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Happy New Year!
I hope all of you managed to get at least a few precious days of restful time with family and friends over the Christmas and New Year period.
Here's a few useful snippets of information to kick 2022 off on a positive note...
Services Update - Simon Hay (SSLPC Engagement & Support Officer)
The Hypertension Case Finding Service went live nationally on 1st October 21. Initially very few pharmacies offered the service, but the LPC expects the numbers to rise significantly between now and March to take advantage of the incentive payments available until year end.
There needs to be an understanding of the service, and agreement on the route for 'normal' information and urgent referrals back into the surgery, as well as information on patient eligibility for the service.
Given the pressures currently on both professions, it may be better to work with practices and agree a list of patients, or a process whereby they can send you details of patients they feel would benefit from the service. This may also be easier for your team than having to find your own undiagnosed hypertensive patients.
There are lots of useful checklists and literature on the PSNC website
Virtual Outcomes have also produced a short information and training video to explain the service to practice staff. You may wish to share this video with them which can be found at
If you have any significant successes or problems please let the LPC know so we can share it with the local NHS leadership, LMC and local contractors as appropriate.
GP Referrals to CPCS

The LPC has just received the December CPCS figures and I thought I'd share a few key points with you:

Referral Numbers for South Staffs - 388

Referrals not accepted and dealt with by pharmacy contractors - 14

Urgent Referrals back to the GP - 29 or 7.5%

In addition, there was 1 urgent referral to A&E, 1 to 111 and 3 to an NHS walk-in centre.

For your information also - the following item was published just before Christmas in an NHS England Primary Care Bulletin:

"We are aware that some GP practices are informally directing patients to community pharmacies in order to prioritise delivery of COVID booster vaccinations rather than make a referral to CPCS for the minor illness symptoms covered by the service. The CPCS provides direct access to a pharmacist clinical consultation and will enable the pharmacy team to prioritise the work of the pharmacist to be free to see the patient that day or at another appropriate time agreed directly with the patient. This is a very busy time for both community pharmacy and general practice, and we recognise that everyone is trying to do their very best for patients.
However, informal referrals into community pharmacy may result in some patients not accessing the care they need and prevents pharmacy teams from identifying patients that need to directly speak to the pharmacist at this very busy time. We would like to remind GP practices that referrals to community pharmacy for minor illness should be made to CPCS via the locally agreed electronic referral route."

If you hear of local practices using informal referrals to pharmacy for minor illnesses, please let the LPC know as we are actively involved in supporting practices getting live with referrals to CPCS, alongside CCG colleagues - thank you.

Contractor support for new NMS conditions
Birmingham & Solihull LPC has commissioned some support webinars to help contractors with the new NMS conditions as announced last year, and the information for the three final workshops is as follows:
  • Osteoporosis - Monday 17th January 2022
  • Heart failure - Monday 24th January 2022
  • Epilepsy Monday 31st January 2022
There is now just one registration for all three workshops, thus attendees will only need to register the once but will be allowed into all three meetings. As before, a video will be made available on each topic after the workshop via YouTube/CPWM website.
You are invited to a Zoom meeting.
When: Jan 17, 2022 07:30 PM London
Register in advance for this meeting:
After registering, you will receive a confirmation email containing information about joining the meeting.
The first three of these are now available to access as recorded versions via the CPWM website as above, or directly using the links below:
Gout: - presentation slides can be downloaded HERE, additionally you can download a list of the relevant Gout medications.

Parkinson's disease links: presentation slides  and list of the Parkinson's medications

Glaucoma links:, presentation slides and list of glaucoma meds.

Once again we would remind contractors that your LPC funds access for all your teams (including locums) to Virtual Outcomes training videos and resources, especially worth reviewing opportunities at this time of year in relation both to Mandated Health Campaigns* and to support individuals seeking additional help as national campaigns are active - for example, Dry January and National No Smoking Day.
(*Note the next Mandatory campaign on Weight Management due to start on 4th January had been delayed due to unavailability of campaign materials which are now due out between 11-14th January - see:
In 2022 Virtual Outcomes will begin to promote our GP Surgery Hypertension Case-Finding service training, however this won’t be until we are satisfied that enough pharmacies are live and able to provide the service.  In the meantime, please feel free to circulate the following link to any surgery you feel would benefit from the training.
The pharmacy training module can be accessed via the normal route and the flyer can be downloaded from the VirtualOutcomes Calendar page. 

Secondly, the first pharmacy training for 2022 on Vitamin D is now LIVE - you can access the programme in the usual way, or download a flyer HERE.

Also coming in 2022  Virtual Outcomes are looking to produce the following courses in the first half of the year:
  • Course on medicines and use in breastfeeding
  • To support CPCS, courses on
    • Dermatology
    • Insect bites
  • Hosiery
  • Courses to support mandatory public health campaigns
  • New contracted services for pharmacies
    • Support to stop smoking - following referral from hospital
      • Including a module to share with the Hospital
    • Contraceptive supply
      • Including a module to share with GPs and other sexual health teams
As always, full information can be found on the Virtual Outcomes website:
Simply add your pharmacy ODS ("F") Code and get learning!
Pharmacy Workforce Issues - Impact on patients and services
Your LPC have heard many anecdotes of workforce issues related to Covid infection, or isolation of family members etc which have impacted on patients or pharmacy services, and these have been raised with NHS England & NHS Improvement as a general theme; however, the Regional Chief Pharmacist is now seeking SPECIFIC EXAMPLES from pharmacy contractors to take to a regional workforce cell, to highlight the current problems - these might include:
  • Temporary closures
  • Inability to provide certain services (eg CPCS or Extended care services)
  • Vaccination sites unable to fulfil vaccination appointments
Any information will be treated in confidence where necessary and anonymised by the LPC before forwarding to NHSE&I.
Please send any examples direct to Peter Prokopa, Chief Officer at
Joint Pharmacy/Dental Workshop - medicines related osteonecrosis of the jaw (MRONJ)
Sent to All West Midlands Community Pharmacies:

Dear Colleague,
HEE has arranged a workshop on MRONJ and anticoagulants for dental and pharmacy colleagues, to be held online on the 15th February 2022, 7:30pm -9pm.
Please find below links to:
Best wishes,
Pharmacy Team – West Midlands 
NHS England and NHS Improvement – Midlands 
Copyright © 2022 South Staffordshire Local Pharmaceutical Committee, All rights reserved.

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