Pharmaceutical Needs Assessments

Map of Greenwich pharmacies

Background

Healthy Dialogues were commissioned to deliver Pharmaceutical Needs Assessments (PNA) for four Health and Wellbeing Boards in 2017: Royal Borough of Kensington & Chelsea, Westminster City Council and London Borough of Hammersmith & Fulham (joint contract) and the Royal Borough of Greenwich.

PNAs are a statutory requirement of Health and Wellbeing Boards every three years, they report on the need for and provision of pharmacy services in a local area. They are technical and strategic documents that are primarily used by NHS England and local commissioning bodies.

Methodology

Working closely with stakeholders and a multi-agency steering group, Healthy Dialogues employed a range of research methods to understand local needs and pharmacy provision.

Our methodology included:

  • An Equality Impact Assessment
  • Analysis of projections and ward level population data.
  • Mapping of local needs and service provisions (see Figure B for example)
  • Patient and public surveys of pharmacy provision, distributed widely across protected characteristics
  • Distribution of a contractor survey and validation of NHSE and Local commissioning data
  • 60-day public consultation

As per Health and Wellbeing Board requirements we produced an overview on essential services, advanced services, locally commissioned services, improvements and better access (gaps in provision), necessary services (gaps in provision) and other locally commissioned services.

Outcomes

On completion of the consultation period, we presented our PNA reports and their recommendations to the Health and Wellbeing Boards. The reports were highly commended as valuable technical tools that will support the Health and Wellbeing Boards in their future commissioning decisions.

Highlights of our reports included:

  • Strong community engagement that provided local insights as to pharmacy needs and how pharmacies supported those with protected characteristics
  • 100% response rate for contractor questionnaire
  • Detailed population needs assessment for each borough, illustrated by ward level mapping and identifying opportunities where those needs could be fulfilled by local pharmacy provision.

Read our full reports: