The PNA is an assessment of the need for a type of service rather than a service provided by a particular type of contractor. Pharmaceutical services can be provided by Dispensing Doctors, Dispensing Appliance Contractors, Local Pharmaceutical Service Contractors as well as Community Pharmacies.
Pharmaceutical Needs Assessment and the Health & Wellbeing Board
PNAs are used to guide decisions on which NHS funded services need to be provided by local community pharmacies and other providers.
In order to reflect local changes, PNAs must be updated every three years or earlier, if, any significant changes in pharmaceutical service provision occur within the PNA boundary.
The NHS regulations of April 2013 stated that Health & Wellbeing Boards (HWB) must produce their first PNA no later than 1st April 2015. This PNA requires board-level sign-off and a period of public consultation beforehand.
Warwickshire County Council (WCC) commissioned the services of NHS Midlands and Lancashire Commissioning Support to help develop their new PNA which was published in April 2018. The Local Pharmacy Committee (LPC), Local Medical Committee (LMC) and WCC were actively involved in the multidisciplinary working group that developed the PNA.
Warwickshire’s PNA is informed by, and aligned to, the County’s Joint Strategic Needs Assessment (JSNA). This is the overarching document which analyses the current and future health and wellbeing needs of the local population to inform the commissioning of health, wellbeing and social care services. The JSNA aims to establish a shared, evidence based consensus on the key local priorities across health and social care and is used to develop Warwickshire’s Health and Wellbeing Strategy.
What is included in a Pharmaceutical Needs Assessment?
The content of PNAs is set out in Schedule 1 to the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013. The PNA must contain:
- A statement of the pharmaceutical services provided that are necessary to meet needs in the area;
- A statement of the pharmaceutical services that have been identified by the HWB that are needed in the area, and are not provided (gaps in provision);
- A statement of the other services which are provided, which are not needed, but which have secured improvements or better access to pharmaceutical services in the area;
- A statement of the services that the HWB has identified as not being provided, but which would, if they were to be provided, secure improvements or better access to pharmaceutical services in the area;
- A statement of other NHS services provided by a local authority, the NHS Commissioning Board (NHS England), a Clinical Commissioning Group (CCG) or an NHS Trust, which affect the needs for pharmaceutical services;
- An explanation of how the assessment has been carried out (including how the consultation was carried out); and
- A map of providers of pharmaceutical services.
More information about Pharmaceutical Needs Assessments can be found below.
Warwickshire’s last PNA produced in 2015 can be found here.
Meeting minutes and actions are hosted here to keep you informed as to the progress of this work.
Warwickshire’s Pharmaceutical Needs Assessment 2018
Following the Pharmaceutical Needs Assessment consultation, the below documents are now available.