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Written Question
General Practitioners and Pharmacy
Tuesday 23rd April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what guidance she issues tor GPs on working with Pharmacy First to reduce their workloads.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Pharmacy First was launched on 31 January 2024, and as the service embeds, we will monitor and evaluate the service and keep the conditions covered by Pharmacy First under review, but it is too early to consider expanding the clinical pathways.

In the Delivery plan for recovering access to primary care, we estimated that Pharmacy First, together with the expanded blood pressure check and contraception service, once fully scaled, could remove up to 10 million general practice (GP) appointments. We are monitoring the number of Pharmacy First consultations in community pharmacy but it is not possible to monitor the number of GP appointments Pharmacy First frees up. However, we know that Pharmacy First will enable GPs to see patients with more complex needs quicker.

Since 2019, GPs and their teams have already been referring patients to community pharmacies for minor illnesses and Pharmacy First builds on this. NHS England has engaged with GPs during the development and launch of Pharmacy First and Community Pharmacy England has launched a dedicated website for GPs supporting them with Pharmacy First referrals.

Pharmacies are not paid an establishment grant. Contractors who have signed up to deliver Pharmacy First received a £2,000 set-up fee, they receive £15 per consultation and £1,000 for each month they reach an agreed minimum number of consultations. Funding for community pharmacies, including the funding for Pharmacy First, is expected to pay for all their costs in providing the service. There are no delays to Pharmacy First payments. All payments are made in line with the usual schedule of payments.

The statutory National Minimum Wage and National Living Wage is based on advice of the Low Pay Commission, which takes into account the impact on business and the wider economy, as well as the living standards of workers.


Written Question
Pharmacy: ICT
Tuesday 23rd April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will take steps to monitor the number of GP appointments that are freed up as a result of Pharmacy First.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Pharmacy First was launched on 31 January 2024, and as the service embeds, we will monitor and evaluate the service and keep the conditions covered by Pharmacy First under review, but it is too early to consider expanding the clinical pathways.

In the Delivery plan for recovering access to primary care, we estimated that Pharmacy First, together with the expanded blood pressure check and contraception service, once fully scaled, could remove up to 10 million general practice (GP) appointments. We are monitoring the number of Pharmacy First consultations in community pharmacy but it is not possible to monitor the number of GP appointments Pharmacy First frees up. However, we know that Pharmacy First will enable GPs to see patients with more complex needs quicker.

Since 2019, GPs and their teams have already been referring patients to community pharmacies for minor illnesses and Pharmacy First builds on this. NHS England has engaged with GPs during the development and launch of Pharmacy First and Community Pharmacy England has launched a dedicated website for GPs supporting them with Pharmacy First referrals.

Pharmacies are not paid an establishment grant. Contractors who have signed up to deliver Pharmacy First received a £2,000 set-up fee, they receive £15 per consultation and £1,000 for each month they reach an agreed minimum number of consultations. Funding for community pharmacies, including the funding for Pharmacy First, is expected to pay for all their costs in providing the service. There are no delays to Pharmacy First payments. All payments are made in line with the usual schedule of payments.

The statutory National Minimum Wage and National Living Wage is based on advice of the Low Pay Commission, which takes into account the impact on business and the wider economy, as well as the living standards of workers.


Written Question
Pharmacy: ICT
Tuesday 23rd April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether she plans to expand the number of clinical pathways under Pharmacy First services.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Pharmacy First was launched on 31 January 2024, and as the service embeds, we will monitor and evaluate the service and keep the conditions covered by Pharmacy First under review, but it is too early to consider expanding the clinical pathways.

In the Delivery plan for recovering access to primary care, we estimated that Pharmacy First, together with the expanded blood pressure check and contraception service, once fully scaled, could remove up to 10 million general practice (GP) appointments. We are monitoring the number of Pharmacy First consultations in community pharmacy but it is not possible to monitor the number of GP appointments Pharmacy First frees up. However, we know that Pharmacy First will enable GPs to see patients with more complex needs quicker.

Since 2019, GPs and their teams have already been referring patients to community pharmacies for minor illnesses and Pharmacy First builds on this. NHS England has engaged with GPs during the development and launch of Pharmacy First and Community Pharmacy England has launched a dedicated website for GPs supporting them with Pharmacy First referrals.

Pharmacies are not paid an establishment grant. Contractors who have signed up to deliver Pharmacy First received a £2,000 set-up fee, they receive £15 per consultation and £1,000 for each month they reach an agreed minimum number of consultations. Funding for community pharmacies, including the funding for Pharmacy First, is expected to pay for all their costs in providing the service. There are no delays to Pharmacy First payments. All payments are made in line with the usual schedule of payments.

The statutory National Minimum Wage and National Living Wage is based on advice of the Low Pay Commission, which takes into account the impact on business and the wider economy, as well as the living standards of workers.


Written Question
Pharmacy: Finance
Tuesday 23rd April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make an assessment of the adequacy of the establishment grant for pharmacies extending into Pharmacy First for (a) consulting and (b) waiting facilities.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Pharmacy First was launched on 31 January 2024, and as the service embeds, we will monitor and evaluate the service and keep the conditions covered by Pharmacy First under review, but it is too early to consider expanding the clinical pathways.

In the Delivery plan for recovering access to primary care, we estimated that Pharmacy First, together with the expanded blood pressure check and contraception service, once fully scaled, could remove up to 10 million general practice (GP) appointments. We are monitoring the number of Pharmacy First consultations in community pharmacy but it is not possible to monitor the number of GP appointments Pharmacy First frees up. However, we know that Pharmacy First will enable GPs to see patients with more complex needs quicker.

Since 2019, GPs and their teams have already been referring patients to community pharmacies for minor illnesses and Pharmacy First builds on this. NHS England has engaged with GPs during the development and launch of Pharmacy First and Community Pharmacy England has launched a dedicated website for GPs supporting them with Pharmacy First referrals.

Pharmacies are not paid an establishment grant. Contractors who have signed up to deliver Pharmacy First received a £2,000 set-up fee, they receive £15 per consultation and £1,000 for each month they reach an agreed minimum number of consultations. Funding for community pharmacies, including the funding for Pharmacy First, is expected to pay for all their costs in providing the service. There are no delays to Pharmacy First payments. All payments are made in line with the usual schedule of payments.

The statutory National Minimum Wage and National Living Wage is based on advice of the Low Pay Commission, which takes into account the impact on business and the wider economy, as well as the living standards of workers.


Scottish Government Publication (Advice and guidance)
Health and Social Care Finance, Digital and Governance Directorate

Apr. 22 2024

Source Page: Quality Prescribing Strategy for Respiratory A Guide for Improvement 2024-2027
Document: Quality Prescribing Strategy for Respiratory: A Guide for Improvement 2024-2027 (PDF)

Found: Unused or unwanted medicines should be returned to community pharmacy for safe disposal or recycling


Deposited Papers

Apr. 22 2024

Source Page: I. List of ministerial responsibilities. 88p. II. List of non-ministerial departments and executive agencies. 22p. III. Letter dated 19/04/2024 from Alex Burghart MP to the Public Administration and Constitutional Affairs Committee regarding documents for deposit, and copying them for deposit in the House libraries. 1p.
Document: APRIL_2024_List_of_Ministerial_Responsibilities.pdf (PDF)

Found: Primary Care) The Rt Hon Andrea Leadsom MP Responsibilities include: ● Primary care: ○ general practice ○ pharmacy


Commons Chamber
Hospice Funding - Mon 22 Apr 2024
Department of Health and Social Care

Mentions:
1: Andrew Gwynne (Lab - Denton and Reddish) The hospital, social services, Macmillan, Marie Curie, the GP, the pharmacy, the district nurses and - Speech Link


Written Question
Contraception: Vulnerable Adults and Young People
Monday 22nd April 2024

Asked by: Virendra Sharma (Labour - Ealing, Southall)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to help ensure that (a) young and (b) vulnerable people have access to free contraception.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Local authorities across England are responsible for commissioning comprehensive, openly accessible sexual and reproductive health services, which includes the provision of free contraception to meet local demand. Local authorities decide on commissioning arrangements based on an assessment of local need, including the needs of young and vulnerable people. Contraception is also widely available free of charge through general practices (GPs).

The Government is committed to improving access to contraception, and reducing reproductive health inequalities. The Women’s Health Strategy sets out our 10-year ambition and the actions we are taking to improve disparities in access to services, experiences of services, and outcomes for all women and girls.

As part of our work to deliver the Women’s Health Strategy we have launched a dedicated women’s health area on the National Health Service website as a first port of call for women’s health information, including contraception. We have also worked closely with NHS Digital to create a new YouTube series on contraception, which has been designed to help answer common questions often found in search engines, as well as more detailed information on the range of contraceptive methods available.

In 2023 we also introduced the NHS Pharmacy Contraception Service. This service offers greater choice in how people can access contraception services. It will also create additional capacity in GPs and sexual health clinics, to support meeting the demand for more complex assessments.

We are working with the Women’s Health Ambassador and others to provide health information to diverse groups of women, across their life course. We know that young people who receive effective relationships and sex education are more likely to use contraception and condoms, and less likely to have an unplanned pregnancy as a teenager, and in later life.

The 2020 roll-out of statutory relationships and sex education in all schools means that more young people receive support to prevent early unplanned pregnancy through learning about the full range of contraceptive choices and sexual health services available. The statutory guidance is available at the following link:

https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education

As set out in the Women's Health Strategy, the Department of Health and Social Care and the Department for Education are working to understand women’s health topics that teachers feel less confident in teaching, and we will work to improve provision of high-quality teaching resources.


Written Question
Pharmacy: Finance
Monday 22nd April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of a rebate scheme for the cost of pharmaceuticals for community pharmacies.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

Community pharmacies are responsible for purchasing the medicines and other products that they supply as part of National Health Service pharmaceutical services. The purchase price, including rebates schemes available to them, is a commercial decision for the pharmaceutical wholesalers and manufacturers who sell to them.


Written Question
Drugs: Wholesale Trade
Monday 22nd April 2024

Asked by: Rachael Maskell (Labour (Co-op) - York Central)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the implications for her policies of the prices available to (a) large companies and (b) independent pharmacies for the purchase of pharmaceuticals from wholesalers.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

Through the medicine margin survey, the Department assesses whether the reimbursement arrangements pay pharmacy contractors as agreed, as part of the community pharmacy contractual framework. The medicine margin survey considers what a sample of independent pharmacies paid, by looking at their invoices compared to the amount reimbursed by the National Health Service. As large companies are considered to have greater buying power, they are not sampled in the medicine margin survey.

Furthermore, where pharmacies cannot purchase products at or below the Drug Tariff NHS reimbursement price, Community Pharmacy England can request that the Department reassesses the reimbursement price. If a new reimbursement price is issued, it is known as a concessionary price.