PNA Distribution of Services

The interactive geographical analysis below attempts to assess the distribution of specific pharmaceutical services against health need (or approximation of demand).

It uses proxies of need for a variety of common advanced and enhanced services that pharmacies are able to offer. These are notional for the purposes of informing future commissioning, irrespective of its liklihood, and should not be interpreted as an indicator of unmet need.

To use the tool, choose a “pharmaceutical service” and “health issue” from the respective dropdowns. Each dropdown will update the map. Pharmacies are represented by circles, health need by geographical structures on the chloropleth map.

Emergency Hormonal Contraception

Emergency Hormonal Contraception has long been recognised as a safe and effective method of preventing unintended pregnancies. It is imperative to promote rapid access to this method of contraception. Pharmacies are deemed accessible because of their geographic location and opening hours and ability to provide a degree of anonymity which is not always possible when visiting a family GP. Evaluations of provision of EHC from existing pharmacy contractors have shown that both service users and healthcare professionals value this mechanism.

This enhanced service provision is expanding within our existing pharmacy contractor environment and through collaborative working across West Yorkshire localities. This will allow fully accredited pharmacist the flexibility and agreement to provide the service from various locations within a variety of localities and therefore provide additional service capacity within the Wakefield district to tackle unmet sexual health need, increase access to services and reduce the incidence of teenage pregnancy.

Chlamydia Screening

Genital Chlamydia trachomatis is the most common sexually transmitted infection (STI) in the UK. Chlamydia is currently the commonest curable sexually transmitted infection in England. Infection is commonly asymptomatic (70% women and 50% men). The consequences of Chlamydia infection can be severe, particularly for women in whom infection may lead to pelvic inflammatory disease, ectopic pregnancy, tubal factor infertility and chronic abdominal pain.

This service aims to reduce the pool of undiagnosed, untreated Chlamydia infection in young sexually active men and women aged 15 to 24 and assist in achieving this screening target. Pharmacies contractors provide eligible clients with free Chlamydia screening kits to take away and return directly to the Chlamydia screening service.

Supervised Administration and Dispensing Scheme

This service is to ensure the safe consumption of substitute medications for opiate misuse by patients. The service aims to minimise the diversion of controlled drugs, which thereby contributes to a reduction in drug related deaths in the community, whilst supporting patients in adhering to treatment regimens that will enable them to reduce the harm caused by illegal drug use. The pharmacy offers a professional user-friendly, non judgemental, client-centred and confidential service.

Needle and Syringe Exchange

This is a scheme to facilitate the access to and provision of, sterile needles and syringes, and sharps containers for the return of used equipment. It is within the scheme itself that it limits the number of providers, though they are strategically placed inside areas with recorded high levels of drug abuse and by providers, who are open extended hours, although there is a gap in some populated areas such as Wakefield and Pontefract.

Stop Smoking Service

One to one smoking cessation support involves seeing clients for a minimum of 5-6 appointments over a period of 8-10 weeks to aid and support clients to quit smoking. The service provided by community pharmacies complement the service provided by the Wakefield Stop Smoking Service.

Providers work together with the local specialist Stop Smoking team to deliver the service in accordance with the standards and training provided by the Wakefield Stop Smoking Service. The scheme also allows the provider to issue Nicotine Replacement Therapy products via NRT vouchers to assist clients through the process.

MRSA Decolonisation Service

This service is aimed at targeting those patients who have been screened as MRSA positive following assessment at a pre-admission clinic prior to elective surgery and high risk non-surgical patients following hospitalisation. Patients who receive a positive result can obtain advice and their appropriate treatment via an accredited community pharmacist.

Influenza Immunisation Scheme

The aim of the scheme is to increase the provision of influenza immunisation through the utilisation of a community pharmacy. It will encompass those individuals aged 65 and over and certain other at-risk groups aged 16 and over. We are aspiring to reduce the serious morbidity and mortality from influenza disease by immunising those most likely to have a serious or complicated illness should they develop the illness and avert the need for the patient to be hospitalised.