs by quintile of deprivation in Berkshire West. Source IMD 2007

West Berkshire and Wokingham have no LSOAs in the most deprived 20% nationally, Reading has
12% in the most deprived 20% nationally with a further 26% in the next most deprived quintile. This
puts approximately 40% of the population in Reading in the bottom two quintiles for deprivation. By
contrasts West Berkshire and Wokingham have no LSOAs in the bottom 20% and only 2% and 1%
of their LSOAs in the most deprived quintile.




                                                                                                  35
                                                                                               NHS Berkshire West
                                                                                  Pharmaceutical Needs Assessment




Figure 5: West Berkshire map of pharmacies and GP practices against deprivation




36
                                                                                        NHS Berkshire West
                                                                           Pharmaceutical Needs Assessment




Figure 6: Reading map of pharmacies and GP practices against deprivation




37
                                                                               NHS Berkshire West
                                                                  Pharmaceutical Needs Assessment




Figure 7: Wokingham map of pharmacies and GP practices against deprivation




38
                                                                                 NHS Berkshire West
                                                                    Pharmaceutical Needs Assessment
We can also draw on other measures of deprivation available including:

     •   Children in low income families
     •   Rates of economic activity
     •   Qualifications

Table 8, below highlights some of the wards with indicators that are consistent with health inequalities and
reduced socioeconomic opportunity.

Cells highlighted in the table show where the ward is in the bottom 25% within Berkshire West. While the
highest concentration of highlighted cells is in Reading we can see that some wards in West Berkshire
(Clay Hill, Greenham, Northcroft, Speen) and one in Wokingham (Shinfield North) have multiple indicators
which are among the poorest for our population. The PCT’s objective is to close the gap between the best
and worst within Berkshire West, these data show that while the overall picture for deprivation in Berkshire
West is good, there is a concentration of high deprivation in Reading and some “hidden” deprivation within
West Berkshire and to a lesser extent in Wokingham.




39
                                                                                                            NHS Berkshire West
                                                                                               Pharmaceutical Needs Assessment
                                                                                                            %
                                                                             % children in   %
                                               Average IMD    % under 18                                    unemployed     % no
Locality     Ward                                                            low income      economically
                                               Score          conceptions                                   economically   qualifications
                                                                             families        active
                                                                                                            active
Reading      Abbey                                    25.79           3.1%          53.0%           77.9%           3.4%           18.5%
Reading      Battle                                   22.31           2.8%          45.9%           78.8%           3.2%           21.6%
Reading      Caversham                                18.39           3.3%          40.8%           78.0%           2.6%           20.3%
Reading      Church                                   27.31           8.9%          54.1%           58.3%           2.7%           26.5%
Reading      Katesgrove                               23.73           5.7%          53.9%           73.9%           2.8%           18.9%
Reading      Kentwood                                 16.41           4.4%          29.5%           75.5%           2.3%           27.1%
Reading      Mapledurham                               4.49                          5.2%           67.0%           1.7%           13.3%
Reading      Minster                                  23.98           3.6%          47.4%           73.9%           3.1%           22.3%
Reading      Norcot                                   23.24           5.1%          46.8%           71.2%           3.2%           30.0%
Reading      Park                                     14.32           1.4%          32.9%           70.1%           2.4%           14.2%
Reading      Peppard                                   8.19           5.3%          20.8%           73.7%           1.5%           20.2%
Reading      Redlands                                 16.53           2.9%          44.1%           63.5%           1.8%           12.5%
Reading      Southcote                                24.72           7.6%          44.0%           68.8%           2.5%           32.6%
Reading      Thames                                    5.05                         11.8%           72.9%           1.3%           14.4%
Reading      Tilehurst                                13.28           6.4%          24.7%           73.3%           1.5%           27.5%
Reading      Whitley                                  33.08           8.4%          53.0%           70.2%           3.7%           41.2%
West Berks   Aldermaston                              10.86                         21.2%           74.1%           1.9%           26.5%
West Berks   Basildon                                  5.76                         14.4%           70.3%           2.2%           13.8%
West Berks   Birch Copse                               4.47           6.0%          13.9%           77.9%           1.2%           23.1%
West Berks   Bucklebury                                6.48           5.3%          14.2%           66.1%           1.5%           17.4%
West Berks   Burghfield                                5.59           4.1%          16.9%           77.7%           1.6%           15.7%
West Berks   Calcot                                   11.62           4.5%          29.7%           79.7%           1.9%           21.4%
West Berks   Chieveley                                 4.06                          9.8%           72.4%           0.8%           17.1%
West Berks   Clay Hill                                10.94           6.0%          39.0%           76.5%           2.4%           28.0%
West Berks   Cold Ash                                  5.42                         12.9%           65.2%           1.5%           15.6%
West Berks   Compton                                   7.21                         17.9%           76.1%           1.8%           19.4%
West Berks   Downlands                                11.99                         20.9%           74.1%           2.1%           21.2%
West Berks   Falkland                                  3.67           2.6%          16.1%           74.1%           1.5%           19.6%
West Berks   Greenham                                 15.85           5.3%          38.0%           76.3%           2.4%           25.9%
West Berks   Hungerford                                6.37           2.7%          24.0%           78.8%           1.3%           23.0%
West Berks   Kintbury                                  7.78           3.2%          17.6%           73.1%           1.3%           21.2%
West Berks   Lambourn Valley                           9.68           2.8%          26.3%           76.7%           1.6%           26.4%
West Berks   Mortimer                                  6.58           4.7%          16.1%           72.2%           1.5%           21.5%
West Berks   Northcroft                               11.80           2.9%          27.5%           74.0%           2.3%           24.7%
West Berks   Pangbourne                                3.96                         15.0%           69.2%           1.6%           17.1%
West Berks   Purley on Thames                          5.45           4.6%          11.9%           75.1%           1.3%           19.3%
West Berks   Speen                                    11.09           4.7%          27.8%           71.7%           1.9%           26.5%
West Berks   St Johns                                  6.91           3.3%          19.4%           72.5%           2.1%           20.4%
West Berks   Sulhamstead                               9.13           5.4%          20.0%           74.8%           1.2%           23.8%
West Berks   Thatcham Central                          7.82           5.7%          26.9%           81.1%           1.5%           21.4%
West Berks   Thatcham North                            8.90           3.5%          23.9%           78.0%           1.7%           21.5%
West Berks   Thatcham South and Crookham               7.51           2.5%          19.5%           76.0%           1.4%           25.1%
West Berks   Thatcham West                             8.63           4.0%          25.5%           79.2%           1.7%           25.6%
West Berks   Theale                                    8.36           4.2%          16.4%           77.9%           1.2%           26.6%
West Berks   Victoria                                 15.16           4.9%          29.2%           77.9%           1.8%           22.1%
West Berks   Westwood                                  3.51                         11.8%           73.7%           0.9%           26.8%
Wokingham    Arborfield                                6.86                         16.6%           72.1%           0.8%           18.9%
Wokingham    Barkham                                   3.81                         11.5%           83.5%           1.2%            8.8%
Wokingham    Bulmershe and Whitegates                  8.32           3.4%          27.6%           70.2%           2.0%           26.7%
Wokingham    Charvil                                   4.43                         12.2%           76.5%           1.6%           14.7%
Wokingham    Coronation                                3.45           4.8%          13.1%           73.9%           1.5%           16.2%
Wokingham    Emmbrook                                  3.40           3.3%          13.6%           74.7%           1.7%           14.1%
Wokingham    Evendons                                  3.65           3.1%          12.0%           79.8%           1.6%           12.1%
Wokingham    Finchampstead North                       2.24           2.7%          10.3%           76.0%           1.3%           13.0%
Wokingham    Finchampstead South                       6.48           4.0%          14.5%           73.2%           1.5%           19.0%
Wokingham    Hawkedon                                  3.57           1.9%          17.2%           85.0%           1.5%           11.0%
Wokingham    Hillside                                  2.49           3.1%          11.2%           75.8%           1.0%           11.4%
Wokingham    Hurst                                     7.01                         11.9%           76.5%           1.7%           15.3%
Wokingham    Loddon                                    6.62           2.8%          17.8%           79.3%           1.6%           19.1%
Wokingham    Maiden Erlegh                             3.10           2.5%          12.9%           66.7%           1.3%           14.1%
Wokingham    Norreys                                   8.24           3.2%          24.0%           74.6%           1.6%           20.0%
Wokingham    Remenham, Wargrave and Ruscombe           6.87           5.9%          13.5%           69.0%           1.6%           16.5%
Wokingham    Shinfield North                          12.98                         33.3%           75.0%           2.0%           25.8%
Wokingham    Shinfield South                           9.46           3.0%          17.7%           76.7%           1.9%           22.7%
Wokingham    Sonning                                   4.41                         13.5%           70.8%           1.8%           16.3%
Wokingham    South Lake                                4.65                         15.7%           72.6%           1.5%           19.6%
Wokingham    Swallowfield                              7.26                         17.6%           71.6%           2.1%           20.6%
Wokingham    Twyford                                   3.51                         12.2%           74.8%           1.2%           14.4%
Wokingham    Wescott                                   6.02           4.4%          15.0%           73.5%           1.6%           15.4%
Wokingham    Winnersh                                  7.65           2.5%          21.7%           76.1%           1.6%           18.6%
Wokingham    Wokingham Without                         5.22                          9.3%           71.4%           1.7%           16.2%
Table 8: Indicators of health need by ward
Data sources: ONS, NOMIS and End Child Poverty. Employment and Qualifications, 2001. Child Poverty, Aug 2005.
Teenage Conceptions, 2004-2006.




40
                                                                                     NHS Berkshire West
                                                                        Pharmaceutical Needs Assessment

       5.4. Ethnicity
Ethnicity data is available from the last census which took place in 2001 these data are now nine
years old and are not thought to accurately reflect ethnicity in our population. At that time Berkshire
West was relatively less diverse when compared to England, the SHA and the ONS cluster group.
However Reading stands out as an area with a significant ethnic minority population. Data from
school admissions which capture the languages spoken by children entering the school system
suggest that there has been significant change in the ethnicity of the population of Reading. The
monitoring of national insurance numbers issued to migrants from the most recent countries to join
the EU also shows an increasing proportion of the population from these ethnic minority groups
settling in Berkshire West.

Locality         Area                                    % non-white % non-white
                                                          under 16     over 65
                 England                                       13.6%           2.9%
                 ONS Cluster                                    6.3%           1.2%
                 South Central                                  7.0%           1.3%
                 Berkshire West PCT                            10.4%           2.3%
                  Reading                                      19.6%           4.5%
                  West Berkshire                                4.0%           0.6%
                  Wokingham                                     8.4%           1.9%

Table 9: Ethnicity by age group (u 16s and o-65s)
Data Source: NOMIS, 2001



All except two wards in Reading are in the top quintile for ethnicity in West Berkshire.

Locality         Ward                                    % non-white % non-white
                                                          under 16     over 65


Reading          Park                                           42.2%         16.5%
Reading          Abbey                                          37.3%         11.4%
Reading          Katesgrove                                     31.7%         10.5%
Reading          Battle                                         30.2%         16.0%
Reading          Redlands                                       29.3%          6.7%
Reading          Minster                                        24.9%          3.7%
Reading          Church                                         21.4%          2.3%
Reading          Norcot                                         20.9%          4.2%
Reading          Southcote                                      16.5%          1.6%
Reading          Whitley                                        16.2%          2.9%
Reading          Caversham                                      13.7%          3.1%
Reading          Kentwood                                       12.2%          3.3%
Reading          Peppard                                        10.8%          2.6%
Reading          Tilehurst                                       8.4%          2.1%

Table 10: Wards within Reading that are in the top quintile for ethnicity in West Berkshire PCT
Data Source: NOMIS, 2001

West Berkshire has no wards in the top 25% for ethnicity in Berkshire West, while Wokingham has
six.



41
                                                                                    NHS Berkshire West
                                                                       Pharmaceutical Needs Assessment

Locality        Ward                                    % non-white % non-white
                                                         under 16     over 65


Wokingham       Bulmershe and Whitegates                       25.8%          6.2%
Wokingham       Hillside                                       15.1%          3.6%
Wokingham       Hawkedon                                       14.9%         11.2%
Wokingham       Maiden Erlegh                                  11.9%          1.8%
Wokingham       Shinfield North                                 9.8%          2.1%
Wokingham       South Lake                                      7.9%          3.0%

Table 11: Wards within Wokingham that are in the top quintile for ethnicity in West Berkshire PCT
Data Source: NOMIS, 2001



     5.5. Car ownership
Car ownership in Berkshire West was also captured at the time of the last census. Berkshire West
had higher levels of car ownership, however there was variation across the three localities with
Reading having the lowest levels of car ownership and Wokingham the highest.

Area                                               No car      One car    Two cars    More than
                                                                                       2 cars
England                                               26.8%       43.7%       23.6%        5.9%
ONS Cluster                                           14.3%       40.4%       34.7%       10.5%
South Central                                         19.4%       42.6%       29.6%        8.4%
Berkshire West PCT                                    16.6%       40.7%       33.1%        9.6%
 Reading                                              27.3%       44.8%       22.4%        5.5%
 West Berkshire                                       13.3%       39.6%       35.9%       11.2%
 Wokingham                                             9.2%       37.6%       41.1%       12.2%

Table 12: Car ownership, percentage of households. Data source: Census 2001




42
                                                                                 NHS Berkshire West
                                                                    Pharmaceutical Needs Assessment


Wards with the lowest level of car ownership are found in Reading with the city centre wards having
significantly low levels of car ownership.

Locality        Ward                                              No car
Reading         Abbey                                               39.5%
Reading         Katesgrove                                          35.0%
Reading         Redlands                                            32.7%
Reading         Southcote                                           31.6%
Reading         Whitley                                             31.5%
Reading         Battle                                              31.1%
Reading         Minster                                             30.8%
Reading         Norcot                                              30.7%
Reading         Church                                              29.4%
Reading         Park                                                26.9%
Reading         Caversham                                           25.8%
Reading         Tilehurst                                           22.6%
West Berks      Victoria                                            33.1%
West Berks      Northcroft                                          27.3%
West Berks      Theale                                              21.0%
West Berks      St Johns                                            19.6%
Wokingham       Bulmershe and Whitegates                            18.0%

Table 13: Car ownership, percentage of households. Wards in bottom quartile in West Berkshire
Data source: Census 2001




43
                                                                                    NHS Berkshire West
                                                                       Pharmaceutical Needs Assessment

6.      Locality health needs
     6.1. Pre-existing disease
The links between deprivation and health are well established and evident from the picture of ill
health in Berkshire West. The wards with the highest reported prevalence of long term conditions
are found predominantly in Reading, although both West Berkshire and Wokingham both have
significant levels of reported health problems.

                                                              % reporting % reporting
                                                                 LTLI     poor health
     Locality                       Ward
Reading          Southcote                                         18.3%           8.4%
Reading          Whitley                                           16.2%           8.1%
Reading          Minster                                           15.7%           7.7%
Reading          Tilehurst                                         15.5%           7.2%
Reading          Norcot                                            15.4%           7.7%
Reading          Church                                            14.3%           6.8%
Reading          Peppard                                           14.2%           6.8%
West Berks       Victoria                                          18.3%           8.5%
West Berks       Speen                                             16.4%           7.3%
West Berks       Northcroft                                        16.1%           7.8%
West Berks       Chieveley                                         15.6%           4.5%
West Berks       St Johns                                          15.1%           7.3%
Wokingham        Bulmershe and Whitegates                          16.1%           7.0%
Wokingham        Swallowfield                                      14.3%           5.4%

Table 14: Wards within top quartile for reported levels of Long Term Limiting Illness (LTLI) and poor health in
Berkshire West
Data Source: Census 2001




44
                                                                                   NHS Berkshire West
                                                                      Pharmaceutical Needs Assessment

     6.2. Life expectancy
The gap in life expectancy is a focus for the PCT’s efforts to reduce health inequalities. Life
expectancy in the best ward is 83.5 years for men. This contrasts with the bottom quartile of wards
where the worst can expect to live 11.5 years less. These are mainly concentrated in Reading (for
men) but with some pockets in West Berkshire and Wokingham.

                                                              Male Life
                                                             Expectancy
     Locality                       Ward                       at Birth
Reading           Katesgrove                                         72.0
Reading           Redlands                                           72.2
Reading           Minster                                            73.3
Reading           Abbey                                              73.8
Reading           Southcote                                          74.6
Reading           Whitley                                            74.6
West Berks        Theale                                             73.3
West Berks        Thatcham Central                                   73.6
West Berks        Victoria                                           74.4
West Berks        Thatcham North                                     74.8
Wokingham         Hawkedon                                           73.2
Wokingham         Arborfield                                         74.6

Table 15: Male life expectancy in ward within bottom quartile in Berkshire West
Data source: ONS Life expectancies 1999 – 2003



Women can expect to live longer with the best wards in Berkshire West having a life expectancy of
85.1 years. There is a smaller gap for women of 8.7 years, however this is significant. There is a
concentration of wards with the lowest life expectancy for women in West Berkshire.

                                                             Female Life
                                                             Expectancy
     Locality                       Ward                       at Birth
Reading           Katesgrove                                         76.4
Reading           Minster                                            78.0
Reading           Park                                               79.7
West Berks        Theale                                             75.9
West Berks        Burghfield                                         78.0
West Berks        Speen                                              78.7
West Berks        Victoria                                           79.3
West Berks        Thatcham North                                     79.4
West Berks        Sulhamstead                                        79.6
Wokingham         Hawkedon                                           78.2
Wokingham         Shinfield North                                    78.9
Wokingham         Swallowfield                                       79.3

Table 16: Female life expectancy in wards within bottom quartile in Berkshire West
Data source: ONS Life expectancies 1999 - 2003




45
                                                                                   NHS Berkshire West
                                                                      Pharmaceutical Needs Assessment

     6.3. Mortality
The standardised mortality ratio gives us a measure of the impact of disease and ill health on death
rates in our population. The national ratio is 100, a figure of greater than 100 means that the rates of
premature death are higher in the area in question. As the table below illustrates this measure of
inequality affects men and women in wards across Berkshire West.


                                                              Male SMR
     Locality                       Ward
Reading           Katesgrove                                         134
Reading           Redlands                                           125
Reading           Minster                                            121
Reading           Whitley                                            119
Reading           Norcot                                             109
West Berks        Theale                                             131
West Berks        Victoria                                           116
West Berks        Thatcham North                                     115
West Berks        Thatcham Central                                   112
West Berks        Clay Hill                                          110
Wokingham         Hawkedon                                           127
Wokingham         Swallowfield                                       113

Table 17: Male standardised morality rates in wards within bottom quartile in Berkshire West
Data source: ONS SMR 1999 – 2003




                                                               Female
                                                                SMR
     Locality                       Ward
Reading           Katesgrove                                         134
Reading           Minster                                            125
Reading           Redlands                                           112
Reading           Abbey                                              110
West Berks        Sulhamstead                                        120
West Berks        Speen                                              117
West Berks        Thatcham North                                     114
West Berks        Theale                                             113
West Berks        Burghfield                                         110
Wokingham         Hawkedon                                           137
Wokingham         Swallowfield                                       124
Wokingham         Shinfield North                                    123

Table 18: Female standardised morality rates in wards within bottom quartile in Berkshire West
Data source: ONS SMR 1999 - 2003




46
                                                                              NHS Berkshire West
                                                                 Pharmaceutical Needs Assessment

     6.4. Disease prevalence
Disease prevalence can be measured using data recorded for the Quality and Outcomes
Framework (QoF) used by GPs. These data are helpful but have their limitations. There can be
under recording which is not apparent meaning that prevalence looks lower than in practice.
However as a comparative tool it can help to demonstrate variation across the localities.

Generally, Berkshire West has lower recorded prevalence than England and other comparator
groups.




Figure 8: Disease prevalence comparing Berkshire West with SHA and England
Data source: QMAS 2008/09



Examining the data at locality level shows that there are some differences across our PCT. West
Berkshire has generally greater prevalence of circulatory disease and respiratory disease. Reading
appears to have higher prevalence of diabetes and mental health.

What these data do show is that the impact of long term conditions is uniformly felt across our
communities with some peaks in specific areas. The effort to support patients with long term
conditions is needed across the PCT.




47
                                                                              NHS Berkshire West
                                                                 Pharmaceutical Needs Assessment




Figure 9: Disease prevalence within Berkshire West by locality
Data source: QMAS 2008/09




48
                                                                                  NHS Berkshire West
                                                                     Pharmaceutical Needs Assessment

     6.5. Admissions
Measures of admissions also help us to understand which diseases are responsible for causing
admissions and which areas are involved. Admission rates in Berkshire West are generally lower
than in England but Reading, as an area, stands out having an admission rate that is significantly
greater than that in Berkshire West overall or our peer group.

                                                                All Chapters


Locality
Name            Ward
Reading        Caversham                                                  185.4
Reading        Kentwood                                                   214.6
Reading        Park                                                       213.1
Reading        Peppard                                                    191.1
Reading        Southcote                                                  197.2
Reading        Tilehurst                                                  313.2
Reading        Whitley                                                    200.4
West Berks     Birch Copse                                                214.2
West Berks     Calcot                                                     188.3
West Berks     Northcroft                                                 199.9
West Berks     Speen                                                      202.4
West Berks     Thatcham Central                                           188.2
West Berks     Victoria                                                   268.8
Wokingham      Bulmershe and Whitegates                                   204.7
Wokingham      Loddon                                                     206.7
Wokingham      Norreys                                                    236.9
Wokingham      Shinfield North                                            200.7
Wokingham      Wokingham Without                                          238.3

Table 19: Admissions per 1,000 population in wards within worst quartile in Berkshire West
Data source: Information Centre / HES 2007/08




49
                                                                                                                                                                                                                                       NHS Berkshire West
                                                                                                                                                                                                                          Pharmaceutical Needs Assessment




                                                                                                                                                                                                                                                                                                                                                                                                                                    Ear and mastoid process (H60 to
                                                                                                                                                                                                                                                                                                                                                                        Blood and blood-forming organs
                                                                                                                                                                                                                                                                         metabolic diseases (E00 to E90)




                                                                                                                                                                                                                                                                                                                                         Skin and subcutaneous tissue
                                                                                                                                                   Musculoskeletal (M00 to M99)




                                                                                                                                                                                                                                                                                                           Nervous system (G00 to G99)
                                                                                                                                                                                                                                           Eye and adnexa (H00 to H59)
                                                                 Genitourinary (N00 to N08)




                                                                                                                                                                                                                                                                         Endocrine, nutritional and
                                                                                               Neoplasms (C00 to D48)




                                                                                                                                                                                                               Respiratory (J00 to J99)




                                                                                                                                                                                                                                                                                                                                                                                                         Infectious and parasitic
                                                                                                                         Digestive (K00 to K93)




                                                                                                                                                                                   Circulatory (I00 to I99)




                                                                                                                                                                                                                                                                                                                                                                                                         diseases (A00 to B99)
                                                 All Chapters




                                                                                                                                                                                                                                                                                                                                                                        (D50 to D89)
                                                                                                                                                                                                                                                                                                                                         (L00 to L99)




                                                                                                                                                                                                                                                                                                                                                                                                                                    H95)
England                                      202.0              30.6                          34.7                      33.4                      19.9                            27.4                        18.4                         9.8                                       4.4                   6.2                                     6.3                             5.1                            4.1                           1.7
ONS Cluster                                  166.2              25.2                          30.2                      28.3                      18.0                            21.0                        13.5                         9.0                                       3.3                   5.2                                     4.6                             3.7                            2.8                           1.4
South Central                                173.9              24.7                          30.8                      29.4                      18.8                            22.0                        15.8                         9.4                                       3.6                   5.6                                     5.0                             4.0                            3.3                           1.5
Berkshire West PCT                           168.1              53.7                          21.1                      21.7                      17.7                            14.5                        11.8                         9.6                                       3.0                   3.8                                     3.6                             3.2                            2.6                           1.6
 Reading                                     182.2              64.5                          19.9                      22.2                      17.9                            13.5                        13.8                        10.1                                       3.3                   3.8                                     4.2                             3.7                            3.5                           1.8
 West Berkshire                              164.1              46.6                          23.3                      22.0                      18.7                            14.9                        11.9                        10.0                                       2.5                   4.2                                     3.6                             2.5                            2.2                           1.7
  Wokingham                                  158.9              50.7                          19.9                      21.1                      16.6                            15.0                        10.0                         8.8                                       3.2                   3.4                                     3.1                             3.4                            2.2                           1.4
Table 20: Admissions per 1,000 population comparing Berkshire West with SHA, ONS cluster and England
Data source: Information Centre / HES 2007/08




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                                                                                                                                                                                                                                                                                      Pharmaceutical Needs Assessment




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Ear and mastoid process (H60 to
                                                                                                                                                                                                                                                                                                                                                                                                                                                Blood and blood-forming organs
                                                                                                                                                                                                                                                                                                                               metabolic diseases (E00 to E90)




                                                                                                                                                                                                                                                                                                                                                                                                           Skin and subcutaneous tissue
                                                                                                                                                                                Musculoskeletal (M00 to M99)




                                                                                                                                                                                                                                                                                                                                                                       Nervous system (G00 to G99)
                                                                                                                                                                                                                                                                                          Eye and adnexa (H00 to H59)
                                                                           Genitourinary (N00 to N08)




                                                                                                                                                                                                                                                                                                                               Endocrine, nutritional and
                                                                                                                Neoplasms (C00 to D48)




                                                                                                                                                                                                                                                        Respiratory (J00 to J99)




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Infectious and parasitic
                                                                                                                                                Digestive (K00 to K93)




                                                                                                                                                                                                                      Circulatory (I00 to I99)




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       diseases (A00 to B99)
                                                    All Chapters




                                                                                                                                                                                                                                                                                                                                                                                                                                                (D50 to D89)
                                                                                                                                                                                                                                                                                                                                                                                                           (L00 to L99)
Locality




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        H95)
Name          Ward
Reading       Caversham                                            185.4                                 65.9                            19.2                            23.1                                  16.0                              13.7                              16.0                                  7.0                                     4.5                                 5.1                                  4.5                                    6.7                              3.3                                     0.3
Reading       Kentwood                                             214.6                                 83.6                            21.5                            25.0                                  22.3                              13.6                              14.7                                  8.3                                     2.3                                 6.0                                  5.1                                    6.2                              3.4                                     2.4
Reading       Park                                                 213.1                                112.8                            18.8                            18.3                                  15.5                               7.3                              11.6                                  9.3                                     2.7                                 2.6                                  3.4                                    3.5                              5.4                                     1.8
Reading       Peppard                                              191.1                                 58.0                            27.7                            23.1                                  18.3                              17.9                              10.4                                 14.5                                     2.0                                 4.5                                  4.2                                    4.9                              3.1                                     2.5
Reading       Southcote                                            197.2                                 43.1                            33.7                            28.6                                  21.2                              16.9                              14.3                                 16.4                                     4.8                                 4.0                                  4.2                                    3.3                              3.7                                     3.1
Reading       Tilehurst                                            313.2                                141.3                            37.3                            29.6                                  26.9                              19.7                              15.2                                 13.6                                     9.4                                 4.0                                  5.5                                    6.4                              2.5                                     1.8
Reading       Whitley                                              200.4                                 66.7                            18.9                            26.2                                  23.5                              14.5                              18.1                                 11.5                                     3.9                                 4.1                                  4.9                                    2.2                              4.1                                     1.9
West Berks    Birch Copse                                          214.2                                 93.4                            29.8                            21.9                                  21.9                              10.2                              13.1                                 10.1                                     1.5                                 3.9                                  2.1                                    2.4                              2.6                                     1.3
West Berks    Calcot                                               188.3                                 79.4                            22.0                            19.0                                  17.0                              12.5                              11.8                                  9.1                                     4.2                                 3.7                                  3.0                                    2.2                              2.7                                     1.6
West Berks    Northcroft                                           199.9                                 78.0                            24.3                            22.5                                  14.3                              18.2                              15.5                                 12.9                                     1.2                                 4.1                                  3.9                                    3.5                              1.0                                     0.6
West Berks    Speen                                                202.4                                 55.4                            30.3                            23.7                                  25.7                              19.7                              13.9                                 15.7                                     0.9                                 4.9                                  4.6                                    4.6                              2.0                                     1.1
West Berks    Thatcham Central                                     188.2                                 46.7                            25.0                            28.3                                  19.1                              19.9                              12.3                                 14.5                                     3.4                                 7.1                                  4.6                                    2.4                              2.7                                     2.2
West Berks    Victoria                                             268.8                                136.6                            17.1                            28.2                                  16.9                              24.3                              13.4                                 16.0                                     2.8                                 3.5                                  4.4                                    2.2                              2.0                                     1.5
Wokingham     Bulmershe and Whitegates                             204.7                                 56.1                            23.3                            31.3                                  23.0                              22.9                              14.5                                 13.3                                     3.9                                 5.0                                  1.9                                    4.5                              2.7                                     2.3
Wokingham     Loddon                                               206.7                                103.5                            14.9                            19.8                                  18.3                              12.9                               8.8                                  9.0                                     4.2                                 4.1                                  3.3                                    5.0                              1.9                                     1.1
Wokingham     Norreys                                              236.9                                110.6                            27.0                            24.2                                  17.8                              18.8                              11.4                                 10.1                                     3.3                                 5.0                                  2.8                                    2.4                              2.7                                     0.8
Wokingham     Shinfield North                                      200.7                                 69.9                            22.2                            25.5                                  20.0                              13.8                              16.8                                  8.0                                     2.2                                 7.6                                  6.9                                    2.2                              2.2                                     3.3
Wokingham     Wokingham Without                                    238.3                                 99.4                            36.8                            26.5                                  16.3                              23.0                               8.4                                  9.0                                     1.6                                 5.8                                  4.8                                    3.8                              2.1                                     1.0


Table 21: Admissions per 1,000 population by “chapter” in wards within worst quartile in Berkshire West
Data source: Information Centre / HES 2007/08




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                                                                               NHS Berkshire West
                                                                  Pharmaceutical Needs Assessment
     6.6. Prevention
Managing the onset of disease and supporting people to make positive lifestyle choices is a central
element of the PCT’s strategic plan. Generally, these data show that the population in Reading need
most help to make positive lifestyle choices and that the population of Wokingham are already moving
in this direction.

6.6.1. Smoking
The single biggest determinant of health is whether a person smokes. Rates of smoking have fallen in
recent years, however it remains a focus for health services to reduce rates further, especially among
harder to reach groups.

Smoking prevalence is estimated from a small scale survey which is then used to develop estimates at
MSOA level. The average smoking estimate is the average of the percentage at MSOA level for the
area in question. Smoking rates in Reading are highest with one MSOA having a rate of 35.8% of the
adult population. Wokingham has the lowest smoking rates.

                            Minimum          Maximum       Average
                            Smoking          Smoking       Smoking
Name                        Estimate         Estimate      Estimate
England                             7.3             54.2         24.2
ONS Cluster                         7.3             37.6         19.3
South Central SHA                   9.1             43.7         21.8
Berkshire West PCT                 11.8             35.8         19.9
 Reading                           11.8             35.8         24.4
 West Berkshire                    12.8             26.7         19.9
 Wokingham                         12.0             21.6         15.8

Table 22: Smoking estimate (percentage of population)
Data source: ONS 2003-05




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                                                                                     NHS Berkshire West
                                                                        Pharmaceutical Needs Assessment
6.6.2. Alcohol
The methodology for estimating binge drinking behaviour in the population is similar to that used in
smoking. Reading has the highest estimated rates.

                         Minimum Binge   Maximum               Average Binge
                            Drinking   Binge Drinking            Drinking
Name                       Estimate       Estimate               Estimate
England                              5.2                63.9           17.9
ONS Cluster                          9.5                26.2           15.3
South Central SHA                    9.9                40.6           16.2
Berkshire West PCT                  12.2                30.1           17.4
 Reading                            14.2                30.1           20.4
 West Berkshire                     12.2                21.9           16.1
 Wokingham                          12.7                21.5           16.1

Table 23: Binge drinking estimate (percentage of population)
Data source: ONS 2003-05



6.6.3. Obesity
Estimates of rates of obesity are more similar across the localities with West Berkshire and Reading
having similar rates and Wokingham lower rates.

                            Minimum           Maximum            Average
                            Obesity           Obesity            Obesity
Name                        Estimate          Estimate           Estimate
England                              5.4                35.7           23.5
ONS Cluster                         12.7                30.6           21.5
South Central SHA                    8.5                33.4           22.0
Berkshire West PCT                  12.4                32.2           21.8
 Reading                            12.4                32.2           22.2
 West Berkshire                     18.0                28.0           23.2
 Wokingham                          16.8                26.2           19.8

Table 24: Obesity estimate (percentage of population)
Data source: ONS 2003-05




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                                                                                     NHS Berkshire West
                                                                        Pharmaceutical Needs Assessment
6.6.4. Exercise
There is a correlation between levels of reported exercise and the other lifestyle factors. Rates are
highest in Wokingham and lowest in Reading. A small survey base is used to model this estimate.

                           % adults 3
                         hours exercise       Base for
Name                       per week           exercise
England                            21.8%          189,110
ONS Cluster                        24.6%           22,960
South Central SHA                  22.9%           33,914
Berkshire West PCT                 21.0%            1,996
 Reading                           18.5%              989
 West Berkshire                    22.3%              490
 Wokingham                         24.6%              517

Table 25: Adults reporting greater than 3 hours exercise per week (percentage of population)
Data source: Sport England N18 2007/08



6.6.5. Sexual health
Rates of sexually transmitted diseases are higher in our 15-19 age group when compared to England,
this is reflected in the PCT’s plan to develop initiatives to deliver improved screening in this population
by 2014.


                   STIs - 15 to STIs - 20 to STIs - 25 to STIs - 35 to STIs - 45 to
                       19           24           34           44           64
England                  13.46        24.56         9.92         2.96         0.79
South Central SHA        10.66        20.87         8.05         2.20         0.68
Berkshire West PCT       17.49        22.31         6.74         1.81         0.71

Table 26: STI rates by age
Data source: Health Protection Agency 2007



Looking specifically at Chlamydia infection rates we can see that the rates in Berkshire West are
higher that the rates for our SHA and just marginally below the national rates.


                   Chlamydia Chlamydia Chlamydia Chlamydia Chlamydia
                   Infections - Infections - Infections - Infections - Infections -
Name                 15 to 19     20 to 24     25 to 34     35 to 44     45 to 64
England                   8.17        12.80         4.30         0.95         0.19
South Central SHA         6.21        11.03         3.67         0.68         0.15
Berkshire West PCT        8.47        12.07         3.07         0.62         0.23

Table 27: Chlamydia rates by age
Data source: Health Protection Agency 2007



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                                                                                  NHS Berkshire West
                                                                     Pharmaceutical Needs Assessment
     6.7. Child and maternal health
Child and maternal health is an area of focus for the PCT in its five year strategic plan. Reading has
rates of premature death among neonates and infants which are much higher than the PCT as a
whole and exceed the levels seen among our peer group. We also find that West Berkshire, which has
lower rates than Reading, has higher rates comparatively.

                           Mortality Rate (1    Mortality Rate (4
         Name                  week)                weeks)           Mortality Rate (1 year)
England                                  2.62                 3.41                    4.94
ONS Cluster                              1.79                 2.33                    3.30
South Central                            2.08                 2.73                    3.98
Berkshire West PCT                       2.83                 3.34                    4.70
 Reading                                 4.25                 4.68                    6.44
 West Berkshire                          2.16                 3.06                    4.32
 Wokingham                               1.70                 1.89                    2.83

Table 28: Infant mortality rates
Data source: NHSIC 2005 – 2007




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                                                                             NHS Berkshire West
                                                                Pharmaceutical Needs Assessment
7.      Insights from patients and the public
The development of Berkshire West’s PNA is informed through a process of purposive research with
patients and residents in Berkshire West in order to develop insights into the views of this important
stakeholder group on the current and potential future role of community pharmacy.

Little was known about the views of patients in Berkshire West about pharmacy services. Current and
future commissioning needs need to be informed by, and sensitive to the views of patients. However
there is very little systematic collection of patient experience feedback or views about pharmacy
services that is available to the PCT.

To provide some context for the PNA an in-depth postal survey was conducted with a sample of 4,000
(0.9%) patients registered with Berkshire West GPs.

     7.1. Results of the patient questionnaire
1,298 people responded to a survey exploring the frequency and nature of their visits to local
pharmacies, and their wider experiences and opinions of pharmacy services. Most of the data are
presented as percentages of the total number of respondents answering a particular question: some
questions have also been subject to comparisons of groups (by gender, or by locality). Findings
deemed ‘significant’ are all measured at the level p<0.05. The overall response rate was 32.5%. This
was considerably greater than results of similar anonymous survey studies where no follow-up was
possible.

The sampling of the survey was intended to be randomly distributed across an age stratified sample,
this stratification was administered by TVPCA using the registered population in Berkshire West. The
results showed that the respondents were skewed towards older people, who are also higher
responders to this type of questionnaire. In order to obtain a representative sample, the respondents
were weighted by age to achieve an age structure which reflects the population in NHS Berkshire
West. Of the 1298 respondents, 52 (4%) did not provide their age, the remaining 1246 were subject to
weighting as follows:




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                                                                              NHS Berkshire West
                                                                 Pharmaceutical Needs Assessment




                                                                                           Weighted
                                                                         Weighting
 Age (range)       Response (n)      Response (%)      Sample (%)                        respondents
                                                                          factor
                                                                                             (n)
15-19                     43              3.5%           6.6%               1.92              83
20-24                     66              5.3%           8.3%               1.56             103
25-29                     60              4.8%           8.6%               1.79             107
30-34                     74              5.9%           9.4%               1.58             117
35-39                     72              5.8%           10.0%              1.73             125
40-44                    124              10.0%          10.1%              1.02             126
45-49                    119              9.6%           8.9%               0.93             111
50-54                    119              9.6%           7.5%               0.79              93
55-59                    118              9.5%           7.4%               0.78              92
60-64                    126              10.1%          6.5%               0.64              81
65-69                    107              8.6%           4.8%               0.55              59
70-74                     63              5.1%           4.0%               0.79              50
75-79                     70              5.6%           3.4%               0.60              42
80-84                     46              3.7%           2.4%               0.64              30
>85                       39              3.1%           2.3%               0.72              28
Total                   1,246                                                               1,246
Figure 10: Respondents, response rate and weighting



Apart from the general demographics section, which reports unweighted data, all other results are
weighted.

7.1.1. General Demographics (unweighted)
In terms of general demographics, 37.8% of the respondents were male and 60.2% female (2% did
not respond). One-third of respondents (35%) were aged 60 years or over, and almost half (48.3%)
did not pay for prescriptions. Overall, most respondents rated their health as good, very good or
excellent (28.7%, 30.9%, and 20.8% respectively), with 13.6% rating their health as fair and 4.2%
rating their health as very poor or poor. One-quarter of the sample (26.5%) classed themselves as
‘carers’ of someone in their or another household, and 6.8% as ‘cared for’ by someone who was not
paid to do so. Most of the respondents were white (84.5%).

Respondents were asked to provide their postcode, this was used to determine the electoral ward and
locality where they live. A total of 1093 (84.2%) valid Berkshire West postcodes were identified.




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                                                                                   NHS Berkshire West
                                                                      Pharmaceutical Needs Assessment

                                                                  Respondents %         Resident population
                                         Respondents (n)      from Berks West by         Berks West PCT by
                                                                         locality                   locality

Reading                                               273                       25%                      32%

West Berkshire                                        367                       34%                      33%

Wokingham                                             453                       41%                      35%
 Respondents living in Berks
                                                     1,093                    100%                       100%
                 West wards
Figure 11: Distribution of respondents by locality



The results show that the respondents were well distributed across NHS Berkshire West area with
responses from every ward. The respondents that could be identified as living in Berkshire West
represent 0.25% of the resident population. Responses from individual wards ranged from 0.03% to
0.50% of residents.

Some sections saw significant rates of non-response: in tables, the number of people responding will
be noted.

All remaining data are weighted unless otherwise annotated

7.1.2. Use of Pharmacies
One-third of respondents stated that they used the same pharmacy all the time (37.2%). In later
analysis, this group will be referred to as ‘one-pharmacy users’. Only 5.4% of the sample indicated
that they used different pharmacies, and none more frequently than any others. There were no
differences by locality regarding the likelihood of being a ‘one-pharmacy user’.

Less than 10% of respondents believed that the pharmacist knew a great deal about them and their
care (Table 29), 14.5% indicated this to some extent, and another quarter (25.8%) felt that the
pharmacist was not engaged in their care.

Does the pharmacist know about you and your care?                                            % (n=863)


Yes, a great deal                                                                              13.3

Yes, to some extent                                                                            21.9

No                                                                                             38.9

I don’t usually see the same pharmacist                                                        26.0

Table 29: The respondent’s perceived knowledge of the pharmacist about them and their care

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                                                                             NHS Berkshire West
                                                                Pharmaceutical Needs Assessment


Almost 20% of respondents said that they did not usually see the same pharmacist. ‘One-pharmacy
users’ were significantly more likely to report that the pharmacist knew ‘a great deal’ about them and
their care (20.1% vs 5.0%), and were more likely to see the same pharmacist (17.8% vs 35.5% for not
seeing the same pharmacist).

‘One-pharmacy users’ were also significantly more likely to have been taking one or more prescribed
medicines for 3 months or longer (73.3% vs 54.2%).

When asked about location factors that influenced pharmacy choice, most respondents used a
pharmacy close to their GP practice (38.6%), or close to their home (32.9%) (Table 30). ‘One-
pharmacy users’ were less likely than other users to say that proximity to shops was a reason for
choice (13.9% vs 20.5%).




Location factor important to respondent                                            % (n=942)

It is close to my doctor’s surgery                                                     38.6

It is close to my home                                                                 32.9

It is close to other shops I use                                                       16.9

It is easy to park nearby                                                              6.0

It is near to the bus stop / tube station / train station                              0.9

It is close to my children’s school or nursery                                         0.5

None of these                                                                          3.0

Table 30: Location factors influencing choice of pharmacy



When asked about service factors that influenced pharmacy choice, most respondents indicated that
a quick service (36%) or the pharmacy stocking their medication (27%) were the most important to
them (Table 31). ‘One-pharmacy users’ were more likely than others to cite the pharmacist/staff
knowing them (9.8% vs 1.6%) and the collection-delivery service (12.3% vs 4.3%) as important factors
: other users were more likely than ‘one-pharmacy users’ to cite medicines in stock as a reason for
use (31.3% vs 22.8%) and late/weekend opening (12.1% vs 7.1%). People in Wokingham were


59
                                                                                      NHS Berkshire West
                                                                    Pharmaceutical Needs Assessment
significantly more likely to cite quick service than other localities, and a significant minority of 15% of
people in Reading responded that ‘none of these’ influenced their choice.




Service factor important to respondent                                                  % (n=941)

The service is quick                                                                       36.0

The pharmacy usually has my medicines in stock                                             27.0

The pharmacy is open late or at weekends                                                   9.7

The pharmacy offers a prescription collection and delivery service                         8.5

The pharmacist or staff knows about me and my medicines                                    5.8

There is some privacy when I want to speak to the pharmacist                               4.7

None of these                                                                              8.2

Table 31: Service factors influencing choice of pharmacy

7.1.3. Most Recent Visit to a Pharmacy
Almost 60% of respondents had visited a pharmacy within the last month for a health-related service,
with 20% having visited in the last week: however, one-fifth had not visited a pharmacy in the last six
months. Just over half of respondents (59.1%) had visited the pharmacy for themselves. The most
frequent reason given for this visit was to obtain medicine/s on prescription (75.7% - Table 32), and
this was more likely to be the reason for ‘one-pharmacy users’ than other users (83% vs 67%).

Reason for using the pharmacy                                                           % (n=948)

To get medicine(s) on a prescription                                                       75.7

To buy medicine(s) from the pharmacy                                                       17.5

To get advice at the pharmacy                                                              5.6

Other                                                                                      0.3

Can't remember                                                                             0.9

Table 32: Reasons for which respondents most recently visited a pharmacy



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                                                                                   NHS Berkshire West
                                                                      Pharmaceutical Needs Assessment


Most of the respondents had visited a pharmacy that they used regularly (84.2%, n=941). Most
accessed the pharmacy by car (42.7%) or by walking there (28.2%) (Table 33).

Transport used to reach pharmacy                                                  % (n=970)


Car                                                                                 42.7

Walking                                                                             28.2

Public transport                                                                     2.4

Taxi                                                                                 0.2

Other                                                                                1.3

Table 33: Transport used to reach the pharmacy on most recent visit



7.1.4. Access to Pharmacy Services
In the last twelve months, only 5.3% of respondents reported problems finding a pharmacy to get a
medicine dispensed, to get advice or buy medicines. There were no differences between ‘one-
pharmacy users’ and other users, or between localities. The majority of respondents (90.3%) were
satisfied with the opening hours of their pharmacy.

When asked, however, whether they had experienced problems accessing their usual pharmacy, or
the pharmacy closest to them, 28.6% responded that they had, and for 6.6% of people it had
happened on three or more occasions (Table 34).

Number of times unable to use regular or closest pharmacy                             % (n=1258)

Not at all                                                                                 71.4

Once or twice                                                                              19.6

Three or four times                                                                        4.1

Five or more times                                                                         2.5

Can't remember                                                                             2.4

Table 34: Access problems with local pharmacies



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                                                                         NHS Berkshire West
                                                            Pharmaceutical Needs Assessment
Most respondents (38.3%, n=384) indicated that the problem was on a normal week day, and 30%
had a problem over the weekend (Table 35). Most access problems (42.9%, n=379) were cited during
normal opening hours 8am to 6pm, with fewer during the evening, and very few overnight (Table 36).




Day when unable to use regular or closest pharmacy                              % (n=384)


A normal weekday (Monday to Friday)                                                 38.3

Sunday                                                                              17.1

Saturday                                                                            16.4

Bank holiday                                                                        3.7

Can't remember                                                                      24.4

Table 35: Access problem days for local pharmacies




Time when unable to use regular or closest pharmacy                                   % (n=379)


Midnight – 8am (overnight)                                                                 1.9

8am – 1pm (morning)                                                                        19.0

1pm – 6pm (afternoon)                                                                      23.9

6pm – Midnight (evening)                                                                   34.9

Can't remember                                                                             20.2

Table 36: Access problem times for local pharmacies



Written comments associated with these questions revealed that people had difficulty getting stock of
medicines that they needed, some wanted access aligned with early or late GP appointments, and a
significant minority wanted Chlamydia service but it was unclear whether they needed to travel to
access the service, or whether they just didn’t want to use their usual pharmacy.




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                                                                                NHS Berkshire West
                                                                   Pharmaceutical Needs Assessment
I had to visit 3 pharmacies in 1 day before I got my medication.

I wanted a chlamydia test.

Outside normal hours I could not find a pharmacy and the out of hours clinic did not know which ones
were open (if any).

Weekends + evenings surgery stays open later than pharmacy.




The majority (69.5%, n=378) of respondents needed to visit the pharmacy for themselves, and most
needed a medicine on prescription (59.5%). As a result, half (50.6%) waited until the pharmacy was
open again, and one-third (39.3%) went to another pharmacy.

In terms of how they found the alternative pharmacy, 58.8% (n=190) said they already knew which
one would be open: almost 30% received information from a friend or family member, looked on the
Internet, or found out by either telephoning or driving around (roughly 10% for each option). Only 2.4%
called NHS Direct.

7.1.5. Consultations with Pharmacists
In the last twelve months, a minority of respondents (17.5%, n=1180) had had a consultation with a
pharmacist: Most of these had been medicine-related (13.9%, n=728). ‘One-pharmacy users’ were
significantly more likely to have had a consultation about medicines than others. Most were initiated by
the patient (73.3%, n=295), rather than the pharmacist (18.5%). The pharmacist, however, was more
likely to have initiated the discussion for ‘one-pharmacy users’ than other users (25.4% vs 11.0%),
perhaps reflecting a degree of familiarity that encouraged the pharmacist to be more proactive. People
from Wokingham were significantly more likely to have had any kind of consultation than other
localities.

The varying subjects discussed, and the person initiating the consultation, were reflected in the
associated written comments:




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I had cough for over a year and I've tried everything so I seek for help and advice.

The pharmacist has a policy of inviting regular customers for a chat about their repeat prescriptions to
see if they have any concerns or have any questions.

Wanted to buy beclometasone spray and shop assistant denied it was an over - the counter medicine
- pharmacist wanted to know why I wanted it.

Pharmacist supplied the wrong medication - diabetes meds instead of high blood pressure meds.

A memory test.




Almost two-thirds of consultations (65.7%, n=306) were carried out at the pharmacy counter, 18.1% in
a separate room, and 9.5% in a quiet part of the pharmacy shop (Table 37).

Location                                                                               % (n=306)


At the pharmacy counter                                                                  65.7

In a separate room                                                                       18.1

In a quiet part of the pharmacy shop                                                      9.5

In the dispensary                                                                         5.2

Over the telephone                                                                        1.0

Other                                                                                     0.6

Table 37: Location of the consultation



Respondents rated the pharmacist highly in the consultation in terms of listening, time spent,
confidence and trust, and being treated with dignity and respect – although a significant minority felt
this ‘to some extent’ (Table 38).




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                                                                       %

Question (n=)
                                              Yes, definitely         Yes,                 No

                                                                to some extent

Did the pharmacist listen carefully to             81.3               17.5                 1.2
you? (n=311)

Were you given enough time with the                75.5               22.0                 2.4
pharmacist? (n=312)

Did you have confidence and trust in the           74.2               23.9                 1.9
pharmacist? (n=313)

Did the pharmacist treat you with dignity          83.9               14.7                 1.4
and respect? (n=313)

Table 38: Perceptions of the consultation

Most respondents (67.9%, n=311) said the pharmacist definitely provided useful information, 27.5%
said it was useful to some extent and 2.8% considered the advice or information not to be useful. 90%
of respondents believed that they felt able to ask as many questions as they wanted,71% said the
pharmacist answered all of the questions they asked, but about one-fifth indicated the pharmacist had
answered only some of their questions, and one person felt that none of their questions had been
answered.

7.1.6. Experiences of Getting a Prescription
As stated earlier, most respondents had made their most recent visit to a pharmacy to get medicine/s
on prescription. The majority (72.5%, n=696) said that a member of staff had explained how long their
prescription would take: 17.5% said that they were not told, and did not mind, but 7.9% were not told
how long their prescription would take, and they would have liked to have been informed.

Over two-thirds of respondents (70.6%, n=694) waited in the pharmacy for their prescription. Of those
who waited, 71.6% waited up to ten minutes: only 6.4% had to wait more than twenty minutes. People
in Reading reported longer waits than other localities.

The majority of respondents (91%, n=689) got all the medicines they needed on their last visit to the
pharmacy. Of those who did not, 74.1% said the main reason for incomplete prescriptions was stock
shortage at the pharmacy, and 14.3% said that their prescription had not arrived at the pharmacy
(Table 39). Most respondents had received their owing medicine within a day of the visit (57.9%,

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n=71), but a significant minority of 14.6% waited more than a week for their prescription to be
completed.

Reason for not getting all medicines needed                                         % (n=60)


The pharmacy had run out of my medicine                                                74.1

My prescription had not arrived at the pharmacy                                        14.3

My GP had not prescribed something I wanted                                            1.2

Some other reason                                                                      10.4

Table 39: Explanations for not getting all medicines needed on the day



The ‘other’ reasons given for not getting all the medicines needed included the following written
explanatory comments:

Had only requested 1 out of 3 of my medicines.

The chemist is only allowed to carry so much.

They delivered free of charge as it had to be checked and would take some time.

As usual being [pharmacy name] if it is not made by them they don't carry it and it takes days
sometimes.




7.1.7. Problems Experienced with Long-term Medicines
Half of the respondents (51.6%, n=1245) had been taking prescribed medicines for three months or
more. They were significantly more likely to be ‘one-pharmacy users’ and people aged 60 or over. Half
(46.7%) stated that they had had no problems with their medicines, and 95% did not report any
problems, but a significant minority of 65 people (5%) reported up to three problems (Tables 40 and
41). The most common medication problems were changes to colour or shape of the medicine, and
getting medicines out of the packaging.




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Problem experienced with a medicine                                                   % (n=1298)

Changes to colour or shape of the tablet                                                  3.3

Getting a medicine out of the packaging                                                   1.9

Confused by medicines that look similar                                                   1.4

Reading the label or instructions                                                         1.1

Swallowing or using my medicines                                                          0.8

Taking my medicines the way the doctor wants me to                                        0.8

Table 40: Types of problems experienced with long-term medicines




Number of problems experienced per respondent                        Number           % (n=1298)

One                                                                    51                 4.0

Two                                                                    13                 1.0

Three                                                                  1                  0.0

Table 41: Number of medication problems experienced by respondents

Almost three-quarters of the respondents (72.8%) reported no medication adherence problems with
their medicines, but a significant minority of 354 people (27.2%) reported up to four problems (Tables
42 and 43). The most common adherence problems were forgetting to take medicines sometimes and
discontinuing medicines if they made them feel worse. ‘One-pharmacy users’ were significantly less
likely to stop the medicine if feeling worse than other users (21.4% vs 27.5%), but there were no
significant differences for the other adherence problems.




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Adherence problem reported                                                            % (n=1298)

Forgetting to take medicines sometimes                                                   16.8

Stopping the medicine if it made them feel worse                                         12.5

Stopping the medicine when they feel better                                               8.4

Careless at times about taking the medicine                                               6.4

Table 42: Types of adherence problems reported with long-term medicines




Number of adherence problems experienced per                         Number           % (n=1298)
respondent

One                                                                       196            15.1

Two                                                                       110             8.4

Three                                                                     34              2.6

Four                                                                      14              1.1

Table 43: Number of adherence problems experienced by respondents



7.1.8. Getting New Medicines
One-third of the respondents (34.5%, n=1265) stated that they had had a new medicine on
prescription in the last 12 months. The extent to which respondents felt that the pharmacist had
explained different aspects of use of the new medication is reported in Table 44.




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Did             the            pharmacist       Yes,         Yes, to           No       Did not need it
explain.............in a way you could       completely    some extent
understand? (n=)

What      the    medication      was   for      28.0          13.2             21.4          37.5
(n=447)

Possible        side-effects     of    the      14.5           7.8             38.0          39.7
medication (n=453)

How to use this medication (n=452)              29.0          10.4             20.5          40.1

When       to   use    this    medication       30.4          10.2             19.8          39.5
(n=450)

What other medicines, drinks or                 13.4           6.0             37.8          42.8
foods you should avoid (n=453)

Table 44: Perception of explanations about new medicines

The table shows that, in each case, around 40% of respondents felt that they did not need an
explanation of this aspect of use. Of those who did, about half felt that the pharmacist gave a complete
explanation about what the medication was for, how to use it, and when to use it. Respondents felt
more strongly that the pharmacist had not given a clear explanation of side-effects and other
medicines, drinks or foods to avoid.

Most respondents (74.5%, n=435) felt able to ask as many questions as they wanted about the new
medication. On this occasion, one-quarter (23.7%) of respondents felt the pharmacist answered all of
their questions, but two-thirds (65.4%) stated that they had not asked any questions.

7.1.9. Advice-giving by Pharmacists on Public Health Issues
The survey asked respondents whether the pharmacist had ever discussed four important public
health issues with them: stopping smoking; weight control; alcohol consumption; and risk of heart
disease (Table 45).




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Has the pharmacist ever talked to                Yes             No, and I       No, and I     Can’t
you about..................? (n=)                               would like      don’t need   remember
                                                                      advice      advice

Stopping smoking (n=1256)                         6.2                  3.4         87.0          3.4

Drinking alcohol (n=1265)                         1.5                  4.3         92.2          2.0

Weight control (n=1267)                           1.7                  7.8         88.4          2.1

Your risk of heart disease (n=1265)               1.8                  10.3        85.0          3.0

Table 45: Reports of the pharmacist discussing public health issues

The table shows that most respondents did not perceive a need to get advice from the pharmacist
about these health issues, and a very low level of such discussions taking place. Comparison of
groups showed that pharmacists had spoken to more women than men about weight control, and
more men than women about risk of heart disease. Similarly, pharmacists had spoken to more people
aged up to 39 years than other age groups about smoking. They had spoken to more people aged 60
and over about alcohol, weight control and risk of heart disease. There was some interest in getting
advice about alcohol (4%, but higher for people aged under 60), weight control (8%) and risk of heart
disease (10%, but higher for those aged 40-59 than other groups) from the pharmacist. People in
Newbury were significantly less likely to say they wanted advice than other localities for smoking, but
there were no other notable differences by locality.

There were notable differences in the responses of ‘one-pharmacy users’ and others (Table 46).
Previous results have indicated a strong trend for more proactive advice-giving and general discussion
between ‘one-pharmacy users’ and their pharmacists and staff. This was again reflected here as small
increases in the number who reported that the pharmacist had discussed these issues with them, and
the number who said No, and they would like advice (the exception to the latter was for risk of heart
disease). These differences were statistically significant for smoking, alcohol and risk of heart disease.
All differences are small, but may become significant when extrapolated to larger populations and thus
represent a possibly small but significant impact on local population health.




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                                                    Comparison % of One-pharmacy Users and

                                                         Multi-Pharmacy Users (OPU / MPU)

Has the pharmacist ever talked to
                                                 Yes            No, and I         No, and I              Can’t
you about..................?
                                                                would like       don’t need        remember
                                                                  advice            advice

Stopping smoking                               8.0/3.0            4.1/3.4         84.9/91.7          3.0/1.8

Drinking alcohol                               3.0/0.5            3.0/2.5         93.3/95.0          0.6/2.0

Weight control                                 3.0/1.8            9.4/8.8         86.2/88.2          1.5/1.1

Your risk of heart disease                     3.9/0.5           10.7/12.5        83.1/84.4          2.4/2.7

Table 46: Reports of the pharmacist discussing public health issues with one- and multi-pharmacy users



7.1.10. The Range of Pharmacy Services
In a final question regarding respondents’ perception of the range of pharmacy services, 13.3% of
respondents stated that they wished pharmacies could provide more services, and 78.7% were
satisfied with current service provision.




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7.1.11. Rating of Pharmacy Service Elements
Respondents were asked for rating of different aspects of pharmacy services within the survey. Figure 12 combines the answers to these

questions to explore and compare results across these elements of the pharmacy service (Table 47).




Figure 12: Respondent rating of pharmacy service elements

When this analysis was run with ‘one-pharmacy users’ only, ratings of ‘excellent’ increased for each aspect.




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                                                              Rating (%)
Question (n)                      Excellent      Very        Good         Fair       Poor   Very
                                                 Good                                       Poor
How do you rate how polite the
                                      26.4         39.9       25.0        7.3        1.0    0.4
staff were? (n=949)
How do you rate how long you
                                      18.9         26.2       23.6        23.2       6.2    1.9
had to wait? (n=537)
How do you rate the comfort of
                                      7.4          16.9       32.2        29.4       12.4   1.7
the pharmacy for waiting?
(n=540)
How do you rate your
                                      20.9         32.6       30.2        13.1       2.5    0.6
experience of getting your
prescription on that occasion?
(n=700)
How do you rate the level of
                                      18.8         19.0       20.1        21.9       14.7   5.5
privacy you had in the
consultation with the
pharmacist? (n=306)
How do you rate your
                                      10.4         24.3       35.3        21.1       7.2    1.7
experience on that occasion (of
finding a pharmacy when you
needed it?) (n=354)
Overall how do you rate your
                                      26.3         40.9       25.4        5.7        1.4    0.2
last experience of using a
pharmacy? (n=941)
Table 47: Consolidation of rating questions about elements of the pharmacy service



Politeness and Welcome: The majority of respondents reported that the staff had made them feel
welcome (88.3%). One-quarter (26%) rated the staff as ‘excellent’ in terms of politeness, and 40%
rated them ‘very good’. People in Reading gave significantly lower ‘excellent’ ratings of politeness
than others. Politeness ratings increased stepwise with the age band of the respondent.

Using a Pharmacy: Overall, 67.2% of the sample rated their most recent experience of using a
pharmacy as ‘excellent’ or ‘very good’. Only 1.6% rated their last experience of using a pharmacy as
‘very poor’ or ‘poor’. People in Reading, and people aged under 39, were less likely to rate this
‘excellent’ than others.

Getting a Prescription: Overall, 53.5% of the respondents rated their experience of getting their
prescription as either ‘excellent’ or ‘very good’ on their last visit. Only 3.1% rated their experience as
‘poor’ or ‘very poor’. People aged over 60, and ‘one-pharmacy users’, were more likely to give high
ratings of getting a prescription.

Privacy in the Pharmacy: Although 37.8% of the sample rated the level of privacy as ‘excellent’ or
‘very good’, almost half of respondents (42.1%) rated the privacy of the consultation as ‘fair’ or
worse. Only one-quarter of respondents (25.2%) were offered the choice of having the consultation
somewhere where they could speak privately. Written comments from respondents reflect their
feelings about this issue, but few people chose to comment on this issue:



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Poor grasp of English - makes mistakes. Assistant (family) shouts personal info about conditions
and treatments out across waiting area - very poor service.

In a small chemist shop there is little scope for privacy.

I go to my pharmacy attached to Doctor's surgery - Talk through small window so unfortunately not
very private.




People aged over 60 were more likely to rate privacy highly than other age groups. ‘One-pharmacy
users’ were significantly more likely to rate privacy highly than others.

Waiting Time and Comfort: Sixty-nine percent of respondents found the wait acceptable (rated
‘excellent’ to ‘good’). People aged under 39 gave slightly worse rating of waiting time than other
people: they were also more likely to wait in the pharmacy for their prescription. Most respondents
who waited (84.8%) indicated that there was sufficient waiting room in the pharmacy, but almost half
(43.4%) rated the comfort as ‘fair’ or worse. People aged 60 and over, and ‘one-pharmacy users’,
were more likely to say there was enough waiting room. People aged over 60 were less likely than
others to rate the comfort as ‘poor/very poor’. ‘One-pharmacy users’ were more likely to give higher
ratings of comfort.

Access to a pharmacy: When people had found their normal pharmacy closed and had to find an
alternative, they were still fairly positive in their rating of the experience. 10.4% rated it ‘excellent’,
two-thirds ‘very good’ or ‘good’, but 30% rated it ‘fair’ or worse. People aged over 60, and ‘one-
pharmacy users’, gave higher ratings of the experience than others.

Cleanliness: Regarding pharmacy cleanliness, 74% of the sample rated the pharmacy as ‘very
clean’, but one-quarter (26%) perceived the pharmacy cleanliness as ‘fair’ or worse (Table 48)
People from Reading, and people aged under 59, were less likely to rate it ‘very clean’ than others.

Opinion of cleanliness of pharmacy visited                                               % (n=942)


Very clean                                                                                  74.0

Fairly clean                                                                                25.8

Not very clean                                                                              0.2

Not at all clean                                                                            0.0

Table 48: Opinions of pharmacy cleanliness




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8.       The assessment
The regulations governing the development of pharmaceutical needs assessments require the PCT
to consider the need for pharmaceutical services in terms of:

     •   Services currently commissioned that are necessary to meet a current need
     •   Services that are currently commissioned which secure improvements or better access to
         services – these are referred to as relevant services in the regulations
     •   The PCT may also consider:
            o   Services not currently commissioned that may be necessary in specified future
                circumstance
            o   Services not currently commissioned that may be relevant in the future because they
                would secure improvements or better access to pharmaceutical services

In reaching conclusions the PCT is expected to explain where it has taken account of other services
which have influenced its assessment.

This section describes each of the services currently commissioned in Berkshire West and
describes the PCT’s assessment of the need for each one.

     8.1. Essential services
In order to assess the provision of essential services against the needs of our population we have
looked at the distribution of pharmacies, their opening hours and the provision of dispensing
services. We consider these to be the key factors in determining the extent to which the current
provision of essential services meets the needs of our population.

8.1.1. Current provision of pharmaceutical services – access to the network
Berkshire West has 69 community pharmacies providing pharmaceutical services to their local
population and twelve dispensing GP practices providing dispensing services to patients registered
for dispensing services. There are two specialist appliance providers registered in Berkshire West
who provide surgical appliances to patients across England.

See appendix 4 for a map showing the location of pharmacies, GP practices (including dispensing
practices) and dispensing appliance contractors in Berkshire West.

8.1.1.1.        Distribution of pharmacies and dispensing practices by locality
The pharmacy contractors are distributed by locality as shown in the table below.

                                        Total
 Reading                                  29
 West Berkshire                           22
 Wokingham                                18
 Berkshire West                           69
Table 49: Distribution of community pharmacies by locality




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West Berkshire and Wokingham have dispensing practices serving the rural communities around
the urban centres. The dispensing practices by locality are shown in the table below.

                              Non dispensing Dispensing All practices
  Reading                                  27                      27
  West Berkshire                            7         6            13
  Wokingham                                 9         6            15
All practices                              43        12            55

Table 50: Distribution of practices by locality



Each dispensing practice has a sub-set of its patients that are registered for dispensing services.
Typically these patients live more than one mile from any pharmacy within the area designated for
dispensing by GPs. These areas are called “controlled” localities and are defined by the PCT’s
pharmaceutical services panel. At April 2010 83,699 patients in Berkshire West were registered for
dispensing services.

                                        Registered        Registered     Registered
                        Resident
     Locality                         population (non-    population     population
                       population
                                       dispensing)       (dispensing)      (Total)

Reading                     143,744          209,035           31,886        209,035
West Berkshire              150,684          106,735           31,886        138,621
Wokingham                   156,619          128,753           19,927        148,680
Berkshire West              451,047          444,523           83,699        496,336

Table 51: Patient numbers



8.1.1.2.         Benchmarking provision of pharmacy services
We can set the provision of pharmacy services in Berkshire West into context by comparing the
provision using national benchmarks which are available.

Appendix 8 shows the data for Berkshire West and together with all PCTs in South Central SHA
using nine available indictors. Note similar benchmarking data is not available for dispensing GP
services.

This chart shows that Berkshire West had fewer pharmacies per head of population in 2008/09
when compared to the ONS median (15.8), however taking account of pharmacies that have
opened since the publication of these data we can see that Berkshire West has moved in line with
the median for our peer group.




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Figure 13: Pharmacies per 100,000 population in ONS peer group
Source: NHSIC 2009



8.1.1.3.        Patients views
Patients prefer pharmacies located close to their GP (38.6%) and close to their home (32.9%). Most
important in choosing a pharmacy was the service (36.0%) and having the medicines in stock
(27.0%). Only 5.3% of respondents to the questionnaire had reported a problem finding a pharmacy
when they needed one in the last 12 months.

8.1.1.4.        Conclusions on distribution
NHS Berkshire West has a level of pharmacy provision which is in line with comparable peer PCTs
and appropriate for the size of our population. Our population is able to access pharmacy services
with a reasonable choice of provider.

8.1.2. Opening hours
Pharmacies are required to open between specific times by their terms of service. A visual
representation of pharmacy opening hours by ward and locality is provided in Appendix 3. GP




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dispensing practices determine their opening hours according to local need and do not have
contracted dispensing hours.

8.1.2.1.         Weekday opening hours
Each of the localities has at least one pharmacy open extended hours during the week, this includes
the four 100 hours pharmacies which are found in each locality.

Locality                 Ward                   Name                   Address

Reading                  Abbey                  Tesco                  Napier Road


West Berkshire           Greenham               Tesco                  Pinchington Lane


West Berkshire           Mortimer               Mortimer Pharmacy      72 Victoria Road


Wokingham                Wescott                Tesco                  78 Finchampstead Road

Table 52: 100 hour pharmacy locations

During the day some pharmacies close for between one and one and a half hours at lunchtime.
Patients responding to the questionnaire noted that sometimes pharmacies in the same areas close
at the same time when their closure could be staggered, there is one ward (Tilehurst) where all
pharmacies close at the same time.

8.1.2.2.         Saturday opening hours
Of the 69 pharmacies in Berkshire West 68 open on Saturday, around half (34) open for half the day
closing between noon and 1pm. After 1pm 35 pharmacies remain open, with good distribution
across each locality. Most of these pharmacies (29) remain open at 3pm and 16 remain open at
5pm.

Locality             Pharmacies Open on Sat         Open after      Open after       Open after
                                                      1pm             3pm              5pm
Reading                    29              29          14              12               7
West Berkshire             22              22          10              10               5
Wokingham                  18              17           7              7                4
Table 53: Opening of pharmacies in Saturdays




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8.1.2.3.        Sunday opening hours
Sixteen pharmacies in Berkshire West open on a Sunday, most open for 6 hours to comply with
Sunday trading regulations.

Locality             Pharmacies      Open on Sunday

Reading                   29                 4

West Berkshire            22                 5

Wokingham                 18                 7

Table 54: Opening of pharmacies on Sundays



8.1.2.4.        Out of hours services
The Carson Review (2004) of out of hours provision made recommendations relating to medicines
supply in the out of hours setting. The review placed the responsibility for ensuring that patients
receive medicines, if required, out of hours on the out of hours provider and not on the patient. Out
of hours provision in Berkshire West is provided by WestCall

Patients may receive telephone advice, a home visit or be asked to attend a consultation the
Reading or Newbury site operated by WestCall.

     •   The location of the Reading site is at the Royal Berkshire Hospital, London Road, Reading,
         RG1 5AN
     •   The location of the Newbury site is at West Berkshire Community Hospital, Rookes Way,
         Thatcham RG18 3AS

All practices in Berkshire West are covered by the WestCall service.

8.1.2.5.        Walk in Centre Services
Patients may also access the Walk in Centre in Reading which is located in Reading town centre
(1st Floor, 103 Broad Street Mall, Reading, Berkshire, RG1 7QA). The Walk in Centre opens from
8am to 8pm seven days a week and provides a walk in primary care service to registered and
unregistered patients. The nearest extended hours pharmacies to the Walk in Centre are located at
the Boots Pharmacy (The Oracle) which is located less than half a mile from the Walk in Centre and
the Lloyds Pharmacy within Tesco Extra at Portman Road which is located within one mile of the
Walk in Centre. The walk in centre is open on a Sunday between 8am and 8pm, pharmacies in
Reading open from 10am until 5pm (overlapping hours of different pharmacies) meaning that there
are times on Sunday when there is no pharmacy in the areas open to patients. The period that is
not covered by our existing contractors is between 8am and 10am on a Sunday and between 5pm



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and 8pm on a Sunday. At this time an arrangement is in place with West Call to provide patients
with an urgent requirement for treatment to medicines through the West Call service. There are very
few patients that require this service. This arrangement is in place until October 2010.

8.1.2.6.        Patient views
Patients reported that they were satisfied with the opening hours of their pharmacies (90.3%),
although more than a quarter (28.6%) had experienced a problem in the last 12 months accessing
their usual pharmacy when it was closed. For most respondents (38.4%) this took place on a normal
weekday and during “normal” opening hours (42.9% - 8am – 8pm). Comments from patients
indicated that a common issue was access over lunchtime when pharmacies may be closed to allow
the pharmacist a rest period. Patients also wanted better sign posting to service when the pharmacy
was closed.

8.1.2.7.        Conclusions on opening hours
The opening hours of our pharmacies and the opening of four 100 hour pharmacies in the last four
years means that our population has improved access to pharmacies across an extended period of
the day to pharmacy services. There are some areas where we would like to work with our existing
contractors to build on this to ensure that patients are either able to access a pharmaceutical
service when it is needed or are given sufficient information to find a pharmacy that is open.

In relation to our 100 hour pharmacy contractors the PCT has considered the current provision from
these contractors and the potential for them to apply to reduce their hours in the future based on the
PNA. The PCT has concluded that our current 100 hour contractors perform an important role in
opening up access in the evening and at weekends, which we will seek to retain.

We do not believe that any further extended hours pharmacies are required to meet the needs of
our patients.

8.1.3. Dispensing services
Dispensing services are provided by community pharmacies and dispensing GP practices in
Berkshire West. This mixed model compliments the urban and rural nature of the areas covered by
the PCT.

                                      Practices (non-     Practices       Practices
     Locality       Pharmacies
                                       dispensing)      (dispensing)       (Total)
Reading                          30                27                                 27
West Berkshire                   22                 7               6                 13
Wokingham                        17                 9               6                 15
Berkshire West                   69                43              12                 55

Table 55: Pharmacies and dispensing practices in Berkshire West



8.1.3.1.        Benchmarking dispensing services



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Pharmacies in Berkshire West (08/09) dispense an average of 6,584 prescription items per month
(NHS IC: 2008/09), this compares with an median of 6,129 in England and 5,933 in our ONS peer
group. When new pharmacy openings are taken into account the figure for Berkshire West (09/10)
falls to 6,306 prescriptions per month.




Figure 14: Benchmarking dispensing services in Berkshire West



8.1.3.2.        Cross border services
Some of our patients choose to use pharmacies located outside Berkshire West for their dispensing
needs. This movement is concentrated around our border with Berkshire East PCT. Analysis of
EPACT data for a recent 12 month period shows that less than 2% of prescriptions written by
Berkshire West GPs were dispensed outside Berkshire West. Of these the majority were dispensed
from the following pharmacies:

     Pharmacy            Address           Address      Address     Postcode             PCT
Lloydspharmacy    12 Dukes Ride           Crowthorne   Berkshire   RG45 6LT    Berkshire East
Mcparland HA      182 High Street         Crowthorne   Berkshire   RG45 7AP    Berkshire East
Boots             13 Princess Square                   Bracknell   RG12 1LS    Berkshire East
Lloydspharmacy    54 High Street          Frimley      Frimley     GU16 7JF    Surrey
Tesco             Marshall Road           Sandhurst                GU47 0FD    Berkshire East
Sainsbury's       Bagshot Road            Bracknell                RG12 7SS    Berkshire East
Data Source: EPACT, Apr 2010




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In addition, Berkshire West residents access appliance contractor and internet pharmacy services
from providers across the country. The most significant, non-Berskshire West providers are:




Provider                    Address            Address           Address       Postcode   Type
Thames Valley Medical  2 Lundy Lane        Reading            Berkshire        RG30 2RR   Appliance
Coloplast              Bakewell Road       Orton Southgate    Peterborough     PE2 6BJ    Appliance
Fittleworth Medical    Robey Close         Linby              Nottingham       NG15 8AA   Appliance
Jade-Euro-Med          14 Oldchurch Rd     East Hanningford   Chelmsford       CM2 8AB    Appliance
Donald Wardle          Ratton Street       Hanley             Stoke-On-Trent   ST1 2HH    Appliance
Intecare Home Care     Unit 7, Curo Park   Frogmore           St Albans        AL2 2DD    Home care?
Pharmacy2u             1 Hawthorn Park     Coal Road          Leeds            LS14 1PQ   Internet
Data source: EPACT, Apr 2010



These dispensers account for a very small fraction of all the prescriptions written for Berkshire
West patients.

8.1.3.3.         Patient views
Very few patients reported problems in finding a pharmacy to get a pharmaceutical service (5.3%).
In relation to dispensing the most commonly reported problem was being unable to get the full
amount of the medicines prescribed by their GP.

8.1.3.4.         Conclusions on dispensing services
Our patients rely upon a mixture of pharmacies in our urban areas and pharmacies and GP
practices in rural areas to get prescriptions dispensed. This service works well with an appropriate
balance between the needs of our population and the infrastructure to meet those needs.

There is a current and known issue with the supply of common medicines which is related to supply
chain changes taking place nationally. This is the subject of a national focus involving the DH,
pharmaceutical manufacturers, wholesalers and pharmacy owners. We will monitor the outcome of
these discussions to understand if there is any local action that could be taken to improve the
supply of medicines to our patients.

8.1.4. Essential services – conclusions
We consider that access to essential services, specifically dispensing services, is a necessary
service the need for which is secured through our pharmacy contractors in urban areas and a
combination of pharmacies and dispensing GP practices in rural areas. The opening hours of
pharmacies provide our population with goods access to services across the week.

We have not found any evidence of a gap in this service.

8.1.5. Essential services - other matters



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We have identified areas where, working with our existing contractors, we could improve access to
essential services these include:

     •   Ensuring there is provision on Sunday close to the Reading Walk in Centre to provide
         access to medicines between 8am and 10am and 5pm and 8pm on a Sunday
     •   Working with contractors to plan lunchtime closures to minimise overlap where possible
     •   Improve signposting for patients to pharmacies that are open when their usual pharmacy is
         closed

     8.2. Advanced Services
Since 2005 community pharmacies have been able to provide medicines use reviews / prescription
interventions (MUR/PI) under the Advanced services within the community pharmacy contract.
Contractors may choose to provide MURs and must make a declaration to the PCT of conformity
with the requirements to provide.

The MUR/PI service is intended to improve patients' understanding of their medicines; highlight
problematic side effects & propose solutions where appropriate; improve adherence; and reduce
medicines wastage, usually by encouraging the patient only to order the medicines they require.

The provision of Advanced Services is linked to the provision of consultation areas within
pharmacies, this was explored in some depth in the pharmacy contractor questionnaire.

8.2.1. Premises and consultation areas
Most pharmacies have a consultation area available to hold a private discussion with patients.
Distribution across the PCT is good with all pharmacies in West Berkshire reporting that they have a
consultation area and all but one in Wokingham. Reading has four pharmacies without consultation
area these are located in the Abbey, Battle, Katesgrove and Thames wards. One of these
pharmacies (Battle ward) plans to introduce a consultation area by end of 2010 as does the only
pharmacy in Wokingham without a consultation area.

                              No consultation area   Consultation area
                                                                          Total
                                      n/%                 n/%
 Reading                            4          13%       26        87%        30
 West Berkshire                                 0%       22       100%        22
 Wokingham                          1           6%       16        94%        17
 Berkshire West                     5           7%       64        93%        69
Table 56: Pharmacy consultation areas
Source: Contractor questionnaire (2009)



Seven pharmacies have more than one consultation area, four in Reading located across four
wards and three in West Berkshire located across two wards.




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                              No. of pharmacies with
          Ward               more than one consultation
                                        area
 Abbey                                                1
 Battle                                               1
 Norcot                                               1
 Southcote                                            1
 Reading Total                                        4
 Chieveley                                            1
 Victoria                                             2
 West Berkshire Total                                 3
 Berkshire West Total                                 7
Table 57: Pharmacies with more than one consultation area
Source: Contractor questionnaire 2009



Most consultation areas meet the standards for MUR and the majority are wheelchair accessible.
Most have access to a range of facilities including a sink, computer with internet access and PMR
system. Very few have an examination couch in the consultation area.




Figure 15: Current consultation areas facilities
Source: Contractor questionnaire Oct 2009



Planned developments to the consultation areas in pharmacies are focussed on the current gaps,
particularly on including an examination couch.




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Figure 16: Planned consultation areas facilities
Source: Contractor questionnaire Oct 2009



Twenty three percent (n=15) of pharmacies with a consultation area allow other practitioners to use
the area to provide services. A further 44% (n=28) would be willing to allow other practitioners to
use the area in the future.

           Locality                  Reading          West Berks        Wokingham       Berks West

 Current allow                        26.9%              27.3%              12.5%         23.4%


 Would be willing to allow            50.0%              27.3%              56.3%         43.8%

Table 58: Current and future use of consultation areas by other practitioners
Source: Contractor questionnaire, October 2009



8.2.2. Facilities for MUR
Sixty one (88.4%) of pharmacies have a consultation area fit for the purpose of MUR, meaning that
most pharmacy contractors can offer an on-site MUR service. Pharmacies with consultation areas
not declared fit for MUR are located in Abbey ward in Reading, Victoria ward in West Berkshire and
in Swallowfield ward in Wokingham.

                                 Declared fit          All
                                                                      % fit for MUR
 Locality                         for MUR          pharmacies
 Reading                                    25              30                  83.3%
 West Berkshire                             21              22                  95.5%
 Wokingham                                  15              17                  88.2%
 Berkshire West                             61              69                  88.4%
Table 59: MUR compliant consultation areas by locality
Source: Pharmacy contractor questionnaire, October 2009.




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Almost all (90%) of pharmacies in West Berkshire provide the MUR service to their patients. The
average pharmacy in Berkshire West conducts 200 MURs in a 12 month period, there is a national
cap of 400 per annum.

                                              Avg /
                Locality                    provider
 Reading                                  220
 West Berkshire                           182
 Wokingham                                186
 Total                                    200
Table 60: MUR activity by locality
Source: BW PCT Sept 2009



8.2.3. Current provision
There is considerable variation in the levels of provision of MUR. Almost 20% of providers
undertake less than 50 reviews per annum, 27% undertake between 101 and 200 and 24%
between 201 and 300, 28% deliver close to the maximum number allowed.

     Activity         Reading        West Berkshire    Wokingham     Total
     (08/09)          (pharms)          (pharms)        (pharms)    (pharms)
      1-100                6               7               5          18
     101-200               6               5               1          12
     201-300               9               2               4          15
     301-400               3               4               1           8
      >401                 2               1               2           5
      Total              26                19             13          58
Table 61: MUR activity by locality 2008/09



Activity is greatest in Reading with Wokingham and West Berkshire having similar levels of
provision.



8.2.4. Benchmarking MUR provision
When compared to our peers Berkshire West pharmacies are in line with the median rate for
delivery of MURs (2008/09). Taking more recent data into account pharmacies in Berkshire have
increased their provision of MUR by 25% in the last 12 months.




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Figure 17: Benchmark MUR provision
Source: NHSIC 2008/09



Provision of MUR is good when mapped against indicators of need, for example the table below
shows, by ward, the number of pharmacies accredited to provider MUR. Ward names shaded in
blue are those in the highest quintile for reported LTLI and those highlighted in red are wards in the
top quintile for older people.




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                                                                                        Registered
                                                                                        to provide
Locality / Ward                                                                         MUR?
                                                                                        No    Yes     Total
                                     Abbey                                                 1      5        6
                                     Battle                                                       4        4
Reading
                                     Caversham                                                    3        3
                                     Church                                                       1        1
                                     Katesgrove                                            1      1        2
                                     Kentwood                                                     1        1
                                     Minster                                                      1        1
                                     Norcot                                                       2        2
                                     Park                                                         2        2
                                     Peppard                                                      1        1
                                     Redlands                                                     1        1
                                     Southcote                                                    1        1
                                     Thames                                                1               1
                                     Tilehurst                                                    2        2
                                     Whitley                                                      2        2
Reading Total                                                                              3     27       30
                                     Birch Copse                                                  1        1
West Berkshire                       Burghfield                                                   1        1
                                     Chieveley                                                    1        1
                                     Greenham                                                     2        2
                                     Hungerford                                                   1        1
                                     Lambourn Valley                                              1        1
                                     Mortimer                                                     2        2
                                     Pangbourne                                                   1        1
                                     St Johns                                                     1        1
                                     Thatcham Central                                             3        3
                                     Thatcham South and Crookham                                  1        1
                                     Theale                                                       1        1
                                     Victoria                                              1      4        5
                                     Westwood                                                     1        1
West Berkshire Total                                                                       1     21       22
                                     Bulmershe and Whitegates                                     2        2
Wokingham                            Emmbrook                                                     1        1
                                     Finchampstead South                                          1        1
                                     Hawkedon                                                     1        1
                                     Hillside                                                     1        1
                                     Loddon                                                       1        1
                                     Maiden Erlegh                                                1        1
                                     Norreys                                                      1        1
                                     Remenham, Wargrave and Ruscombe                              1        1
                                     Shinfield North                                              1        1
                                     Swallowfield                                          1               1
                                     Twyford                                                      3        3
                                     Wescott                                                      1        1
                                     Winnersh                                              1               1
Wokingham Total                                                                            2     15       17
Total                                                                                      6     63       69
Table 62: MUR provision by ward with wards with high LTLI and older population highlighted



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8.2.5. Patient’s views
Patients taking long term medication reported problems using their medicines, particularly dealing
with changes to the presentation (3.3%) and getting medicines out of the packaging (1.9%). These
percentages are low. However a far higher proportion reported adherence problems including
remembering to take their medication (16.8%), stopping their medicine when they felt worse (12.5%)
or better (8.4%). These patients also reported wanting more information from the pharmacist about
their medicines, particularly about possible side effects (38.0%) and what the medicine was for
(21.4%).

8.2.6. Advanced services – conclusions
The stated purpose of advanced services fits well with the PCT’s strategic aims, particularly
improving outcomes for patients with long term conditions (LTCs). Evidence for the effectiveness of
MUR is not yet well developed although some early studies show that the service can improve self-
reported rates of adherence among patients. At this time we do not believe that Advanced Services
are a necessary service, however the service is relevant to the needs of our population and we will
continue to work with our pharmacies to ensure that it is delivered where and when patients need it.

8.2.7. Advanced services – other matters
We will continue to work with our pharmacy contractors to develop MUR services to widen access
and target provision with high priority patient groups.

We will also work with pharmacy contractors, the LPC and LMC to improve understanding and
awareness of MUR among patients and the public.

     8.3. Enhanced pharmaceutical services
We commission the following local enhanced services from our pharmacy contractors:

     •   Emergency Contraception Service for patients aged under 20 years
     •   Emergency Contraception Service for women aged over 20 years
     •   Smoking Cessation Service
     •   Needle Exchange Service
     •   Supervised Consumption Service
     •   Advice to care homes

The PCT is piloting the following service:

     •   Community Pharmacy Health Check+ (a form of vascular risk assessment)

The PCT is developing the following service:

     •   A palliative care drugs access service




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8.3.1. Emergency Hormonal Contraception Service
NHS Berkshire West commissions an Emergency Contraception Service from community
pharmacies. The EHC service is provided in two forms, an “under 20” service aimed at women aged
under 20 and a “20 and over service” which is available to women aged 20 or over. To provide this
service the pharmacy must be commissioned by the PCT to provide the service. Each pharmacy
must have at least one pharmacist trained and accredited to provide the service. Pharmacies also
sell EHC over the counter, 97% of pharmacies in Berkshire West provide the OTC service.

The enhanced service addresses the need to provide easy and convenient access to emergency
contraception to women. The impact that the service seeks to make is to address the rates of
teenage pregnancy in Berkshire West.

Our strategic plan includes the aim of improving life chances for children and young people, this
includes a focus on reducing teenage pregnancy and improving child and maternal health. There is
good evidence for pharmacy’s role as an effective, acceptable and accessible outlet for emergency
contraception. The service is commissioned by over 70% of PCTs in England.

8.3.1.1.      Current commissioning
The service is actively provided in 16 pharmacies (o20) and 20 pharmacies (u20) across Berkshire
West. More pharmacies are able to provide the service through trained staff, but are not active.

Provision is focused in areas where young women are more likely to access the service, like town
centre pharmacies. The table below shows the provision by ward in Berkshire West with wards with
high teenage conception rates highlighted.




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Locality / Ward                                         Under 20s         20 and over        All pharmacies
Reading                                                               6                  5               30
  Abbey                                                               2                  2                6
  Battle                                                                                                  4
  Caversham                                                           1                  1                3
  Church                                                              1                                   1
  Katesgrove                                                                                              2
  Kentwood                                                                                                1
  Minster                                                                                                 1
  Norcot                                                              1                  1                2
  Park                                                                                                    2
  Peppard                                                                                                 1
  Redlands                                                                                                1
  Southcote                                                           1                  1                1
  Thames                                                                                                  1
  Tilehurst                                                                                               2
  Whitley                                                                                                 2
West Berkshire                                                        9                  5               22
  Birch Copse                                                                                             1
  Burghfield                                                                                              1
  Chieveley                                                                                               1
  Greenham                                                            1                  1                2
  Hungerford                                                          1                  1                1
  Lambourn Valley                                                                                         1
  Mortimer                                                            1                                   2
  Pangbourne                                                          1                                   1
  St Johns                                                            1                  1                1
  Thatcham Central                                                                       1                3
  Thatcham South and Crookham                                         1                                   1
  Theale                                                                                                  1
  Victoria                                                            2                  1                5
  Westwood                                                            1                                   1
Wokingham                                                             6                  5               17
  Bulmershe and Whitegates                                            1                  1                2
  Emmbrook                                                                                                1
  Finchampstead South                                                                                     1
  Hawkedon                                                                                                1
  Hillside                                                            1                  1                1
  Loddon                                                                                                  1
  Maiden Erlegh                                                                                           1
  Norreys                                                             1                  1                1
  Remenham, Wargrave and Ruscombe                                                                         1
  Shinfield North                                                     1                  1                1
  Swallowfield                                                                                            1
  Twyford                                                             1                                   3
  Wescott                                                             1                  1                1
  Winnersh                                                                                                1
Grand Total                                                          21                 15               69
Table 63: Provision of EHC enhanced services with wards above England average for teenage conceptions
highlighted.




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8.3.1.2.       Future plans
The PCT is engaged in a process of reviewing the EHC service to incorporate into a wider Sexual
Health service in the future. As part of that process a sexual health LES pilot will run until April
2011. The sexual health LES includes EHC, Chlamydia screening and condom supply.

8.3.1.3.       Enhanced Service – EHC Service Conclusions
The EHC service through pharmacies provides important access to EHC for women in Berkshire
West. Without this service access would only be available via a GP appointment or sexual health
service clinic, this would limit access considerably.

We consider the EHC service (both u20 and o20) are necessary services, we do not believe that
there are any current gaps in provision.

Following the pilot sexual health LES we will review the status of this service and consider whether
the sexual health LES should become a necessary service.

8.3.2. Smoking Cessation Service
NHS Berkshire West commissions a Stop Smoking Service from community pharmacies. The
service includes the provision of advice on stopping smoking and supply of nicotine replacement
therapy (NRT) a key differentiator of pharmacy stop smoking services from other providers of stop
smoking services. Pharmacies are seen as key providers of stop smoking services due to their
opening hours, accessibility and ability to advise and supply NRT.

Pharmacies may provide the full stop smoking service which includes Level 2 counselling and the
supply of NRT, these pharmacies also dispense NRT Vouchers issued by other Level 2 counsellors
in the community, or a voucher only service which provides an NRT supply service for patients
received stop smoking services.

The stop smoking service directly addresses a key outcome measure for the PCT. Stopping
smoking is the single most effective health care intervention that can be made. Rates of smoking
are highest in areas of deprivation and particularly in Reading.

8.3.2.1.       Current commissioning
The table below shows the provision by ward in Berkshire West with wards with above Berkshire
West levels of deprivation highlighted.

There is good provision in the priority areas by pharmacies, all pharmacies participate in the service
with most (56/69) providing the full stop smoking service. The only ward with lower provision is in
Caversham where only one of the three pharmacies in this ward provides the full service, however
the other two pharmacies in this ward provide the voucher service.




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                                              Full Stop           Voucher Service
           Locality / Ward                                             Only               All Pharmacies
                                          Smoking Service
Reading                                           27                      3                      30
  Abbey                                           6                                               6
  Battle                                          4                                               4
  Caversham                                       1                       2                       3
  Church                                          1                                               1
  Katesgrove                                      2                                               2
  Kentwood                                        1                                               1
  Minster                                         1                                               1
  Norcot                                          2                                               2
  Park                                            2                                               2
  Peppard                                         1                                               1
  Redlands                                        1                                               1
  Southcote                                       1                                               1
  Thames                                          1                                               1
  Tilehurst                                       1                       1                       2
  Whitley                                         2                                               2
West Berkshire                                    19                      3                      22
  Birch Copse                                                             1                       1
  Burghfield                                                              1                       1
  Chieveley                                       1                                               1
  Greenham                                        2                                               2
  Hungerford                                      1                                               1
  Lambourn Valley                                 1                                               1
  Mortimer                                        2                                               2
  Pangbourne                                      1                                               1
  St Johns                                        1                                               1
  Thatcham Central                                3                                               3
  Thatcham South and Crookham                     1                                               1
  Theale                                          1                                               1
  Victoria                                        4                       1                       5
  Westwood                                        1                                               1
Wokingham                                         10                      7                      17
  Bulmershe and Whitegates                        2                                               2
  Emmbrook                                                                1                       1
  Finchampstead South                             1                                               1
  Hawkedon                                                                1                       1
  Hillside                                        1                                               1
  Loddon                                                                  1                       1
  Maiden Erlegh                                   1                                               1
  Norreys                                         1                                               1
  Remenham, Wargrave and                          1                                               1
Ruscombe
  Shinfield North                                 1                                               1
  Swallowfield                                                            1                       1
  Twyford                                         1                       2                       3
  Wescott                                         1                                               1
  Winnersh                                                               1                        1
Grand Total                                       56                     13                      69
Table 64: Provision of stop smoking enhanced services with wards above Berkshire West average for deprivation
highlighted.



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8.3.2.2.        Patient views
Patients responding to the questionnaire were asked whether the pharmacist had ever spoken to
them about stopping smoking. 6.2% could recall having a discussion with the pharmacist and a
further 3.4% would have like to discuss this with the pharmacist.

8.3.2.3.        Conclusion – Smoking Cessation Services
The stop smoking service through pharmacies is an important strand of the PCT’s efforts to reduce
smoking rates among the population.

Pharmacy is a unique provider with a high quit rate and the ability to provide access to NRT at the
point of care. Given this and the priority placed on reducing smoking rates in Berkshire West we
consider the smoking cessation service to be a necessary service.

We do not believe there are any gaps in provision.



8.3.3. Needle Exchange Service and Supervised Consumption Service
Pharmacies in NHS Berkshire West provide two services to support drug treatment services:

     •   a needle exchange service which is focused on ensuring that injecting drug users have
         access to clean injecting equipment, are able to safely dispose of used equipment and have
         access to advice from pharmacists.
     •   A supervised consumption service which is focused on ensuring that clients in drug
         treatment programmes take and use their treatment as prescribed and to provide an
         opportunity for the pharmacist to make relevant interventions

Each of the local authorities has a DAAT team which co-ordinates the local strategy for drug and
alcohol treatment.

Drug treatment and harm minimisation services directly address an important strand in the PCT’s
strategic plan. Although the numbers of people affected are small the impact on the wider
community can be significant if not properly managed. With consequences for blood borne disease,
health and safety and drug related crime.

8.3.4. Current commissioning
The table below shows the provision by ward in Berkshire West.

The aim of commissioning these services is to ensure that there are strategically located needle
exchange sites across the PCT area and to ensure that there is a comprehensive network of
supervised consumption sites across the PCT to ensure that clients in drug treatment are able to
use a service close to where they live or work. As the table overleaf shows we have good provision
of both services commensurate with these commissioning intentions. Seventeen of the 69



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pharmacies in Berkshire West provide the needle exchange service and 53 provide the supervised
consumption service.

Locality / ward                                 Needle Exchange      Supervised            Total
Reading                                                       8                       24           30
  Abbey                                                                                3            6
  Battle                                                         2                     3            4
  Caversham                                                      1                     3            3
  Church                                                                               1            1
  Katesgrove                                                     1                     2            2
  Kentwood                                                                             1            1
  Minster                                                        1                     1            1
  Norcot                                                                               2            2
  Park                                                           1                     2            2
  Peppard                                                                              1            1
  Redlands                                                       1                     1            1
  Southcote                                                                            1            1
  Thames                                                                                            1
  Tilehurst                                                                            1            2
  Whitley                                                        1                     2            2
West Berkshire                                                   5                    15           22
  Birch Copse                                                                                       1
  Burghfield                                                                                        1
  Chieveley                                                                            1            1
  Greenham                                                       1                     1            2
  Hungerford                                                     1                     1            1
  Lambourn Valley                                                1                     1            1
  Mortimer                                                                             1            2
  Pangbourne                                                                           1            1
  St Johns                                                                             1            1
  Thatcham Central                                                                     1            3
  Thatcham South and Crookham                                                          1            1
  Theale                                                                               1            1
  Victoria                                                       2                     5            5
  Westwood                                                                                          1
Wokingham                                                        4                    14           17
  Bulmershe and Whitegates                                       1                     2            2
  Emmbrook                                                                             1            1
  Finchampstead South                                            1                     1            1
  Hawkedon                                                                             1            1
  Hillside                                                                             1            1
  Loddon                                                                                            1
  Maiden Erlegh                                                                        1            1
  Norreys                                                        1                     1            1
  Remenham, Wargrave and Ruscombe                                                      1            1
  Shinfield North                                                                      1            1
  Swallowfield                                                                         1            1
  Twyford                                                        1                     2            3
  Wescott                                                                              1            1
  Winnersh                                                                                          1
Grand Total                                                     17                    53           69
Table 65: Provision of needle exchange and supervised consumption services by ward.



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The table above does not show a proxy for need as client data is collected at postcode sector level
which cannot be easily mapped to ward level. Patterns of drug use vary across the three localities.

Local profiles for drug and alcohol team areas available from the South East Public Health
Observatory     (http://www.dtmu.org.uk/DAT%20Profiles%202008-09.html#Adult).                                      A   subset             of
comparative data for adult drug treatment services, in Table 66 below shows that Reading has the
most drug users in treatment and a higher proportion of the adult population in treatment that the
other two localities. However, while numbers are small, a higher proportion of drug users in West
Berkshire are injecting drug users.


                                                                                           treatment per 100,000
                                                               Problem Drug Users




                                                                                                                         Injecting drug
                        Clients (2008/09)




                                                                                               (SHA rate 387.6)
                                             New clients (n)




                                                                                                     Adults in

                                                                                                 adult pop
                                                                     (PDUs)




                                                                                                                          users
                               (n)




Reading                  739                336                 685                            567.9                    22%
West Berks               283                104                 248                            285.7                    29%
Wokingham                203                101                 165                            182.1                    13%
Table 66: Comparative data for adult drug treatment services in NHS Berkshire West



     8.4. Conclusion – Needle Exchange and Supervised Consumption Service
Assessing the need for services from community pharmacies is difficult using the available data, we
will continue to review the provision and needs with DAAT stakeholders to ensure that
commissioning and provision are aligned with needs.

The provision of needle exchange and supervised consumption from pharmacies is a service that is
necessary to secure good access across the PCT area. The pattern of provision is consistent with
the needs of our population and we do not believe that there are any gaps in provision.



8.4.1. Advice to care homes
The PCT commissions advice and support to care homes through a contract with a single
pharmacy. The contract was put in place through a competitive procurement exercise. The contract
is due for review in April 2011 and may be re-procured at that time.

The scope of the service is provide basic advice and support to care homes on the safe storage and
administration of medicines.


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                                                                             NHS Berkshire West
                                                                Pharmaceutical Needs Assessment

The medicines management team at the PCT provides patient level advice and medication review
services.

Recent research has highlighted the challenge of providing integrated primary care services to
patient in care homes. This work highlighted the risks and issues associated with the current way in
which GPs, pharmacists, care home staff and hospitals work together to manage the care of
residents. The PCT’s Clinical Executive Committee has recently considered a paper on the
supporting patients moving in and out of hospital which is directly relevant to the PCTs
commissioning and work within the medicines management team on support for care homes.

This service is a necessary service, the current contractual arrangements meet the need for advice
to care homes on storage and handling of medicines.

When the contract is next due for review we will consider how the service could be better integrated
with the role of the Medicines Management team.



     8.5. Pilot services - Community Pharmacy Health Check+
The PCT is piloting a vascular risk assessment service in three pharmacies. This service was
introduced in March 2009 as the Community Pharmacy Vascular Screening Pilot. The pilot was
subsequently extended in scope to become the Community Pharmacy Health Check+ which is also
provided from three pharmacies. The service exploits opportunistic intervention between patient and
pharmacist by offering advice and sign posting on a range of health issues together with an NHS
health check service for patients meeting the age and risk inclusion criteria.

The service is open to any patient aged 18 and over. Patient’s aged between 18 and 40 with a BMI
of over 25 are offered advice on smoking cessation, weight management, physical activity and
alcohol intake. Patients aged 40 or over or meeting specific inclusion criteria are offered an NHS
health check.

The PCT intends to review and evaluate the pilot for subsequent roll out to other pharmacies.

At this time we believe the Community Pharmacy Health Check+ service is a relevant service which
is provided to an appropriate level to meet the needs of the pilot arrangements.

8.5.1.1.        Patient views
Patients responding to the questionnaire were asked whether the pharmacist had ever spoken to
them about weight control or their risk of heart disease, 1.7% and 1.8% of respondents could recall
having a discussion with the pharmacist. A further 7.8% and 10.3% respectively would be willing to
discuss this with the pharmacist.




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     8.6. Future services commissioning - Palliative care drugs access service
The PCT plans to commission a palliative care access service, this is to secure access to drugs
used in end of life care through an extended period. Expressions of interest have been sought from
pharmacies that are open extended hours who will hold stock of agreed drugs for clinicians and
patients to access.

The PCT intends to appoint six pharmacies to provide this service across Berkshire West.

This service is a necessary service which when commissions will meet the need for improved
access to these important drugs across Berkshire West.




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     8.7. Other enhanced services
NHS Directions include a list of Enhanced Services which PCTs may commission under local
arrangements from community pharmacists. Some of these are currently commissioned in Berkshire
West and have been described previously in this document.

The table below lists each of these Enhanced Services and considers how the need for each of
these services is currently met.

Service                            Commentary

Anticoagulation monitoring         This is currently provide by Royal Berkshire Hospital Trust. There
service                            are no plans to introduce new pathways for this service.

Disease specific MMS               The PCT’s medicines management team provides support to
                                   practices and to individual patients through practices in the form of
                                   prescribing advice and medication reviews.
Gluten Free                        Patients obtain gluten free product via prescription from their GP
                                   which can be dispensed at any community pharmacy.
Home Delivery Service              Many of our community pharmacies provide a delivery service to
                                   housebound patients. This is not commissioned by the PCT and is
                                   provided as a service to their patients.
Language access service            Patients and clinicians can access a translation and advocacy
                                   service through the PALS team.
Medication review service          The PCT medicines management team provide this service to
                                   patients through practices.
Medicines assessment and           Elements of this service are covered by the Disability
compliance support service         Discrimination Act and funding provided as part of the essential
                                   services element of the community pharmacy contract. The PCT is
                                   also in discussions with the acute trust to establish arrangements
                                   for compliance devises as part of the discharge arrangements.
Minor Ailments                     Patients currently access minor ailments care through their GP
                                   practice, many run nurse led minor illness clinics.
Out of hour service                Arrangements described earlier in this document are felt to be
                                   adequate to meet the needs of patients.
Prescriber Support Service         This is provided by the PCT medicines management team
Schools service                    We have not found any evidence of specific needs that schools
                                   have that this service would address that are not met by other
                                   services or providers.
Screening                          The PCT commissions a pilot NHS health check service and a
                                   Chlamydia screening service
Supplementary prescribing          We have not found any evidence of specific needs that this service
                                   would address that are not met by other services or providers.




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      APPENDICIES




100
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Appendix 1: Pharmaceutical Services Providers in Berkshire West
                                                                                                                                           100
                                                                                                       Ward by            Locality by
Code     PHARMACY NAME      ADDRESS 1               ADDRESS 2                   ADDRESS 3   POSTCODE                                       hour
                                                                                                       postcode           postcode
                                                                                                                                           s
FE816    Boots UK Ltd       Unit 7, Brunel Arcade   Reading Main Line Station   Reading     RG1 1LT    Abbey              Reading
FDT21    Boots UK Ltd       47-48 Broad Street      Reading                     Berkshire   RG1 2AE    Abbey              Reading
         Superdrug Stores
FGX83                       55-59 Broad Street      Reading                     Berkshire   RG1 2AF    Abbey              Reading
         Plc
FFY65    Boots UK Ltd       25 Town Mall Walk       The Oracle                  Reading     RG1 2AH    Abbey              Reading
FLK26    Saood Pharmacy     104A Oxford Road        Reading                     Berkshire   RG1 7LL    Abbey              Reading
FPG88    Tesco Stores Ltd   Tesco Extra             Napier Road                 Reading     RG1 8DF    Abbey              Reading          Y
         Lloyds Pharmacy
FGW06                       266-268 Oxford Road     Reading                     Berkshire   RG30 1AD   Battle             Reading
         Ltd
         Lloyds Pharmacy
RELOC                       Tesco Extra             Portman Road                Reading     RG30 1AH   Battle             Reading
         Ltd
         Lloyds Pharmacy
FK294                       351-353 Oxford Road     Reading                     Berkshire   RG30 1AY   Battle             Reading
         Ltd
         L Rowland & Co
FMJ89                       59A Hemdean Road        Caversham                   Reading     RG4 7SS    Caversham          Reading
         (Retail) Ltd
FC305    Day Lewis Ltd      30 Church Street        Caversham                   Berkshire   RG4 8AU    Caversham          Reading
FEX35    Boots UK Ltd       45 Church Street        Caversham                   Caversham   RG4 8BA    Caversham          Reading
         Lloyds Pharmacy
FWT36                       68 Christchurch Road    Reading                     Berkshire   RG2 7AZ    Church             Reading
         Ltd
         Lloyds Pharmacy    Milman Road Health
FEK05                                               Milman Road                 Reading     RG2 0AY    Katesgrove         Reading
         Ltd                Centre
FGD71    Ahmed Chem Ltd     71 Basingstoke Road     Reading                     Berkshire   RG2 0ER    Katesgrove         Reading
         Lloyds Pharmacy
FF110                       2a Tylers Place         Pottery Road                Tilehurst   RG30 6BW   Kentwood           Reading
         Ltd
         Newdays Pharmacy
FLR49                       60 Wensley Road         Coley Park                  Reading     RG1 6DJ    Minster            Reading
         Ltd
FQD26    Manichem Ltd       2 Grovelands Road       Reading                     Berkshire   RG30 2NY   Norcot             Reading
FNR10    Boots UK Ltd       32 Meadway Precinct     Tilehurst                   Berkshire   RG30 4AA   Norcot             Reading
         Lloyds Pharmacy
FTK19                       195 London Road         Reading                     Berkshire   RG1 3NY    Park               Reading
         Ltd
         Lloyds Pharmacy
FVH81                       105 Wokingham Road      Reading                     Berkshire   RG6 1LN    Park               Reading
         Ltd


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        Lloyds Pharmacy
FT878                       5 Cavendish Road       Caversham Park   Berkshire   RG4 8XW    Peppard          Reading
        Ltd
FA288   Manichem Ltd        85-87 Erleigh Road     Reading          Berkshire   RG1 5NN    Redlands         Reading
        Southcote
FHF90                       36 Coronation Square   Reading          Berkshire   RG30 3QN   Southcote        Reading
        Pharmacy Ltd
FA597   Markland Pharmacy   122 Henley Road        Caversham        Berkshire   RG4 6DH    Thames           Reading
FGF17   Manichem Ltd        7 School Road          Tilehurst        Berkshire   RG31 5AR   Tilehurst        Reading
FDX71   Manichem Ltd        88-90 School Road      Tilehurst        Berkshire   RG31 5AW   Tilehurst        Reading
        Lloyds Pharmacy
FXQ15                       277 Basingstoke Road   Reading          Berkshire   RG2 0JA    Whitley          Reading
        Ltd
                            534 Northumberland
FLG15   Manichem Ltd                               Reading          Berkshire   RG2 8NY    Whitley          Reading
                            Avenue




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                                                                                                                                      100
Code    PHARMACY NAME          ADDRESS                                                 POSTCODE   Ward               Locality         hour
                                                                                                                                      s
        Sainsbury 's
FEJ88                          Savacentre              Bath Road, Calcot   Reading     RG31 7SA   Birch Copse        West Berkshire
        Supermarkets Ltd
FFT63   Pillbox Chemists Ltd   Reading Road            Burghfield Common   Berkshire   RG7 3YJ    Burghfield         West Berkshire
FDN76   Downland Pharmacy      East Lane               Chieveley           Newbury     RG20 8UY   Chieveley          West Berkshire
FK567   Tesco Stores Ltd       Tesco Extra             Pinchington Lane    Newbury     RG14 7HB   Greenham           West Berkshire   Y
                               Unit 10, Newbury
FP041   Boots UK Ltd                                   Pinchington lane    Newbury     RG14 7HU   Greenham           West Berkshire
                               Retail Park
FC776   Boots UK Ltd           125 High Street         Hungerford          Berkshire   RG17 0DL   Hungerford         West Berkshire
        Graham Jones
FT063                          The Broadway            Lambourn            Berkshire   RG17 8XY   Lambourn Valley    West Berkshire
        Pharmacy Ltd
FLP66   Medalchemy Ltd         Mortimer Surgery        72 Victoria Road    Mortimer    RG7 3SQ    Mortimer           West Berkshire   Y
FRR59   Lloyds Pharmacy Ltd    24 West End Road        Mortimer            Reading     RG7 3TF    Mortimer           West Berkshire
FCT83   Lloyds Pharmacy Ltd    3 The Square            Pangbourne          Berkshire   RG8 7AQ    Pangbourne         West Berkshire
FL172   H.A. McParland Ltd     Monks Lane              Newbury             Berkshire   RG14 7RW   St Johns           West Berkshire
FXR54   Lloyds Pharmacy Ltd    7 Kingsland Centre      The Broadway        Thatcham    RG13 4HX   Thatcham Central   West Berkshire
                               Thatcham Medical
FE788   Boots UK Ltd                                   Bath Road           Thatcham    RG18 3HD   Thatcham Central   West Berkshire
                               Practice
FTJ67   Lloyds Pharmacy Ltd    3-5 Crown Mead          Bath Road           Thatcham    RG18 3JW   Thatcham Central   West Berkshire
                               Unit 2, Burdwood                                                   Thatcham South
FQD69   Lloyds Pharmacy Ltd                            Station Road        Thatcham    RG19 4YA                      West Berkshire
                               Centre                                                             and Crookham
FWP83   Lloyds Pharmacy Ltd    27 High Street          Theale              Berkshire   RG7 5AH    Theale             West Berkshire
                               81-82 Northbrook
FN512   Superdrug Stores Plc                           Newbury             Berkshire   RG14 1AE   Victoria           West Berkshire
                               Street
FWX13   Day Lewis PLC          12 The Broadway         Newbury             Berkshire   RG14 1BA   Victoria           West Berkshire
FJV60   Boots UK Ltd           4-5 Northbrook Street   Newbury             Berkshire   RG14 1DJ   Victoria           West Berkshire
        Sainsbury 's
FVP85                          Hectors Way                                 Newbury     RG14 5AB   Victoria           West Berkshire
        Supermarkets Ltd
                               82-83 Bartholomew
FPC92   Boots Pharmacy                                 Newbury             Berkshire   RG14 5EE   Victoria           West Berkshire
                               Street
FM678   Manichem Ltd           5 The Colonnade         Overdown Road       Tilehurst   RG31 6PR   Westwood           West Berkshire

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                                                                                                                                           100
                                                                                                         Ward by           Locality by
Code    PHARMACY NAME      ADDRESS 1            ADDRESS 2                      ADDRESS 3      POSTCODE                                     hour
                                                                                                         postcode          postcode
                                                                                                                                           s
        Lloyds Pharmacy    55A-55B                                                                       Bulmershe and
FP393                                           Woodley                        Berkshire      RG5 3JH                      Wokingham
        Ltd                Crockhamwell Road                                                             Whitegates
                           89-91 Crockhamwell                                                            Bulmershe and
FLD94   Boots UK Ltd                            Woodley                        Berkshire      RG5 3JP                      Wokingham
                           Road                                                                          Whitegates
FGV18   Wm Morrison Plc    Woosehill Court      Wokingham                      Berkshire      RG41 3SW   Emmbrook          Wokingham
                           422A Finchampstead                                                            Finchampstead
FQ649   JR Mistry                               Finchampstead                  Berkshire      RG40 3RB                     Wokingham
                           Road                                                                          South
                           15 Maiden Lane
FHJ96   Day Lewis Ltd                           Lower Earley                   Berkshire      RG6 3HD    Hawkedon          Wokingham
                           Centre
FY485   Boots UK Ltd       Unit 2, Asda Mall    Lower Earley District Centre   Lower Earley   RG6 5GA    Hillside          Wokingham
FPA84   H Carson Ltd       1-2 Loddon Vale      Hurricane Way                  Woodley        RG5 4UX    Loddon            Wokingham
FNE16   Boots UK Ltd       5 THE PARADE         SILVERDALE ROAD                EARLEY         RG6 7NZ    Maiden Erlegh     Wokingham
FT446   Manichem Ltd       33 Broad Street      Wokingham                      Berkshire      RG40 1AU   Norreys           Wokingham
                                                                                                         Remenham,
        Lloyds Pharmacy
FFR18                      48 Victoria Road     Wargrave                       Berkshire      RG10 8AE   Wargrave and      Wokingham
        Ltd
                                                                                                         Ruscombe
FXW03   Vantage Chemist    231 Shinfield Road   Reading                        Berkshire      RG2 8HD    Shinfield North   Wokingham
                                                                               Spencers
FG634   H Carson Ltd       Welford House        Basingstoke Road                              RG7 1AA    Swallowfield      Wokingham
                                                                               Wood
FFR18   Fields Pharmacy    1A Longfield Road    Twyford                        Berkshire      RG10 9AN   Twyford           Wokingham
        Newdays Pharmacy
FKE74                      1 London Road        Twyford                        Berkshire      RG10 9EH   Twyford           Wokingham
        Ltd
FTQ09   Day Lewis Ltd      19 London Road       Twyford                        Berkshire      RG10 9EH   Twyford           Wokingham
FMQ41   Boots UK Ltd       40 Market Place      Wokingham                      Berkshire      RG40 1AT   Wescott           Wokingham
        Tesco Instore      78 Finchampstead
NEWP                                            Wokingham                      Berkshire      RG40 2NS   Wescott           Wokingham       Y
        Pharmacy           Road
        Sainsbury 's       Unit 2, Sainsburys
FE713                                           King Street Lane               Winnersh       RG41 5AR   Winnersh          Wokingham
        Supermarkets Ltd   Store




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Appendix 2: Consultation areas, Advanced and Enhanced Services Provision by Pharmacy Contractors




                                                                                                   Consult

                                                                                                               MUR


                                                                                                                     EHC

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                                                                                                    area




                                                                                                                                 NEX

                                                                                                                                       SUP

                                                                                                                                             SSC
                                                                                                                     u20

                                                                                                                           o20
  Code          PHARMACY NAME             POSTCODE              Ward                 Locality


FE816      Boots UK Ltd                  RG1 1LT        Abbey                 Reading                N         N      N     N    N     Y     Y
FDT21      Boots UK Ltd                  RG1 2AE        Abbey                 Reading                Y         Y      Y     Y    N     Y     Y
FGX83      Superdrug Stores Plc          RG1 2AF        Abbey                 Reading                Y         Y      N     N    N     N     Y
FFY65      Boots UK Ltd                  RG1 2AH        Abbey                 Reading                Y         Y      Y     Y    N     Y     Y
FLK26      Saood Pharmacy                RG1 7LL        Abbey                 Reading                Y         Y      N     N    N     N     Y
FPG88      Tesco Stores Ltd              RG1 8DF        Abbey                 Reading                Y         Y      N     N    N     N     Y
FGW06      Lloyds Pharmacy Ltd           RG30 1AD       Battle                Reading                Y         Y      N     N    Y     Y     N
FRM56      Tesco Stores Ltd              RG30 1AH       Battle                Reading                Y         Y      N     N    N     N     Y
FK294      Lloyds Pharmacy Ltd           RG30 1AY       Battle                Reading                Y         Y      N     N    Y     Y     N
FFH62      Lloyds Pharmacy Ltd           RG30 1HF       Battle                Reading                Y         Y      N     N    Y     Y     Y
FMJ89      L Rowland & Co                RG4 7SS        Caversham             Reading                Y         Y      N     N    Y     Y     N
FC305      Day Lewis Ltd                 RG4 8AU        Caversham             Reading                Y         Y      N     N    N     Y     N
FEX35      Boots UK Ltd                  RG4 8BA        Caversham             Reading                Y         Y      Y     Y    N     Y     Y
FWT36      Lloyds Pharmacy Ltd           RG2 7AZ        Church                Reading                Y         Y      Y     Y    N     Y     Y
FEK05      Lloyds Pharmacy Ltd           RG2 0AY        Katesgrove            Reading                Y         Y      N     N    N     Y     N
FGD71      Ahmed Chem Ltd                RG2 0ER        Katesgrove            Reading                N         N      N     N    Y     Y     N
FF110      Lloyds Pharmacy Ltd           RG30 6BW       Kentwood              Reading                Y         Y      N     N    N     Y     Y
FLR49      Newdays Pharmacy Ltd          RG1 6DJ        Minster               Reading                Y         Y      Y     N    Y     Y     Y
FQD26      Manichem Ltd                  RG30 2NY       Norcot                Reading                Y         Y      N     N    N     Y     Y
FNR10      Boots UK Ltd                  RG30 4AA       Norcot                Reading                Y         Y      Y     Y    N     Y     Y
FTK19      Lloyds Pharmacy Ltd           RG1 3NY        Park                  Reading                Y         Y      N     N    Y     Y     Y
FVH81      Lloyds Pharmacy Ltd           RG6 1LN        Park                  Reading                Y         Y      N     N    N     Y     Y
FT878      Lloyds Pharmacy Ltd           RG4 8XW        Peppard               Reading                Y         Y      Y     N    N     Y     N
FA288      Manichem                      RG1 5NN        Redlands              Reading                Y         Y      N     N    Y     Y     Y
FHF90      Southcote Pharmacy            RG30 3QN       Southcote             Reading                Y         Y      Y     Y    N     Y     Y
FA597      Markland Pharmacy             RG4 6DH        Thames                Reading                N         N      N     N    N     N     Y
FGF17      Manichem Ltd                  RG31 5AR       Tilehurst             Reading                Y         Y      N     N    N     N     N
FDX71      Manichem Ltd                  RG31 5AW       Tilehurst             Reading                Y         Y      N     N    N     Y     Y
FXQ15      Lloyds Pharmacy Ltd           RG2 0JA        Whitley               Reading                Y         Y      N     N    N     Y     N
FLG15      Manichem Ltd                  RG2 8NY        Whitley               Reading                Y         Y      N     N    Y     Y     Y

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                                                                                                   EHC u20

                                                                                                             EHC o20
                                                                                   Consult

                                                                                             MUR
                                                                                    area




                                                                                                                       NEX

                                                                                                                             SUP

                                                                                                                                   SSC
  Code        PHARMACY NAME       POSTCODE          Ward                Locality


FEJ88    Sainsbury 's            RG31 7SA    Birch Copse          West Berks         Y       Y      N         N        N     N     N
FFT63    Pillbox Chemists Ltd    RG7 3YJ     Burghfield           West Berks         Y       Y      N         N        N     N     N
FDN76    Downland Pharmacy       RG20 8UY    Chieveley            West Berks         Y       Y      N         N        N     Y     Y
FK567    Tesco Stores Ltd        RG14 7HB    Greenham             West Berks         Y       Y      N         N        N     N     Y
FP041    Boots UK Ltd            RG14 7HU    Greenham             West Berks         Y       Y      Y         Y        Y     Y     Y
FC776    Boots UK Ltd            RG17 0DL    Hungerford           West Berks         Y       Y      Y         Y        Y     Y     Y
FT063    Graham Jones Pharmacy   RG17 8XY    Lambourn Valley      West Berks         Y       Y      N         N        Y     Y     Y
FLP66    Medalchemy Ltd          RG7 3SQ     Mortimer             West Berks         Y       Y      N         N        N     N     Y
FRR59    Lloyds Pharmacy Ltd     RG7 3TF     Mortimer             West Berks         Y       Y      Y         Y        N     Y     Y
FCT83    Lloyds Pharmacy Ltd     RG8 7AQ     Pangbourne           West Berks         Y       Y      Y         N        N     Y     Y
FL172    H.A. McParland Ltd      RG14 7RW    St Johns             West Berks         Y       Y      Y         Y        N     Y     Y
FXR54    Lloyds Pharmacy Ltd     RG13 4HX    Thatcham Central     West Berks         Y       Y      N         N        N     Y     N
FE788    Boots UK Ltd            RG18 3HD    Thatcham Central     West Berks         Y       Y      N         Y        N     N     Y
FTJ67    Lloyds Pharmacy Ltd     RG18 3JW    Thatcham Central     West Berks         Y       Y      N         N        N     Y     Y
                                             Thatcham South and
                                                                                     Y       Y      Y         N        N     Y     Y
FQD69    Lloyds Pharmacy Ltd     RG19 4YA    Crookham             West Berks
FWP83    Lloyds Pharmacy Ltd     RG7 5AH     Theale               West Berks         Y       Y      N         N        N     Y     N
FN512    Superdrug Stores Plc    RG14 1AE    Victoria             West Berks         Y       N      N         N        N     Y     N
FWX13    Day Lewis PLC           RG14 1BA    Victoria             West Berks         Y       Y      N         N        Y     Y     Y
FJV60    Boots UK Ltd            RG14 1DJ    Victoria             West Berks         Y       Y      Y         Y        N     Y     Y
FVP85    Sainsbury 's            RG14 5AB    Victoria             West Berks         Y       Y      Y         N        N     Y     Y
FPC92    Boots Pharmacy          RG14 5EE    Victoria             West Berks         Y       Y      N         N        Y     Y     Y
FM678    Manichem Ltd            RG31 6PR    Westwood             West Berks         Y       Y      Y         N        N     N     Y




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                                                                                           Consult area




                                                                                                                  EHC u20

                                                                                                                            EHC o20
                                                                                                            MUR




                                                                                                                                      NEX

                                                                                                                                            SUP

                                                                                                                                                  SSC
  Code        PHARMACY NAME                POSTCODE          Ward               Locality



                                                      Bulmershe and
                                                                                             Y              Y      N         N        Y     Y     N
FP393    Lloyds Pharmacy Ltd             RG5 3JH      Whitegates            Wokingham
                                                      Bulmershe and
                                                                                             Y              Y      Y         Y        N     Y     Y
FLD94    Boots UK Ltd                    RG5 3JP      Whitegates            Wokingham
FGV18    Wm Morrison Plc                 RG41 3SW     Emmbrook              Wokingham        Y              Y      N         N        N     Y     N
FQ649    JR Mistry                       RG40 3RB     Finchampstead South   Wokingham        Y              Y      N         N        Y     Y     Y
FHJ96    Day Lewis Ltd                   RG6 3HD      Hawkedon              Wokingham        Y              Y      N         N        N     Y     N
FY485    Boots UK Ltd                    RG6 5GA      Hillside              Wokingham        Y              Y      Y         Y        N     Y     Y
FPA84    H Carson Ltd                    RG5 4UX      Loddon                Wokingham        Y              Y      N         N        N     N     N
FNE16    Boots UK Ltd                    RG6 7NZ      Maiden Erlegh         Wokingham        Y              Y      N         N        N     Y     Y
FT446    Manichem Ltd                    RG40 1AU     Norreys               Wokingham        Y              Y      Y         Y        Y     Y     Y
                                                      Remenham, Wargrave
                                                                                             Y              Y      N         N        N     Y     Y
FFR18    Lloyds Pharmacy Ltd             RG10 8AE     and Ruscombe          Wokingham
FXW03    Vantage Chemist                 RG2 8HD      Shinfield North       Wokingham        Y              Y      Y         Y        N     Y     Y
FG634    H Carson Ltd                    RG7 1AA      Swallowfield          Wokingham        Y              Y      N         N        N     Y     N
FEV57    Fields Pharmacy                 RG10 9AN     Twyford               Wokingham        Y              Y      N         N        N     Y     N
FKE74    Newdays Pharmacy Ltd            RG10 9EH     Twyford               Wokingham        Y              Y      Y         N        Y     Y     Y
FTQ09    Day Lewis Ltd                   RG10 9EH     Twyford               Wokingham        Y              Y      N         N        N     N     N
FMQ41    Boots UK Ltd                    RG40 1AT     Wescott               Wokingham        Y              Y      Y         Y        N     Y     Y
FE713    Sainsbury 's Supermarkets Ltd   RG41 5AR     Winnersh              Wokingham        N              N      N         N        N     N     N




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Appendix 3: Opening hours of pharmacy contractors
MONDAY                                                                                            09:00                               Noon                                15:00                               18:00                               21:00
FCS Code         Pharmacy name         Postcode   Open    Close Lunch Lunch 07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00 23:30 00:00                 Ward                    Locality
                                                                Close Open

FE816      Boots / YLBP                RG1 1LT     7:00   19:00                                                                                                                                                                                                                                 Abbey                             Reading
FDT21      Boots / YLBP                RG1 2AA     8:00   18:00                                                                                                                                                                                                                                 Abbey                             Reading
FGX83      Superdrug                   RG1 2AF     8:00   18:00   14:00 14:30                                                                                                                                                                                                                   Abbey                             Reading
FFY65      Boots / YLBP                RG1 2AH     9:00   20:00                                                                                                                                                                                                                                 Abbey                             Reading
FLK26      Saood Pharmacy              RG1 7LL     9:00   19:00   13:00 14:00                                                                                                                                                                                                                   Abbey                             Reading
FPG88      Tesco Pharmacy              RG1 8DF     8:00   22:30                                                                                                                                                                                                                                 Abbey                             Reading
FGW06      Lloydspharmacy              RG30 1AD    9:00   19:00                                                                                                                                                                                                                                 Battle                            Reading
RELOC      Lloydspharmacy              RG30 1AH    8:00   21:00                                                                                                                                                                                                                                 Battle                            Reading
FK294      Lloydspharmacy              RG30 1AY    8:30   17:30                                                                                                                                                                                                                                 Battle                            Reading
FMJ89      Caversham Pharmacy          RG4 7SS     8:30   18:30   13:00 14:00                                                                                                                                                                                                                   Caversham                         Reading
FC305      Day Lewis                   RG4 8AU     9:00   19:00                                                                                                                                                                                                                                 Caversham                         Reading
FEX35      Boots / YLBP                RG4 8BA     9:00   18:00                                                                                                                                                                                                                                 Caversham                         Reading
FWT36      Lloydspharmacy              RG2 7AZ     8:30   18:00                                                                                                                                                                                                                                 Church                            Reading
FEK05      Lloydspharmacy              RG2 0AY     8:30   18:30                                                                                                                                                                                                                                 Katesgrove                        Reading
FGD71      Basingstoke Road Pharmacy   RG2 0ER     9:00   18:00                                                                                                                                                                                                                                 Katesgrove                        Reading
FF110      Lloydspharmacy              RG30 6BW    8:30   18:30                                                                                                                                                                                                                                 Kentwood                          Reading
FLR49      Newdays Pharmacy            RG1 6DJ     8:30   17:30   13:00 14:00                                                                                                                                                                                                                   Minster                           Reading
FQD26      Grovelands Pharmacy         RG30 2NY    9:00   18:30                                                                                                                                                                                                                                 Norcot                            Reading
FNR10      Boots / YLBP                RG30 4AA    9:00   17:30                                                                                                                                                                                                                                 Norcot                            Reading
FTK19      Lloydspharmacy              RG1 3NY     9:00   19:00                                                                                                                                                                                                                                 Park                              Reading
FVH81      Lloydspharmacy              RG6 1LN     9:00   18:00                                                                                                                                                                                                                                 Park                              Reading
FT878      Lloydspharmacy              RG4 8XW     8:30   18:30                                                                                                                                                                                                                                 Peppard                           Reading
FA288      Erleigh Road Pharmacy       RG1 5NW     9:00   18:00                                                                                                                                                                                                                                 Redlands                          Reading
FHF90      Southcote Pharmacy          RG30 3QN    9:00   18:00   13:00 14:00                                                                                                                                                                                                                   Southcote                         Reading
FA597      Markand Pharmacy            RG4 6DH     9:00   18:00   13:00 14:00                                                                                                                                                                                                                   Thames                            Reading
FGF17`     Tilehurst Pharmacy          RG31 5AR    9:00   18:00   13:00 14:00                                                                                                                                                                                                                   Tilehurst                         Reading
FDX71      Triangle Pharmacy           RG31 5AW    9:00   18:00                                                                                                                                                                                                                                 Tilehurst                         Reading
FXQ15      Lloydspharmacy              RG2 0JA     8:30   18:30                                                                                                                                                                                                                                 Whitley                           Reading
FLG15      Whitley Wood Pharmacy       RG2 8NY     9:00   18:00                                                                                                                                                                                                                                 Whitley                           Reading
FEJ88      Sainsbury's Pharmacy        RG31 7SA    8:30   21:00                                                                                                                                                                                                                                 Birch Copse                       West Berkshire
FFT63      Burghfield Pharmacy         RG7 3YJ     9:00   18:30                                                                                                                                                                                                                                 Burghfield                        West Berkshire
FDN76      Downland Pharmacy           RG20 8UY    9:00   18:00   13:00 14:00                                                                                                                                                                                                                   Chieveley                         West Berkshire
FK567      Tesco Pharmacy              RG14 7HB    8:00   22:30                                                                                                                                                                                                                                 Greenham                          West Berkshire
FP041      Boots / YLBP                RG14 7HU    9:00   24:00                                                                                                                                                                                                                                 Greenham                          West Berkshire
FC776      Boots / YLBP                RG17 0DL    9:00   18:00   12:30 13:30                                                                                                                                                                                                                   Hungerford                        West Berkshire
FT063      Graham Jones Pharmacy       RG17 8XY    9:00   18:00   13:00 14:15                                                                                                                                                                                                                   Lambourn Valley                   West Berkshire
FLP66      Mortimer Pharmacy           RG7 3SQ    08:00   22:00                                                                                                                                                                                                                                 Mortimer                          West Berkshire
FRR59      Lloydspharmacy              RG7 3TF     9:00   18:00                                                                                                                                                                                                                                 Mortimer                          West Berkshire
FCT83      Lloydspharmacy              RG8 7AQ     9:00   18:00                                                                                                                                                                                                                                 Pangbourne                        West Berkshire
FL172      Wash Common Pharmacy        RG14 7RW    8:45   18:15                                                                                                                                                                                                                                 St Johns                          West Berkshire
FXR54      Lloydspharmacy              RG13 4HX    9:00   18:00                                                                                                                                                                                                                                 Thatcham Central                  West Berkshire
FE788      Boots / YLBP                RG18 3HD    8:30   18:30   12:30 13:30                                                                                                                                                                                                                   Thatcham Central                  West Berkshire
FTJ67      Lloydspharmacy              RG18 3JW    9:00   18:30                                                                                                                                                                                                                                 Thatcham Central                  West Berkshire
FQD69      Lloydspharmacy              RG19 4YA    8:45   18:15                                                                                                                                                                                                                                 Thatcham South and Crookham       West Berkshire
FWP83      Lloydspharmacy              RG7 5AH     9:00   18:00                                                                                                                                                                                                                                 Theale                            West Berkshire
FN512      Superdrug                   RG14 1AE    8:30   17:30                                                                                                                                                                                                                                 Victoria                          West Berkshire
FWX13      Day Lewis                   RG14 1BA    9:00   17:30                                                                                                                                                                                                                                 Victoria                          West Berkshire
FJV60      Boots / YLBP                RG14 1DJ    8:30   18:00                                                                                                                                                                                                                                 Victoria                          West Berkshire
FVP85      Sainsbury's Pharmacy        RG14 5AB    8:00   21:00                                                                                                                                                                                                                                 Victoria                          West Berkshire
FPC92      Boots / YLBP                RG14 5EF    8:30   18:00   13:30 14:30                                                                                                                                                                                                                   Victoria                          West Berkshire
FM678      Overdown Pharmacy           RG31 6PR    9:00   18:00   13:00 14:00                                                                                                                                                                                                                   Westwood                          West Berkshire
FP393      Lloydspharmacy              RG5 3JH     8:30   18:30                                                                                                                                                                                                                                 Bulmershe and Whitegates          Wokingham
FLD94      Boots / YLBP                RG5 3JP     8:30   17:30   13:00 14:30                                                                                                                                                                                                                   Bulmershe and Whitegates          Wokingham
FGV18      Wm Morrison Pharmacy        RG41 3SW    8:30   20:00                                                                                                                                                                                                                                 Emmbrook                          Wokingham
FQ649      Jats Pharmacy               RG40 3RB    9:00   18:30                                                                                                                                                                                                                                 Finchampstead South               Wokingham
FHJ96      Day Lewis                   RG6 3HD     9:00   18:00                                                                                                                                                                                                                                 Hawkedon                          Wokingham
FY485      Boots / YLBP                RG6 5GA     9:00   20:00   13:00 14:00                                                                                                                                                                                                                   Hillside                          Wokingham
RFA84      Rankin Chemist              RG5 4UL     8:45   18:30   13:00 14:00                                                                                                                                                                                                                   Loddon                            Wokingham
FNE16      Boots / YLBP                RG6 7NZ     9:00   18:00   13:00 14:00                                                                                                                                                                                                                   Maiden Erlegh                     Wokingham
FT446      Wokingham Pharmacy          RG40 1AU    8:45   18:00                                                                                                                                                                                                                                 Norreys                           Wokingham
FFR18      Lloydspharmacy              RG10 8AE    8:45   18:30   13:00 14:15                                                                                                                                                                                                                   Remenham, Wargrave and Ruscombe   Wokingham
FXW03      Vantage Chemists            RG2 8HD     9:00   18:00                                                                                                                                                                                                                                 Shinfield North                   Wokingham
FG634      Rankin Chemist              RG7 1AA     9:00   18:00   13:00 14:00                                                                                                                                                                                                                   Swallowfield                      Wokingham
FEV57      Fields Pharmacy             RG10 9AN    9:00   18:00   13:00 14:00                                                                                                                                                                                                                   Twyford                           Wokingham
FTQ09      Day Lewis                   RG10 9EH    9:00   17:30                                                                                                                                                                                                                                 Twyford                           Wokingham
FKE74      Newdays Pharmacy            RG10 9EH    9:00   18:00                                                                                                                                                                                                                                 Twyford                           Wokingham
FMQ41      Boots / YLBP                RG40 1AT    9:00   17:30   14:00 15:00                                                                                                                                                                                                                   Wescott                           Wokingham
NEWP       Tesco Instore Pharmacy      RG40 2NS    8:00   22:30                                                                                                                                                                                                                                 Wescott                           Wokingham
FE713      Sainsbury's Pharmacy        RG41 5AR    8:00   21:00                                                                                                                                                                                                                                 Winnersh                          Wokingham



108
                                                                                                                                                                                                                                                                                                                          NHS Berkshire West
                                                                                                                                                                                                                                                                                                             Pharmaceutical Needs Assessment
TUESDAY                                                                                                     09:00                               Noon                                15:00                               18:00                               21:00
   FCS Code         Pharmacy name           Postcode   Open    Close   Lunch   Lunch   07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00 23:30 00:00                 Ward                    Locality
                                                                       Close   Open


FE816         Boots / YLBP                RG1 1LT      7:00    19:00                                                                                                                                                                                                                                       Abbey                             Reading
FDT21         Boots / YLBP                RG1 2AA      8:00    18:00                                                                                                                                                                                                                                       Abbey                             Reading
FGX83         Superdrug                   RG1 2AF      8:00    18:00   14:00   14:30                                                                                                                                                                                                                       Abbey                             Reading
FFY65         Boots / YLBP                RG1 2AH      9:00    20:00                                                                                                                                                                                                                                       Abbey                             Reading
FLK26         Saood Pharmacy              RG1 7LL      9:00    19:00   13:00   14:00                                                                                                                                                                                                                       Abbey                             Reading
FPG88         Tesco Pharmacy              RG1 8DF      6:30    22:30                                                                                                                                                                                                                                       Abbey                             Reading
FGW06         Lloydspharmacy              RG30 1AD     9:00    19:00                                                                                                                                                                                                                                       Battle                            Reading
RELOC         Lloydspharmacy              RG30 1AH     8:00    21:00                                                                                                                                                                                                                                       Battle                            Reading
FK294         Lloydspharmacy              RG30 1AY     8:30    17:30                                                                                                                                                                                                                                       Battle                            Reading
FMJ89         Caversham Pharmacy          RG4 7SS      8:30    18:30   13:00   14:00                                                                                                                                                                                                                       Caversham                         Reading
FC305         Day Lewis                   RG4 8AU      9:00    19:00                                                                                                                                                                                                                                       Caversham                         Reading
FEX35         Boots / YLBP                RG4 8BA      9:00    18:00                                                                                                                                                                                                                                       Caversham                         Reading
FWT36         Lloydspharmacy              RG2 7AZ      8:30    18:00                                                                                                                                                                                                                                       Church                            Reading
FEK05         Lloydspharmacy              RG2 0AY      8:30    18:30                                                                                                                                                                                                                                       Katesgrove                        Reading
FGD71         Basingstoke Road Pharmacy   RG2 0ER      9:00    18:00                                                                                                                                                                                                                                       Katesgrove                        Reading
FF110         Lloydspharmacy              RG30 6BW     8:30    18:30                                                                                                                                                                                                                                       Kentwood                          Reading
FLR49         Newdays Pharmacy            RG1 6DJ      8:30    17:30   13:00   14:00                                                                                                                                                                                                                       Minster                           Reading
FQD26         Grovelands Pharmacy         RG30 2NY     9:00    18:30                                                                                                                                                                                                                                       Norcot                            Reading
FNR10         Boots / YLBP                RG30 4AA     9:00    17:30                                                                                                                                                                                                                                       Norcot                            Reading
FTK19         Lloydspharmacy              RG1 3NY      9:00    18:00                                                                                                                                                                                                                                       Park                              Reading
FVH81         Lloydspharmacy              RG6 1LN      9:00    18:00                                                                                                                                                                                                                                       Park                              Reading
FT878         Lloydspharmacy              RG4 8XW      8:30    18:30                                                                                                                                                                                                                                       Peppard                           Reading
FA288         Erleigh Road Pharmacy       RG1 5NW      9:00    18:00                                                                                                                                                                                                                                       Redlands                          Reading
FHF90         Southcote Pharmacy          RG30 3QN     9:00    18:00   13:00   14:00                                                                                                                                                                                                                       Southcote                         Reading
FA597         Markand Pharmacy            RG4 6DH      9:00    18:00   13:00   14:00                                                                                                                                                                                                                       Thames                            Reading
FGF17`        Tilehurst Pharmacy          RG31 5AR     9:00    18:00   13:00   14:00                                                                                                                                                                                                                       Tilehurst                         Reading
FDX71         Triangle Pharmacy           RG31 5AW     9:00    18:00                                                                                                                                                                                                                                       Tilehurst                         Reading
FXQ15         Lloydspharmacy              RG2 0JA      8:30    18:30                                                                                                                                                                                                                                       Whitley                           Reading
FLG15         Whitley Wood Pharmacy       RG2 8NY      9:00    18:00                                                                                                                                                                                                                                       Whitley                           Reading
FEJ88         Sainsbury's Pharmacy        RG31 7SA     8:30    21:00                                                                                                                                                                                                                                       Birch Copse                       West Berkshire
FFT63         Burghfield Pharmacy         RG7 3YJ      9:00    18:30                                                                                                                                                                                                                                       Burghfield                        West Berkshire
FDN76         Downland Pharmacy           RG20 8UY     9:00    18:00   13:00   14:00                                                                                                                                                                                                                       Chieveley                         West Berkshire
FK567         Tesco Pharmacy              RG14 7HB     6:30    22:30                                                                                                                                                                                                                                       Greenham                          West Berkshire
FP041         Boots / YLBP                RG14 7HU     9:00     0:00                                                                                                                                                                                                                                       Greenham                          West Berkshire
FC776         Boots / YLBP                RG17 0DL      9:00   18:00   12:30   13:30                                                                                                                                                                                                                       Hungerford                        West Berkshire
FT063         Graham Jones Pharmacy       RG17 8XY      9:00   18:00   13:00   14:15                                                                                                                                                                                                                       Lambourn Valley                   West Berkshire
FLP66         Mortimer Pharmacy           RG7 3SQ      08:00   21:30                                                                                                                                                                                                                                       Mortimer                          West Berkshire
FRR59         Lloydspharmacy              RG7 3TF       9:00   18:00                                                                                                                                                                                                                                       Mortimer                          West Berkshire
FCT83         Lloydspharmacy              RG8 7AQ       9:00   18:00                                                                                                                                                                                                                                       Pangbourne                        West Berkshire
FL172         Wash Common Pharmacy        RG14 7RW      8:45   18:15                                                                                                                                                                                                                                       St Johns                          West Berkshire
FXR54         Lloydspharmacy              RG13 4HX      9:00   18:00                                                                                                                                                                                                                                       Thatcham Central                  West Berkshire
FE788         Boots / YLBP                RG18 3HD      8:30   18:30   12:30   13:30                                                                                                                                                                                                                       Thatcham Central                  West Berkshire
FTJ67         Lloydspharmacy              RG18 3JW      9:00   18:30                                                                                                                                                                                                                                       Thatcham Central                  West Berkshire
FQD69         Lloydspharmacy              RG19 4YA      8:45   18:15                                                                                                                                                                                                                                       Thatcham South and Crookham       West Berkshire
FWP83         Lloydspharmacy              RG7 5AH       9:00   18:00                                                                                                                                                                                                                                       Theale                            West Berkshire
FN512         Superdrug                   RG14 1AE      8:30   17:30                                                                                                                                                                                                                                       Victoria                          West Berkshire
FWX13         Day Lewis                   RG14 1BA      9:00   17:30                                                                                                                                                                                                                                       Victoria                          West Berkshire
FJV60         Boots / YLBP                RG14 1DJ      9:00   18:00                                                                                                                                                                                                                                       Victoria                          West Berkshire
FVP85         Sainsbury's Pharmacy        RG14 5AB      8:00   21:00                                                                                                                                                                                                                                       Victoria                          West Berkshire
FPC92         Boots / YLBP                RG14 5EF      8:30   18:00   13:30   14:30                                                                                                                                                                                                                       Victoria                          West Berkshire
FM678         Overdown Pharmacy           RG31 6PR      9:00   18:00   13:00   14:00                                                                                                                                                                                                                       Westwood                          West Berkshire
FP393         Lloydspharmacy              RG5 3JH       8:30   18:30                                                                                                                                                                                                                                       Bulmershe and Whitegates          Wokingham
FLD94         Boots / YLBP                RG5 3JP       8:30   17:30   13:00   14:30                                                                                                                                                                                                                       Bulmershe and Whitegates          Wokingham
FGV18         Wm Morrison Pharmacy        RG41 3SW     8:30    20:00                                                                                                                                                                                                                                       Emmbrook                          Wokingham
FQ649         Jats Pharmacy               RG40 3RB     9:00    18:00                                                                                                                                                                                                                                       Finchampstead South               Wokingham
FHJ96         Day Lewis                   RG6 3HD      9:00    18:00                                                                                                                                                                                                                                       Hawkedon                          Wokingham
FY485         Boots / YLBP                RG6 5GA      9:00    20:00   13:00   14:00                                                                                                                                                                                                                       Hillside                          Wokingham
RFA84         Rankin Chemist              RG5 4UL      8:45    18:30   13:00   14:00                                                                                                                                                                                                                       Loddon                            Wokingham
FNE16         Boots / YLBP                RG6 7NZ      9:00    18:00   13:00   14:00                                                                                                                                                                                                                       Maiden Erlegh                     Wokingham
FT446         Wokingham Pharmacy          RG40 1AU     8:45    18:00                                                                                                                                                                                                                                       Norreys                           Wokingham
FFR18         Lloydspharmacy              RG10 8AE     9:00    17:30   13:00   14:15                                                                                                                                                                                                                       Remenham, Wargrave and Ruscombe   Wokingham
FXW03         Vantage Chemists            RG2 8HD      9:00    18:00                                                                                                                                                                                                                                       Shinfield North                   Wokingham
FG634         Rankin Chemist              RG7 1AA      9:00    18:00   13:00   14:00                                                                                                                                                                                                                       Swallowfield                      Wokingham
FEV57         Fields Pharmacy             RG10 9AN     9:00    18:00   13:00   14:00                                                                                                                                                                                                                       Twyford                           Wokingham
FTQ09         Day Lewis                   RG10 9EH     9:00    17:30                                                                                                                                                                                                                                       Twyford                           Wokingham
FKE74         Newdays Pharmacy            RG10 9EH     9:00    18:00                                                                                                                                                                                                                                       Twyford                           Wokingham
FMQ41         Boots / YLBP                RG40 1AT     9:00    17:30   14:00   15:00                                                                                                                                                                                                                       Wescott                           Wokingham
NEWP          Tesco Instore Pharmacy      RG40 2NS     6:30    22:30                                                                                                                                                                                                                                       Wescott                           Wokingham
FE713         Sainsbury's Pharmacy        RG41 5AR     8:00    21:00                                                                                                                                                                                                                                       Winnersh                          Wokingham




109
                                                                                                                                                                                                                                                                                                                            NHS Berkshire West
                                                                                                                                                                                                                                                                                                               Pharmaceutical Needs Assessment
WEDNESDAY                                                                                                  09:00                               Noon                                15:00                               18:00                               21:00
  FCS Code         Pharmacy name           Postcode   Open    Close   Lunch   Lunch   07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00 23:30 00:00                 Ward                    Locality
                                                                      Close   Open


FE816        Boots / YLBP                RG1 1LT      07:00   19:00                                                                                                                                                                                                                                       Abbey                             Reading
FDT21        Boots / YLBP                RG1 2AA      08:00   18:00                                                                                                                                                                                                                                       Abbey                             Reading
FGX83        Superdrug                   RG1 2AF      08:00   18:00   14:00   14:30                                                                                                                                                                                                                       Abbey                             Reading
FFY65        Boots / YLBP                RG1 2AH      09:00   20:00                                                                                                                                                                                                                                       Abbey                             Reading
FLK26        Saood Pharmacy              RG1 7LL      09:00   19:00   13:00   14:00                                                                                                                                                                                                                       Abbey                             Reading
FPG88        Tesco Pharmacy              RG1 8DF      06:30   22:30                                                                                                                                                                                                                                       Abbey                             Reading
FGW06        Lloydspharmacy              RG30 1AD     09:00   19:00                                                                                                                                                                                                                                       Battle                            Reading
RELOC        Lloydspharmacy              RG30 1AH     08:00   21:00                                                                                                                                                                                                                                       Battle                            Reading
FK294        Lloydspharmacy              RG30 1AY     08:30   17:30                                                                                                                                                                                                                                       Battle                            Reading
FMJ89        Caversham Pharmacy          RG4 7SS      08:30   18:30   13:00   14:00                                                                                                                                                                                                                       Caversham                         Reading
FC305        Day Lewis                   RG4 8AU      09:00   19:00                                                                                                                                                                                                                                       Caversham                         Reading
FEX35        Boots / YLBP                RG4 8BA      09:00   18:00                                                                                                                                                                                                                                       Caversham                         Reading
FWT36        Lloydspharmacy              RG2 7AZ      08:30   17:30                                                                                                                                                                                                                                       Church                            Reading
FEK05        Lloydspharmacy              RG2 0AY      08:30   18:30                                                                                                                                                                                                                                       Katesgrove                        Reading
FGD71        Basingstoke Road Pharmacy   RG2 0ER      09:00   18:00                                                                                                                                                                                                                                       Katesgrove                        Reading
FF110        Lloydspharmacy              RG30 6BW     08:30   18:30                                                                                                                                                                                                                                       Kentwood                          Reading
FLR49        Newdays Pharmacy            RG1 6DJ      08:30   17:30   13:00   14:00                                                                                                                                                                                                                       Minster                           Reading
FQD26        Grovelands Pharmacy         RG30 2NY     09:00   18:30                                                                                                                                                                                                                                       Norcot                            Reading
FNR10        Boots / YLBP                RG30 4AA     09:00   17:30                                                                                                                                                                                                                                       Norcot                            Reading
FTK19        Lloydspharmacy              RG1 3NY      09:00   18:00                                                                                                                                                                                                                                       Park                              Reading
FVH81        Lloydspharmacy              RG6 1LN      09:00   18:00                                                                                                                                                                                                                                       Park                              Reading
FT878        Lloydspharmacy              RG4 8XW      08:30   18:30                                                                                                                                                                                                                                       Peppard                           Reading
FA288        Erleigh Road Pharmacy       RG1 5NW      09:00   18:00                                                                                                                                                                                                                                       Redlands                          Reading
FHF90        Southcote Pharmacy          RG30 3QN     09:00   18:00   13:00   14:00                                                                                                                                                                                                                       Southcote                         Reading
FA597        Markand Pharmacy            RG4 6DH      09:00   18:00   13:00   14:00                                                                                                                                                                                                                       Thames                            Reading
FGF17`       Tilehurst Pharmacy          RG31 5AR     09:00   18:00   13:00   14:00                                                                                                                                                                                                                       Tilehurst                         Reading
FDX71        Triangle Pharmacy           RG31 5AW     09:00   18:00                                                                                                                                                                                                                                       Tilehurst                         Reading
FXQ15        Lloydspharmacy              RG2 0JA      08:30   18:30                                                                                                                                                                                                                                       Whitley                           Reading
FLG15        Whitley Wood Pharmacy       RG2 8NY      09:00   18:00                                                                                                                                                                                                                                       Whitley                           Reading
FEJ88        Sainsbury's Pharmacy        RG31 7SA     08:30   21:00                                                                                                                                                                                                                                       Birch Copse                       West Berkshire
FFT63        Burghfield Pharmacy         RG7 3YJ      09:00   18:30                                                                                                                                                                                                                                       Burghfield                        West Berkshire
FDN76        Downland Pharmacy           RG20 8UY     09:00   18:00   13:00   14:00                                                                                                                                                                                                                       Chieveley                         West Berkshire
FK567        Tesco Pharmacy              RG14 7HB     06:30   22:30                                                                                                                                                                                                                                       Greenham                          West Berkshire
FP041        Boots / YLBP                RG14 7HU     09:00   00:00                                                                                                                                                                                                                                       Greenham                          West Berkshire
FC776        Boots / YLBP                RG17 0DL     09:00   18:00   12:30   13:30                                                                                                                                                                                                                       Hungerford                        West Berkshire
FT063        Graham Jones Pharmacy       RG17 8XY     09:00   18:00   13:00   14:15                                                                                                                                                                                                                       Lambourn Valley                   West Berkshire
FLP66        Mortimer Pharmacy           RG7 3SQ      08:00   22:00                                                                                                                                                                                                                                       Mortimer                          West Berkshire
FRR59        Lloydspharmacy              RG7 3TF      09:00   18:00                                                                                                                                                                                                                                       Mortimer                          West Berkshire
FCT83        Lloydspharmacy              RG8 7AQ      09:00   18:00                                                                                                                                                                                                                                       Pangbourne                        West Berkshire
FL172        Wash Common Pharmacy        RG14 7RW     08:45   18:15                                                                                                                                                                                                                                       St Johns                          West Berkshire
FXR54        Lloydspharmacy              RG13 4HX     09:00   18:00                                                                                                                                                                                                                                       Thatcham Central                  West Berkshire
FE788        Boots / YLBP                RG18 3HD     08:30   18:30   12:30   13:30                                                                                                                                                                                                                       Thatcham Central                  West Berkshire
FTJ67        Lloydspharmacy              RG18 3JW     09:00   18:30                                                                                                                                                                                                                                       Thatcham Central                  West Berkshire
FQD69        Lloydspharmacy              RG19 4YA     08:45   18:15                                                                                                                                                                                                                                       Thatcham South and Crookham       West Berkshire
FWP83        Lloydspharmacy              RG7 5AH      09:00   18:00                                                                                                                                                                                                                                       Theale                            West Berkshire
FN512        Superdrug                   RG14 1AE     08:30   17:30                                                                                                                                                                                                                                       Victoria                          West Berkshire
FWX13        Day Lewis                   RG14 1BA     09:00   17:30                                                                                                                                                                                                                                       Victoria                          West Berkshire
FJV60        Boots / YLBP                RG14 1DJ     08:30   18:00                                                                                                                                                                                                                                       Victoria                          West Berkshire
FVP85        Sainsbury's Pharmacy        RG14 5AB     08:00   21:00                                                                                                                                                                                                                                       Victoria                          West Berkshire
FPC92        Boots / YLBP                RG14 5EF     08:30   18:00   13:30   14:30                                                                                                                                                                                                                       Victoria                          West Berkshire
FM678        Overdown Pharmacy           RG31 6PR     09:00   18:00   13:00   14:00                                                                                                                                                                                                                       Westwood                          West Berkshire
FP393        Lloydspharmacy              RG5 3JH      08:30   18:30                                                                                                                                                                                                                                       Bulmershe and Whitegates          Wokingham
FLD94        Boots / YLBP                RG5 3JP      08:30   17:30   13:00   14:30                                                                                                                                                                                                                       Bulmershe and Whitegates          Wokingham
FGV18        Wm Morrison Pharmacy        RG41 3SW     08:30   20:00                                                                                                                                                                                                                                       Emmbrook                          Wokingham
FQ649        Jats Pharmacy               RG40 3RB     09:00   18:00                                                                                                                                                                                                                                       Finchampstead South               Wokingham
FHJ96        Day Lewis                   RG6 3HD      09:00   18:00                                                                                                                                                                                                                                       Hawkedon                          Wokingham
FY485        Boots / YLBP                RG6 5GA      09:00   20:00   13:00   14:00                                                                                                                                                                                                                       Hillside                          Wokingham
RFA84        Rankin Chemist              RG5 4UL      08:45   18:30   13:00   14:00                                                                                                                                                                                                                       Loddon                            Wokingham
FNE16        Boots / YLBP                RG6 7NZ      09:00   17:30   13:00   14:00                                                                                                                                                                                                                       Maiden Erlegh                     Wokingham
FT446        Wokingham Pharmacy          RG40 1AU     08:45   18:00                                                                                                                                                                                                                                       Norreys                           Wokingham
FFR18        Lloydspharmacy              RG10 8AE     09:00   17:30   13:00   14:15                                                                                                                                                                                                                       Remenham, Wargrave and Ruscombe   Wokingham
FXW03        Vantage Chemists            RG2 8HD      09:00   18:00                                                                                                                                                                                                                                       Shinfield North                   Wokingham
FG634        Rankin Chemist              RG7 1AA      09:00   18:00   13:00   14:00                                                                                                                                                                                                                       Swallowfield                      Wokingham
FEV57        Fields Pharmacy             RG10 9AN     09:00   18:00   13:00   14:00                                                                                                                                                                                                                       Twyford                           Wokingham
FTQ09        Day Lewis                   RG10 9EH     09:00   17:30                                                                                                                                                                                                                                       Twyford                           Wokingham
FKE74        Newdays Pharmacy            RG10 9EH     09:00   18:00                                                                                                                                                                                                                                       Twyford                           Wokingham
FMQ41        Boots / YLBP                RG40 1AT     09:00   17:30   14:00   15:00                                                                                                                                                                                                                       Wescott                           Wokingham
NEWP         Tesco Instore Pharmacy      RG40 2NS      6:30   22:30                                                                                                                                                                                                                                       Wescott                           Wokingham
FE713        Sainsbury's Pharmacy        RG41 5AR     08:00   21:00                                                                                                                                                                                                                                       Winnersh                          Wokingham




110
                                                                                                                                                                                                                                                                                                                                NHS Berkshire West
                                                                                                                                                                                                                                                                                                                   Pharmaceutical Needs Assessment
THURSDAY                                                                                        09:00                               Noon                                15:00                               18:00                               21:00
FCS Code         Pharmacy name          Postcode   Open Close Lunch Lunch 07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00 23:30 00:00                 Ward                    Locality
                                                              Close Open

FE816      Boots / YLBP                RG1 1LT     07:00   19:00                                                                                                                                                                                                                              Abbey                             Reading
FDT21      Boots / YLBP                RG1 2AA     08:00   18:00                                                                                                                                                                                                                              Abbey                             Reading
FGX83      Superdrug                   RG1 2AF     08:00   18:00   14:00 14:30                                                                                                                                                                                                                Abbey                             Reading
FFY65      Boots / YLBP                RG1 2AH     09:00   20:00                                                                                                                                                                                                                              Abbey                             Reading
FLK26      Saood Pharmacy              RG1 7LL     09:00   16:00   13:00 14:00                                                                                                                                                                                                                Abbey                             Reading
FPG88      Tesco Pharmacy              RG1 8DF     06:30   22:30                                                                                                                                                                                                                              Abbey                             Reading
FGW06      Lloydspharmacy              RG30 1AD    09:00   19:00                                                                                                                                                                                                                              Battle                            Reading
RELOC      Lloydspharmacy              RG30 1AH    08:00   21:00                                                                                                                                                                                                                              Battle                            Reading
FK294      Lloydspharmacy              RG30 1AY    08:30   17:30                                                                                                                                                                                                                              Battle                            Reading
FMJ89      Caversham Pharmacy          RG4 7SS     08:30   18:30   13:00 14:00                                                                                                                                                                                                                Caversham                         Reading
FC305      Day Lewis                   RG4 8AU     09:00   19:00                                                                                                                                                                                                                              Caversham                         Reading
FEX35      Boots / YLBP                RG4 8BA     09:00   18:00                                                                                                                                                                                                                              Caversham                         Reading
FWT36      Lloydspharmacy              RG2 7AZ     08:30   18:00                                                                                                                                                                                                                              Church                            Reading
FEK05      Lloydspharmacy              RG2 0AY     08:30   18:30                                                                                                                                                                                                                              Katesgrove                        Reading
FGD71      Basingstoke Road Pharmacy   RG2 0ER     09:00   18:00                                                                                                                                                                                                                              Katesgrove                        Reading
FF110      Lloydspharmacy              RG30 6BW    08:30   18:30                                                                                                                                                                                                                              Kentwood                          Reading
FLR49      Newdays Pharmacy            RG1 6DJ     08:30   17:30   13:00 14:00                                                                                                                                                                                                                Minster                           Reading
FQD26      Grovelands Pharmacy         RG30 2NY    09:00   18:30                                                                                                                                                                                                                              Norcot                            Reading
FNR10      Boots / YLBP                RG30 4AA    09:00   17:30                                                                                                                                                                                                                              Norcot                            Reading
FTK19      Lloydspharmacy              RG1 3NY     09:00   18:00                                                                                                                                                                                                                              Park                              Reading
FVH81      Lloydspharmacy              RG6 1LN     09:00   18:00                                                                                                                                                                                                                              Park                              Reading
FT878      Lloydspharmacy              RG4 8XW     08:30   18:30                                                                                                                                                                                                                              Peppard                           Reading
FA288      Erleigh Road Pharmacy       RG1 5NW     09:00   18:00                                                                                                                                                                                                                              Redlands                          Reading
FHF90      Southcote Pharmacy          RG30 3QN    09:00   18:00   13:00 14:00                                                                                                                                                                                                                Southcote                         Reading
FA597      Markand Pharmacy            RG4 6DH     09:00   18:00   13:00 14:00                                                                                                                                                                                                                Thames                            Reading
FGF17`     Tilehurst Pharmacy          RG31 5AR    09:00   18:00   13:00 14:00                                                                                                                                                                                                                Tilehurst                         Reading
FDX71      Triangle Pharmacy           RG31 5AW    09:00   18:00                                                                                                                                                                                                                              Tilehurst                         Reading
FXQ15      Lloydspharmacy              RG2 0JA     08:30   18:30                                                                                                                                                                                                                              Whitley                           Reading
FLG15      Whitley Wood Pharmacy       RG2 8NY     09:00   18:00                                                                                                                                                                                                                              Whitley                           Reading
FEJ88      Sainsbury's Pharmacy        RG31 7SA    08:30   21:00                                                                                                                                                                                                                              Birch Copse                       West Berkshire
FFT63      Burghfield Pharmacy         RG7 3YJ     09:00   18:30                                                                                                                                                                                                                              Burghfield                        West Berkshire
FDN76      Downland Pharmacy           RG20 8UY    09:00   18:00   13:00 14:00                                                                                                                                                                                                                Chieveley                         West Berkshire
FK567      Tesco Pharmacy              RG14 7HB    06:30   22:30                                                                                                                                                                                                                              Greenham                          West Berkshire
FP041      Boots / YLBP                RG14 7HU    09:00   00:00                                                                                                                                                                                                                              Greenham                          West Berkshire
FC776      Boots / YLBP                RG17 0DL    09:00   18:00   12:30 13:30                                                                                                                                                                                                                Hungerford                        West Berkshire
FT063      Graham Jones Pharmacy       RG17 8XY    09:00   18:00   13:00 14:15                                                                                                                                                                                                                Lambourn Valley                   West Berkshire
FLP66      Mortimer Pharmacy           RG7 3SQ     08:00   22:00                                                                                                                                                                                                                              Mortimer                          West Berkshire
FRR59      Lloydspharmacy              RG7 3TF     09:00   18:00                                                                                                                                                                                                                              Mortimer                          West Berkshire
FCT83      Lloydspharmacy              RG8 7AQ     09:00   18:00                                                                                                                                                                                                                              Pangbourne                        West Berkshire
FL172      Wash Common Pharmacy        RG14 7RW    08:45   18:15                                                                                                                                                                                                                              St Johns                          West Berkshire
FXR54      Lloydspharmacy              RG13 4HX    09:00   18:00                                                                                                                                                                                                                              Thatcham Central                  West Berkshire
FE788      Boots / YLBP                RG18 3HD    08:30   18:30   12:30 13:30                                                                                                                                                                                                                Thatcham Central                  West Berkshire
FTJ67      Lloydspharmacy              RG18 3JW    09:00   18:30                                                                                                                                                                                                                              Thatcham Central                  West Berkshire
FQD69      Lloydspharmacy              RG19 4YA    08:45   18:15                                                                                                                                                                                                                              Thatcham South and Crookham       West Berkshire
FWP83      Lloydspharmacy              RG7 5AH     09:00   18:00                                                                                                                                                                                                                              Theale                            West Berkshire
FN512      Superdrug                   RG14 1AE    08:30   17:30                                                                                                                                                                                                                              Victoria                          West Berkshire
FWX13      Day Lewis                   RG14 1BA    09:00   17:30                                                                                                                                                                                                                              Victoria                          West Berkshire
FJV60      Boots / YLBP                RG14 1DJ    08:30   18:00                                                                                                                                                                                                                              Victoria                          West Berkshire
FVP85      Sainsbury's Pharmacy        RG14 5AB    08:00   21:00                                                                                                                                                                                                                              Victoria                          West Berkshire
FPC92      Boots / YLBP                RG14 5EF    08:30   18:00   13:30 14:30                                                                                                                                                                                                                Victoria                          West Berkshire
FM678      Overdown Pharmacy           RG31 6PR    09:00   18:00   13:00 14:00                                                                                                                                                                                                                Westwood                          West Berkshire
FP393      Lloydspharmacy              RG5 3JH     08:30   18:30                                                                                                                                                                                                                              Bulmershe and Whitegates          Wokingham
FLD94      Boots / YLBP                RG5 3JP     08:30   17:30   13:00 14:30                                                                                                                                                                                                                Bulmershe and Whitegates          Wokingham
FGV18      Wm Morrison Pharmacy        RG41 3SW    08:30   20:00                                                                                                                                                                                                                              Emmbrook                          Wokingham
FQ649      Jats Pharmacy               RG40 3RB    09:00   18:00                                                                                                                                                                                                                              Finchampstead South               Wokingham
FHJ96      Day Lewis                   RG6 3HD     09:00   18:00                                                                                                                                                                                                                              Hawkedon                          Wokingham
FY485      Boots / YLBP                RG6 5GA     09:00   21:00   13:00 14:00                                                                                                                                                                                                                Hillside                          Wokingham
RFA84      Rankin Chemist              RG5 4UL     08:45   18:30   13:00 14:00                                                                                                                                                                                                                Loddon                            Wokingham
FNE16      Boots / YLBP                RG6 7NZ     09:00   18:00   13:00 14:00                                                                                                                                                                                                                Maiden Erlegh                     Wokingham
FT446      Wokingham Pharmacy          RG40 1AU    08:45   18:00                                                                                                                                                                                                                              Norreys                           Wokingham
FFR18      Lloydspharmacy              RG10 8AE    09:00   17:30   13:00 14:15                                                                                                                                                                                                                Remenham, Wargrave and Ruscombe   Wokingham
FXW03      Vantage Chemists            RG2 8HD     09:00   18:00                                                                                                                                                                                                                              Shinfield North                   Wokingham
FG634      Rankin Chemist              RG7 1AA     09:00   18:00   13:00 14:00                                                                                                                                                                                                                Swallowfield                      Wokingham
FEV57      Fields Pharmacy             RG10 9AN    09:00   18:00   13:00 14:00                                                                                                                                                                                                                Twyford                           Wokingham
FTQ09      Day Lewis                   RG10 9EH    09:00   17:30                                                                                                                                                                                                                              Twyford                           Wokingham
FKE74      Newdays Pharmacy            RG10 9EH    09:00   18:00                                                                                                                                                                                                                              Twyford                           Wokingham
FMQ41      Boots / YLBP                RG40 1AT    09:00   17:30   14:00 15:00                                                                                                                                                                                                                Wescott                           Wokingham
NEWP       Tesco Instore Pharmacy      RG40 2NS     6:30   22:30                                                                                                                                                                                                                              Wescott                           Wokingham
FE713      Sainsbury's Pharmacy        RG41 5AR    08:00   21:00                                                                                                                                                                                                                              Winnersh                          Wokingham




111
                                                                                                                                                                                                                                                                                                                                NHS Berkshire West
                                                                                                                                                                                                                                                                                                                   Pharmaceutical Needs Assessment
FRIDAY                                                                                              09:00                               Noon                                15:00                               18:00                               21:00
 FCS Code         Pharmacy name          Postcode   Open    Close Lunch Lunch 07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00 23:30 00:00                 Ward                    Locality
                                                                  Close Open

FE816       Boots / YLBP                RG1 1LT     07:00   19:00                                                                                                                                                                                                                                 Abbey                             Reading
FDT21       Boots / YLBP                RG1 2AA     08:00   18:00                                                                                                                                                                                                                                 Abbey                             Reading
FGX83       Superdrug                   RG1 2AF     08:00   18:00   14:00   14:30                                                                                                                                                                                                                 Abbey                             Reading
FFY65       Boots / YLBP                RG1 2AH     09:00   20:00                                                                                                                                                                                                                                 Abbey                             Reading
FLK26       Saood Pharmacy              RG1 7LL     09:00   19:00   13:00   14:00                                                                                                                                                                                                                 Abbey                             Reading
FPG88       Tesco Pharmacy              RG1 8DF     06:30   22:30                                                                                                                                                                                                                                 Abbey                             Reading
FGW06       Lloydspharmacy              RG30 1AD    09:00   19:00                                                                                                                                                                                                                                 Battle                            Reading
RELOC       Lloydspharmacy              RG30 1AH    08:00   21:00                                                                                                                                                                                                                                 Battle                            Reading
FK294       Lloydspharmacy              RG30 1AY    08:30   17:30                                                                                                                                                                                                                                 Battle                            Reading
FMJ89       Caversham Pharmacy          RG4 7SS     08:30   18:30   13:00   14:00                                                                                                                                                                                                                 Caversham                         Reading
FC305       Day Lewis                   RG4 8AU     09:00   19:00                                                                                                                                                                                                                                 Caversham                         Reading
FEX35       Boots / YLBP                RG4 8BA     09:00   18:00                                                                                                                                                                                                                                 Caversham                         Reading
FWT36       Lloydspharmacy              RG2 7AZ     08:30   18:00                                                                                                                                                                                                                                 Church                            Reading
FEK05       Lloydspharmacy              RG2 0AY     08:30   18:30                                                                                                                                                                                                                                 Katesgrove                        Reading
FGD71       Basingstoke Road Pharmacy   RG2 0ER     09:00   18:00                                                                                                                                                                                                                                 Katesgrove                        Reading
FF110       Lloydspharmacy              RG30 6BW    08:30   18:30                                                                                                                                                                                                                                 Kentwood                          Reading
FLR49       Newdays Pharmacy            RG1 6DJ     08:30   17:30   13:00   14:00                                                                                                                                                                                                                 Minster                           Reading
FQD26       Grovelands Pharmacy         RG30 2NY    09:00   18:30                                                                                                                                                                                                                                 Norcot                            Reading
FNR10       Boots / YLBP                RG30 4AA    09:00   17:30                                                                                                                                                                                                                                 Norcot                            Reading
FTK19       Lloydspharmacy              RG1 3NY     09:00   19:00                                                                                                                                                                                                                                 Park                              Reading
FVH81       Lloydspharmacy              RG6 1LN     09:00   18:00                                                                                                                                                                                                                                 Park                              Reading
FT878       Lloydspharmacy              RG4 8XW     08:30   18:30                                                                                                                                                                                                                                 Peppard                           Reading
FA288       Erleigh Road Pharmacy       RG1 5NW     09:00   18:00                                                                                                                                                                                                                                 Redlands                          Reading
FHF90       Southcote Pharmacy          RG30 3QN    09:00   18:00   13:00   14:00                                                                                                                                                                                                                 Southcote                         Reading
FA597       Markand Pharmacy            RG4 6DH     09:00   18:00   13:00   14:00                                                                                                                                                                                                                 Thames                            Reading
FGF17`      Tilehurst Pharmacy          RG31 5AR    09:00   18:00   13:00   14:00                                                                                                                                                                                                                 Tilehurst                         Reading
FDX71       Triangle Pharmacy           RG31 5AW    09:00   18:00                                                                                                                                                                                                                                 Tilehurst                         Reading
FXQ15       Lloydspharmacy              RG2 0JA     08:30   18:30                                                                                                                                                                                                                                 Whitley                           Reading
FLG15       Whitley Wood Pharmacy       RG2 8NY     09:00   18:00                                                                                                                                                                                                                                 Whitley                           Reading
FEJ88       Sainsbury's Pharmacy        RG31 7SA    08:30   21:00                                                                                                                                                                                                                                 Birch Copse                       West Berkshire
FFT63       Burghfield Pharmacy         RG7 3YJ     09:00   18:30                                                                                                                                                                                                                                 Burghfield                        West Berkshire
FDN76       Downland Pharmacy           RG20 8UY    09:00   18:00   13:00   14:00                                                                                                                                                                                                                 Chieveley                         West Berkshire
FK567       Tesco Pharmacy              RG14 7HB    06:30   22:30                                                                                                                                                                                                                                 Greenham                          West Berkshire
FP041       Boots / YLBP                RG14 7HU    09:00   00:00                                                                                                                                                                                                                                 Greenham                          West Berkshire
FC776       Boots / YLBP                RG17 0DL    09:00   18:00   12:30   13:30                                                                                                                                                                                                                 Hungerford                        West Berkshire
FT063       Graham Jones Pharmacy       RG17 8XY    09:00   18:00   13:00   14:15                                                                                                                                                                                                                 Lambourn Valley                   West Berkshire
FLP66       Mortimer Pharmacy           RG7 3SQ     08:00   22:00                                                                                                                                                                                                                                 Mortimer                          West Berkshire
FRR59       Lloydspharmacy              RG7 3TF     09:00   18:00                                                                                                                                                                                                                                 Mortimer                          West Berkshire
FCT83       Lloydspharmacy              RG8 7AQ     09:00   18:00                                                                                                                                                                                                                                 Pangbourne                        West Berkshire
FL172       Wash Common Pharmacy        RG14 7RW    08:45   18:15                                                                                                                                                                                                                                 St Johns                          West Berkshire
FXR54       Lloydspharmacy              RG13 4HX    09:00   18:00                                                                                                                                                                                                                                 Thatcham Central                  West Berkshire
FE788       Boots / YLBP                RG18 3HD    08:30   18:30   12:30   13:30                                                                                                                                                                                                                 Thatcham Central                  West Berkshire
FTJ67       Lloydspharmacy              RG18 3JW    09:00   18:30                                                                                                                                                                                                                                 Thatcham Central                  West Berkshire
FQD69       Lloydspharmacy              RG19 4YA    08:45   18:15                                                                                                                                                                                                                                 Thatcham South and Crookham       West Berkshire
FWP83       Lloydspharmacy              RG7 5AH     09:00   18:00                                                                                                                                                                                                                                 Theale                            West Berkshire
FN512       Superdrug                   RG14 1AE    08:30   17:30                                                                                                                                                                                                                                 Victoria                          West Berkshire
FWX13       Day Lewis                   RG14 1BA    09:00   17:30                                                                                                                                                                                                                                 Victoria                          West Berkshire
FJV60       Boots / YLBP                RG14 1DJ    08:30   18:00                                                                                                                                                                                                                                 Victoria                          West Berkshire
FVP85       Sainsbury's Pharmacy        RG14 5AB    08:00   21:00                                                                                                                                                                                                                                 Victoria                          West Berkshire
FPC92       Boots / YLBP                RG14 5EF    08:30   18:00   13:30   14:30                                                                                                                                                                                                                 Victoria                          West Berkshire
FM678       Overdown Pharmacy           RG31 6PR    09:00   18:00   13:00   14:00                                                                                                                                                                                                                 Westwood                          West Berkshire
FP393       Lloydspharmacy              RG5 3JH     08:30   18:30                                                                                                                                                                                                                                 Bulmershe and Whitegates          Wokingham
FLD94       Boots / YLBP                RG5 3JP     08:30   17:30   13:00   14:30                                                                                                                                                                                                                 Bulmershe and Whitegates          Wokingham
FGV18       Wm Morrison Pharmacy        RG41 3SW    08:30   21:00                                                                                                                                                                                                                                 Emmbrook                          Wokingham
FQ649       Jats Pharmacy               RG40 3RB    09:00   18:00                                                                                                                                                                                                                                 Finchampstead South               Wokingham
FHJ96       Day Lewis                   RG6 3HD     09:00   18:00                                                                                                                                                                                                                                 Hawkedon                          Wokingham
FY485       Boots / YLBP                RG6 5GA     09:00   21:00   13:00   14:00                                                                                                                                                                                                                 Hillside                          Wokingham
RFA84       Rankin Chemist              RG5 4UL     08:45   18:30   13:00   14:00                                                                                                                                                                                                                 Loddon                            Wokingham
FNE16       Boots / YLBP                RG6 7NZ     09:00   18:00   13:00   14:00                                                                                                                                                                                                                 Maiden Erlegh                     Wokingham
FT446       Wokingham Pharmacy          RG40 1AU    08:45   18:00                                                                                                                                                                                                                                 Norreys                           Wokingham
FFR18       Lloydspharmacy              RG10 8AE    09:00   17:30   13:00   14:15                                                                                                                                                                                                                 Remenham, Wargrave and Ruscombe   Wokingham
FXW03       Vantage Chemists            RG2 8HD     09:00   18:00                                                                                                                                                                                                                                 Shinfield North                   Wokingham
FG634       Rankin Chemist              RG7 1AA     09:00   18:00   13:00   14:00                                                                                                                                                                                                                 Swallowfield                      Wokingham
FEV57       Fields Pharmacy             RG10 9AN    09:00   18:00   13:00   14:00                                                                                                                                                                                                                 Twyford                           Wokingham
FTQ09       Day Lewis                   RG10 9EH    09:00   17:30                                                                                                                                                                                                                                 Twyford                           Wokingham
FKE74       Newdays Pharmacy            RG10 9EH    09:00   18:00                                                                                                                                                                                                                                 Twyford                           Wokingham
FMQ41       Boots / YLBP                RG40 1AT    09:00   17:30   14:00   15:00                                                                                                                                                                                                                 Wescott                           Wokingham
NEWP        Tesco Instore Pharmacy      RG40 2NS     6:30   22:30                                                                                                                                                                                                                                 Wescott                           Wokingham
FE713       Sainsbury's Pharmacy        RG41 5AR    08:00   21:00                                                                                                                                                                                                                                 Winnersh                          Wokingham




112
                                                                                                                                                                                                                                                                                                                            NHS Berkshire West
                                                                                                                                                                                                                                                                                                               Pharmaceutical Needs Assessment
SATURDAY                                                                                   09:00                               Noon                                15:00                               18:00                               21:00
FCS Code       Pharmacy name         Postcode Open Close Lunch Lunch 07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00 23:30 00:00                 Ward                    Locality
                                                         Close Open

FE816    Boots / YLBP                RG1 1LT    07:00   19:00                                                                                                                                                                                                                            Abbey                             Reading
FDT21    Boots / YLBP                RG1 2AA    08:00   18:00                                                                                                                                                                                                                            Abbey                             Reading
FGX83    Superdrug                   RG1 2AF    08:30   18:00 14:00 14:30                                                                                                                                                                                                                Abbey                             Reading
FFY65    Boots / YLBP                RG1 2AH    09:00   19:00                                                                                                                                                                                                                            Abbey                             Reading
FLK26    Saood Pharmacy              RG1 7LL                                                                                                                                                                                                                                             Abbey                             Reading
FPG88    Tesco Pharmacy              RG1 8DF    06:30   22:00                                                                                                                                                                                                                            Abbey                             Reading
FGW06    Lloydspharmacy              RG30 1AD   09:00   17:30                                                                                                                                                                                                                            Battle                            Reading
RELOC    Lloydspharmacy              RG30 1AH   08:00   21:00                                                                                                                                                                                                                            Battle                            Reading
FK294    Lloydspharmacy              RG30 1AY   09:00   14:00                                                                                                                                                                                                                            Battle                            Reading
FMJ89    Caversham Pharmacy          RG4 7SS                                                                                                                                                                                                                                             Caversham                         Reading
FC305    Day Lewis                   RG4 8AU    09:00 13:00                                                                                                                                                                                                                              Caversham                         Reading
FEX35    Boots / YLBP                RG4 8BA    09:00 17:30                                                                                                                                                                                                                              Caversham                         Reading
FWT36    Lloydspharmacy              RG2 7AZ    08:30 17:00 13:00 14:00                                                                                                                                                                                                                  Church                            Reading
FEK05    Lloydspharmacy              RG2 0AY                                                                                                                                                                                                                                             Katesgrove                        Reading
FGD71    Basingstoke Road Pharmacy   RG2 0ER    09:00   14:00                                                                                                                                                                                                                            Katesgrove                        Reading
FF110    Lloydspharmacy              RG30 6BW   09:00   13:00                                                                                                                                                                                                                            Kentwood                          Reading
FLR49    Newdays Pharmacy            RG1 6DJ    09:00   13:00                                                                                                                                                                                                                            Minster                           Reading
FQD26    Grovelands Pharmacy         RG30 2NY   09:00   13:00                                                                                                                                                                                                                            Norcot                            Reading
FNR10    Boots / YLBP                RG30 4AA   09:00   17:30                                                                                                                                                                                                                            Norcot                            Reading
FTK19    Lloydspharmacy              RG1 3NY    09:00   13:00                                                                                                                                                                                                                            Park                              Reading
FVH81    Lloydspharmacy              RG6 1LN    09:00   13:00                                                                                                                                                                                                                            Park                              Reading
FT878    Lloydspharmacy              RG4 8XW    09:00   17:00                                                                                                                                                                                                                            Peppard                           Reading
FA288    Erleigh Road Pharmacy       RG1 5NW    09:00   18:00                                                                                                                                                                                                                            Redlands                          Reading
FHF90    Southcote Pharmacy          RG30 3QN   09:00   13:00                                                                                                                                                                                                                            Southcote                         Reading
FA597    Markand Pharmacy            RG4 6DH                                                                                                                                                                                                                                             Thames                            Reading
FGF17`   Tilehurst Pharmacy          RG31 5AR   09:00   13:00                                                                                                                                                                                                                            Tilehurst                         Reading
FDX71    Triangle Pharmacy           RG31 5AW   09:00   17:30                                                                                                                                                                                                                            Tilehurst                         Reading
FXQ15    Lloydspharmacy              RG2 0JA    09:00   13:00                                                                                                                                                                                                                            Whitley                           Reading
FLG15    Whitley Wood Pharmacy       RG2 8NY    09:00   17:30                                                                                                                                                                                                                            Whitley                           Reading
FEJ88    Sainsbury's Pharmacy        RG31 7SA   08:30   20:00                                                                                                                                                                                                                            Birch Copse                       West Berkshire
FFT63    Burghfield Pharmacy         RG7 3YJ    09:00   13:00                                                                                                                                                                                                                            Burghfield                        West Berkshire
FDN76    Downland Pharmacy           RG20 8UY                                                                                                                                                                                                                                            Chieveley                         West Berkshire
FK567    Tesco Pharmacy              RG14 7HB   06:30   22:00                                                                                                                                                                                                                            Greenham                          West Berkshire
FP041    Boots / YLBP                RG14 7HU   09:00   00:00                                                                                                                                                                                                                            Greenham                          West Berkshire
FC776    Boots / YLBP                RG17 0DL   09:00   17:00   12:30 13:30                                                                                                                                                                                                              Hungerford                        West Berkshire
FT063    Graham Jones Pharmacy       RG17 8XY   09:00   13:00                                                                                                                                                                                                                            Lambourn Valley                   West Berkshire
FLP66    Mortimer Pharmacy           RG7 3SQ    08:00   22:00                                                                                                                                                                                                                            Mortimer                          West Berkshire
FRR59    Lloydspharmacy              RG7 3TF    09:00   17:30                                                                                                                                                                                                                            Mortimer                          West Berkshire
FCT83    Lloydspharmacy              RG8 7AQ    09:00   17:30   13:30 14:00                                                                                                                                                                                                              Pangbourne                        West Berkshire
FL172    Wash Common Pharmacy        RG14 7RW   08:45   12:30                                                                                                                                                                                                                            St Johns                          West Berkshire
FXR54    Lloydspharmacy              RG13 4HX   09:00   17:30                                                                                                                                                                                                                            Thatcham Central                  West Berkshire
FE788    Boots / YLBP                RG18 3HD   09:00   12:00                                                                                                                                                                                                                            Thatcham Central                  West Berkshire
FTJ67    Lloydspharmacy              RG18 3JW   09:00   17:30                                                                                                                                                                                                                            Thatcham Central                  West Berkshire
FQD69    Lloydspharmacy              RG19 4YA   09:00   13:00                                                                                                                                                                                                                            Thatcham South and Crookham       West Berkshire
FWP83    Lloydspharmacy              RG7 5AH    09:00   13:00                                                                                                                                                                                                                            Theale                            West Berkshire
FN512    Superdrug                   RG14 1AE   08:30   17:30                                                                                                                                                                                                                            Victoria                          West Berkshire
FWX13    Day Lewis                   RG14 1BA   09:00   13:00                                                                                                                                                                                                                            Victoria                          West Berkshire
FJV60    Boots / YLBP                RG14 1DJ   08:30   18:00                                                                                                                                                                                                                            Victoria                          West Berkshire
FVP85    Sainsbury's Pharmacy        RG14 5AB   08:00   20:00   12:00 14:00                                                                                                                                                                                                              Victoria                          West Berkshire
FPC92    Boots / YLBP                RG14 5EF   08:30   13:00                                                                                                                                                                                                                            Victoria                          West Berkshire
FM678    Overdown Pharmacy           RG31 6PR   09:00   13:00                                                                                                                                                                                                                            Westwood                          West Berkshire
FP393    Lloydspharmacy              RG5 3JH    09:00   17:30                                                                                                                                                                                                                            Bulmershe and Whitegates          Wokingham
FLD94    Boots / YLBP                RG5 3JP    08:30   17:30   13:00 14:00                                                                                                                                                                                                              Bulmershe and Whitegates          Wokingham
FGV18    Wm Morrison Pharmacy        RG41 3SW   08:00   19:00                                                                                                                                                                                                                            Emmbrook                          Wokingham
FQ649    Jats Pharmacy               RG40 3RB   09:00   13:00                                                                                                                                                                                                                            Finchampstead South               Wokingham
FHJ96    Day Lewis                   RG6 3HD                                                                                                                                                                                                                                             Hawkedon                          Wokingham
FY485    Boots / YLBP                RG6 5GA    08:30   20:00 13:00 14:00                                                                                                                                                                                                                Hillside                          Wokingham
RFA84    Rankin Chemist              RG5 4UL    09:00   13:00                                                                                                                                                                                                                            Loddon                            Wokingham
FNE16    Boots / YLBP                RG6 7NZ    09:00   17:30 13:00 14:00                                                                                                                                                                                                                Maiden Erlegh                     Wokingham
FT446    Wokingham Pharmacy          RG40 1AU   08:45   13:00                                                                                                                                                                                                                            Norreys                           Wokingham
FFR18    Lloydspharmacy              RG10 8AE   09:00   13:00                                                                                                                                                                                                                            Remenham, Wargrave and Ruscombe   Wokingham
FXW03    Vantage Chemists            RG2 8HD    09:00   17:00                                                                                                                                                                                                                            Shinfield North                   Wokingham
FG634    Rankin Chemist              RG7 1AA    09:00   13:00                                                                                                                                                                                                                            Swallowfield                      Wokingham
FEV57    Fields Pharmacy             RG10 9AN   09:00   13:00                                                                                                                                                                                                                            Twyford                           Wokingham
FTQ09    Day Lewis                   RG10 9EH   09:00   13:00                                                                                                                                                                                                                            Twyford                           Wokingham
FKE74    Newdays Pharmacy            RG10 9EH   09:00   18:00                                                                                                                                                                                                                            Twyford                           Wokingham
FMQ41    Boots / YLBP                RG40 1AT   09:00   17:30 14:00 15:00                                                                                                                                                                                                                Wescott                           Wokingham
NEWP     Tesco Instore Pharmacy      RG40 2NS    6:30   22:00                                                                                                                                                                                                                            Wescott                           Wokingham
FE713    Sainsbury's Pharmacy        RG41 5AR   08:00   21:00                                                                                                                                                                                                                            Winnersh                          Wokingham




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SUNDAY                                                                                       09:00                               Noon                                15:00                               18:00                               21:00
 FCS Code       Pharmacy name       Postcode    Open Close Lunch Lunch 07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00 23:30 00:00                 Ward                    Locality
                                                           Close Open

FE816       Boots / YLBP             RG1 1LT                                                                                                                                                                                                                                               Abbey                             Reading
FDT21       Boots / YLBP             RG1 2AA    11:00 17:00                                                                                                                                                                                                                                Abbey                             Reading
FGX83       Superdrug                RG1 2AF                                                                                                                                                                                                                                               Abbey                             Reading
FFY65       Boots / YLBP             RG1 2AH    11:00 17:00                                                                                                                                                                                                                                Abbey                             Reading
FLK26       Saood Pharmacy           RG1 7LL                                                                                                                                                                                                                                               Abbey                             Reading
FPG88       Tesco Pharmacy           RG1 8DF    10:00 16:00                                                                                                                                                                                                                                Abbey                             Reading
FGW06       Lloydspharmacy           RG30 1AD                                                                                                                                                                                                                                              Battle                            Reading
RELOC       Lloydspharmacy           RG30 1AH   10:00 16:00                                                                                                                                                                                                                                Battle                            Reading
FK294       Lloydspharmacy           RG30 1AY                                                                                                                                                                                                                                              Battle                            Reading
FMJ89       Caversham Pharmacy       RG4 7SS                                                                                                                                                                                                                                               Caversham                         Reading
FC305       Day Lewis                RG4 8AU                                                                                                                                                                                                                                               Caversham                         Reading
FEX35       Boots / YLBP             RG4 8BA                                                                                                                                                                                                                                               Caversham                         Reading
FWT36       Lloydspharmacy           RG2 7AZ                                                                                                                                                                                                                                               Church                            Reading
FEK05       Lloydspharmacy           RG2 0AY                                                                                                                                                                                                                                               Katesgrove                        Reading
FGD71       Basingstoke Road PharmacyRG2 0ER                                                                                                                                                                                                                                               Katesgrove                        Reading
FF110       Lloydspharmacy           RG30 6BW                                                                                                                                                                                                                                              Kentwood                          Reading
FLR49       Newdays Pharmacy         RG1 6DJ                                                                                                                                                                                                                                               Minster                           Reading
FQD26       Grovelands Pharmacy      RG30 2NY                                                                                                                                                                                                                                              Norcot                            Reading
FNR10       Boots / YLBP             RG30 4AA                                                                                                                                                                                                                                              Norcot                            Reading
FTK19       Lloydspharmacy           RG1 3NY                                                                                                                                                                                                                                               Park                              Reading
FVH81       Lloydspharmacy           RG6 1LN                                                                                                                                                                                                                                               Park                              Reading
FT878       Lloydspharmacy           RG4 8XW                                                                                                                                                                                                                                               Peppard                           Reading
FA288       Erleigh Road Pharmacy    RG1 5NW                                                                                                                                                                                                                                               Redlands                          Reading
FHF90       Southcote Pharmacy       RG30 3QN                                                                                                                                                                                                                                              Southcote                         Reading
FA597       Markand Pharmacy         RG4 6DH                                                                                                                                                                                                                                               Thames                            Reading
FGF17`      Tilehurst Pharmacy       RG31 5AR                                                                                                                                                                                                                                              Tilehurst                         Reading
FDX71       Triangle Pharmacy        RG31 5AW                                                                                                                                                                                                                                              Tilehurst                         Reading
FXQ15       Lloydspharmacy           RG2 0JA                                                                                                                                                                                                                                               Whitley                           Reading
FLG15       Whitley Wood Pharmacy RG2 8NY                                                                                                                                                                                                                                                  Whitley                           Reading
FEJ88       Sainsbury's Pharmacy     RG31 7SA   10:00 16:00                                                                                                                                                                                                                                Birch Copse                       West Berkshire
FFT63       Burghfield Pharmacy      RG7 3YJ                                                                                                                                                                                                                                               Burghfield                        West Berkshire
FDN76       Downland Pharmacy        RG20 8UY                                                                                                                                                                                                                                              Chieveley                         West Berkshire
FK567       Tesco Pharmacy           RG14 7HB   10:00 16:00                                                                                                                                                                                                                                Greenham                          West Berkshire
FP041       Boots / YLBP             RG14 7HU   10:00 16:00                                                                                                                                                                                                                                Greenham                          West Berkshire
FC776       Boots / YLBP             RG17 0DL                                                                                                                                                                                                                                              Hungerford                        West Berkshire
FT063       Graham Jones Pharmacy RG17 8XY                                                                                                                                                                                                                                                 Lambourn Valley                   West Berkshire
FLP66       Mortimer Pharmacy        RG7 3SQ    08:00 22:00                                                                                                                                                                                                                                Mortimer                          West Berkshire
FRR59       Lloydspharmacy           RG7 3TF                                                                                                                                                                                                                                               Mortimer                          West Berkshire
FCT83       Lloydspharmacy           RG8 7AQ                                                                                                                                                                                                                                               Pangbourne                        West Berkshire
FL172       Wash Common Pharmacy RG14 7RW                                                                                                                                                                                                                                                  St Johns                          West Berkshire
FXR54       Lloydspharmacy           RG13 4HX                                                                                                                                                                                                                                              Thatcham Central                  West Berkshire
FE788       Boots / YLBP             RG18 3HD                                                                                                                                                                                                                                              Thatcham Central                  West Berkshire
FTJ67       Lloydspharmacy           RG18 3JW                                                                                                                                                                                                                                              Thatcham Central                  West Berkshire
FQD69       Lloydspharmacy           RG19 4YA                                                                                                                                                                                                                                              Thatcham South and Crookham       West Berkshire
FWP83       Lloydspharmacy           RG7 5AH                                                                                                                                                                                                                                               Theale                            West Berkshire
FN512       Superdrug                RG14 1AE                                                                                                                                                                                                                                              Victoria                          West Berkshire
FWX13       Day Lewis                RG14 1BA                                                                                                                                                                                                                                              Victoria                          West Berkshire
FJV60       Boots / YLBP             RG14 1DJ   10:00 16:00                                                                                                                                                                                                                                Victoria                          West Berkshire
FVP85       Sainsbury's Pharmacy     RG14 5AB   10:00 16:00 13:00 15:00                                                                                                                                                                                                                    Victoria                          West Berkshire
FPC92       Boots / YLBP             RG14 5EF                                                                                                                                                                                                                                              Victoria                          West Berkshire
FM678       Overdown Pharmacy        RG31 6PR                                                                                                                                                                                                                                              Westwood                          West Berkshire
FP393       Lloydspharmacy           RG5 3JH    10:00 16:00                                                                                                                                                                                                                                Bulmershe and Whitegates          Wokingham
FLD94       Boots / YLBP             RG5 3JP    08:30 17:30                                                                                                                                                                                                                                Bulmershe and Whitegates          Wokingham
FGV18       Wm Morrison Pharmacy     RG41 3SW   10:00 16:00                                                                                                                                                                                                                                Emmbrook                          Wokingham
FQ649       Jats Pharmacy            RG40 3RB                                                                                                                                                                                                                                              Finchampstead South               Wokingham
FHJ96       Day Lewis                RG6 3HD                                                                                                                                                                                                                                               Hawkedon                          Wokingham
FY485       Boots / YLBP             RG6 5GA    10:00 16:00                                                                                                                                                                                                                                Hillside                          Wokingham
RFA84       Rankin Chemist           RG5 4UL                                                                                                                                                                                                                                               Loddon                            Wokingham
FNE16       Boots / YLBP             RG6 7NZ                                                                                                                                                                                                                                               Maiden Erlegh                     Wokingham
FT446       Wokingham Pharmacy       RG40 1AU                                                                                                                                                                                                                                              Norreys                           Wokingham
FFR18       Lloydspharmacy           RG10 8AE                                                                                                                                                                                                                                              Remenham, Wargrave and Ruscombe   Wokingham
FXW03       Vantage Chemists         RG2 8HD                                                                                                                                                                                                                                               Shinfield North                   Wokingham
FG634       Rankin Chemist           RG7 1AA                                                                                                                                                                                                                                               Swallowfield                      Wokingham
FEV57       Fields Pharmacy          RG10 9AN                                                                                                                                                                                                                                              Twyford                           Wokingham
FTQ09       Day Lewis                RG10 9EH                                                                                                                                                                                                                                              Twyford                           Wokingham
FKE74       Newdays Pharmacy         RG10 9EH                                                                                                                                                                                                                                              Twyford                           Wokingham
FMQ41       Boots / YLBP             RG40 1AT   10:00 16:00                                                                                                                                                                                                                                Wescott                           Wokingham
NEWP        Tesco Instore Pharmacy   RG40 2NS   10:00 16:00                                                                                                                                                                                                                                Wescott                           Wokingham
FE713       Sainsbury's Pharmacy     RG41 5AR   10:00 16:00                                                                                                                                                                                                                                Winnersh                          Wokingham




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Appendix 4: Maps of localities showing pharmaceutical services providers




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Community Pharmacies
ID      TRADING NAME                               ADDRESS 1                   Locality    POSTCODE
R1      Basingstoke Road Pharmacy                  71 BASINGSTOKE ROAD         Reading     RG2 0ER
R2      Boots / YLBP                               Unit 7, Brunel Arcade       Reading     RG1 1LT
R3      Boots / YLBP                               47-48 Broad Street          Reading     RG1 2AE
R4      Boots / YLBP                               25 Town Mall Walk           Reading     RG1 2AH
R5      Boots / YLBP                               32 Meadway Precinct         Reading     RG30 4AA
R6      Boots / YLBP                               45 Church Street            Reading     RG4 8BA
R7      Day Lewis Rankin Pharmacy                  30 Church Street            Reading     RG4 8AU
R8      Markand Pharmacy                           122 Henley Road             Reading     RG4 6DH
R9      Caversham Pharmacy                         59A Hemdean Road            Reading     RG4 7SS
R10     Lloydspharmacy                             195 London Road             Reading     RG1 3NY
R11     Lloydspharmacy                             Milman Road Health Centre   Reading     RG2 0AY
R12     Lloydspharmacy                             277 Basingstoke Road        Reading     RG2 0JA
R13     Lloydspharmacy                             68 Christchurch Road        Reading     RG2 7AZ
R14     Lloydspharmacy                             266-268 Oxford Road         Reading     RG30 1AD
R15     Lloydspharmacy                             351-353 Oxford Road         Reading     RG30 1AY
R17     Lloydspharmacy                             2a Tylers Place             Reading     RG30 6BW
R18     Lloydspharmacy                             5 Cavendish Road            Reading     RG4 8XW
R19     Lloydspharmacy                             105 Wokingham Road          Reading     RG6 1LN
R20     Erleigh Road Pharmacy                      85-87 Erleigh Road          Reading     RG1 5NN
R21     Whitley Wood Pharmacy                      534 Northumberland Avenue   Reading     RG2 8NY
R22     Grovelands Pharmacy                        2 Grovelands Road           Reading     RG30 2NY
R23     Tilehurst Pharmacy                         7 School Road               Reading     RG31 5AR
R24     Triangle Pharmacy                          88-90 School Road           Reading     RG31 5AW
R25     Newdays Pharmacy                           60 Wensley Road             Reading     RG1 6DJ
R26     Saood Pharmacy                             104A Oxford Road            Reading     RG1 7LL
R27     Southcote Pharmacy                         36 Coronation Square        Reading     RG30 3QN
R28     Superdrug Pharmacy                         55-59 Broad Street          Reading     RG1 2AF
R29     Tesco Pharmacy                             TESCO EXTRA                 Reading     RG1 8DF
R30     Lloydspharmacy                             Tesco Extra                 Reading     RG30 1AH
Appliance Suppliers
ID      Name                                       Address 1                   Locality    Postcode
1       Thames Valley Medical Healthcare Limited   2 Lundy Lane                Reading     RG30 2RR
2       Hollister Limited                          Designbrook House           Wokingham   RG40 2AR

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Community Pharmacies

D       TRADING NAME                      ADDRESS 1                      Locality by postcode   POSTCODE
N1      Boots / YLBP                      82-83 Bartholomew Street       West Berkshire         RG14 5EE
N2      Boots / YLBP                      4-5 Northbrook Street          West Berkshire         RG14 1DJ
N3      Boots / YLBP                      Unit 10, Newbury Retail Park   West Berkshire         RG14 7HU
N4      Boots / YLBP                      125 High Street                West Berkshire         RG17 0DL
N5      Boots / YLBP                      Thatcham Medical Practice      West Berkshire         RG18 3HD
N6      Day Lewis                         12 The Broadway                West Berkshire         RG14 1BA
N7      Downland Pharmacy                 East Lane                      West Berkshire         RG20 8UY
N8      Lambourn Pharmacy                 The Broadway                   West Berkshire         RG17 8XY
N9      Wash Common Pharmacy              Monks Lane                     West Berkshire         RG14 7RW
N10     Lloydspharmacy                    7 Kingsland Centre             West Berkshire         RG13 4HX
N11     Lloydspharmacy                    3-5 Crown Mead                 West Berkshire         RG18 3JW
N12     Lloydspharmacy                    Unit 2, Burdwood Centre        West Berkshire         RG19 4YA
N13     Lloydspharmacy                    24 West End Road               West Berkshire         RG7 3TF
N14     Lloydspharmacy                    27 High Street                 West Berkshire         RG7 5AH
N15     Lloydspharmacy                    3 The Square                   West Berkshire         RG8 7AQ
N16     Overdown Pharmacy                 5 The Colonnade                West Berkshire         RG31 6PR
N17     Mortimer Pharmacy                 Mortimer Surgery               West Berkshire         RG7 3SQ
N18     Burghfield Pharmacy               Reading Road                   West Berkshire         RG7 3YJ
N19     Sainsbury's Pharmacy              Hectors Way                    West Berkshire         RG14 5AB
N20     Sainsbury's Pharmacy              Savacentre                     West Berkshire         RG31 7SA
N21     Superdrug Pharmacy                81-82 Northbrook Street        West Berkshire         RG14 1AE
N22     Tesco Pharmacy                    Tesco Extra                    West Berkshire         RG14 7HB
Dispensing Practices
ID      Practice name                     Address Line 2                 Locality               Postcode
N1      Kintbury & Woolton Hill Surgery   Newbury Street                 West Berkshire         RG17 9UX
N2      Pangbourne Medical Centre         Whitchurch Road                West Berkshire         RG8 7DP
N3      Mortimer Surgery                  72 Victoria Road               West Berkshire         RG7 3SQ
N4      The Downland Practice             East Lane, Chieveley           West Berkshire         RG20 8UY
N5      Theale Medical Centre             Englefield Road                West Berkshire         RG7 5AS
N6      Chapel Row Surgery                The Avenue                     West Berkshire         RG7 6NS




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Community Pharmacies

ID      TRADING NAME                ADDRESS 1                   Locality by postcode   POSTCODE
W1      Boots / YLBP                40 Market Place             Wokingham              RG40 1AT
W2      Boots / YLBP                89-91 Crockhamwell Road     Wokingham              RG5 3JP
W3      Boots / YLBP                UNIT 2, ASDA MALL           Wokingham              RG6 5GA
W4      Boots / YLBP                5 THE PARADE                Wokingham              RG6 7NZ
W5      Day Lewis Rankin Pharmacy   19 London Road              Wokingham              RG10 9EH
W6      Day Lewis Rankin Pharmacy   15 Maiden Lane Centre       Wokingham              RG6 3HD
W7      Fields Pharmacy             1A Longfield Road           Wokingham              RG10 9AN
W8      Rankin Chemist              1-2 Loddon Vale             Wokingham              RG5 4UX
W9      Rankin Chemist              Welford House               Wokingham              RG7 1AA
W10     Jats Pharmacy               422A Finchampstead Road     Wokingham              RG40 3RB
W11     Lloydspharmacy              48 Victoria Road            Wokingham              RG10 8AE
W12     Lloydspharmacy              55A-55B Crockhamwell Road   Wokingham              RG5 3JH
W13     Wokingham Pharmacy          33 Broad Street             Wokingham              RG40 1AU
W14     Newdays Pharmacy            1 London Road               Wokingham              RG10 9EH
W15     Sainsbury's Pharmacy        Unit 2, Sainsburys Store    Wokingham              RG41 5AR
W16     Vantage Chemist             231 Shinfield Road          Wokingham              RG2 8HD
W17     Wm Morrison Pharmacy        Woosehill Court             Wokingham              RG41 3SW
W18     Tesco Instore Pharmacy      78 Finchampstead Road       Wokingham              RG40 2NS
Dispensing Practices

ID      Practice name               Address Line 2              Locality               Postcode
W1      Swallowfield Practice       The Street,Swallowfield     Wokingham              RG7 1QY
W2      Finchampstead Practice      474 Finchampstead Road      Wokingham              RG40 3RG
W3      The Lambourn Surgery        Bockhampton Road            Wokingham              RG17 8PS
W4      Wargrave Practice           Victoria Road               Wokingham              RG10 8BP
W5      Twyford Practice            6 Loddon Hall Road          Wokingham              RG10 9JA
W6      Cedar House Practice        269a Nine Mile Ride         Wokingham              RG40 3NS




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Appliance Suppliers

ID      Name                                       Address 1            Locality     Postcode
1       Thames Valley Medical Healthcare Limited   2 Lundy Lane         Reading      RG30 2RR
2       Hollister Limited                          Designbrook House    Wokingham    RG40 2AR



Non-Berkshire West



Code    Name                                       Address 1            Address 2    Postcode
FV988   Lloyds Pharmacy Ltd                        12 Dukes Ride        Crowthorne   RG45 6LT
FKY97   McParland HA Ltd                           182 High Street      Crowthorne   RG45 7AP
FEK22   Boots UK Ltd                               13 Princess Square                RG12 1LS
FDF89   Lloyds Pharmacy Ltd                        54 High Street       Frimley      GU16 7JF




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Appendix 5 – Membership of the steering group                                     Comment [A1]: Sanjay, can you
                                                                                  populate?




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Appendix 6: Policy context and background papers


National policy context influencing the development pharmacy and PNAs

This Appendix provides some context for the development of the policy influencing the development
of pharmacy and PNAs. At the time of writing we do not know how the trajectory set by this policy
will change as the new government sets out its policy proposal for the NHS.



A Vision for Pharmacy in the New NHS (July 2003)

The pace of change for NHS community pharmaceutical services over the last 10 years has been
more rapid than at any other time in the last 60 years. Community pharmacy has featured more
prominently in the NHS’s efforts to improve services and is increasingly recognised by the NHS and
by other health professionals, and how its ability to respond innovatively and creatively can be
better utilised. That is what was intended when the Department of Health launched A Vision for
Pharmacy in the New NHS in July 2003. That identified and aligned the ambitions for pharmacy
alongside the wider ambitions for the NHS as a whole.

The current policy context shaping the direction of pharmacy services has its roots in the publication
of a strategy for pharmacy Choosing Health published by the Government in 2004. In this White
Paper, the Government set out a programme of action to provide more of the opportunities, support
and information people want to enable them to improve their health.

Choosing health through pharmacy

As part of this programme, the Government made a commitment to publish a strategy for
pharmaceutical public health (Choosing Health Through Pharmacy) which expanded the
contribution that pharmacists, their staff and the premises in which they work can make to improving
health and reducing health inequalities.

This strategy recognised that pharmacists work at the heart of the communities they serve and they
enjoy the confidence of the public. Every day, they support self care and provide health messages,
advice and services in areas such as diet, physical activity, stop smoking and sexual health.

A new contractual framework for community pharmacy

As part of the Vision for Pharmacy a new community pharmacy contractual framework was put in
place in April 2005. It comprises three tiers of services – essential, advanced and local enhanced
services.

       •    Essential services are those which every pharmacy must provide, including dispensing.




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       •   Advanced services are those which, subject to accreditation requirements, a pharmacy
           contractor can choose to provide. At present, there is one advanced service - the
           Medicines Use Review (MUR) - where a pharmacist discusses with a patient their use of
           the medicines they are taking and whether there are any problems which the pharmacist
           can help resolve. Essential and advanced services are determined nationally.
       •   Local enhanced services, such as help for substance misusers, are commissioned
           locally by PCTs direct with contractors.

‘Our health, our care, our say’

The White Paper Our health, our care, our say launched in January 2006 set out a new strategic
direction for improving the health and well-being of the population. It focused on a strategic shift to
locate more services in local communities closer to people’s homes. This recognised the vital role
that community pharmacies provide in providing services which support patients with long term
conditions and make treatment for minor illnesses accessible and convenient.

NHS Next Stage Review

The NHS Next Stage Review final report set out a vision of an NHS that gives patients and the
public more information and choice, works in partnership and has quality of care at its heart –
quality defined as clinically effective, personal and safe. The changes that are now being taken
forward, locally and nationally, will see the NHS deliver high quality care for all users of services in
all aspects, not just some. It will see services delivered closer to home, a much greater focus on
helping people stay healthy and a stronger emphasis on the NHS working with local partners.
Pharmacy has a key role to play in delivering this vision, particularly as a provider of services which
prevent ill-health, promote better health for all and improve access to services within communities.

The pharmacy White Paper, Pharmacy in England - Building on strengths delivering the future

In April 2008 the government set out its plans for pharmacy in the Pharmacy White Paper Pharmacy
in England: Building on strengths - delivering the future (PWP) subsequently a regulatory
consultation was undertaken to consult on the proposed changes to the regulations for pharmacy.

This White Paper sets out a vision for improved quality and effectiveness of pharmaceutical
services, and a wider contribution to public health. Whilst acknowledging good overall provision and
much good practice amongst providers, it revealed several areas of real concern about medicines
usage across the country which it seeks to address through a work programme which will challenge
and engage PCTs, pharmacists and the NHS.

It identifies practical, achievable ways in which pharmacists and their teams can improve patient
care in the coming years. It sets out a reinvigorated vision of pharmacy’s potential to contribute
further to a fair, personalised, safe and effective NHS. This vision demonstrates how pharmacy can



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continue, and expand further, its role in an NHS that focuses as much on prevention as it does on
treating sick people, helping to reduce health inequalities, supporting healthy choices, improving
quality and promoting well-being for patients and public alike.

This White Paper has put forward a broad range of proposals to build on progress over the last
three years which has succeeded in embedding community pharmacy’s role in improving health and
well-being and reducing health inequalities. These include proposals for how pharmacies will, over
time:

   •    become ‘healthy living’ centres – promoting health and helping more people to take care of
        themselves;
   •    offer NHS treatment for many minor ailments (e.g. coughs, colds, stomach problems) for
        people who do not need to go to their local GP;
   •    provide specific support for people who are starting out on a new course of treatment for
        long term conditions such as high blood pressure or high cholesterol;
   •    offer screening for those at risk of vascular disease – an area where there are significant
        variations in access to services and life expectancy around the country;
   •    use new technologies to expand choice and improve care in hospitals and the community,
        with a greater focus on research; and
   •    be commissioned based on the range and quality of services they deliver.


For PCTs the PWP presents a timely opportunity to take stock of progress with the development
and integration of pharmacy services and to prepare a strategy to deliver the PWP vision over the
next 3-5 year period.

High quality commissioning is a recurring theme throughout these documents. A robust
Pharmaceutical Needs Assessment (PNA) is key to world class commissioning of services from
community pharmacy.

The following documents provide some background to the PNA development process, the relevant
policy and guidance available to PCTs.

Pharmacy in England: building on strengths - delivering the future

This White Paper sets out a vision for building on the strengths of pharmacy, using that capacity
and capability to deliver further improvements in pharmaceutical services over the coming years as
part of an overall strategy to ensure safe, effective, fairer and more personalised patient care.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_
083815

PNAs as a part of world class commissioning guidance.


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                                                                Pharmaceutical Needs Assessment

This guidance sets out why Pharmaceutical Needs Assessments (PNAs) are important, how they fit
into the primary care trust (PCTs) planning cycle and how it can be used to drive intelligent, world
class commissioning of pharmaceutical services.

http://www.nhsemployers.org/PayAndContracts/CommunityPharmacyContract/Pages/PNAsasapart
ofworldclasscommissioning.aspx

Developing pharmaceutical needs assessments guidance

This guidance and individual supporting guides explain why Pharmaceutical Needs Assessments
(PNAs) are important and how they fit into PCTs' planning cycles. It outlines how to produce a new
PNA or revise an existing one.

http://www.nhsemployers.org/PayAndContracts/CommunityPharmacyContract/Pages/PNA_Guidanc
e.aspx

Pharmacy-based stop smoking services guidance

This guidance covers the key areas for primary care trusts (PCTs) when commissioning 'world
class' pharmacy-based stop smoking services.

http://www.nhsemployers.org/PayAndContracts/CommunityPharmacyContract/Pages/Pharmacy-
basedsmokingservices.aspx

The NHS (Pharmaceutical Services) Regulations: information for primary care trusts - revised
September 2009

This guidance has been produced to assist primary care trusts in the assessment and determination
of applications to provide NHS pharmaceutical services. It incorporates reforms effective from 1
April 2005 to the regulatory system and amendments to the Regulations since. This includes the
amendments which came into force on 17 September – SI 2009/2205.

It also incorporates supplementary information for primary care trusts on the NHS Pharmaceutical
Services (Fees for Applications) Directions 2008 which give primary care trusts the ability to charge
for certain applications for inclusion on their NHS pharmaceutical services lists.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_
105361

World class commissioning: Improving Pharmaceutical Services

This is a practical guide to support PCTs in commissioning pharmaceutical services.

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/DH_097408

Local pharmaceutical services (LPS)




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LPS is a tool available to PCTs by which they may contract locally for provision of pharmaceutical
and other services, including services not traditionally associated with pharmacy, within a single
contract.

http://www.dh.gov.uk/en/Healthcare/Medicinespharmacyandindustry/Communitypharmacy/Localpha
rmaceuticalservices/LPSPermanenceguidance/index.htm

Advisory Group on the NHS (Pharmaceutical Services) Regulations

Following the publication of the White Paper Pharmacy in England: Building on strengths -
delivering the future, a consultation was held in the autumn 2008 on proposals for legislative
change.

http://www.dh.gov.uk/en/Healthcare/Medicinespharmacyandindustry/PharmacyWhitePaper/Regulati
onsAdvisoryGroup/index.htm

The DH has now published the revised guidance and regulations. The regulations were laid in
parliament on 23rd March 2010 and will come into force on 24th May 2010.

The updated guidance and regulations can be accessed at:

http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitala
sset/dh_114952.pdf




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Appendix 7 – Key demographic information
                  Population (n)
  Reading                143,744
    Abbey                  9,697
    Battle                 9,009
    Caversham              9,166
    Church                10,275
    Katesgrove             9,208
    Kentwood               9,628
    Mapledurham            2,945
    Minster                9,252
    Norcot                 9,900
    Park                   9,201
    Peppard                9,120
    Redlands               9,524
    Southcote              8,171
    Thames                 9,269
    Tilehurst              9,195
    Whitley               10,184

                                   Population (n)
  West Berkshire                          150,684
    Aldermaston                             2,889
    Basildon                                2,986
    Birch Copse                             7,946
    Bucklebury                              6,356
    Burghfield                              5,931
    Calcot                                  8,982
    Chieveley                               2,975
    Clay Hill                               6,324
    Cold Ash                                3,566
    Compton                                 3,168
    Downlands                               3,127
    Falkland                                6,172
    Greenham                                5,525
    Hungerford                              5,665
    Kintbury                                4,978
    Lambourn Valley                         5,841
    Mortimer                                5,531
    Northcroft                              5,113
    Pangbourne                              2,876
    Purley on Thames                        6,504
    Speen                                   5,485
    St Johns                                5,783
    Sulhamstead                             2,814
    Thatcham Central                        5,926
    Thatcham North                          5,952
    Thatcham South and Crookham             6,091
    Thatcham West                           6,088
    Theale                                  2,750
    Victoria                                4,568
    Westwood                                2,772




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                                       Population (n)
   Wokingham                                  156,619
     Arborfield                                 2,888
     Barkham                                    4,446
     Bulmershe and Whitegates                   8,427
     Charvil                                    3,152
     Coronation                                 5,882
     Emmbrook                                   7,856
     Evendons                                   8,753
     Finchampstead North                        5,607
     Finchampstead South                        5,824
     Hawkedon                                   9,711
     Hillside                                   9,205
     Hurst                                      3,131
     Loddon                                     9,113
     Maiden Erlegh                              9,850
     Norreys                                    8,443
     Remenham, Wargrave and Ruscombe            5,584
     Shinfield North                            2,746
     Shinfield South                            6,051
     Sonning                                    3,171
     South Lake                                 5,857
     Swallowfield                               2,791
     Twyford                                    5,827
     Wescott                                    5,428
     Winnersh                                   8,614
     Wokingham Without                          8,262

Source: ONS 2007 mid-year estimates




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Practices with prevalence greater that BW prevalence highlighted
Practice   Locality   Ward                     Practice                             CHD Prevalence Stroke & TIA     Hypertension     Atrial Fibrillation Heart Failure     COPD                Asthma              Diabetes            Diabetes         Mental Health    Dementia         CKD Prevalence CKD Preva
Code                                                                                               Prevalence       Prevalence       Prevalence          Prevalence        Prevalence          Prevalence          Prevelance          Prevelance (17+) Prevalence       Prevalence       (QOF)          (18+)
                                                                                                                                                                                                                   (QOF)
K81081     Reading   Abbey                        41 RUSSELL STREET SURGERY                   1.7%           0.4%             9.0%               1.1%               0.3%                1.2%                4.6%                3.0%             3.6%            0.80%            0.28%            0.7%
K81636     Reading   Abbey                        79 RUSSELL STREET - DR SWAMI                1.4%           0.6%            10.2%               0.4%               0.4%                0.9%                7.3%                2.7%             3.4%            0.90%            0.06%            2.3%
K81026     Reading   Abbey                        CHATHAM STREET SURGERY                      1.8%           1.1%            11.2%               0.7%               0.7%                0.8%                5.7%                4.3%             5.3%            1.09%            0.23%            1.7%
K81640     Reading   Abbey                        ELDON ROAD SURGERY                          1.1%           0.7%             4.2%               0.4%               0.1%                0.2%                2.8%                2.1%             2.6%            0.36%            0.06%            0.4%
K81651     Reading   Abbey                        MELROSE SURGERY DR DEAN                     1.8%           1.2%             7.4%               0.8%               0.5%                0.9%                5.0%                3.3%             4.1%            2.02%            0.31%            2.7%
K81044     Reading   Abbey                        MELROSE SURGERY DR FAB WILLIAMS             1.3%           0.6%             6.7%               0.7%               0.7%                0.9%                3.5%                4.0%             4.7%            0.71%            0.24%            3.0%
K81062     Reading   Battle                       WESTERN ELMS SURGERY                        2.0%           1.1%             9.8%               1.1%               0.5%                1.1%                5.1%                3.0%             3.7%            0.81%            0.20%            2.2%
K81014     Reading   Caversham                    BALMORE PARK SURGERY                        2.8%           1.3%            13.1%               1.2%               0.6%                0.9%                7.6%                2.8%             3.5%            0.80%            0.30%            3.9%
K81054     Reading   Caversham                    PRIORY AVENUE SURGERY                       2.2%           1.3%            11.1%               1.2%               0.3%                0.8%                6.2%                2.4%             3.0%            0.67%            0.26%            2.6%
K81605     Reading   Church                       UNIVERSITY MEDICAL CENTRE                   0.2%           0.1%             1.4%               0.2%               0.0%                0.1%                3.5%                0.6%             0.7%            0.18%            0.02%            0.3%
K81007     Reading   Katesgrove                   LONDON STREET SURGERY                       2.2%           1.1%            11.7%               1.2%               0.4%                1.4%                5.6%                2.6%             3.1%            0.60%            0.22%            2.8%
K81101     Reading   Katesgrove                   MILMAN ROAD SURGERY DR KUMAR                2.9%           1.3%            13.9%               1.5%               1.1%                1.0%                6.7%                4.0%             5.0%            0.94%            0.26%            2.7%
K81040     Reading   Katesgrove                   MILMAN ROAD SURGERY DR LISTER               2.5%           0.9%            13.7%               0.7%               0.4%                1.3%                6.1%                4.2%             5.4%            0.55%            0.22%            5.5%
K81065     Reading   Katesgrove                   WHITLEY VILLA SURGERY                       2.0%           1.0%            12.4%               0.8%               0.5%                1.0%                4.5%                3.0%             3.7%            0.62%            0.33%            3.6%
K81004     Reading   Kentwood                     TILEHURST SURGERY                           2.4%           1.3%            15.3%               1.1%               0.7%                1.2%                7.9%                3.3%             4.1%            0.64%            0.90%            5.1%
K81078     Reading   Norcot                       GROVELANDS MEDICAL CENTRE                   2.6%           1.5%            14.8%               1.5%               0.5%                0.8%                7.2%                3.9%             4.9%            0.65%            0.40%            5.1%
K81613     Reading   Park                         KENNET SURGERY                              1.8%           1.0%            10.2%               0.4%               0.4%                0.4%                5.1%                5.1%             6.7%            0.64%            0.09%            3.2%
K81072     Reading   Park                         LONDON ROAD SURGERY                         1.8%           0.8%            10.9%               0.4%               0.4%                0.2%                2.9%                5.0%             6.3%            0.44%            0.12%            3.0%
K81045     Reading   Park                         PARKSIDE PRACTICE                           2.6%           1.5%            11.4%               1.3%               0.5%                1.3%                6.5%                3.2%             4.0%            0.71%            0.31%            3.0%
K81041     Reading   Peppard                      EMMER GREEN SURGERY                         3.2%           1.7%            12.1%               1.3%               0.7%                0.9%                6.9%                3.2%             3.9%            0.55%            0.50%            3.8%
K81100     Reading   Redlands                     PEMBROKE SURGERY                            1.0%           0.5%             6.2%               0.6%               0.2%                0.3%                4.1%                1.3%             1.7%            0.59%            0.10%            0.9%
K81067     Reading   Southcote                    CIRCUIT LANE SURGERY                        2.9%           1.6%            12.5%               1.0%               0.6%                1.2%                8.1%                3.9%             4.8%            0.88%            0.39%            2.7%
K81647     Reading   Thames                       PEPPARD ROAD SURGERY                        1.6%           0.6%            11.7%               0.8%               0.2%                0.5%                5.3%                1.6%             2.0%            0.41%            0.14%            2.4%
K81644     Reading   Tilehurst                    TILEHURST VILLAGE SURGERY                   2.5%           1.1%            11.2%               0.8%               0.3%                0.9%                6.0%                2.4%             3.2%            0.66%            0.18%            3.4%
K81056     Reading   Tilehurst                    WESTWOOD ROAD SURGERY                       3.4%           0.7%            16.6%               1.0%               0.6%                1.3%                5.3%                3.2%             4.0%            0.47%            0.13%            1.9%
K81048     Reading   Whitley                      LONG BARN LANE SURGERY                      2.6%           0.8%            11.4%               0.6%               0.6%                1.3%                5.3%                3.3%             4.4%            0.38%            0.13%            3.9%
K81633     Reading   Whitley                      SOUTH READING SURGERY                       1.9%           0.8%             9.2%               0.4%               0.3%                1.0%                6.1%                2.9%             4.0%            0.62%            0.22%            3.4%
K81103     West BerksBucklebury                   CHAPEL ROW SURGERY                          2.2%           0.9%            10.7%               1.1%               0.5%                0.7%                6.7%                2.5%             3.2%            0.29%            0.14%            2.8%
K81050     West BerksChieveley                    THE DOWNLAND PRACTICE                       2.1%           1.1%            10.0%               1.1%               0.4%                0.7%                5.7%                2.1%             2.7%            0.41%            0.18%            1.2%
K81057     West BerksHungerford                   HUNGERFORD SURGERY                          2.8%           1.4%            13.9%               1.3%               0.4%                1.3%                5.5%                3.0%             3.7%            0.49%            0.74%            3.1%
J82054     West BerksKintbury                     KINTBURY & WOOLTON HILL SURGERY             2.5%           1.5%            10.6%               1.3%               0.9%                0.9%                7.5%                2.5%             3.1%            0.72%            0.53%            3.1%
K81027     West BerksMortimer                     MORTIMER SURGERY                            3.3%           1.8%            14.7%               1.3%               0.6%                0.9%                6.5%                3.2%             4.0%            0.43%            0.38%            3.7%
K81012     West BerksPangbourne                   PANGBOURNE MEDICAL CENTRE                   2.7%           1.3%            10.8%               1.2%               0.5%                0.8%                5.6%                2.4%             3.0%            0.57%            0.21%            1.4%
K81017               St
           West Berks Johns                       THE FALKLAND SURGERY                        3.3%           2.0%            15.3%               1.8%               0.6%                1.1%                8.3%                3.0%             3.7%            0.62%            0.44%            4.0%
K81073     West BerksThatcham Central             THATCHAM HEALTH CENTRE                      2.6%           1.2%            11.7%               1.3%               0.5%                1.3%                5.5%                3.2%             4.0%            0.51%            0.37%            2.5%
K81102     West BerksThatcham South and Crookham  THE BURDWOOD SURGERY                        1.8%           0.8%             9.0%               0.9%               0.2%                0.7%                7.0%                2.3%             3.0%            0.48%            0.10%            1.3%
K81077     West BerksTheale                       THEALE MEDICAL CENTRE                       2.5%           1.1%            11.6%               1.1%               0.6%                0.9%                6.1%                3.0%             3.8%            0.49%            0.33%            3.8%
K81002     West BerksVictoria                     EASTFIELD HOUSE SURGERY                     2.3%           1.2%            10.9%               1.2%               0.7%                1.6%                6.7%                2.9%             3.7%            0.68%            0.39%            3.7%
K81061     West BerksVictoria                     NORTHCROFT SURGERY                          2.5%           1.2%            11.9%               1.1%               0.4%                1.0%                7.5%                2.6%             3.2%            0.82%            0.33%            1.2%
K81063     West BerksVictoria                     ST MARY'S ROAD SURGERY                      2.5%           1.5%            11.9%               1.3%               0.4%                0.9%                5.2%                3.0%             3.7%            0.59%            0.48%            2.3%
K81080     Wokingham Crowthorne                   THE NEW SURGERY                             2.7%           1.2%            10.1%               1.3%               0.7%                0.7%                5.5%                2.5%             3.1%            0.43%            0.34%            2.4%
K81092     Wokingham Emmbrook                     WOOSEHILL PRACTICE                          1.4%           0.7%             9.4%               0.5%               0.2%                0.5%                6.3%                2.0%             2.5%            0.39%            0.08%            1.9%
K81632     Wokingham Finchampstead North          CEDAR HOUSE PRACTICE                        2.3%           1.0%             9.2%               0.8%               0.7%                1.4%                9.3%                2.1%             2.7%            0.28%            0.21%            1.7%
K81025     Wokingham Finchampstead South          FINCHAMPSTEAD PRACTICE                      2.2%           0.9%            10.4%               1.2%               0.3%                0.8%                6.7%                2.6%             3.4%            0.42%            0.35%            2.7%
K81052     Wokingham Lambourn Valley              THE LAMBOURN SURGERY                        2.5%           1.3%            11.1%               1.3%               0.5%                1.1%                5.5%                3.3%             4.1%            0.42%            0.23%            1.8%
K81069     Wokingham Loddon                       LODDON VALE PRACTICE                        3.0%           1.1%            13.8%               1.0%               0.6%                0.8%                7.1%                3.5%             4.3%            0.21%            0.21%            6.1%
K81047     Wokingham Maiden Erlegh                BROOKSIDE PRACTICE                          2.2%           1.1%             8.9%               0.8%               0.5%                0.5%                6.9%                2.7%             3.5%            0.46%            0.36%            2.8%
K81622     Wokingham Maiden Erlegh                WILDERNESS PRACTICE                         3.0%           0.7%            11.7%               0.5%               0.4%                0.4%                5.0%                3.1%             3.6%            0.22%            0.04%            0.9%
K81638     Wokingham Norreys                      BURMA HILL PRACTICE                         1.3%           0.9%            10.1%               0.7%               0.4%                0.9%                8.7%                3.1%             4.1%            0.61%            0.18%            0.6%
K81022     Wokingham Norreys                      TUDOR HOUSE & RECTORY RD                    3.0%           1.5%            12.3%               1.4%               0.6%                0.8%                5.3%                2.7%             3.3%            0.52%            0.46%            1.6%
K81055     Wokingham                              WARGRAVE PRACTICE
                     Remenham, Wargrave and Ruscombe                                          3.4%           2.2%            13.0%               2.5%               1.0%                0.7%                6.7%                2.8%             3.5%            0.27%            0.32%            4.4%
K81051     Wokingham South Lake                   WOODLEY PRACTICE                            2.6%           1.5%            12.2%               1.1%               0.5%                1.1%                5.8%                3.6%             4.6%            0.53%            0.30%            1.9%
K81003     Wokingham Swallowfield                 SWALLOWFIELD PRACTICE                       2.3%           1.2%            11.4%               0.9%               0.4%                0.8%                5.3%                2.5%             3.2%            0.48%            0.32%            3.0%
K81070     Wokingham Twyford                      TWYFORD PRACTICE                            2.7%           1.4%            13.3%               1.2%               0.6%                0.8%                6.1%                2.9%             3.6%            0.60%            0.46%            3.3%




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                                                                                                                                                                                                                                                                              Pharmaceutical Needs Assessment
Berkshire West admissions per 1,000 population by ward
                                               All Chapters     Genitourinary    Neoplasms        Digestive (K00 Musculoskelet Circulatory (I00 Respiratory       Eye and        Endocrine,      Nervous        Skin and          Blood and        Infectious and    Ear and
                                                                (N00 to N08)     (C00 to D48)     to K93)        al (M00 to M99) to I99)        (J00 to J99)      adnexa (H00 to nutritional and system (G00 to subcutaneous      blood-forming    parasitic         mastoid
                                                                                                                                                                  H59)           metabolic       G99)           tissue (L00 to    organs (D50 to   diseases (A00     process (H60
Locality                                                                                                                                                                         diseases (E00                  L99)              D89)             to B99)           to H95)
Name         Ward                                                                                                                                                                to E90)
Reading      Abbey                                      158.5             55.8             16.1             21.6            14.3           10.4            13.5              6.8            4.1             3.8             4.2              2.5               4.3              1.0
Reading      Battle                                     160.0             63.7             11.7             19.0            14.2           13.2            11.4              7.8            3.7             3.4             5.0              1.8               3.7              1.4
Reading      Caversham                                  185.4             65.9             19.2             23.1            16.0           13.7            16.0              7.0            4.5             5.1             4.5              6.7               3.3              0.3
Reading      Church                                     161.8             62.8             13.6             16.1            16.5           14.0            14.0              7.6            2.5             3.1             4.1              2.3               2.7              2.3
Reading      Katesgrove                                 112.2             32.5              8.3             19.4            12.6            7.8            10.8              7.6            2.0             2.5             3.0              1.3               3.0              1.4
Reading      Kentwood                                   214.6             83.6             21.5             25.0            22.3           13.6            14.7              8.3            2.3             6.0             5.1              6.2               3.4              2.4
Reading      Mapledurham                                139.6             13.2             21.7             25.1            23.1           18.7            13.2             11.5            1.7             5.1             3.1              1.0               2.0
Reading      Minster                                    161.3             39.8             18.1             21.4            16.2           16.6            15.8             10.3            3.0             3.6             4.6              5.9               3.7              2.3
Reading      Norcot                                     165.8             21.6             26.5             29.8            19.3           14.7            19.8             13.3            2.2             4.6             4.0              2.9               4.4              2.4
Reading      Park                                       213.1            112.8             18.8             18.3            15.5            7.3            11.6              9.3            2.7             2.6             3.4              3.5               5.4              1.8
Reading      Peppard                                    191.1             58.0             27.7             23.1            18.3           17.9            10.4             14.5            2.0             4.5             4.2              4.9               3.1              2.5
Reading      Redlands                                   134.5             61.4             12.4             13.0            10.4            7.2             9.4              7.6            1.2             1.4             3.9              2.4               3.0              1.2
Reading      Southcote                                  197.2             43.1             33.7             28.6            21.2           16.9            14.3             16.4            4.8             4.0             4.2              3.3               3.7              3.1
Reading      Thames                                     182.5             75.5             16.5             18.1            19.9           14.0            10.6             11.2            2.3             3.3             1.9              4.9               2.2              2.2
Reading      Tilehurst                                  313.2            141.3             37.3             29.6            26.9           19.7            15.2             13.6            9.4             4.0             5.5              6.4               2.5              1.8
Reading      Whitley                                    200.4             66.7             18.9             26.2            23.5           14.5            18.1             11.5            3.9             4.1             4.9              2.2               4.1              1.9
West Berks   Aldermaston                                143.3             14.9             22.8             29.8            22.5           12.5            11.8             11.4            2.4             4.8             4.2              2.4               2.4              1.4
West Berks   Basildon                                   139.7             41.9             30.5             17.7            10.0            8.7             9.0              4.4            4.0             2.3             4.4              2.0               2.7              2.0
West Berks   Birch Copse                                214.2             93.4             29.8             21.9            21.9           10.2            13.1             10.1            1.5             3.9             2.1              2.4               2.6              1.3
West Berks   Bucklebury                                 124.3             36.8             21.2             13.7            12.4           12.1             7.4              7.9            1.4             2.4             2.8              1.3               3.6              1.3
West Berks   Burghfield                                 138.8             45.4             11.3             16.4            18.2           13.7            11.3              7.1            2.7             3.7             3.7              0.5               1.9              3.0
West Berks   Calcot                                     188.3             79.4             22.0             19.0            17.0           12.5            11.8              9.1            4.2             3.7             3.0              2.2               2.7              1.6
West Berks   Chieveley                                  128.7             14.5             28.6             19.5            17.1           13.4            12.1              6.1            2.7             4.0             4.0              2.4               2.0              2.4
West Berks   Clay Hill                                  166.4             52.2             26.7             19.8            19.3           13.6            14.2              6.5            1.3             3.2             3.5              1.7               2.5              1.9
West Berks   Cold Ash                                   109.9             13.7             19.9             23.0            13.2           12.1             7.6              7.9            0.8             4.2             2.5              2.0               1.7              1.4
West Berks   Compton                                    141.7             41.0             30.6             13.6            13.9           11.4             7.3              9.8            2.8             2.8             2.2              1.9               2.2              2.2
West Berks   Downlands                                  170.8             60.8             29.4             22.4            21.1            9.6            11.5              6.7            0.6             3.5             2.6              1.6               0.6              0.3
West Berks   Falkland                                   127.2             28.4             13.3             22.2            19.0           12.2             7.6              9.9            1.1             7.1             2.3              1.8               1.5              1.0
West Berks   Greenham                                   166.7             48.1             24.8             23.5            16.3           15.2            10.3              7.6            2.4             5.8             4.5              2.4               2.7              3.1
West Berks   Hungerford                                 166.3             12.5             36.4             32.5            21.5           17.8            17.1             10.9            2.3             6.0             4.4              2.5               1.1              1.2
West Berks   Kintbury                                   141.4             40.8             15.3             20.7            18.9           17.3            10.2              8.4            1.4             2.8             1.4              1.8               1.2              1.2
West Berks   Lambourn Valley                            155.5             15.1             27.7             26.0            19.9           22.3            17.8              8.0            2.4             4.5             2.4              5.3               2.7              1.4
West Berks   Mortimer                                   177.9             73.9             17.5             17.5            21.5           12.8            10.3              8.5            2.7             4.3             3.8              2.9               0.9              1.1
West Berks   Northcroft                                 199.9             78.0             24.3             22.5            14.3           18.2            15.5             12.9            1.2             4.1             3.9              3.5               1.0              0.6
West Berks   Pangbourne                                 124.8             15.6             17.7             15.0            21.6           20.9             8.3             12.2            3.1             2.1             3.1              2.1               0.7              2.4
West Berks   Purley on Thames                           173.6             62.4             26.1             18.8            18.3           11.7            10.0             11.1            2.6             2.6             4.9              1.5               2.2              1.4
West Berks   Speen                                      202.4             55.4             30.3             23.7            25.7           19.7            13.9             15.7            0.9             4.9             4.6              4.6               2.0              1.1
West Berks   St Johns                                   147.2             14.7             19.5             24.9            20.2           16.1            16.1             14.2            3.8             4.3             4.7              4.0               3.1              1.6
West Berks   Sulhamstead                                181.6             75.0             21.0             20.3            16.3           10.3            11.7              8.9            1.4             3.2             4.6              3.9               2.5              2.5
West Berks   Thatcham Central                           188.2             46.7             25.0             28.3            19.1           19.9            12.3             14.5            3.4             7.1             4.6              2.4               2.7              2.2
West Berks   Thatcham North                             145.3             38.6             15.1             26.9            17.1            9.7            10.9              6.7            6.0             4.0             2.7              3.4               2.2              1.8
West Berks   Thatcham South and Crookham                131.0             15.3             14.8             20.7            17.9           17.9            13.0             13.0            3.3             4.3             5.1              1.5               2.0              2.5
West Berks   Thatcham West                              149.6             20.7             23.3             22.7            21.8           14.6            11.8             10.5            3.4             6.1             6.1              3.0               3.4              2.1
West Berks   Theale                                     161.8             33.1             29.1             21.5            21.5           17.5            15.3              6.9            1.8             1.5             2.5              5.5               4.7              1.1
West Berks   Victoria                                   268.8            136.6             17.1             28.2            16.9           24.3            13.4             16.0            2.8             3.5             4.4              2.2               2.0              1.5
West Berks   Westwood                                   176.8             18.0             49.8             24.9            23.8           18.4             9.7             13.7            2.2             5.8             4.0              1.4               2.2              2.9
Wokingham    Arborfield                                 101.8             19.4             10.4             25.3            14.9            5.5            12.1              6.9            0.7             0.7             2.8              1.0               1.0              1.0
Wokingham    Barkham                                    123.7             27.2             17.8             18.4            20.9            9.9             9.9              4.9            1.8             2.0             1.8              6.1               1.8              1.1
Wokingham    Bulmershe and Whitegates                   204.7             56.1             23.3             31.3            23.0           22.9            14.5             13.3            3.9             5.0             1.9              4.5               2.7              2.3
Wokingham    Charvil                                     93.3             15.2             11.7             15.5            13.6            9.5             6.3              4.1            2.5             6.7             3.2              1.0               1.6              2.2
Wokingham    Coronation                                 157.8             32.3             22.4             22.4            20.9           13.4            10.4             11.1           12.4             3.2             2.2              3.1               2.6              1.4
Wokingham    Emmbrook                                   120.0             18.5             15.7             17.6            14.9           16.4             9.8              9.4            6.2             3.4             2.5              2.5               1.3              1.8
Wokingham    Evendons                                   139.3             58.7             14.5             16.5            12.6           11.5             9.1              6.4            1.3             2.1             3.5              1.1               1.3              0.7
Wokingham    Finchampstead North                        144.8             22.8             35.1             21.8            13.6           13.6             8.2              7.1            5.4             3.9             2.9              6.2               2.0              2.3
Wokingham    Finchampstead South                        153.0             31.9             23.7             20.4            18.7           17.9            12.2              8.9            3.4             4.8             3.6              2.1               4.6              0.7
Wokingham    Hawkedon                                   145.0             59.6             11.7             18.4            13.9           10.0             8.1              5.5            2.3             2.1             3.8              5.1               2.5              2.0
Wokingham    Hillside                                   146.0             46.2             20.5             16.7            17.3           14.4             6.6              8.9            2.7             2.5             2.1              4.5               2.6              1.0
Wokingham    Hurst                                      159.1             64.5             24.6             20.1            12.8           13.1             6.7              7.3            0.6             3.8             2.2              1.3               0.6              1.3
Wokingham    Loddon                                     206.7            103.5             14.9             19.8            18.3           12.9             8.8              9.0            4.2             4.1             3.3              5.0               1.9              1.1
Wokingham    Maiden Erlegh                              120.7             27.3             14.0             18.4            15.6           13.0             8.2              9.7            2.1             2.5             2.6              3.4               2.0              1.7
Wokingham    Norreys                                    236.9            110.6             27.0             24.2            17.8           18.8            11.4             10.1            3.3             5.0             2.8              2.4               2.7              0.8
Wokingham    Remenham, Wargrave and Ruscombe            172.8             47.3             22.2             24.7            15.9           22.0            11.1              9.3            3.8             4.1             1.8              5.2               3.0              2.3
Wokingham    Shinfield North                            200.7             69.9             22.2             25.5            20.0           13.8            16.8              8.0            2.2             7.6             6.9              2.2               2.2              3.3
Wokingham    Shinfield South                            120.8             19.2             18.3             18.2            12.7           14.4            11.4             12.7            2.1             1.5             2.6              3.0               3.3              1.3
Wokingham    Sonning                                    150.7             48.2             24.9             25.5            15.1           13.6             5.0              7.3            1.6             1.9             2.5              1.9               1.9              1.3
Wokingham    South Lake                                 113.2             16.4             14.9             20.5            18.1           14.2            11.1              7.5            1.0             1.7             2.6              2.0               2.0              1.2
Wokingham    Swallowfield                               129.7             16.1             16.8             19.7            16.5           17.2             9.0             12.9            5.4             3.9             3.2              3.9               3.9              1.1
Wokingham    Twyford                                    155.5             43.1             19.6             23.7            16.1           14.2             9.8             10.3            4.1             2.1             3.1              4.8               2.9              1.7
Wokingham    Wescott                                    146.5             37.8             21.0             23.8            17.5           15.8             9.4             10.7            0.9             4.2             2.0              0.6               1.7              1.1
Wokingham    Winnersh                                   172.9             67.8             16.0             18.6            16.5           14.4            14.5              7.3            3.0             3.4             5.3              2.9               1.5              1.6
Wokingham    Wokingham Without                          238.3             99.4             36.8             26.5            16.3           23.0             8.4              9.0            1.6             5.8             4.8              3.8               2.1              1.0




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Appendix 8: Benchmarking of pharmacy services in Berkshire West
This information is based on the NHS Information Centre’s 2008/09 statistical bulletin on pharmaceutical
services which is the last year for which benchmarking data is available.

Guide to column headings

Number of community        This is the number which was returned to the NHS Information Centre for 2008/09 by
pharmacies 2008-09         the PCT


% Independent              This is the number of contractors belonging to chains of 5 of fewer pharmacies as
                                                                                      st
contractors                determined by the Prescription Pricing Division (PPD) at 31 March 2009.


Households without         This is the % of all households in the PCT that reported in the 2001 census that they did
access to a car (%)        not have access to a car


Population / Hectare       This is the population density calculated using the ONS estimates of the area covered
(2008/09)                  by the PCT and the ONS 2008 mid-year population estimates.

                                                                  st
Pharmacies per 100,000     This is the number of pharmacies at 31 March 2009 per 100,000 population using the
population 2008-09         ONS mid-year estimates for 2008


Prescription items per     This is the average of the number of prescription items dispensed by a pharmacy in the
pharmacy (month)           PCT calculated by the PPD in 2008/09


                           This is the percentage of all prescription items dispensed in 2008/09 which were issued
% RD Items (2008/09)
                           using repeat dispensing


                           This is the percentage of all contractors in the PCT that have claimed for Advanced
Advanced services (%)
                           services in 2008/09


MURs per provider          This is the average number of MURs claimed per provider of Advanced services in
(2008/09)                  2008/09




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South Central SHA Benchmarking




                                                                                                                                                                                  % RD Items (2008/09)
                                                                                                                                        2008-09
                                                                                                                 (2008/09)




                                                                                                                                                                                                                                                 (2007/08)
                                                                                                                                                                                                                Advanced services (%)
                                                            contractors



                                                                             access to a car (%)
                                                                            Households without
                                   pharmacies 2008-09




                                                                                                                                                                                                                                        MURs per provider
                                                                                                                             100,000 population
                                                        % Independent




                                                                                                                                                          pharmacy (month)
                                                                                                                                                       Prescription items per
                                 Number of community




                                                                                                                               Pharmacies per
                                                                                                     Population / Hectare




Berkshire East Teaching              74                   36%                 17%                               11                       19          5,638                      3.8%                       88%                               162
Berkshire West                       68                   19%                 17%                                5                       15          6,584                      5.9%                       81%                               166
Buckinghamshire                      83                   30%                 13%                                3                       16          5,434                      1.4%                       84%                               225
Hampshire Teaching                  219                   26%                 16%                                3                       17          6,341                      1.0%                       85%                               154
Isle of Wight Healthcare             29                   34%                 25%                                4                       20          7,200                      0.3%                       83%                               226
Milton Keynes                        41                   12%                 19%                                6                       17          5,760                      0.4%                       95%                               146
Oxfordshire                          97                   26%                 18%                                2                       16          5,796                      1.1%                       91%                               133
Portsmouth City Teaching             38                   29%                 33%                               50                       19          5,814                      1.7%                       92%                               102
Southampton City                     41                   32%                 30%                               47                       17          6,198                      0.1%                       88%                               168
South Central SHA                   690                   27%                 18%                                4                       17          6,068                      1.8%                       87%                               161

ENGLAND                     10,475                         38%                  27%                                  4                   20          6,129                      1.6%                       83%                               161

ONS Cluster Group Benchmarking
                                                                                                                                                                                    % RD Items (2008/09)



                                                                                                                                                                                                                          (%)
                                                                                                                                        2008-09




                                                                                                                                                                                                                                                     (2007/08)
                                                              contractors



                                                                               access to a car (%)




                                                                                                                                                             (month)
                                                                              Households without




                                                                                                        Hectare (2008/09)




                                                                                                                                                                                                           Advanced services
                           pharmacies 2008-09




                                                                                                                                                  Prescription items
                                  community




                                                                                                                                                                                                                                            MURs per provider
                                                                                                                             100,000 population
                                   Number of




                                                          % Independent




                                                                                                            Population /




                                                                                                                                                      per pharmacy
                                                                                                                               Pharmacies per




Berkshire West                        68                    19%                  17%                                    5                 15          6,584                     5.9%                         81%                                  166
Buckinghamshire                       83                    30%                  13%                                    3                 16          5,434                     1.4%                         84%                                  225
Cambridgeshire                        93                    30%                  18%                                    2                 15          6,071                     0.4%                         81%                                  136
Mid Essex                             57                    33%                  16%                                    3                 15          6,447                     0.7%                         96%                                  190
Oxfordshire                           97                    26%                  18%                                    2                 16          5,796                     1.1%                         91%                                  133
Surrey                               204                    32%                  14%                                    7                 19          4,951                     1.3%                         79%                                  186
West Hertfordshire                   124                    69%                  17%                                    9                 23          4,522                     1.3%                         81%                                  175
West Kent                            108                    45%                  18%                                    4                 16          7,437                     1.6%                         86%                                  162
ONS Cluster                          834                    37%                  16%                                    4                 17          5,716                     1.6%                         84%                                  172

ENGLAND                     10,475                           38%                  27%                                   4                 20          6,129                     1.6%                          83%                                 161




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                                                              Pharmaceutical Needs Assessment
Appendix 9: Additional data from pharmacy contractor questionnaire
Information technology
Most pharmacies now have significant computer infrastructure with all pharmacies reporting having three or
more computers in the pharmacy.




Table 67: Current IT facilities
Source: Contractor questionnaire, October 2009

All pharmacies with the exception of one site have access to email via one of more terminals in the
pharmacy and two do not have access to the internet.

Most connect via a company network or N3 connection, with the high presence of pharmacy multiples it is
not surprising that some respondents did not know the type of connection used, this is likely to be
something that is dealt with directly by the organisation

                                                                West
                                                 Reading        Berkshire        Wokingham        Berks West
Company network                                            12               11                6                29
N3 (NHS net)                                               11                5                6                22
Other broadband connection                                  4                1                4                 9
None                                                                         1                                  1
Don't know                                                  3                4                1                 8
Total                                                      30               22               17                69
For most respondents (77%) reported that access is restricted by the pharmacy owner to work related sites
via a white listing system.

Relationships with GPs
Generally pharmacies reported good relationships with local GPs, pharmacists that were newer in post
reported difficulty building up relationships.


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                                                                                 NHS Berkshire West
                                                                   Pharmaceutical Needs Assessment
Most respondents reported that they had spoken directly to a local GP over the phone in the last month
(96%). Around one third reported that they had never had a face to face meeting with a local GP, however
while Reading and West Berkshire had very similar levels reporting having never had a face to face
meeting with the GP (40%) respondents from Wokingham were much less likely to report not having had a
face to face meeting with the GP in the last month (17%).

In terms of what could be done to support or improve relationships with GPs respondents suggested
creating more opportunities for joint meetings and developing a common agenda, particularly around QoF.

I think it is up to the professionals themselves to integrate and improve relationships.
Encouraging schemes that reqire jointly commissioned services, on services that are equipment in both surgeries and
pharmacies e.g. vasculor screening.
It will be useful to arrange a forums for GPs and pharmacist and the PCT to discuss matters related to delivery NHS
services on an annual basis
Action being undertaken by community pharmacists include to support this agenda include:

Trying to arrange a meeting with the senior GPs, practice manager and another local pharmacist to talk about
common issues and agree on procedures
Pharmacist manager has just completed independent prescribing course which involved frequent contacts with the
local GPs, reg, both clinical and practice based issues


Enhanced pharmaceutical services
Pharmacy contractors were asked to report which enhanced services they provide to their population. It is
important to make the distinction here between NHS commissioned services (which are marked in the
table) and services provided by the contractor “privately”.

The top 10 provided services are a mixture of locally commissioned (e.g. NRT) and services provided by
contractors (e.g. prescription collection).

    Locally                                                           West
                              Service                 Reading                     Wokingham      Berks West
 commissioned                                                       Berkshire
                   Prescription Collection                  97%           95%            100%            97%
                   EHC OTC                                  97%          100%             88%            96%
                  Nicotine Replacement Therapy             90%           86%            100%            91%
                  Supervised Consumption                   77%           82%             88%            81%
                   MDS - Domicilary                         73%           73%             88%            77%
                   Prescription Delivery                    73%           77%             65%            72%
                   Smoking Cessation                        57%           45%             53%            52%
                   Blood Pressure Monitoring                50%           55%             53%            52%
                  EHC u20                                  23%           64%             29%            38%
                  Needle Exchange                          33%           27%             41%            33%
                   Diabetes Testing                         33%           45%             12%            32%
                   MDS - Care Homes                         30%           32%             35%            32%
                   Med Review - In Pharmacy                 27%           36%             29%            30%
                   Weight Mgmt                              23%           32%             12%            23%
                   Flu Vaccination                          23%           27%             18%            23%
                   Cholesterol Testing                      23%           27%              6%            20%
                   NHS Health Start Milk                    30%           18%              6%            20%
                   Chlamydia Testing                        23%           23%              6%            19%

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                                                                                   NHS Berkshire West
                                                                      Pharmaceutical Needs Assessment
                   Truss Fitting                           20%         18%          12%        17%
                   Vascular Risk Assessment                17%          5%          24%        14%
                   Palliative Care                          0%         14%          24%        10%
                   Brief Interventions - Alcohol           10%          0%           6%         6%
                   Spirometry                               3%          0%           6%         3%
                   INR Testing                              0%          0%           6%         1%
                   Pregnancy Testing                        0%          0%           6%         1%
                   Med Review - In Home                     3%          0%           0%         1%
Table 68: Current provision of enhanced services
Source: Pharmacy contractor questionnaire, October 2009

Contractors were also asked to express their willingness to provide services in the future, there was a
strong correlation to services involving the screening or management for long term conditions which is a
good fit to the PCT’s strategic plans.

                                                     West
            Service                  Reading                   Wokingham   Berks West
                                                   Berkshire
 Cholesterol Testing                        57%          68%        82%          67%
 Weight Mgmt                                57%          68%        71%          64%
 Chlamydia Testing                          60%          59%        76%          64%
 Diabetes Testing                           63%          50%        76%          62%
 Vascular Risk Assessment                   60%          55%        65%          59%
 Blood Pressure Monitoring                  57%          50%        76%          59%
 Spirometry                                 53%          55%        76%          59%
 Med Review - In Home                       47%          64%        65%          57%
 Smoking Cessation                          50%          59%        47%          52%
 INR Testing                                40%          50%        71%          51%
 Brief Interventions - Alcohol              40%          59%        59%          51%
 Med Review - In Pharmacy                   43%          55%        59%          51%
 Flu Vaccination                            47%          45%        59%          49%
 EHC u20                                    50%          45%        53%          49%
 Pregnancy Testing                          50%          45%        53%          49%
 MDS - Domicilary                           47%          41%        41%          43%
 MDS - Care Homes                           40%          41%        47%          42%
 Prescription Delivery                      37%          36%        47%          39%
 NHS Health Start Milk                      43%          18%        53%          38%
 Needle Exchange                            40%          36%        35%          38%
 Prescription Collection                    37%          41%        35%          38%
 Palliative Care                            37%          32%        41%          36%
 Nicotine Replacement Therapy               30%          41%        35%          35%
 Supervised Consumption                     30%          36%        35%          33%
 EHC OTC                                    33%          32%        24%          30%
 Truss Fitting                              17%          18%        29%          20%
Table 69: Willingness to provide enhanced services
Source: Pharmacy contractor questionnaire, October 2009




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                                                                                    NHS Berkshire West
                                                                       Pharmaceutical Needs Assessment
Appendix 10: Report of the consultation on the draft PNA
Introduction

This report provides a summary of the stakeholder consultation undertaken by NHS Berkshire West on its
draft Pharmaceutical Needs Assessment (PNA).

Background

NHS Berkshire West prepared a draft Pharmaceutical Needs Assessment (PNA), the draft PNA was
prepared in order to satisfy the requirement in regulations which require each PCT to publish a PNA by 1st
February 2011.

A steering group was established to guide the development of the draft PNA which was published for
consultation on 1st September 2010, the consultation ended on 20th November 2010.

Consultation process

A list of stakeholders to be consulted on the PNA was developed with the PNA steering group following
advice from the PCTs Patient and Public Engagement (PPE) Team and using the regulations which set out
a minimum requirement for the individuals and groups that the PCTs must consult.

Each stakeholder was sent:

   •   A full copy of the draft PNA together with a covering letter and consultation questions, or

   •   A summary document with consultation questions

The type of document (full or summary) sent to each stakeholder was agreed by the steering group and is
shown in the consultation matrix at Annex 1.

Respondents were able to respond via an online questionnaire or by sending their response to the PCT for
consideration.

Results of the consultation

The consultation was successful in reaching a broad range of stakeholders which included: 99 members of
the public, 19 organisations which included pharmacy and dispensing contractors.

Responses were generally supportive of the findings documented in the PNA, a number of responses from
pharmacy contractors provided information to update the data held by the PNA.

The themes emerging from the consultation are explored in the tables overleaf:




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Themes from lay/public stakeholders

This section summarises the themes that emerged from the responses received from lay and public stakeholders responding to the consultation:

Theme                                                 Comments                                                     Proposed changes to the draft PNA
Opening hours                                         The consultation has reinforced one of the themes from       We will incorporate a proposal to develop better
                                                      our PNA which is that there is generally good access to      information for patients and healthcare professionals
    •   Information about out of hours pharmacy       pharmacy services but that there is a need to inform the     about arrangements for pharmacy services out of hours.
        services                                      public and heath care professionals of the extended
    •   Sunday opening                                opening hours of pharmacies and the arrangements for
    •   Late evening / early daytime services         access out of hours.


Medicines use review                                  We have noted that there is poor knowledge of MUR            We will incorporate a proposal to work with our LPC and
                                                      among patients and the public. This is something that        LMC to improve the knowledge of MUR among patients
Low awareness about MUR                               the DH is seeking to address as part of a wider              and the public.
                                                      communications plan with the public about pharmacy
                                                      services. However we may be able to do more in the
                                                      future to improve awareness and uptake.
Care homes services                                   Our draft PNA describes the current arrangements for         We will review the section on care homes services to
                                                      support to cares homes. We have noted the concerns           reflect our recent work in this area.
General concerns that patients in care homes do not   raised by lay and public responses and by some
receive adequate support with their medicines         healthcare professionals. Following a recent study into
                                                      medicines related errors in care homes we have begun
                                                      to look at how the PCT should support care homes
Admission and discharge from hospital
                                                      owners and patients directly and where existing medical
                                                      and pharmacy services should be playing a role. This is
                                                      also linked to work underway to better support patients
                                                      moving in and out of hospital, our Clinical Executive
                                                      Committee has recently considered a paper on this
                                                      topic.
NHS Health checks                                     We noted that there is good knowledge of this service        No action
                                                      and a strong willingness to use the service in the future.

EHC                                                   We noted comments about the problems in providing            No action
                                                      this service when the accredited pharmacist is
accreditation of pharmacists                          unavailable. This service is currently being re-launched
                                                      and rolled out as an integrated sexual health service.
                                                      We will work with the community pharmacy providers to
                                                      improve the availability of this service.


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Responses to closed questions:

The patient / lay consultation document included a number of close questions which explored specific elements of the PNA. The combined online and postal
responses are shown below.

The responses show that there was support for the finding that there is good access to pharmacies in Berkshire West. Most respondents were likely to use the
MUR service, however there was a minority that would not. There was a similar level of support for the NHS Health Checks through pharmacies.

Most respondents were satisfied that there was enough access to EHC, Stop Smoking and services for drug misusers, however services to care homes
provoked a more mixed response. Each of these is explores in the thematic analysis earlier in this document.

                                                                                                    Enough Needle                          Would use NHS
                           Agree there is                                        Enough Stop                             Enough care
                                            Would use MUR      Enough EHC                             Exchange /                          Health Checks in
                           good access                                             Smoking                                  homes
                                                                                                      Supervision                              pharmacy


Yes                            84%               56%               59%               53%                  76%                50%                 52%


No                              2%               23%               21%               23%                  24%                50%                 21%


Maybe / Partly                 14%               21%               21%               25%                  0%                  0%                 27%




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Themes from partners, health professionals and organisations

This section summarises the themes that emerged from the responses received from partner organisations, health professional and other organisations
responding to the consultation:

Theme                                Comments / Discussion of responses                                                          Proposed changes to the draft PNA
Mapping of controlled localities     The respondents to the consultation have asked the PCT to ensure that the PNA               The draft PNA will be updated to explain the
                                     includes a map of controlled and non-controlled localities. PCTs have been advised to       PCT’s proposed actions in relation to mapping
Source: LPC, LMC, Newdays            publish a map of their controlled localities with their PNA. In the course of the           controlled and non-controlled localities.
Pharmacy                             development of the PNA we have found that while good data exists in relation to
                                     controlled localities determined since 1992, information prior to this period is not
                                     sufficiently robust to allow the PCT to publish a map with confidence. Consequently the
                                     PCT will be undertaking a separate piece of work with our LPC and LMC to ensure that
                                     an accurate map can be prepared in due course. This is a substantial piece of work
                                     which cannot be completed within the challenging timescales for the PNA.
Pharmacy contractor details          A detailed update of data relating to the opening hours, consultation areas and services    The draft PNA will be updated to reflect these
Source: Lloyds Pharmacy              provided was submitted by Lloyds Pharmacy for its stores in Berkshire West                  changes.
Size of localities used in the PNA   The PCT is asked to consider whether the size of the localities used in the PNA are too     No action at this time.
                                     large. The PNA has adopted the three Local Authority areas. There are two comments
Source: LPC, Newdays Pharmacy        from respondents: a) How the localities will relate to the mechanism by which future
and Mortimer Surgery                 market entry will work and how the size of localities which include more than one ward
                                     may have unintended consequences on PCT decision making in relation to minor
                                     relocation. b) Consider splitting Reading to align with the commissioning groups.

                                     The regulations for market entry using PNAs have not yet been published and therefore
                                     it is not possible to conclude with any certainty whether having localities which include
                                     more than one electoral ward will affect PCT decision making. We also note that the
                                     guidance to PCTs on preparing PNAs which was published by the Department of
                                     Health did not specify a standard for locality size. We do not believe that there is any
                                     requirement to define localities at each ward level. We propose to carefully review the
                                     draft regulations when they are published and to consider whether any changes need
                                     to be made to our PNA at that time.




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MURs                               The comments on the consultation were split. The LPC and Newdays suggests that the          We will revise the wording of the PNA to more
Source: LPC, Newdays Pharmacy      PCT consider MUR to be a necessary service whereas the practice questions the value         closely reflect the regulatory definition of
and Milman Road Health Centre      of some MURs. These positions reflect the discussion at the steering group which            “relevant services”.
                                   resulted in the conclusion that the MUR service should be a relevant service. A relevant
                                   service is defined in regulations as one which provides improvements or better access       We do not consider that there is any gap in the
                                   to services. We believe that this was not clearly explained in the PNA. The comments        provision in Abbey, Victoria and Swallowfield
                                   through the consultation reinforce the view of the steering group that MUR has much to      wards.
                                   offer but is not yet able to demonstrate how it relates to outcomes for patients. The LPC
                                   also makes the point that there may be gaps in provision in Abbey, Victoria and
                                   Swallowfield wards
Pharmacy contractor details        An update of data relating to the services provided by Newdays Pharmacy stores in           The draft PNA will be updated to reflect these
Source: Newdays Pharmacy           Berkshire West was submitted as part of the consultation                                    changes.
Maintaining the PNA / up to date   The respondents are concerned that the PNA, in part, relies on data collected through       The draft PNA will be updated to reflect any
data                               a survey of pharmacy contractors in August 2009. The PCT is alert to this risk and has      recent changes in service provision or opening
Source: LPC and Newdays            used more up to date, locally held data, to prepare the sections of the PNA dealing with    hours and to reflect any changes notified to the
Pharmacy                           current provision and opening hours. The consultation process has resulted in some          PCT by respondents.
                                   fine tuning of these data which will be reflected in the final version.
Future services                    The LPC and Newdays make similar points, with specific examples of services that the        No action
Source: LPC, Newdays &             PCT should consider commissioning from pharmacy contractors. The PNA steering
Southcote Pharmacy and             group, at an early stage, agreed that the PNA would inform a commissioning plan for
Berkshire Hospitals Foundation     pharmacy services. It is not intended to take the place of the commissioning plan. Both
Trust                              respondents recognise that the PCT has a commissioning process through which
                                   potential new commissioning is assessed.

                                   The RBHT raised the specific

                                   Would like to see more in this section, specific mention of MDS (support for medicines
                                   taking) and Minor Ailments Services
Provision of Needle Exchange       The DAAT has asked the PCT to reword the description of current provision of the            The PNA steering group has asked for further
and Supervision                    Needle Exchange and Supervised Consumption service. They also explained that they           information from the DAAT, the PNA will be
Source: West Berks DAAT            felt that provision could be improved.                                                      revised to reflect any relevant changes arising
                                                                                                                               from this discussion.




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Pharmacy contractor details      Update relating to Medicines Use Review provision                                            The draft PNA will be updated to reflect these
Source: H Carson Pharmacy                                                                                                     changes.
Availability of EHC              Service is available only when accredited pharmacist is available in the pharmacy, this      The draft PNA will be updated to reflect the
Source: Reading Walk in Centre   has resulted in patients being unable to access the service when required                    potential for this to create a gap in provision.
Cross border provision           The PCT is asked to consider, in greater depth, the provision of pharmacy services to        We will include additional data in the draft
                                 its population from pharmacies located in neighbouring PCTs.                                 PNA.

                                 The draft PNA considers cross border movement of patients. This showed that there is
                                 no material cross border movement other than on our border with Berkshire East with
                                 which we share a populated border. The top 10 pharmacies outside Berkshire West
                                 PCT are mapped in our PNA, however will also include further information about the
                                 range of services that they provide and their opening hours.
Travel times to pharmacies       The PCT is asked to consider mapping travel times to pharmacies. We will review the          Where available, we will include additional
                                 mapping that is available from our public health department and include any                  maps relating to travel times.
                                 appropriate maps.
PNA does not assess the need     We do not agree that there is a requirement to review each of the services in NHS            No action
for all services in the NHS      directions.
directions
100 hour contractors             The LPC asks that the PCT include a more explicit statement in relation to 100 hour          We will include a statement on 100 hours
                                 pharmacies in order to protect against the potential for these contractors to reduce their   contractors in the final PNA.
                                 hours.
Inadequacies in provision by     The LPC asks that the PCT consider whether dispensing by GPs is sufficient to secure         No action
dispensing GPs                   access to a full range of pharmaceutical services in rural areas.

                                 The PNA has stressed the need to strike a balance between provision in some rural
                                 areas which is dependent on GP dispensing to provide access and provision by
                                 pharmacies in urban and some rural areas.


Patient questionnaire            The LPC highlights the limitations on the patient questionnaire which was used to            No action
                                 inform the PNA. The draft PNA clearly explains the method and its limitations.




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Conclusions

NHS Berkshire West has a statutory duty to consult on a draft PNA and to publish its PNA by 1st February
2011. The consultation process for the PNA has succeeded in reaching a broad cross section of
stakeholders which has now come to an end.

While the respondents were supportive of the PCT’s findings they have also raised a number of related
issues which we propose to address in the final PNA in order to reflect the views of our patients, partners
and stakeholders.




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Annex 1: Distribution matrix for PNA

This matrix shows the stakeholders that were consulted on the draft PNA. The table indicates where the
stakeholder was sent the full PNA document (a requirement for certain specified stakeholders).

                                                        Full document         Summary
                      Stakeholder                     and professionals     document and
                                                          questions           questions

Local Pharmaceutical Committee (Carol Trower)                 X
Local Medical Committee (Paul Roblin)                         X
Neighbouring PCTs:
Oxfordshire
Buckinghamshire
East Berkshire                                                X
Hampshire
Wiltshire

Berkshire West Community pharmacy contractors                 X
Community Pharmacists (to display for patients)                                    X
PBC Leads                                                     X
GP practices
                                                              X

Practice managers
                                                              X

Practice managers
(for patients)                                                                     X

Health Network members                                                             X
Patient Panel                                                                      X
PIP                                                                                X
PIP
                                                                                   X
(for patients)
Reception at Wokingham Community Hospital
                                                                                   X
(for patients)
Reception at WBCH
                                                                                   X
(for patients)
LINks x 3
                                                              X
(for the LINks and onward distribution to patients)
LAs x3                                                        X
RBH
                                                              X
(Bill O’Donald and Jonathon Fielden)
BHCT
                                                              X
(Marion Walker)
HOSCs x 3                                                     X
GPs and Westcall                                              X
Opticians                                                     X
Dentists                                                      X
BHCT service user groups                                      X                    X
Substance misuse team (and service user groups)               X                    X
Baker Street clinic
                                                              X                    X
(and service users)
BME groups
(and service users)                                                                X
See community groups sheet
Traveller groups See community groups sheet                                        X
Carers groups See community groups sheet                                           X
PDF orgs                                                                           X

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                                                       Full document       Summary
                     Stakeholder                     and professionals   document and
                                                         questions         questions

Long term conditions groups
                                                                              X
See community groups sheet
Community health staff and commissioning arm staff                            X
Home care agencies                                                            X
Parish planners                                                               X
Young people orgs                                                             X
Youth parliaments                                                             X
School councils                                                               X
Libraries                                                                     X
Travellers worker                                                             X
CDWs                                                                          X




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