Making the Most of Your
Local Pharmacy
Wigan Borough
Pharmaceutical Needs Assessment
2015
Contents
Executive Summary
Page
1
1.
Introduction
1.1 What is a Pharmaceutical Needs Assessment (PNA)?
1.2 Why is Wigan Borough Health and Wellbeing Board producing a PNA?
1.3 How will the PNA be used?
3
3
3
3
2.
Wigan Borough Profile
2.1 Geography
2.2 Population
2.3 Health
2.4 Factors affecting health
3
3
7
11
15
3.
Pharmacy Services
3.1 Background
3.2 Who can provide pharmacy services?
20
20
20
4.
Pharmacy Contractors
4.1 Definition
4.2 Essential Services
4.3 Advanced Services
4.4 Enhanced Services
4.5 Locally Commissioned Services (Commissioned by the Local Authority)
4.6 Locally Commissioned Services (Commissioned by the Clinical Commissioning Group)
4.7 Non-NHS Pharmaceutical Services
20
20
21
22
23
24
26
27
5.
Appliance Contractors
5.1 Definition
5.2 Essential Services
5.3 Advanced Services
28
28
28
28
6.
Current Pharmacy Service Provision
29
7.
Analysis of Pharmacy Services by Locality
7.1 Locality 1
7.2 Locality 2
7.3 Locality 3
7.4 Locality 4
7.5 Locality 5
32
32
33
35
36
38
8.
Pharmacy Services Response to Local Health Issues
8.1 How current pharmacy services help meet the health needs of the Wigan Borough
Population
8.2 How future pharmacy services could be developed to further meet the health needs of
the Wigan Borough Population
39
39
9.
Future Needs
44
10.
Conclusion
44
Appendix 1 – Pharmaceutical Needs Assessment Process
Appendix 2 – Pharmacies in Wigan Borough
Appendix 3 – General Practices in Wigan Borough
Appendix 4 – Pharmacy Services – Essential and Advanced Services
Appendix 5 – Pharmacy Services – Locally Commissioned Services
Appendix 6 – Pharmacy Access
Appendix 7 – Pharmacy and General Practice Opening Hours
Appendix 8 – Locality Maps – Pharmacy and General Practice Location
42
Executive Summary
This document provides an assessment of the need for pharmaceutical services in Wigan
Borough. It follows and updates the position of the Pharmaceutical Needs Assessment
published in February 2011. The purpose of the document is to inform future planning and
commissioning decisions in respect of future public services and, in particular,
pharmaceutical services within the Borough.
Context
The Wigan Borough population differs from England as a whole in a number of ways.
95.5% of the Borough is White British compared to 79.8% in England. As well as
addressing the health needs of the majority of the population it is important to address the
specific health needs of ethnic minorities within the Borough. The structure of the
population also differs from England in that there is a smaller proportion of people below
the age of 40 and above the age of 75 compared to England. There is a higher proportion
of people between the above two age groups. The ageing of this middle group (aged 40 to
74) and increasing life expectancy will increase the number and proportion of people aged
75 and above over the next decade. This will change the profile of demand for health and
social care services, including pharmaceutical services.
Wigan Borough has a higher proportion of people experiencing deprivation compared to
England as a whole. This has a variety of health and social consequences. Residents
have higher rates of circulatory disease, especially heart disease. Rates of lung cancer
and liver disease are also higher than England as a whole. In the latter case, alcohol has
played a key role. All these have contributed to the higher rate of premature death and
lower life expectancy in the Borough. However, there is also good news. The proportion
of people smoking has fallen by almost a third since the beginning of the century and now
stands at 21.8%. This has contributed to the considerable reduction in premature deaths
due to heart disease in both men and women, and lung cancer in men.
Current Pharmacy Service
At present, there are 72 pharmacies in Wigan Borough. This reflects the national average
of 22 pharmacies per 100,000 population in England. People can also access pharmacies
outside the border of Wigan Borough, for example people may access a pharmacy near
where they work as well as 100 internet pharmacies nationally. Within the Borough, 99%
of general practices (including branch surgeries) have a pharmacy within 1km and 88%
have one within 300 metres.
All pharmacies are required to provide all Essential Services and provision of these
services is excellent across the Borough. Pharmacy service provision in the Borough
covers a wide range of opening hours including six ‘100 hour’ pharmacies that provide
access for around 14 to 15 hours each day. All pharmacies provide a Prescription
Collection Service and 67 (93%) provide a Prescription Delivery Service. In general,
wheelchair access to pharmacy services is good.
1
Addressing Local Health Need
As well as providing prescription medication to treat and, where possible, prevent the
development of diseases such as heart disease, lung disease and diabetes, pharmacies
provide other services that include:
• Stop Smoking Service with access to nicotine replacement products
• ‘Brief Interventions’ to at-risk patients to help raise awareness that small changes to
their lifestyle can have a significant positive impact on their health
• Minor Ailment Service to address some of the issues concerning primary care capacity
• Condom (C-card) Scheme allowing young people to obtain free condoms from
participating pharmacies and other outlets
• Access to Emergency Hormonal Contraception
• Chlamydia Screening
• Supervised Methadone and Buprenorphine Consumption Service
• Needle Exchange Scheme
• Medicines Use Reviews
• New Medicines Service
• Supporting Public Health Campaigns (e.g. seasonal flu immunisation)
However, the accessibility of some of the above services is variable across the Borough.
For example, access to both the Supervised Consumption Service and Needle Exchange
Scheme is poor in some areas. In some cases this may reflect lower levels of need but
this variability in access is something that should be addressed.
Services that are not yet provided by local pharmacies but could be considered by
commissioners include:
• The offer of NHS Health Checks
• The provision of aspects of the weight management pathway
• ‘Brief interventions’ in respect of alcohol use
Conclusion
Overall, access to Essential and Locally Commissioned Pharmacy Services is excellent.
However, in the case of Locally Commissioned Services there are areas in the Borough
where provision could be improved. This should be addressed, in the first instance, by
existing pharmacy contractors. There is also scope to improve public awareness of the
many pharmacy services available and encourage people to use pharmacies as the first
port of call for the management of minor ailments, Stop Smoking Service, Emergency
Hormonal Contraception, etc. Promotion of Locally Commissioned Pharmacy Services
needs to be more effective. By improving public knowledge of services available and the
development of current and future services, Wigan Borough Local Authority and Wigan
Borough Clinical Commissioning Group (CCG) will continue to support the development of
community pharmacy services in line with the direction set by the government and the
health needs of our population.
2
1.
Introduction
1.1.
What is a Pharmaceutical Needs Assessment?
1.1.1.
The Pharmaceutical Needs Assessment (PNA) is a health needs assessment
specifically identifying how pharmacy services are helping to meet the health
needs of the population and how they could help in the future. This PNA will
support, and become part of, the Wigan Borough Joint Strategic Needs
Assessment (JSNA). The JSNA is a review of the current and future health,
social, economic and environmental needs of the Borough. It is used to inform
planning and commissioning of public services in the Borough.
1.1.2.
The process and requirements of the PNA are given in Appendix 1.
1.2.
Why is Wigan Borough Health and Wellbeing Board producing a PNA?
1.2.1.
The Health and Social Care Act 2012 transferred responsibility for the
development and updating of the PNA to Health and Wellbeing Boards.
1.3.
How will the PNA be used?
1.3.1.
In order for the Health and Wellbeing Board to better harness and fully utilise the
extensive skills within community pharmacies, the way in which decisions about
commissioned pharmacy services are made has been reformed. This has been
achieved by placing PNAs at the centre of Health and Wellbeing Board decision
making, ensuring pharmaceutical services are more responsive to local need and
commissioned through an integrated local plan.
1.3.2.
This document provides an update to the Pharmaceutical Needs Assessment
published by Ashton, Leigh and Wigan Primary Care Trust in February 2011.
2.
Wigan Borough Profile
2.1.
Geography
2.1.1.
Wigan Borough is located in the North West of England, between Manchester,
Liverpool and Preston and is part of Greater Manchester. It is one of the largest
Metropolitan Boroughs in England and borders Bolton, Chorley, Salford, St
Helens, Warrington and West Lancashire. The Borough is made up of a number
of towns and districts, the largest of which is Wigan (See Figure 1).
2.1.2.
Historically, Wigan Borough was a mining area and the towns developed reflecting
the workforce demands of that industry. Although with development the towns
have merged in places there remains a considerable area of green space within
the Borough.
2.1.3.
Wigan Borough Clinical Commissioning Group covers the same geographical area
as Wigan Council.
3
Figure 1. Wigan Borough
2.1.4.
A variety of internal local geographies have been used to examine health and
organise services within the Borough including those nationally defined (e.g.
Lower and Middle Super Output Areas, and Electoral Wards) and those locally
defined (‘Townships’ and ‘Localities’). Information within this profile is presented
using the local geographies for which information is available.
2.1.5.
At the time of the publication of the last PNA in 2011, Wigan Borough had been
geographically divided into ten ‘Townships’. This was used both by Wigan Council
and the local NHS. However, with the considerable reorganisation of both Wigan
Council and the local NHS, the concept of ‘Townships’ fell out of use and local
services used other locally defined geographies to aid the organisation of their
services. The five ‘Localities’ used in this PNA are each made up of the union of
two adjacent ‘Townships’. The use of these Localities is not universal by local
services.
2.1.6.
A pragmatic decision was made to use these Localities for the purpose of this
PNA. Both Wigan Council and the local NHS are in the process of agreeing local
geographies that are more meaningful to local people and more fit for purpose in
organising local services. Figures 2 and 3 show the locations of pharmacies and
general practices respectively within the Borough by Locality and are used to
assess the level of service in different areas of the Borough.
4
Figure 2. Wigan Borough pharmacy locations by Locality (See Appendix 2 for pharmacy codes)
5
Figure 3. Wigan Borough general practice locations by Locality (See Appendix 3 for general practice codes)
6
2.2.
Population
2.2.1.
Age/sex distribution
Figure 4 is a population pyramid showing the age/sex distribution of the population
of Wigan Borough compared with England as a whole.
2.2.2.
Wigan Borough has a population of almost 320,000. Compared to England as a
whole it has:
•
•
•
2.2.3.
A smaller proportion of people aged below 40.
A bulge between the ages of 40 and 74 where the proportion of the population
in Wigan Borough exceeds that of England.
A smaller proportion of people aged 75+.
As life expectancy increases and the central bulge of the Wigan Borough
population ages this will increase the size of the 75+ population. This is likely to
result in an increased demand for health and social care services in the 75+ age
group.
Figure 4. Age/sex distribution of the Wigan Borough population
7
2.2.4.
Ethnicity
Figure 5 shows the distribution of ethnic groups (excluding White British) within
Wigan Borough compared with England as a whole.
Figure 5. Ethnic mix of the Wigan Borough population excluding White British
2.2.5.
The population of Wigan Borough is predominantly White British (95.5%) as
compared to England (79.8%) where the proportion is smaller. Wigan Borough
has had an increase in migrants, refugees and asylum seekers in recent years.
Although the numbers are small compared to the size of the total population and
some only stay for a short period of time, it is important that they are not ignored
as some will have specific health needs that need to be addressed. In addition, it
is important that individuals with infectious diseases such as tuberculosis are
identified quickly in order that they can be treated and to protect the public health.
2.2.6.
Migration
Internal (domestic) migration is migration within one country, in this case the
United Kingdom. Data from the Office of National Statistics (ONS) indicates that in
recent years there has been a net outflow of residents from Wigan Borough due to
internal migration. However this appears to have reversed in 2013 when Wigan
Borough had a net inflow of around 146 residents between July 2012 and June
2013. (See Table 1, note that these are estimates and figures from 2009 to 2011
are given by the ONS to the nearest 100).
Year to end of
June
Inflow
Outflow
Net
2009
7,500
7,400
100
2010
7,700
8,000
-300
2011
7,500
7,900
-400
7,690
8,260
-600
2012
7,927
7,781
146
2013
Table 1. Inflow and outflow of people due to internal migration (Wigan Borough)
8
2.2.7.
In terms of international migration, National Insurance Number (NINo) registrations
data from March 2012 indicate that around 8,410 adult overseas nationals
migrated into Wigan Borough during the period January 2002 – March 2012.
2.2.8.
Deprivation
Figure 6 shows the distribution of deprivation within Wigan Borough compared
with England as a whole. This divides the 200 Lower Super Output Areas
(LSOAs) within the Borough into five levels (quintiles) of deprivation depending
how their deprivation compares with other LSOAs in England. The most deprived
level (Level 1) represents the 20% most deprived LSOAs in England. The least
deprived level (Level 5) represents the 20% least deprived LSOAs in England.
The remaining deprivation levels are divided equally between these.
Figure 6. Distribution of deprivation in Wigan Borough
2.2.9.
Wigan Borough has a higher level of deprivation compared to England as a whole.
Around 30% of Wigan Borough LSOAs are among the 20% most deprived LSOAs
in England. Figure 7 shows the distribution of deprivation within Wigan Borough
by LSOA. Essentially, there is a central belt of higher deprivation running west to
east through the Borough. The periphery of the Borough tends to have less
deprivation.
9
Figure 7. Geographical distribution of deprivation in Wigan Borough by LSOA
2.2.10. Homelessness
Homelessness is associated with severe poverty and is a social determinant of
health. Homelessness is linked to adverse health, education and social outcomes,
particularly for children. To be deemed statutorily homeless, a household must
have become unintentionally homeless and must be considered to be in priority
need. As such, statutorily homeless households contain some of the most
vulnerable and needy members of our communities. In 2012/13, homelessness
acceptances for Wigan Borough were 1.6 per 1,000 population and households in
temporary accommodation in Wigan Borough were 0.2 per 1,000 population
(Source: Public Health Outcome Framework).
2.2.11. A significant number of homeless people (including travellers) do not access
health and social care services and many will have some degree of mental health
problem and/or substance abuse. The Homeless and Vulnerable Persons Team,
provided by Bridgewater Community Healthcare NHS Trust in Wigan Borough,
encourages and empowers homeless and vulnerable people to gain control of
their own health and determine their own lives and futures. The service provides
healthcare, support and advice for homeless people, migrants, asylum seekers,
refugees and travellers.
10
2.3.
Health
2.3.1.
The key aims of the Joint Health and Wellbeing Strategy 2013-2016 are:
2.3.2.
•
Transforming Health and Social Care systems
To speed up the integration of services around the needs of the population
with people at the centre, and to maximise efficiency, quality and patient
outcomes
•
Transforming Population Health
Promote good health to prevent illness and the risk factors for ill health such
as obesity. Building on our assets to encourage healthier, active lifestyles
amongst Wigan Borough residents, generating the demand for good health in
our communities
Mortality
During 2013, there were 3,010 deaths in Wigan Borough. Figures 8 and 9 show
the broad causes of death for males and females in Wigan Borough (Source:
Primary Care Mortality Database). The main causes of death for both men and
women in the Borough are circulatory diseases (heart disease and stroke),
respiratory diseases, cancer and digestive conditions (including chronic liver
disease).
Figure 8. Male deaths in Wigan Borough (2013)
11
Figure 9. Female deaths in Wigan Borough (2013)
2.3.3.
Long term conditions
21% of the Wigan Borough population had a long term health condition or
disability in 2011, whereby their day-to-day activities were limited, compared to the
England average of 17.6%.
2.3.4.
General practices maintain registers for many long-term conditions. From these
registers the prevalence (the proportion of people with a particular condition at a
single point in time) of each condition can be estimated. Table 2 shows the
number of Wigan Borough patients on GP Disease Registers during the year
2012/13 together with the prevalence of each condition.
12
Wigan Borough Clinical
Commissioning Group
Long Term Conditions
Coronary Heart Disease
Stroke or Transient
Ischaemic Attacks (TIA)
Hypertension
Diabetes Mellitus
(age 17+)
Chronic Obstructive
Pulmonary Disease
Epilepsy (age 18+)
Hypothyroidism
Cancer
Mental Illness
(Excludes depression)
Asthma
Heart Failure
Palliative Care
Dementia
Depression (18+)
Chronic Kidney Disease
(age 18+)
Atrial Fibrillation
Obesity (age 16+)
Table 2.
2.3.5.
England
Number
Prevalence
National Recorded
Prevalence
14,152
4.4%
3.3%
6,008
1.9%
1.7%
51,171
16%
13.7%
17,471
6.8%
6%
7,107
2.2%
1.7%
2,207
0.9%
0.8%
12,748
4%
3.2%
5,945
1.9%
1.9%
2,273
0.7%
0.8%
21,395
6.7%
6%
2,855
0.9%
0.7%
639
0.2%
0.2%
1,731
0.5%
0.6%
15,469
6.1%
5.8%
14,519
5.7%
4.3%
5,361
1.7%
1.5%
36,656
14%
10.7%
Prevalence of Long Term Conditions recorded by Wigan Borough Clinical
Commissioning Group (CCG) general practices compared with England (2012/13)
The recorded prevalence from general practice based registers should be treated
with caution, as many factors can affect reported rate. These factors apply more
to some conditions rather than others, for instance, recognition and labelling of
diabetes where there is a clinical definition is more accurate than for depression.
13
2.3.6.
Sexual Health and Teenage Pregnancies
Table 3 shows the diagnosis rate of the major sexually transmitted diseases,
comparing Wigan Borough and England as a whole. The picture is mixed. Wigan
Borough has a lower diagnosis rate for syphilis, gonorrhoea and HIV and this
probably reflects a lower incidence of these diseases compared to England.
However, the Borough has higher diagnosis rates for chlamydia, genital warts and
genital herpes. In the case of chlamydia, the higher diagnosis rate in Wigan
Borough may simply reflect the higher proportion of people aged 15 to 24
screened within the Borough compared to England.
Syphilis diagnosis rate per
100,000 per year
Gonorrhoea diagnosis rate per
100,000 per year
Chlamydia diagnosis rate per
100,000 aged 15 to 24 per
year
% screened for chlamydia
aged 15 to 24
Genital warts diagnosis rate
per 100,000 per year
Genital herpes diagnosis rate
per 100,000 per year
Prevalence of diagnoses HIV
infection per 1,000 aged 15 to
59
Table 3.
2.3.7.
Wigan Borough
England
2013
1.9
5.9
2013
35.5
52.9
2013
3,002
2,016
2013
32.0%
24.9%
2013
161.9
133.4
2013
63.1
58.8
2012
1.01
2.05
Sexual health in Wigan Borough compared to England
(Source: Sexual Health Profile for Wigan Borough 2014)
Table 4 shows the under 18 conception and birth rates in Wigan Borough
compared to England. In 2005, there were 346 conceptions and 200 births in
under 18s in Wigan Borough. This has reduced to 185 and 101 respectively in
2012. However, under 18 conception and birth rates in Wigan Borough remain
higher than England.
Under 18s conception rate per
1,000
Under 18s birth rate per 1,000
Table 4.
2.3.8.
Year
Year
Wigan Borough
England
2012
32.0
27.7
2012
17.4
14.1
Under 18 conception and birth rates in Wigan Borough compared to England
(Source: Sexual Health Profile for Wigan 2014)
Health Inequalities
Female life expectancy in the Borough is 80.8 years, 2.2 years less than England.
Male life expectancy is 77.4 years, 1.8 years less than England. Nationally, life
expectancy continues to increase but the rate of increase within Wigan Borough is
not yet great enough to narrow the relative gap between Wigan Borough and
England as a whole.
14
2.3.9.
Within Wigan Borough, life expectancy is 9.4 years lower for men and 8.5 years
lower for women in the most deprived areas of Wigan Borough than in the least
deprived areas. This is illustrated in Figure 10 below.
Figure 10. Inequality in life expectancy within Wigan Borough
(Source: Public Health England – Health Profile for Wigan Borough 2014)
2.4.
Factors affecting health
2.4.1.
Smoking
Smoking is one of the most significant contributing factors to life expectancy,
health inequalities and ill health, particularly cancer (especially lung cancer),
coronary heart disease and respiratory disease. Reducing smoking prevalence
across the Borough is therefore a key priority.
2.4.2.
The prevalence of adults who smoke in Wigan Borough is falling. However, it
remains higher than England as a whole (see Table 5). There is also a large
social divide, with those living in deprived areas, being unemployed or having
mental health problems being more likely to smoke.
Smoking prevalence - Overall
Smoking prevalence - Routine and manual
Wigan
Borough
21.8%
30.2%
England
19.5%
29.7%
Table 5. Smoking prevalence (2012)
(Source: Public Health Outcomes Framework (Integrated Household Survey)
2.4.3.
Smoking in pregnancy can have adverse health effects on the unborn child
including increasing the risk of low birth weight and premature birth. Table 6
shows the prevalence of smoking at the time of delivery in Wigan Borough
compared to England as a whole.
Wigan Borough
Number
%
Proportion of women who
smoke at time of delivery
580
16.8%
England
%
12.7%
Table 6. Smoking at time of delivery (2012)
(Source: Public Health Outcomes Framework)
15
2.4.4.
Figure 11 shows the distribution of the Bridgewater NHS Trust Stop Smoking
Service clients across Wigan Borough.
Figure 11. Distribution of Stop Smoking Service clients in Wigan Borough (2012/13)
2.4.5.
Between April 2012 and March 2013, 6,628 clients accessed the Stop Smoking
Service. Of these, 57% successfully stopped smoking after four weeks, 34%
relapsed and 9% were lost to follow up.
2.4.6.
Alcohol
Excessive alcohol consumption can have a serious effect on an individual’s health.
Binge drinking can cause acute liver damage, respiratory depression and even
death. Long term excessive alcohol use can be more insidious with people
thinking that their health is fine until their liver fails as a result of liver damage
including cirrhosis of the liver. Excessive alcohol use has also been linked to an
increased risk in respect of a number of cancers including breast cancer and
oesophageal cancer.
2.4.7.
As well as the effects of alcohol on the individual, excessive alcohol use can have
serious effects on families and society. For example, domestic violence and crime
in an area can have a significant alcohol component.
2.4.8.
Local Alcohol Profiles for England were published in April 2014. Figure 12 shows a
summary of indicators in respect of Wigan Borough.
16
Figure 12. Wigan Borough Alcohol Profile
2.4.9.
Wigan Borough continues to have statistically significantly higher mortality and
hospital admission rates due to alcohol use. This is also the case in respect of
binge drinking though the levels of binge drinking in Wigan Borough are less than
its closest statistical neighbours (Barnsley, Rotherham and Wakefield).
17
2.4.10. Drug Use
The use of recreational drugs can have a severe impact on health and sometimes
cause death. Injecting drug users risk infection with blood born viruses (e.g.
hepatitis B, hepatitis C, HIV, etc.) as well as adverse effects of the drugs,
additional substances with which the drugs are cut, and any contaminants (e.g.
anthrax). Drug use impacts on the immediate household, including children if the
individual’s lifestyle becomes chaotic. It can also fuel crime. Therefore, drug use
can give rise to considerable health and social consequences that costs society as
a whole.
2.4.11. Table 7 shows both the number and proportion of drug users that left drug
treatment successfully and did not re-present for treatment within six months
within Wigan Borough compared to England.
Clearly, non-opiate users
experience a much higher level of success than opiate users.
Wigan Borough
Number
%
Opiate drug users that left drug treatment
successfully who did not re-present to
treatment within 6 months
Non-opiate drug users that left treatment
successfully who do not re-present to
treatment within 6 months
England
%
77
6.8%
8.2%
144
50.3%
40.2%
Table 7. Successful treatment of drug users (Source: Public health Outcomes Framework –
2012 data)
2.4.12. Figure 13 shows the number of drug service users in each electoral ward in the
Borough at the end of September 2013. It also shows the location of pharmacies
providing needle exchange and supervised methadone and buprenorphine
consumption services.
Figure 13. No. of drug service users by electoral ward (End September 2014) and
location of pharmacies providing needle exchange and/or supervised
consumption services.
18
2.4.13. Obesity
Obesity and being overweight have significant implications for health, social care,
the economy and are also associated with educational attainment. Being obese or
overweight increases the risk of developing a range of serious diseases, including
heart disease, type II diabetes and has been linked to a number of cancers. Table
8 shows the estimate of the prevalence of overweight and obesity in adults in
Wigan Borough compared to England as a whole.
Obese adults
Excess weight in adults
(includes obesity)
Wigan Borough
England
27.0%
23.0%
65.3%
63.8%
Table 8. Excess weight in adults (Source: Health Profile for Wigan 2014)
2.4.14. The impact of obesity on the health of adults has long been established, but rising
levels of childhood obesity has consequences for the health of children and young
people in both the short and the longer term. Table 9 shows the estimate of the
prevalence of obesity in children (Year 6) in Wigan Borough compared to England
as a whole.
Obese children (Year 6)
Wigan Borough
England
18.9%
18.9%
Table 9. Obesity in children (Source: Health Profile for Wigan 2014)
2.4.15. Physical Activity
Individuals that have a physically active lifestyle reduce their risk of cardiovascular
disease (heart disease and stroke) by between 25% and 35% compared to those
with a largely physically inactive lifestyle. Together with a balanced diet it can
reduce the risk of diabetes and obesity, and the risks associated with these.
2.4.16. Table 10 shows estimates of the proportion of Wigan Borough residents aged 16+
that meet the recommendations of the Chief Medical Officer in respect of physical
activity.
% of adults achieving at least 150 minutes of
physical activity per week (recommended by the
Chief Medical Officer)
% of adults doing less than 30 minutes of at least
moderate intensity physical activity per week in
bouts of 10 minutes or more
Wigan
Borough
England
51.6%
55.6%
36.0%
28.9%
Table 10. Physical activity in adults – age 16+ (Source: Public Health Outcome Framework Active People Survey, Sport England (2013))
19
3.
Pharmacy Services
3.1.
Background
3.1.1.
Community pharmacies (also known as retail pharmacies or chemists) play an
important role in the UK’s healthcare system. They form an extensive network of
outlets that allow the majority of people to have their prescriptions dispensed
conveniently. In addition, they provide other Essential Services to the community
including the sale of non-prescription medicines and healthcare products,
providing professional advice on the safe and responsible use of medicines, and
providing lifestyle advice and information on other services available. As the
population continues to age and as health expectations rise, community
pharmacies will continue to grow in their importance to the nation’s health.
3.2.
Who can provide pharmacy services?
3.2.1.
For the purposes of the PNA pharmaceutical services are defined as:
“All the Pharmaceutical Services that may be provided by Pharmacies, Appliance
Contractors, Local Pharmaceutical Service Schemes and Dispensing Doctors.”1
3.2.2.
Within Wigan Borough there are no dispensing doctors or appliance contractors.
There were 122 appliance contractors in contract at 31 March 2013 in England,
with 118 (96.7%) actively dispensing in the year. Due to the nature of their
business appliance contractors will generally deliver devices to patients over a
large geographical area rather than supplying a service to their local population.
Therefore, these appliance contractors together with the pharmacies in the
Borough meet the needs of those of our residents requiring appliances. There are
no Local Pharmaceutical Service (LPS) schemes in the Borough.
4.
Pharmacy Contractors
4.1.
Definition
The Community Pharmacy Contractual Framework defines the services that
pharmacies offer. These are divided into three categories:
1. Essential Services
2. Advanced Services
3. Enhanced Services
4.1.1.
1
In addition, both the Local Authority and Clinical Commissioning Group (CCG) can
commission pharmacy services. These services will be referred to as Locally
Commissioned Services within this document.
http://www.legislation.gov.uk/uksi/2013/349/part/2/made
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4.2.
Essential Services
4.2.1.
Dispensing Services
All pharmacy contractors dispense prescriptions. In addition to dispensing
prescriptions this service requires contractors to have an ‘owings’ procedure, to
provide waiting times, to check for evidence of exemption from prescription
charges, and provide patients with advice as necessary in the following areas:
•
•
•
•
Prescribing interventions
Patient counselling with prescriptions e.g. advice on side effects, interactions,
how to take medication
Safe storage advice
Waste disposal advice
4.2.2.
Repeat Dispensing
This service makes additional requirements to those for dispensing services,
allowing pharmacies to supply medication using a repeatable prescription for up to
a year without the need for the patient to visit the doctor. The pharmacy must
ascertain the patient's need for a repeat supply and communicate any clinically
significant issues to the prescriber.
4.2.3.
Disposal of Unwanted Medication
All pharmacy contractors must accept returned medication from households if the
Local Area Team has made arrangements to collect this waste. This service
requires contractors to store this medication appropriately, separate waste as
required by the Environment Agency and waste collection contractor, ensure staff
handling waste medication are aware of the risks and have appropriate protective
and spillage equipment available.
4.2.4.
Promotion of Healthy Lifestyles
The pharmacy contract is very specific in its requirement for this service. It
requires prescription linked interventions. This means that where patients present
prescriptions indicating they are at risk of coronary heart disease (CHD), have
diabetes, smoke or are overweight, the pharmacist or their staff will provide
lifestyle advice with the aim of increasing the patients knowledge and
understanding of health issues relevant to them when appropriate. Contractors
should provide written advice and referral to other sources of information as
necessary. There is provision in the pharmacy contract under this service for the
Local Area Team to require pharmacy contractors to take part in up to six public
health campaigns per year.
4.2.5.
Signposting
The service requires contractors to refer patients to other services to obtain
advice, treatment or support whilst ensuring the appropriate use of health and
social services. Referral may be verbal or written if required.
4.2.6.
Support for Self-care
This service requires contractors to provide advice and support to people caring
for themselves or their families. This may be by the provision of lifestyle advice,
advice regarding the management of a medical condition, advice on the treatment
options available to people or advice on the appropriate selection and use of those
medications patients can purchase without a prescription.
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4.2.7.
Clinical Governance
Clinical governance arrangements are separated into six areas in the community
pharmacy contract as follows:
•
•
•
•
•
•
Patient and public involvement programme
Clinical audit programme
Risk management programme
Clinical effectiveness programme
Staffing and staff management programme
Use of information programme
4.2.8.
These requirements detail a wide range of procedures and policies the pharmacy
must have in place to protect patients and the public and to comply with a range of
legislation.
4.3.
Advanced Services
4.3.1.
Pharmacy contractors can choose whether or not to offer these services to their
patients and include the following.
4.3.2.
Medicines Use Review
This service is a review of a patient’s medication. This includes establishing the
use, understanding and patient experience of taking the medication and then
identifying, discussing and resolving poor or ineffective drug use by the patient.
4.3.3.
The review may also identify side effects or drug interactions affecting compliance,
improve the clinical and cost effectiveness of prescribed medication and reduce
wastage of medication. Service provision is capped and pharmacies can only
claim payment for 400 Medicines Use Reviews per year.
4.3.4.
Appliance Use Review
This service is a review of patients appliances with the underlying purpose of
improving patients knowledge and use of the appliances they are using. This
service is only available to patients prescribed specific appliances e.g. stoma
appliances.
4.3.5.
Reviews must be conducted by a suitably trained pharmacist or a specialist nurse
working on behalf of the dispensing appliance contractor or pharmacy contractor
and can take place within the pharmacy or at the patient’s home. Service provision
is capped based on the number of appliances dispensed by the contractor.
4.3.6.
Stoma Appliance Customisation
Stoma appliance customisation refers to the process of modifying multiple identical
parts for use with a stoma appliance to the same specification, where the
modification is based on the patient’s measurements or record of those
measurements and, if applicable, a template. This is a highly specialised service
and there are a variety of requirements that must be followed when providing the
service.
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4.3.7.
New Medicines Service
This service provides support to people who are newly prescribed a medicine to
manage a long-term condition and aims to help them to appropriately improve the
way their medication is taken (medication adherence). The service is restricted to
patients prescribed specific medications for the management of asthma and
chronic obstructive pulmonary Disease (COPD), type II diabetes,
antiplatelet/anticoagulant therapy and hypertension.
This service was
implemented as a time-limited service and is currently commissioned until 31
March 2015.
4.3.8.
Provision of Advanced Services in Wigan Borough
• 67 pharmacies in the Wigan Borough currently provide Medicines Use
Reviews (MURs) with 19,436 MURs delivered in 2012/13.
•
58 pharmacies in the Wigan Borough currently provide the New Medicines
Service with 3,682 consultations provided in 2012/13.
•
No pharmacies are actively delivering Appliance Use Reviews (AURs). There
were no AURs provided in 2012/13 although data from appliance contractors
providing this service to our population is currently unavailable.
•
13 pharmacies provide Stoma Appliance Customisation in the Wigan Borough
with 195 customisations carried out in 2012/13. Data from appliance
contractors providing this service to our population is currently unavailable.
4.3.9.
At the time of writing there is limited accredited training to enable pharmacists to
deliver Appliance Use Reviews or Stoma Appliance Customisation.
4.4.
Enhanced Services
4.4.1.
Enhanced Services are services that the Local Area Team commission from
pharmacies to meet the needs of our population. Only the Local Area Team can
commission Enhanced Services. Pharmacy contractors can choose whether or
not to offer these services to their patients, unless a contract is granted under an
exemption clause in the pharmacy contract. In these circumstances the Local
Area Team can require the pharmacy to provide Enhanced Services or other
Locally Commissioned Services.
4.4.2.
Currently, contracts granted under an exemption would be required to provide
Emergency Hormonal Contraception, Chlamydia Screening if adequate toilet
facilities were available, Minor Ailment Scheme, Monitored Dosage System
Scheme, Palliative Care Scheme if opening hours were appropriate, Stop Smoking
Service, Needle Exchange Scheme and Supervised Consumption Service. They
would also be required to provide weight management support services and full
clinical review if these services were developed in the future.
4.4.3.
The Greater Manchester Local Area Team does not currently commission any
pharmacy Enhanced Services within the Borough.
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4.5.
Locally Commissioned Services (Commissioned by the Local Authority)
4.5.1.
Chlamydia Screening
At the time of writing, 14 community pharmacies in Wigan Borough provide free
testing for chlamydia and gonorrhoea for people under the age of 25. This is a
pilot scheme, thus service provision by pharmacies is restricted.
4.5.2.
All general practices and family planning clinics currently provide this service. It is
also provided by a variety of other service providers such as Brook, Leigh Walk-in
Centre and college nurses. Provision via college nurses has not been mapped in
service provision data as the service is restricted to pupils at the college making it
difficult to interpret service provision at a local level.
4.5.3.
Emergency Hormonal Contraception
At the time of writing, 63 community pharmacies in Wigan Borough provide free
Emergency Hormonal Contraception to women, whatever their age. All general
practices and family planning clinics currently provide this service. It is also
provided by a variety of other service providers such as Brook, Leigh Walk-in
Centre and school and college nurses. Provision via these nurses has not been
mapped in service provision data as the service is restricted to pupils at the
college or school making it difficult to interpret service provision geographically.
Some service providers, e.g. Brook, are only able to offer Emergency Hormonal
Contraception to women under the age of 25.
4.5.4.
Healthy Living Pharmacies
At the time of writing, 51 pharmacies in Wigan Borough are accredited with Wigan
Council as Healthy Living Pharmacies. Healthy Living Pharmacies are a nationally
recognised concept enabling pharmacies to help reduce health inequalities within
the local community, by delivering high quality health and well-being services,
promoting health and providing proactive health advice. The services provided as
part of the Healthy Living Pharmacies program are tailored to local health needs
with the aim of reducing health inequalities by improving health and wellbeing
outcomes in their communities. This builds on existing core pharmacy services
(Essential and Advanced), Enhanced Services and Locally Commissioned
Services.
4.5.5.
Needle Exchange Scheme
The Needle Exchange Scheme allows injecting drug users to obtain clean needles
and syringes and return used ones for safe disposal and destruction. The
pharmacy can also provide support and advice to the user, including referral to
other health and social care professionals, and specialist drug and alcohol
treatment services where appropriate. The pharmacy also promotes safe practice
to the user, including advice on sexual health and sexually transmitted infections
(STIs), HIV and Hepatitis C transmission, and Hepatitis B immunisation.
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4.5.6.
This scheme requires more access to the service in certain areas. If an area has
low levels of service provision this may indicate a low level of need for the service
based on where service users live. Need for the Needle Exchange Scheme is
difficult to predict. This tends to be estimated based on where injecting drug users
live. However, there are other clients who require this service such as steroid
users and those injecting tanning solutions. This scheme was originally designed
to be used by injecting drug users. It has been extended to cover steroid users
but access to information on where there is a need in this patient group is difficult
to obtain. Some gyms offer needle exchange to their members. This has not been
mapped in this PNA as the service is restricted to gym members only.
4.5.7.
As yet the scheme has not been funded for those injecting tanning solutions.
These clients might be accessing the service as service users but are not required
to tell pharmacy staff why they require the products. There is little information
available regarding the need for this service in this group.
4.5.8.
This service is commissioned by Greater Manchester West NHS Foundation Trust
(GM West) on behalf of the Local Authority. However this service is delivered to
meet the needs of our patients so has been included in the PNA. At the time of
writing, 27 pharmacies offer the service. The Local Authority will need to work with
GM West to secure adequate access to the scheme.
4.5.9.
Stop Smoking Service
At the time of writing, 67 pharmacies in Wigan Borough offer easy access to stop
smoking support. Pharmacists and trained pharmacy staff are able to offer one-toone stop smoking advice, treatment and on-going support for people who want to
give up smoking. The service offers 12 weeks support and is free of charge to
those people entitled to free prescriptions. For those paying prescription charges
a prescription charge is paid each time Nicotine Replacement Therapy (NRT) is
supplied on the scheme (max. 7 charges). Service provision via general practices
and pharmacies has been included in the PNA. There are a wide variety of
intermediate advisers trained to provide counselling for this service across the
Borough e.g. Stop Smoking Service advisers, health improvement workers, health
visitors and midwives. This provides access to the necessary counselling at a
variety of clinics, one-to-one sessions and in people’s homes. However, these
advisers then refer the patient to their GP or pharmacy to access NRT products on
the scheme. Thus full service provision is only available through the general
practices and pharmacies in the Borough.
4.5.10. Supervised Consumption of Methadone and Buprenorphine
The guidelines on the treatment of opioid dependence recommend that all clients
prescribed substitute medication (methadone or buprenorphine are used in the
Wigan Borough) for treatment of addiction should be supervised consuming their
daily dose in the Pharmacy for the first three months of treatment. At the time of
writing, 43 pharmacies in Wigan Borough offer the Supervised Consumption
Service, giving service users a range of locations where they can obtain their
medication.
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4.5.11. This service is commissioned by Greater Manchester West on behalf of the Local
Authority. However, this service is delivered to meet the needs of our patients so
has been included in the PNA. The Local Authority work with Greater Manchester
West to secure adequate access to the scheme.
4.6.
Locally Commissioned Services (Commissioned by the Clinical
Commissioning Group)
4.6.1.
Minor Ailment Scheme
The Minor Ailment Scheme is a service that allows patients to consult the
community pharmacist rather than the GP for a defined list of minor ailments.
Community pharmacists already advise patients on a wide range of minor ailments
and either recommend and sell treatment or refer to another healthcare
professional. This service allows patients who are exempt from NHS prescription
charges to receive treatment from an agreed local formulary free of charge from
the pharmacy. At the time of writing, this scheme was provided by 71 pharmacies
within Wigan Borough.
4.6.2.
Monitored Dosage System (MDS) Scheme
Monitored Dosage Systems are a type of compliance aid that can help patients
who are struggling with their medication. Medication is blister packed with the aim
of simplifying medication taking for the patient and so improving compliance. All
pharmacies offer this service to patients who fall within the Disability
Discrimination Act (DDA). This scheme allows pharmacies to provide this service
to patients who are not classed as meeting DDA criteria. The GP will clinically
review the patient to ascertain if a compliance aid is required and refer the patient
to the pharmacy. A pharmacist will then assess the person’s knowledge and use
of their medicines and the appropriate level or kind of support, if any, required by
the person to help them take their medicines as intended. Monitored Dosage
Systems are associated with several risks. Therefore, a careful assessment of the
risks versus the benefits of MDS must be completed before this type of system is
recommended. At the time of writing, 52 pharmacies provide the CCG scheme.
4.6.3.
Palliative Care Scheme
The Palliative Care Scheme ensures that patients in the Borough have access to
medication regularly required during palliative care at all times. At the time of
writing, the Palliative Care Scheme is offered by 8 pharmacies distributed across
the Borough. Service provision is only possible if the pharmacy is open at least:
Monday – Friday:
Saturday:
Sunday:
4.6.4.
09:00 hours – 22:00 hours
09:00 hours – 20:00 hours
Any 6 hour period
This level of service provision is considered sufficient across the Borough as it is
specifically designed to provide access to medication outside normal pharmacy
opening hours.
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4.6.5.
Out-of-Hours Pharmacy Service
In addition to traditional pharmacy services there is an Out-of-Hours Pharmacy
Service. This is in operation from 10pm until 8am seven days a week. This
service ensures that patients requiring urgent treatment out-of-hours can obtain
their prescription. The service is initiated by the Out-of-Hours GP service if they
feel the patient needs immediate supply rather than waiting until the next day. The
pharmacies through which the service is offered guarantee to stock a range of
products to meet patient needs. This service has been in operation for over 10
years and has been found to work very effectively. If required it is possible to
extend the hours of operation of this service e.g. during the swine flu pandemic.
4.6.6.
This, along with the extended opening hours of many of our pharmacies ensures
all patients within the Borough are able to access pharmacy services at all times.
4.6.7.
Bank Holiday Pharmacy Service
A rota system is operated on Bank Holidays to ensure service provision at Easter
and Christmas. The rota ensures that there is a pharmacy open in Wigan Borough
from 10am until 10pm on the following days:
Easter Sunday
Christmas Day
4.6.8.
The rota is divided into three hourly slots and the pharmacies providing the service
are distributed across Wigan Borough to ensure that there is a pharmacy open in a
variety of localities during the day. There is no rota on other Bank Holidays as the
pharmacies within supermarkets and shopping centres are open on these days as
are several of the pharmacies owned by larger companies.
4.7.
Non-NHS Pharmaceutical Services
4.7.1.
Pharmacies offer a range of additional services such as blood pressure testing,
diabetes checks, weight loss advice and support. These services are not included
in this PNA as they fall outside of the pharmacy contract and, therefore, the Local
Authority does not have full details of the services on offer or the cost to the
patient. Pharmacies providing these services have developed them individually
and there is not necessarily any continuity in service provision across contractors.
The services may not be meeting the requirements that would be desired by the
Local Authority, CCG or Local Area Team should these services be commissioned
from pharmacy contractors. They are, however, services that patients across the
Borough may access and find valuable. They help to identify patients with longterm conditions who can then be referred to the appropriate service and may be
contributing towards meeting the health needs of the Borough.
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5.
Appliance Contractors
5.1.
Definition
5.1.1.
Appliance contractors are a specific sub-set of NHS pharmacy contractors. They
specialise in the supply (on prescription) of appliances, notably stoma and
incontinence appliances. They are unable to dispense medicines. It should be
noted that pharmacy contractors are also able to dispense prescriptions for
appliances.
5.2.
Essential Services
5.2.1.
A Home Delivery Service and Supply of Wipes and Disposal Bags
There is a requirement to provide home delivery for all qualifying items in the Drug
Tariff. It is the patient's choice whether they collect their appliance from the
pharmacy/appliance contractor or have it delivered. A reasonable supply of wipes
and disposal bags for qualifying items should be supplied with the appliances.
5.2.2.
Provision of Appropriate Advice
Pharmacy and appliance contractors must provide appropriate advice to patients
about any stoma or incontinence appliance provided to them in order to enable
them to use, store and dispose of the appliance appropriately. They must also
ensure that a patient may consult, if they wish, someone to obtain expert clinical
advice regarding the appliance being dispensed.
5.2.3.
Signposting
If a pharmacy or appliance contractor cannot dispense the item prescribed or
cannot provide the required Stoma Appliance Customisation, there is a
requirement, with the patient’s consent, to refer the prescription form or repeatable
prescription to another pharmacy or appliance contractor.
5.2.4.
If the patient does not consent to referral, then contact details for at least two other
contractors who may be able to dispense the required item or provide the specific
service should be provided.
5.2.5.
Emergency Supply
A prescriber may request an emergency supply of a medicine or an appliance,
provided that they supply a prescription within 72 hours. This is the same
provision that applies to the emergency supply of Prescription Only Medicines.
5.3.
Advanced Services
5.3.1.
Appliance contractors are able to provide Appliance Use Reviews and Stoma
Customisation as detailed earlier (section 4.3).
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6.
Current Pharmacy Service Provision
6.1.1.
There are currently 72 pharmacies in the Wigan Borough. The Health and Social
Care Information Centre report, “General Pharmaceutical Services in England
2003/2004 to 2012/13,” found that on 31 March 2013 there were 22 pharmacies
per 100,000 population in England. Based on a Wigan Borough population of
320,000, Wigan Borough currently has 22.5 pharmacies per 100,000 population.
Whilst it cannot be stated that Wigan Borough has the correct number of
pharmacies per head, as there is no national definition of the number of people an
individual pharmacy should serve, the Borough is at the national average. This
would suggest that this level of service meets the current need for our population.
6.1.2.
The Wigan Borough population can also access any community pharmacy outside
of the Borough, for example it may be better for a person to use a pharmacy near
where they work rather than where they live. People can access Essential and
Advanced Services from these pharmacies although access to Enhanced and
Locally Commissioned Services may not be available. Where there are
pharmacies outside the Borough but near our boundaries these have been
identified in the PNA Locality analysis. There are also approximately 100 Internet
pharmacies nationally which can be accessed by any person in the Borough. This
secures further access to the Essential Pharmacy Services securing better access
for the population.
6.1.3.
The Office of Fair Trading report on pharmacy services published in 2003 found
that the UK was well served geographically by pharmacies. Most people lived
within a short distance of a community pharmacy. 79% of people in Great Britain
had a community pharmacy within one kilometre of their home and 47% had a
pharmacy within 500 meters. Furthermore, around nine out of ten people
considered it easy to get to a pharmacy from their home and 86% considered
access to a pharmacy easy from their GP. In practice, for at least half of cases,
prescriptions were picked up following a visit to a GP from a pharmacy near the
surgery. Around 98% of general practices had a community pharmacy within one
kilometre and around 75% had one within a short walk of 300 metres.
6.1.4.
In Wigan Borough, 99% of general practices (including branch surgeries) have a
pharmacy within 1km and 88% have one within 300 meters. With data currently
available we are unable to calculate the percentage of our population with a
pharmacy within 1km of their home. However, Figure 14 shows the location of
each pharmacy in the Borough with a 1km radius around each. This appears to
cover the majority of residential areas.
6.1.5.
Good access takes many forms. It includes having a pharmacy within easy reach
(usually from the doctor’s surgery or from the home), having convenient opening
hours and after-hours services, access to valued services such as Collection and
Delivery Services, and private consultation areas.
6.1.6.
In Wigan Borough, there is pharmacy service provision over a wide range of
opening hours (this is discussed in more detail at Locality level) and an out-ofhour’s service. There are six ‘100 hour’ pharmacies which are contractually
obliged to open for at least 100 hours each week, thereby guaranteeing access for
around 14 or 15 hours each day.
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6.1.7.
All pharmacies within the Borough provide a Prescription Collection Service and
67 (93%) provide a Prescription Delivery Service. 70 (97%) pharmacies have a
consultation area providing a private place for patients to discuss issues with
pharmacy staff.
6.1.8.
In November 2014, a patient satisfaction survey was carried out across all
pharmacies within the Borough as part of the PNA consultation. This found that
99.0% of patients who had responded to the question “How would you rate the
service you received today” gave the answer “excellent” or “good”. When asked if
they were satisfied with the opening hours of their regular pharmacy or the one
they had used that day, 96.9% of responders were satisfied. The patient
satisfaction survey shows that the majority of responders are satisfied with the
access to pharmacy services across the Borough and the quality of the service
received.
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Figure 14. Pharmacy locations each plotted with a 1km radius indicated
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7.
Analysis of Pharmacy Services by Locality
(See Figure 2 for pharmacy locations by Locality. See Appendices 2-8 for full
details of pharmacy services offered by contractors).
7.1.
Locality 1
7.1.1.
Accessibility
Pharmacy services are well distributed throughout the Locality around the main
areas of population and in the town centre. The pharmacies in this Locality
provide the necessary level of service both to meet need and secure better
access. There is a good choice of service provider.
7.1.2.
All pharmacies except two in the Locality are accessible in a wheelchair and seven
have Hearing Loop. All have parking either on site or nearby and all except two
are readily accessible by public transport. All pharmacies in the Locality provide a
Prescription Collection Service with all except two able to deliver prescriptions to
patients homes securing access to Essential Services for those patients less able
to travel to the pharmacy.
7.1.3.
Pharmacy opening hours provide excellent coverage in this Locality ensuring
pharmacy service provision seven days a week from early in the morning to late at
night. Pharmacy opening hours are very similar to those of the general practices
that are located nearby. Where general practices open early and close late there
are pharmacies in the Locality that are open at these times.
7.1.4.
Essential and Advanced Service Provision
All pharmacies are required to provide all Essential Services, thus provision is
excellent across the Locality. In addition, all pharmacies are able to dispense
appliances and there is good access to services for measuring and fitting trusses
across the Locality. All pharmacies in the Locality have a consultation room
available allowing patient access to a private consultation if required. All except
two pharmacies provide Medicines Use Review, and all except one provide the
New Medicines Service. There is limited provision of Appliance Use Reviews and
Stoma Appliance Customisation by pharmacies across the Locality. These are
relatively specialised services with low activity expected. Information on the
availability of these services from appliance contractors was unavailable at the
time of writing but it is likely that these services are provided to our patients by
these contractors. We would anticipate that pharmacies will offer these services
over time as demand develops.
7.1.5.
Locally Commissioned Service Provision
There is excellent availability of the Minor Ailment Scheme and Stop Smoking
Service with all pharmacies in the Locality providing these services. All except two
pharmacies provide the Monitored Dosage System Scheme supporting patients to
take their medication and all except four pharmacies are Healthy Living
Pharmacies providing proactive health advice. This level of service ensures that
patients have a choice of service provider and greater access to these services
particularly in the evenings and at weekends.
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7.1.6.
All except four pharmacies provide Emergency Hormonal Contraception. This
service is also provided by all general practices and a number of other providers
including Brook (under 25’s only), the Shine Centre and Sullivan Way Clinic.
7.1.7.
This provides an excellent level of service provision and choice of provider at all
times in the Locality. There is access to Chlamydia Screening at all general
practices and from the other sexual health services in the Locality. In addition to
this, five pharmacies provide the service ensuring there is a choice of provider into
the evenings and at the weekends. Again this is an excellent level of service
provision and choice of provider for young people in the Locality.
7.1.8.
The Supervised Consumption Service is offered by all except six pharmacies in
the Locality. These are well distributed but currently there is no provision of this
service in Aspull and Shevington. Provision of the Needle Exchange Scheme by
pharmacies is good around the Wigan town centre area with additional provision
by the Substance Misuse Team. It is also provided by a pharmacy in Appley
Bridge. However across the rest of the Locality there is no service provision by
pharmacies meaning there is no provision of this service in Aspull, Beech Hill,
Ince, Shevington and Standish as no other service providers are available.
Although this may reflect a lower need for the service in these areas, it is difficult
to establish need for needle exchange. Considering the number of clients
accessing the Supervised Consumption Service within the Locality, the Local
Authority, Wigan Drug and Alcohol Team, Greater Manchester West NHS
Foundation Trust and the Wigan Borough CCG do not consider this distribution of
needle exchange outlets to be a sufficient level of service provision for the
Locality.
7.2.
Locality 2
7.2.1.
Accessibility
Pharmacy services are well distributed throughout the Locality around the main
areas of population. The pharmacies in this Locality provide the necessary level of
service both to meet need and secure better access. There is a good choice of
service provider.
7.2.2.
All pharmacies except two in the Locality are accessible in a wheelchair (both
located in Orrell) and nine have Hearing Loop. All have parking either on site or
nearby and all are readily accessible by public transport. All pharmacies in the
Locality provide a Prescription Collection Service with all except one able to
deliver prescriptions to patients homes securing access to Essential Services for
those patients less able to travel to the pharmacy.
7.2.3.
Pharmacy opening hours provide excellent coverage in this Locality ensuring
pharmacy service provision seven days a week from early in the morning to late at
night. Pharmacy opening hours are very similar to those of the general practices
that are located nearby. Where general practices open early and close late there
are pharmacies in the Locality that are open at these times, with the exception of
Mondays and Thursdays when general practices are open from 7.00am and
pharmacies in the Locality do not open until 8.00am.
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7.2.4.
Essential and Advanced Service Provision
All pharmacies are required to provide all Essential Services, thus provision is
excellent across the Locality. In addition, all pharmacies are able to dispense
appliances and there is good access to services for measuring and fitting trusses
across the Locality. All pharmacies in the Locality have a consultation room
available allowing patient access to a private consultation if required.
7.2.5.
All pharmacies provide Medicines Use Review, and all except two pharmacies
provide the New Medicines Service. There is limited provision of Appliance Use
Reviews and Stoma Appliance Customisation by pharmacies across the Locality.
These are relatively specialised services with low activity expected. Information
on the availability of these services from appliance contractors was unavailable at
the time of writing but it is likely that these services are provided to our patients by
these contractors. We would anticipate that pharmacies will offer these services
over time as demand develops.
7.2.6.
Locally Commissioned Service Provision
There is excellent availability of the Minor Ailment Scheme and Stop Smoking
Service with all pharmacies in the Locality providing these services. All except
four pharmacies provide the Monitored Dosage System Scheme supporting
patients to take their medication and all except three pharmacies are Healthy
Living Pharmacies providing proactive health advice. This level of service ensures
that patients have a choice of service provider and greater access to these
services particularly in the evenings and at weekends.
7.2.7.
All except two pharmacies provide Emergency Hormonal Contraception. This
service is also provided by all general practices. This provides an excellent level
of service provision and choice of provider at all times in the Locality. Pharmacy
provision ensures the service is available seven days a week and in the evenings.
There is access to Chlamydia Screening at all general practices and one
pharmacy. This is a reasonable level of service provision for young people in the
Locality although choice of provider is limited and there is no service availability in
the Locality on Sundays.
7.2.8.
The Supervised Consumption Service is offered by just under half of the
pharmacies in the Locality. These are well distributed but currently there is no
provision of this service in Newtown, Orrell or Winstanley.
Provision of the
Needle Exchange Scheme is poor in the Locality. The four pharmacies providing
needle exchange are located at the edge of the Locality closer to Wigan town
centre area meaning a large section of the Locality has no service provision.
Considering the number of clients accessing Supervised Consumption Service
within the Locality, the Local Authority, Wigan Drug and Alcohol Team, Greater
Manchester West NHS Foundation Trust and Wigan Borough CCG do not
consider this number of needle exchange outlets to be a sufficient level of service
provision in these areas.
34
7.3.
Locality 3
7.3.1.
Accessibility
Pharmacy services are well distributed throughout the Locality around the main
areas of population. The pharmacies in this Locality provide the necessary level of
service both to meet need and secure better access. There is also a pharmacy
just over the border of this Locality in a neighbouring CCG providing further access
to Essential and Advances Services. There is a good choice of service provider.
7.3.2.
All pharmacies except two in the Locality are accessible in a wheel chair and six
have Hearing Loop. All have parking either on site or nearby and all are readily
accessible by public transport.
7.3.3.
All pharmacies in the Locality provide a Prescription Collection Service and all are
able to deliver prescriptions to patients homes securing access to Essential
Services for those patients less able to travel to the pharmacy. Pharmacy opening
hours provide excellent coverage in this Locality ensuring pharmacy service
provision seven days a week from early in the morning to late at night. Pharmacy
opening hours are very similar to those of the general practices that are located
nearby. Where general practices open early and close late there are pharmacies
in the Locality that are open at these times, with the exception of 7.00am to
8.00am.
7.3.4.
Essential and Advanced Service Provision
All pharmacies are required to provide all Essential Services, thus provision is
excellent across the Locality. In addition, all pharmacies are able to dispense
appliances and there is good access to services for measuring and fitting trusses
across the Locality. All except two pharmacies in the Locality have a consultation
room available allowing patient access to a private consultation if required. All
except three pharmacies provide Medicines Use Review, and half of the
pharmacies provide the New Medicines Service. There is limited provision of
Appliance Use Reviews and Stoma Appliance Customisation by pharmacies
across the Locality. These are relatively specialised services with low activity
expected. Information on the availability of these services from Appliance
contractors was unavailable at the time of writing but it is likely that these services
are provided to our patients by these contractors. We would anticipate that
pharmacies will offer these services over time as demand develops.
7.3.5.
Locally Commissioned Service Provision
There is excellent availability of the Stop Smoking Service with all pharmacies in
the Locality providing this service and the Minor Ailment Scheme that all except
one pharmacy provide. The Monitored Dosage System Scheme supporting
patients to take their medication is provided by all except four pharmacies and all
except three pharmacies are Healthy Living Pharmacies providing proactive health
advice. This level of service ensures that patients have a choice of service
provider and greater access to these services particularly in the evenings and at
weekends.
35
7.3.6.
All except three pharmacies provide the Emergency Hormonal Contraception.
This service is also provided by all general practices. This provides an excellent
level of service provision and choice of provider at all times in the Locality.
Pharmacy provision ensures the service is available seven days a week and in the
evenings. There is access to Chlamydia Screening at all general practices and
three pharmacies. This is a good level of service provision for young people in the
Locality with service availability in the evening and at weekends.
7.3.7.
The Supervised Consumption Service is offered by eight pharmacies in the
Locality. These are distributed across the Locality but currently there is no
provision of this service in the Platt Bridge area. Provision of the Needle
Exchange Scheme is poor in the Locality. There are three pharmacies providing
needle exchange that are located in Hindley and Abram. There is no service
provision in Ashton and Platt Bridge.
7.3.8.
Considering the number of clients accessing the Supervised Consumption Service
within the Locality, the Local Authority, Wigan Drug and Alcohol Team, Greater
Manchester West NHS Foundation Trust and Wigan Borough CCG do not
consider the provision of needle exchange outlets and supervised consumption in
the Locality to be sufficient.
7.4.
Locality 4
7.4.1.
Accessibility
Pharmacy services are fairly well distributed throughout the Locality around the
main areas of population and around the town of Leigh. There is a cluster of
pharmacies in the town of Golborne in a very small area. The pharmacies in this
Locality provide the necessary level of service both to meet need and secure
better access. There is a good choice of service provider.
7.4.2.
All pharmacies except one in the Locality are accessible in a wheel chair and
eleven have Hearing Loop. All except one pharmacy have parking either on site
or nearby and are readily accessible by public transport. All pharmacies in the
Locality provide a Prescription Collection Service and all except two are able to
deliver prescriptions to patients’ homes securing access to Essential Services for
those patients less able to travel to the pharmacy.
7.4.3.
Pharmacy opening hours provide excellent coverage in this Locality ensuring
pharmacy service provision seven days a week from early in the morning to late at
night. Pharmacy opening hours are very similar to those of the general practices
that are located nearby. Where general practices open early and close late there
are pharmacies in the Locality that are open at these times.
7.4.4.
Essential and Advanced Service Provision
All pharmacies are required to provide all Essential Services, thus provision is
excellent across the Locality. In addition, all except four pharmacies are able to
dispense appliances and there is good access to services for measuring and fitting
trusses across the Locality. All pharmacies in the Locality have a consultation
room available allowing patient access to a private consultation if required.
36
7.4.5.
All pharmacies provide Medicines Use Review, and all except three pharmacies
provide the New Medicines Service. There is limited provision of Appliance Use
Reviews and Stoma Appliance Customisation by pharmacies across the Locality.
These are relatively specialised services with low activity expected. Appliance
Use Reviews can be conducted within the pharmacy or within the patient’s home if
they would prefer. Information on the availability of these services from appliance
contractors was unavailable at the time of writing but it is likely that these services
are provided to our patients by these contractors. We would anticipate that
pharmacies will offer these services over time as demand develops.
7.4.6.
Locally Commissioned Service Provision
There is excellent availability of the Minor Ailment Scheme with all pharmacies in
the Locality providing this service and the Stop Smoking Service that all except
three pharmacies provide. This level of service ensures that patients have a
choice of service provider and greater access to these services particularly in the
evenings and at weekends.
7.4.7.
The Monitored Dosage System Scheme supporting patients to take their
medication is provided by nine pharmacies in the Locality which is a lower level of
service provision than other localities. All except eight pharmacies are Healthy
Living Pharmacies providing proactive health advice.
7.4.8.
All pharmacies in the Locality provide Emergency Hormonal Contraception. This
service is also provided by all general practices and a number of other providers
including Brook (under 25’s only) and Leigh Walk in Centre. WISH (Well Women
Centre, Leigh) is also available for advice and provision of condoms. This
provides an excellent level of service provision and choice of provider at all times
in the Locality. There is access to Chlamydia Screening at all general practices
and from the other sexual health services in the Locality. In addition to this, three
pharmacies provide the service ensuring there is a choice of provider into the
evenings and at the weekends. Again this is an excellent level of service provision
and choice of provider for young people in the Locality.
7.4.9.
The Supervised Consumption Service is offered by eight pharmacies in the
Locality. These are distributed across the Locality. Provision of the Needle
Exchange Scheme by pharmacies is good around the Leigh town centre area with
additional provision by the Substance Misuse Team. It is also provided by one
pharmacy in Lowton and one on the outskirts of Golborne. There is no service
provision in the town centre area of Golborne. Although this may reflect a lower
need for the service in these areas, as stated in the description of this service, it is
difficult to establish need for needle exchange. Considering the number of clients
accessing the Supervised Consumption Service within the Locality, the Local
Authority, Wigan Drug and Alcohol Team, Greater Manchester West NHS
Foundation Trust and the Wigan Borough CCG do not consider this distribution of
needle exchange outlets to be a sufficient level of service provision for the
Locality.
37
7.5.
Locality 5
7.5.1.
Accessibility
Pharmacy services are fairly well distributed throughout the Locality around the
town centres although there is a cluster of pharmacies in the town of Tyldesley in a
very small area. The pharmacies in this Locality provide the necessary level of
service both to meet need and secure better access. There is a good choice of
service provider. There are also two pharmacies just over the border in a
neighbouring CCG providing further access to Essential and Advances Services.
7.5.2.
Only four pharmacies in the area are accessible in a wheelchair and three have
Hearing Loop. Most pharmacies have parking either on site or nearby and are
readily accessible by public transport. The three pharmacies with no parking
provision nearby are also not accessible by public transport. However, despite
this potential lack of access all pharmacies in the Locality provide a Prescription
Collection Service and are able to deliver prescriptions to patients homes securing
access to Essential Services for those patients less able to travel to the pharmacy.
7.5.3.
Pharmacy opening hours provide excellent coverage in this Locality ensuring
pharmacy service provision seven days a week from early in the morning to late at
night. Pharmacy opening hours are very similar to those of the general practices
that are located nearby.
7.5.4.
Where general practices open early and close late there are pharmacies in the
Locality that are open at these times, with the exception of Wednesday when
general practices are open from 7.00am and pharmacies in the Locality do not
open until 8.00am.
7.5.5.
Essential and Advanced Service Provision
All pharmacies are required to provide all Essential Services, thus provision is
excellent across the Locality. In addition, all except one pharmacy are able to
dispense appliances. Although only three pharmacies in the Locality are able to
measure and fit trusses this is a sufficient level of service provision as the need for
this service is relatively low. There are approximately ten prescriptions issued for
trusses per quarter across Wigan Borough. All pharmacies in the Locality have a
consultation room available allowing patient access to a private consultation if
required. All pharmacies provide Medicines Use Review, and all except two
pharmacies provide the New Medicines Service.
7.5.6.
There is limited provision of Appliance Use Reviews and Stoma Appliance
Customisation by pharmacies across the Locality. These are relatively specialised
services with low activity expected. Information on the availability of these
services from appliance contractors was unavailable at the time of writing but it is
likely that these services are provided to our patients by these contractors. We
would anticipate that pharmacies will offer these services over time as demand
develops.
38
7.5.7.
Locally Commissioned Service Provision
There is excellent availability of the Minor Ailment Scheme with all pharmacies in
the Locality providing this service and Stop Smoking Service that all except two
pharmacies provide. The Monitored Dosage System Scheme supporting patients
to take their medication is provided by all except one pharmacy and all except one
pharmacy are Healthy Living Pharmacies providing proactive health advice. This
level of service ensures that patients have a choice of service provider and greater
access to these services particularly in the evenings and at weekends.
7.5.8.
All pharmacies provide Emergency Hormonal Contraception. This service is also
provided by all general practices. This provides an excellent level of service
provision and choice of provider at all times in the Locality. Pharmacy provision
ensures the service is available six days a week and in the evenings. There is
access to Chlamydia Screening at all general practices and two pharmacies. This
is a good level of service provision for young people in the Locality. Although
choice of provider is limited, there is service provision in the evenings and at
weekends.
7.5.9.
The Supervised Consumption Service is offered by all except one pharmacy in the
Locality. This is excellent service provision across the Locality. Provision of the
Needle Exchange Scheme is reasonable in the Locality. There are five
pharmacies providing needle exchange. There is no service provision in Astley.
Although this may reflect a lower need for the service in this area, as stated in the
description of this service, it is difficult to establish need for needle exchange.
Considering the number of clients accessing the Supervised Consumption Service
within the Locality, the Local Authority, Wigan Drug and Alcohol Team, Greater
Manchester West NHS Foundation Trust and Wigan Borough CCG do not
consider this distribution of needle exchange outlets to be a sufficient level of
service provision for the Locality.
8.
Pharmacy Services Response to Local Health Issues
8.1.
How current pharmacy services help meet the health needs of the Wigan
Borough population
8.1.1.
The key health issues affecting people in Wigan Borough are described in sections
2.3 and 2.4. Modern lifestyle issues such as obesity, alcohol use, smoking and
lack of exercise are creating new demands on the NHS. Pharmacies play an
important role in addressing these issues.
8.1.2.
Pharmacies provide patients with prescribed medications to treat or prevent the
development of many of these conditions/diseases. They provide advice and
support on the use of these medications, how to get the most benefit from them,
how to avoid or reduce side effects, etc., all of which encourage patients to take
the medication prescribed for them. Pharmacies provide lifestyle advice to
patients and specifically target those who present prescriptions indicating they
have coronary heart disease, diabetes, smoke or are overweight. The provision of
‘brief interventions’ to these patients can help raise awareness that small changes
to their lifestyle can have a significant, positive impact on their health. For those
patients struggling to manage the medications they are prescribed the pharmacy
Monitored Dosage System Scheme which simplifies their medication and ensures
it is taken correctly improving the management of the underlying condition(s).
39
8.1.3.
Healthy Living Pharmacies proactively provide lifestyle advice to improve the
health of those visiting the pharmacy. Through this service the pharmacy will be
able to provide advice to the population not currently accessing medical services
regularly. They can provide advice to reduce the individual’s risk e.g. weight
management advice, smoking cessation, advice on the consumption of alcohol
and signpost to the services available across the Borough.
8.1.4.
The pharmacy Stop Smoking Service provides people within the Borough with
access to nicotine replacement products, support and practical advice to help
them stop smoking at the cost of a prescription charge (that is free for many
people). Stopping smoking is one of the biggest changes a person can make to
improve their health. Among other things it reduces the risk of lung cancer,
cardiovascular disease and chronic obstructive airways disease. During the
financial year 2013/14 pharmacies supported 585 patients through the scheme.
They also provided nicotine replacement therapy to additional patients referred by
other providers during this time e.g. Wigan Borough Stop Smoking Service
provided by Bridgewater NHS Trust.
8.1.5.
All pharmacies can sell Emergency Hormonal Contraception and in Wigan
Borough they can also provide it free of charge to women of any age. This has
significantly improved access to Emergency Hormonal Contraception and most
importantly has ensured its availability at times when other service providers are
not available such as evenings, weekends and Bank Holidays.
8.1.6.
In the financial year 2013/14, pharmacies provided approximately 10,000
Emergency Hormonal Contraception consultations. This has contributed to the
reduction in unwanted pregnancies.
8.1.7.
Another issue in the Borough is a need to improve access to sexual health
services for young people especially Chlamydia Screening. The initiation of a
pharmacy Chlamydia Screening service was hoped to help meet this need.
However the level of activity by pharmacies has been disappointing. This is due to
a lack of uptake from potential service users and a lack of confidence by pharmacy
staff to undertake opportunistic interventions. The service will be reviewed over
the coming year and developed to allow more pharmacies to provide the service.
Training will be provided to pharmacy staff to overcome issues identified in the
pilot. The service will be promoted to appropriate client groups to ensure there is
a wider awareness and improved uptake.
8.1.8.
The pharmacy Minor Ailment Scheme helps to address some of the issues around
primary care capacity. As demand for Primary Care services increases due to
rising public expectations, lifestyle factors and health needs resulting from an
ageing population, general practice workload increases. Evidence from the Self
Care Campaign has shown that the number of patients seeing GPs for ailments
that can be self-treated is estimated to cost the NHS £2bn per year and equates to
57 million consultations, that is, a fifth of GP workload. It showed that if patients
have successfully self-treated in the past they will try again. It highlighted the
need to educate patients on the appropriate service for them based on need rather
than convenience or dependency.
40
8.1.9.
Pharmacies provided just under 49,500 Minor Ailment Scheme consultations
during the financial year 2013/14. Of these consultations just under 47,000
patients would have used their GP, 245 the Out-of-Hours GP service and 129 A&E
had the service not been available. This demonstrates that the scheme reduces
GP workload and reduces unnecessary A&E attendances. The scheme needs
further promotion to appropriate target groups and healthcare professionals should
be encouraged to refer patients to the scheme.
8.1.10. The Supervised Consumption Service is meeting the health needs of those people
in the early stages of opiate treatment, helping stabilise lives that may otherwise
be chaotic. This service is required in certain parts of the Borough where currently
the need is not met.
8.1.11. The Needle Exchange Scheme is available from just under half of the pharmacies
in the Borough ensuring clean injecting equipment is available to those who
require it along with advice to help improve the lives of these people including
referral to treatment services. This scheme also ensures that there is safe
disposal of used equipment and, therefore, protects the health of all residents in
the Borough.
8.1.12. The need for the Needle Exchange Scheme is difficult to predict and tends to be
estimated based on where known injecting drug (opiate) users live but there is an
overall opinion that the current level of service provision is not sufficient to meet
the needs of the Borough. Greater Manchester West NHS Foundation Trust and
the Wigan Drug and Alcohol Team will need to develop this service further. This
will mean addressing pharmacy concerns in terms of providing this service as well
as securing additional funding for the service.
8.1.13. There should be a planned approach in extending service provision ensuring those
areas with an identified need for the service are targeted whilst acknowledging that
we may not be fully aware of the requirement for this service. There are other
clients who require this service such as steroid users and those injecting tanning
solutions. This type of user presents a different sort of need and may require
access to the service in areas with previously low requirements for the scheme. At
present service provision is based largely on pharmacies willing to provide the
service as opposed to targeting areas where the service is required. As funding is
limited this approach will need to be modified. Ideally there should be provision of
this service in all areas within each Locality.
8.1.14. An ageing population in the Borough means that more people are living with longterm conditions. This means there are many people in the Borough who would
benefit from Medicines Use Review (MUR) and the New Medicines Service
(NMS). Whilst the majority of pharmacies are offering these services work is
needed to ensure that the appropriate groups of patients are being targeted.
Figures from 2012/13 indicate that there is considerable capacity to increase
numbers. 19,436 MURs were provided during this time out of a possible 29,200
(66.5%). Developing this service would ensure more patients on long-term
medication would benefit. Targeting MURs or providing clinical MURs could help
to address health needs in the Borough for people suffering from cardiovascular
disease and chronic obstructive airways disease.
41
8.1.15. Clinical MURs differ from standard MURs in that they are aimed at ensuring
patients are on the optimum treatment for their condition rather than focusing on
patient education and solving patient problems which is the aim of standard
MURs. MURs could be targeted at patients prescribed inhalers ensuring they are
being used appropriately and so reduce COPD exacerbations. They could be
aimed at improving the management of long-term conditions. The New Medicines
Service provides additional support when patients are initiated on new medication
for asthma and COPD, type II diabetes, antiplatelet/anticoagulant therapy or
hypertension helping to meet the needs of patients with COPD and cardiovascular
disease.
8.1.16. Appropriately co-ordinating and targeting the public health campaigns the Local
Area Team runs through community pharmacies could help to tackle many of the
health needs of our residents. The Local Authority will continue to work with the
Local Area Team on this service.
8.1.17. Some pharmacies provide the Condom Card (C-card) Scheme. This allows young
people to obtain free condoms from participating pharmacies and other outlets.
Currently there are 11 pharmacies providing this service. This would be an ideal
service to provide through pharmacies as every Locality has a variety of
pharmacies, they are open over a wide range of hours and at weekends. If all
pharmacies were to be offered the opportunity to provide the scheme this would
significantly improve access.
This would help to reduce both unwanted
pregnancies and sexually transmitted infection.
8.1.18. Those pharmacies that take part can also ensure clients are aware of the
Emergency Hormonal Contraception service and Chlamydia Screening service
available via pharmacies, improving awareness of the services on offer to
appropriate groups of clients. It is possible for pharmacies to offer other Sexual
Health Services such as hepatitis and HIV screening and provision of oral
contraceptives which might help to meet health needs in this area.
8.1.19. For all Locally Commissioned Services there is a need to raise the public’s
awareness of these services and which pharmacies provide these services. This is
something that needs to be addressed across the Borough. Both the public and
healthcare professionals require this information. The Local Authority and Wigan
Borough CCG will need to develop a communications strategy to ensure there is a
consistent approach across the Borough to ensure all patient groups receive this
information.
8.2.
How future pharmacy services could be developed to further meet the health
needs of the Wigan Borough population
8.2.1.
Pharmacies will always have an important role in ensuring the safe and effective
use of medicines but there needs to be development in pharmacy services to
enable the NHS to get the most out of the clinical skills of the pharmacist with an
increased emphasis on the contribution pharmacy can make to health
improvement and public health. Pharmacy services should be developed further
to enable pharmacies to play a greater role in meeting the health needs of the
population.
42
8.2.2.
The following services are not currently commissioned locally but are services that
the Local Authority and Wigan Borough CCG would consider commissioning
through pharmacies if funding became available. These are services which meet
current identified health needs or are nationally commissioned services. It should
be noted that there are a large variety of Enhanced Services that community
pharmacies can provide. Any decisions to develop pharmacy services should be
based on health needs and patient and public opinion at the time of
commissioning. It may be that at this time a different service may be more
appropriate. Should any pharmacy Enhanced Services or Locally Commissioned
Service be commissioned we believe that the current number and distribution of
pharmacies within the Borough would ensure a suitable level of service provision
to meet the needs of the population.
8.2.3.
In terms of reducing cardiovascular disease pharmacies could offer NHS Health
Checks if the appropriate infrastructures were put in place and they were able to
out-compete alternative providers. Locally the NHS Health Check is known as
Find and Treat. This service identifies patients using GP lists, and invites people
to attend for a 30 minute check following a specific protocol. The Local Authority
is exploring offering Health Check in other settings, and community pharmacy
might be one of those settings. Some people may not feel as threatened by going
to a pharmacy to receive a Health Check in comparison to requiring an
appointment with their GP. It would also ensure that the service was available to
any residents not registered with a GP and would allow the service to be provided
in the evenings and at weekends which may be more convenient for working
people.
8.2.4.
‘Lose Weight Feel Great’ is the current provider of services in the weight
management pathway. Community pharmacies could tender to provide aspects of
this service as part of the ‘any willing provider’ arrangements when services are
commissioned. Pharmacies are already seen by the public as a source of weight
loss advice and products to facilitate weight loss. The Local Authority would only
commission an appropriate evidence based service for patients. Some patients
may prefer the more private one-to-one approach that would be available through
pharmacies and may also prefer the hours a pharmacy can offer e.g. lunch times,
in the evenings or at weekends.
8.2.5.
Reducing alcohol related harm is a difficult challenge. Many people who need to
reduce their drinking do not access services until harm has actually occurred.
Young people do not routinely visit their GPs and so do not receive this advice
from their GP. People who are healthy use pharmacies for Over-the-Counter
products and non-medical products. Provision of ‘brief interventions’ could ensure
that alcohol advice is provided to these patients. Alcohol interventions could be
provided to people using other services such as the Condom Card Scheme or
Stop Smoking Service. Any pharmacy Service would need to be part of the overall
Wigan Borough Alcohol Strategy.
8.2.6.
There is a need to improve communication across the primary/secondary care
interface, particularly with regards to medication. Better communication between
hospital and community pharmacies may help to meet this need improving patient
care and reducing re-admissions following discharge from hospital. This is
something that should be considered in the wider health economy.
43
8.2.7.
Electronic prescribing is currently being developed in the NHS. All pharmacies are
currently operating Electronic Transfer of Prescriptions (ETP) release 1 compliant
systems within the Borough. As GP and pharmacy software systems become
release 2 compliant, Wigan Borough CCG will have the opportunity to develop
electronic prescribing. This should make it easier for patients to get their
prescription medication with fewer visits to the general practice and reduce GP
and pharmacy workload thus improving NHS capacity. Wigan Borough CCG
should continue with their development of this service.
8.2.8.
Repeat dispensing allows GPs to issue repeatable prescriptions to patients
allowing them to obtain up to a year’s prescription without the need for further GP
consultation or issue of further prescriptions.
8.2.9.
This service would make obtaining prescription medication significantly simpler for
those patients who require regularly monthly medication and who are stable on
this medication. It is not suitable for people whose medication changes frequently.
This service will require the CCG to work with pharmacies and general practices to
ensure appropriate procedures are put in place and that the service is offered to
appropriate patient groups. This service fits best with electronic prescribing and
will be developed over the coming year.
9.
Future Needs
9.1.1.
At the time of writing there are no future developments planned during the lifetime
of this PNA that are likely to affect the pharmaceutical or health needs of the
Borough.
10.
Conclusion
10.1.1. There are 72 pharmacies across the Wigan Borough providing pharmaceutical
services over a wide range of hours seven days a week. There are occasions
where pharmacy opening hours do not mirror the local general practice opening
hours, but in all cases there is pharmacy service provision in a nearby Locality at
this time. Although it would be ideal for all pharmacy and general practice opening
hours to match we believe that the current coverage meets the needs of our
population. In relation to ‘100 hour’ pharmacy contractors we have considered
the current provision from these pharmacies and the potential for these contractors
to apply to reduce their hours in the future based on the PNA. We have concluded
that our current ‘100 hour’ contractors perform an important role in opening up
access in the early morning, evening and at weekends and would not want to see
this decrease or increase.
10.1.2. Taking into account the availability and variety of services available through
pharmacies in Wigan Borough, in general provision of Locally Commissioned
Services across the Borough is excellent although there are areas and services
where provision could be improved.
This should be addressed, in the first
instance, by existing pharmacy contractors providing these services.
44
10.1.3. There is scope to improve awareness of many pharmacy services and we need to
ensure that people living in the Borough are aware of what is on offer from
pharmacies and encourage them to use pharmacies as the first port of call for the
management of Minor Ailments, Stop Smoking Service, Emergency Hormonal
Contraception, etc. We need to promote the Locally Commissioned Services on
offer through pharmacies more effectively and ensure the people who could
benefit most from these services are aware of them. It is important to work with
existing providers to ensure that the highest standards of quality and the optimum
range of services are delivered.
10.1.4. By improving the knowledge of our residents and development of current and
future services Wigan Borough Local Authority and Wigan Borough CCG will
continue to support the development of community pharmacy services in line with
the direction set by the government and the health needs of our population.
45
Appendix 1 – Pharmaceutical Needs Assessment Process
Co-ordination
The production of this PNA was co-ordinated by a small working group:
Wigan Council
• Consultant in Public Health
• Public Health Analyst
Wigan Borough Commissioning Group
• Assistant Director of Medicines Management
Profile of Wigan Borough including population and health needs
The majority of data analysis was carried out by a Public Health Analyst with assistance of
a consultant in public health. The following data sources were used:
•
•
•
•
•
•
Office of National Statistics Mid-2013 Population Estimates (www.ons.gov.uk)
English Indices of Deprivation (www.gov.uk/government/statistics/english-indices-ofdeprivation-2010)
Primary Care Mortality Database
Health and Social Care Information Centre (http://indicators.ic.nhs.uk)
Public Health Profiles (http://fingertips.phe.org.uk)
Local Alcohol Profiles for England (www.lape.org.uk)
Pharmacy Service Provision
All pharmacy contractors have been contacted to provide up to date information on the
services they provide with the help of the Local Pharmaceutical Committee and via the
consultation process. Pharmacy data has been analysed by Wigan Borough Clinical
Commissioning Group Medicines Management staff.
Stakeholder Engagement
Primarily, stakeholder engagement is via the 60 day public consultation on this
Pharmaceutical Needs Assessment. In addition, a patient satisfaction survey on
pharmacy services will be arranged.
46
Summary of requirements of the PNA
The PNA must relate to:
• The provision of pharmaceutical services by community pharmacies and dispensing
appliance contractors
• The provision of local pharmaceutical services under a Local Pharmacy Scheme (LPS)
• The dispensing of drugs and appliances by a person on a dispensing doctors list, but
not other NHS services that may be provided by a dispensing doctor
Commissioners must have regard, as far as is practicable, to:
• The Joint Strategic Needs Assessment (JSNA)
• The different needs of members of different groups in its area – age, disability, gender,
reassignment of gender, race, religion or belief, or sexual orientation
• Demography of the area
• Benefits of reasonable choice with regard to pharmaceutical services
• Different needs of different localities
• Pharmaceutical services provided in neighbouring Local Authorities which affect need
or access
• Dispensing services or other NHS services which affect need or access to
pharmaceutical services
• Likely future needs – changes in population or risks to the health and well being of the
population
The PNA must include the following:
• Necessary services: current provision – a statement of the pharmaceutical services
that the Local Authority has identified that are provided which are necessary to meet
the need for pharmaceutical services in its area
• Necessary services: gaps in provision – a statement of the pharmaceutical services
that the Local Authority has identified (if it has) as services that are not provided in the
area but which the Local Authority is satisfied need to be provided either immediately
or in specified future circumstances
• Other relevant services: current provision – a statement of the pharmaceutical services
that the Local Authority has identified (if it has) as services, which although they are
not necessary to meet the need for pharmaceutical services, nevertheless have
secured improvements to or better access to pharmaceutical services
• Improvements and better access: gaps in provision – a statement of the
pharmaceutical services that the Local Authority has identified (if it has) as services
that are not provided but which would secure improvements to or better access to
services either immediately or in specified future circumstances
• Dispensing services: a statement of any dispensing services to which the Local
Authority has had regard in its assessment which affect the need for current or future
pharmaceutical services
• Other NHS services: a statement of any NHS services which affect the need for
current or future pharmaceutical services
• An explanation of how the assessment has been carried out
• Map of provision: a map that identifies the premises at which pharmaceutical services
and dispensing services are provided in the area of the Local Authority
47
Regulations
The PNA for Wigan Borough has been developed in accordance with NHS Pharmaceutical
Services Regulations and associated guidance produced by the Department of Health.
The full regulations and guidance can be found at the following links:
Regulations:
www.legislation.gov.uk/uksi/2013/349/part/2/made
Guidance:
http://www.gov.uk/government/publications/pharmaceutical-needs-assessmentsinformation-pack
48
Appendix 2 – Pharmacies in Wigan Borough
Code
Trade name
Address1
Address2
Postcode
FGN59
Abram Pharmacy
358 Warrington Road
Abram
WN2 5XA
FLK57
Appley Bridge
Pharmacy
53 Woodnook Road
Appley Bridge
WN6 9JR
FHL39
Asda Pharmacy
Asda Superstore
Atherleigh Way
WN7 5RZ
FKH90
Asda Pharmacy
Soho Street
Wigan
WN5 0XA
FYQ21
Boots
22-23 Grand Arcade
Wigan
WN1 1BH
FAT70
Boots the Chemist
Unit 8a, The Gerard
Centre
Gerard Street
WN4 9AN
FMF32
Boots the Chemist
82 Market Street
Atherton
M46 0DP
FJK23
Boots the Chemist
29/31 Bradshawgate
Leigh
WN7 4NB
FRG44
Boots the Chemist
Robin Park
37 Loire Drive
WN5 0UH
FRE68
Bradshaw Street
Pharmacy
Bradshaw Street
Orrell
WN5 0AB
FRF02
Cohens Chemist
Ormerod House,
Atherton Health Centre
Nelson Street
M46 0LE
FHH13
Cohens Chemist
36 Braithwaite Road
Lowton
WA3 2HY
FDH71
Cohens Chemist
259c Orrell Road
Orrell
WN5 8NB
FHG83
Co-operative
Pharmacy
56 Church Street
Orrell
WN5 8TQ
FDH26
Davina Pharmacy
Ltd
155 Elliott St
Tyldesley
M29 8FL
FM634
England
Pharmacy
280 Gidlow Lane
Wigan
WN6 7PG
FQP74
George Wilson
Pemberton Primary
Care Resource Centre
Sherwood Dr,
Pemberton
WN5 9QX
FDP26
Golborne Late
Night Chemist
98 High Street
Golborne
WA3 3DA
FYQ60
Tims and Parker
Leigh Health Centre,
The Avenue
Leigh
WN7 1HR
FMH96
Hawkley
Pharmacy
54 Carr Lane
Hawkley Hall
WN3 5ND
FXV58
Hindley Health
Centre Pharmacy
17 Liverpool Road
Hindley
WN2 3HQ
FGM90
Cohens Chemist
47a High Street
Standish
WN6 0HL
49
Code
Trade name
Address1
Address2
Postcode
FLP99
J Morris Pharmacy
109 Wigan Road
Ashton-in-Makerfield
WN4 9BH
38B Gathurst Lane
Shevington
WN6 8HW
42 High Street
Standish
WN6 0HF
FC923
FLR88
J.E. & N.A.
Richardson
Chemist Ltd
JE + NA
Richardson
(Chemists) Ltd
FJG67
Tims and Parker
Claire House, Phoenix
Way
Ince
WN3 4NW
FVX03
Liverpool Road
Pharmacy
612 Liverpool Road
Platt Bridge
WN2 5BB
FTF35
Lloyds Pharmacy
23 Church Street
Atherton
M46 9DE
FWN99
Lloyds Pharmacy
36-38 Market Street
Atherton
M46 0DG
FW814
Lloyds Pharmacy
147-149 Elliott Street
Tyldesley
M29 8FL
FCW22
Lloyds Pharmacy
91A Mesnes Street
Wigan
WN1 1QJ
FL336
Lloyds Pharmacy
41 Standishgate
Wigan
WN1 1UP
FEA28
Lloyds Pharmacy
234 Scholes
Wigan
WN1 3NH
FJD69
Manor Pharmacy
12 The Centre
Higher Fold
WN7 2XT
FLX23
Manor Pharmacy
90-92 Manchester Road
Leigh
WN7 2LD
FQF30
Manor Pharmacy
4 Gathurst Lane
Shevington
WN6 8HA
FFH39
Manor Pharmacy
Boston Health Centre
Frog Lane
WN6 7LB
FQ045
Manor Pharmacy
Chandler House
Poolstock Lane
WN3 5HL
FM484
Manor Pharmacy
8 Worsley Mesnes Drive
Wigan
WN3 5TE
FLL04
New Springs
Pharmacy
21 Wigan Road
New Springs
WN2 1DH
FAL71
Platt Bridge Health
Centre Pharmacy
Rivington Ave
Platt Bridge
WN2 5NG
FJR77
Rowlands
Pharmacy
Ashton Medical Centre
120 Wigan Road
WN4 9SU
FA756
Rowlands
Pharmacy
5 Oaklands Road
Lowton
WA3 2LA
FXG57
Rowlands
Pharmacy
Sainsburys Supermarket
Parsonage Retail Park
WN7 5SJ
FK754
Rowlands
Pharmacy
475 Wigan Road
Leigh
WN7 5HQ
50
Code
Trade name
Address1
Address2
Postcode
FVM22
Rowlands
Pharmacy
391 Manchester Road
Astley
M29 7BY
FEY33
Rowlands
Pharmacy
52 Marsh Green
Wigan
WN5 0PU
FGN21
Sainsbury's
Pharmacy
Sainsbury's
Supermarket
Worthington Way
WN3 6XE
FW187
Standish
Pharmacy
15 Preston Road
Standish
WN6 0HR
FGM80
Tesco Pharmacy
Central Park Way
Wigan
WN1 1XF
FR006
The Co-operative
Pharmacy
97-99 High Street
Golborne
WA3 3BU
FLA12
The Co-operative
Pharmacy
62 High St
Golborne
WA3 3BH
FY680
The Co-operative
Pharmacy
Hindley Medical Centre
109 Ladies Lane
WN2 2QG
FJ016
The Co-operative
Pharmacy
1 Coldalhurst Lane
Astley
M29 7BS
FY111
The Co-operative
Pharmacy
216 Ormskirk Rd
Newtown
WN5 9ED
FNH71
Tims and Parker
76 Bradshawgate
Leigh
WN7 4NP
FPE00
Tims and Parker
Derby Street East
Leigh
WN7 2PD
FKK46
Tims and Parker
11 College Street
Leigh
WN7 2RB
FKX71
Trayners Chemist
108 Market Street
Hindley
WN2 3AY
FXM89
WA Salter
(Chemist) Ltd
4 Moorside, Scott Lane
Aspull
WN2 1XW
FA200
WA Salter
(Chemist) Ltd
7 Ince Green Lane
Ince
WN2 2AR
FPC22
WA Salter
(Chemist) Ltd
11 Mesnes St
Wigan
WN1 1QP
FGL99
WA Salter
(Chemists) Ltd
760 Atherton Road
Hindley Green
WN2 4SB
FG017
Your Local Boots
Pharmacy
254-256 Wigan Road
Bryn
WN4 0AR
FRW39
Your Local Boots
Pharmacy
91 Holmes House Ave
Winstanley
WN3 6JA
FMR35
Your Local Boots
Pharmacy
765 Ormskirk Road
Pemberton
WN5 8AT
FX694
Shevington
Community
Pharmacy
The Surgery, Houghton
Lane
Shevington
WN6 8ET
FCV17
Elliott Street
Pharmacy
177 Elliott Street
Tyldesley
M29 8DR
51
Code
Trade name
Address1
Address2
Postcode
FAN14
Imaan Pharmacy
3-7 Borsdane Ave
Hindley
WN2 3QN
FQL08
Asda Pharmacy
Edge Green Lane
Golborne
WA3 3SP
FXW22
Instore Pharmacy
Tesco Stores
Spinning Jenny Way
Leigh
WN7 4PE
FPT79
Manor Pharmacy
The Harriers Building,
Leigh Sports Village
Leigh
WN7 4GX
52
Appendix 3 – General Practices in Wigan Borough
Code
Practice
Address 1
Address 2
Post Code
P92006
Ahmad & Partners
Platt Bridge Health
Centre
Rivington Avenue
Platt Bridge
WN2 5NG
P92637
Astley General
Practice
391 Manchester Road
Astley
M29 7BY
P92605
Anderson & Partner
The Surgery, Mosley
Common Rd
239 Mosley Common
Road
M28 1SF
P92012
Anis & Partner
Golborne Health Centre
Kidglove Road
WA3 3GS
P92034
Ashworth &
Partners
246 Wigan Road
Bryn
WN4 OAR
P92626
Atrey
Ormerod House
Nelson Street
M46 0LE
P92648
Bajaj
Slag Lane Medical
Centre
216 Slag Lane
WA3 2EZ
P92010
Beech Hill Medical
Practice
278 Gidlow Lane
WN6 7PD
P92021
D’Arifat, Shaikh, El
Islam and Wan
Sherwood Drive
Pemberton
WN5 9QX
P92002
Braithwaite Surgery
36 Braithwaite Road
WA3 2HY
P92643
Das
79 Church Street
Town Centre
WN7 1AZ
P92606
Doublet Stewart
Grasmere Surgery,
Leigh Health Centre
The Avenue, Leigh
WN7 1HR
Y02378
Dr Alistair Ashton
Ashton Clinic, Queens
Road,
Ashton in Makerfield
WN4 9SR
Y02378(B1)
Dr Alistair Ashton
Golborne Health Centre
Kidglove Road
WA3 3GS
P92023
Brookmill Medical
Centre
College Street
Leigh
WN7 2RB
P92634
Ellis & Partner
Mesnes View Surgery
Mesnes Street
WN1 1ST
P92615
Esa
The Avenue, Leigh
WN7 1HR
P92602
Foxleigh Family
Surgery
Henry Street, Leigh
WN7 2PE
Y00050
Gupta
The Bridgewater
Medical Centre
Henry Street
WN7 2PE
P92633
Hati Kakoty
Medical Centre, Bee
Fold Lane
Bee Fold Lane
M46 0BD
P92616
Ince Surgery
2 Lord Street
Ince
WN2 2AJ
Y02886
IntraHealth Family
Practice
Leigh Sports Village
Sale Way
WN7 4JY
Beech Hill Medical
Practice
Newtown Medical
Centre
PEMBERTON PCRC
The Surgery,
Braithwaite Rd
Grasmere Surgery,
Leigh Health Centre
Bridgewater Medical
Centre
53
Code
Practice
Address 1
Address 2
Post Code
Y02887
IntraHealth LSV
Leigh Sports Village
Sale Way
WN7 4JY
Y02885
IntraHealth Marsh
Green
Harrow Road
Marsh Green
WN5 0QL
Y02274
IntraHealth Platt
Bridge
Platt Bridge Health
Centre
Y02274(B1)
IntraHealth Platt
Bridge
Lower Ince Health
Centre
Rivington Avenue
Platt Bridge
Lower Ince Health
Centre
Platt Bridge
Y02321(B1)
Intrahealth
Tyldesley
Ormerod House
Atherton Health Centre
WN2 4SB
Y02321
Intrahealth
Tyldesley
Tyldesley Health Centre
Poplar Street
M29 8AX
P92026
Kamath & Partners
Longshoot Health
Centre
Scholes
WN1 3NH
P92033
Khatri C (Mr)
The Surgery, High St
High Street, Tyldesley
M29 8AL
P92646
Khatri K (Mrs)
10 Higher Green Lane
Astley
M29 7HG
Y02322
Leigh Family
Practice
The Bridgewater
Medical Centre
Henry Street
WN7 2PE
Y02322(B1)
Leigh Family
Practice
Leigh Family Practice
475 Wigan Road
WN7 5DE
Y02322(B2)
Leigh Family
Practice
Leigh Family Practice
Richmond Drive
WN7 2XY
P92632
Lewis
Grasmere Surgery,
Leigh Health Centre
The Avenue, Leigh
WN7 1HR
P92620
Lower Ince Surgery
Claire House
Phoenix Way
Ince
WN3 4NW
P92015
Aspull Surgery
The Surgery, Haigh Rd
Haigh Road, Aspull
WN2 1XH
P92607
Martin
Grasmere Surgery,
Leigh Health Centre
The Avenue, Leigh
WN7 1HR
P92642
Marus Bridge
Practice
Chandler House
Poolstock Lane
WN3 5HL
P92623
Maung
Grasmere Surgery,
Leigh Health Centre
The Avenue, Leigh
WN7 1HR
P92003
Mughal and
Partners
The Dicconson Practice
Wigan Health Centre
WN6 7LB
P92017
Munro & Partners
The Surgery, Houghton
Ln
Houghton Lane,
Shevington
WN6 8ET
P92004
Ninan & Partners
The Health Centre,
Liverpool Rd
17 Liverpool Road
Hindley
WN2 3HQ
P92004(B1)
Ninan & Partners
806 Atherton Road
Hindley Green
Hindley
WN2 4SB
P92647
Ollerton
Chandler House
Poolstock Lane
WN3 5HL
WN25NG
WN3 4NW
54
Code
Practice
Address 1
Address 2
Post Code
P92630
Pal & Partner
Morden Avenue
Ashton-in-Makerfield
WN4 9PT
P92630(B1)
Pal & Partner
Golborne Health Centre
Kidglove Road
WA3 3GS
P92019
Pemberton Surgery
Pemberton PCRC
Sherwood Drive
WN5 9QX
P92016
Pennygate Medical
Centre
109 Ladies Lane
Hindley
WN2 2QG
P92041
Pitalia & Partner
Ashton Medical Centre
Ashton-in-Makerfield
WN4 9SU
P92041(B1)
Pitalia & Partner
The Surgery, Bolton Rd
91 Bolton Road
WN4 8AD
P92621
Premier Health
The Bridgewater
Medical Centre
Henry Street
WN7 2PE
P92024
Russell & Partner
Chandler House
Poolstock Lane
WN3 5HL
P92038
Saxena
Winstanley Medical
Centre
Holmes House Avenue,
WN3 6JN
P92030
Seabrook
The Surgery,
Wrightington St
1 Wrightington Street
WN1 2AZ
P92028
Shah
Elliott Street Surgery
145 Elliott Street
M29 8FL
P92639
Shahbazi
Golborne Health Centre
Kidglove road
WA3 3GS
P92653
Shakespeare
Surgery Ltd
Chandler House
Poolstock Lane
WN3 5HL
P92619
Sharma
Ormerod House
Atherton Health Centre
Nelson Street
M46 0LE
P92001
Sharma & Partners
Medicentre, 185 Wigan
Rd
Ashton-in-Makerfield
WN4 9SL
P92020
Sivakumar &
Partner
The Surgery,
Coldalhurst Ln
1 Coldalhurst Lane
M29 7BS
P92011
Smith & Partners
Sullivan Way Surgery
Sullivan Way
WN1 3TB
P92007
Spielman &
Partners
Old Henry Street
Medical Centre
Henry Street
WN7 2PG
P92014
Standish Medical
Practice
Standish Medical
Practice
Church Street, Standish
WN6 0JP
P92008
Suntha & Partners
Bradshaw Street
Medical Centre
Bradshaw Street
WN5 0AB
P92652
Thompson
7 Brooks Medical Centre
21 Church Street
M46 9DE
P92042
KK Chan
Seven Brooks Medical
Centre
21 church street
M46 9DE
P92652(B1)
Thompson
3 Formby Avenue
Atherton
M46 0HX
P92035
Lilford Park Surgery
Leigh Health Centre
The Avenue, Leigh
WN7 1HR
55
Code
Practice
Address 1
Address 2
Post Code
P92029
Trivedi & Partner
429a Warrington Road
Abram
WN2 5XB
P92029(B1)
Trivedi & Partner
The Surgery, Westleigh
Ln
4-12 Westleigh Lane
WN7 5JE
P92031
Ullah
Platt Bridge Health
Centre
Rivington Avenue
Platt Bridge
WN2 5NG
P92635
Vasanth & Partner
Ormerod House
Atherton Health Centre
Nelson Street
M46 0LE
P92651
Xavier
The Surgery, Newtown
Rd
208c Newton Road
WA3 2AQ
P92651(B1)
Xavier
647 Liverpool Road
Platt Bridge
WN2 5BD
P92005
Zaman & Partner
Chandler House
Poolstock Lane
WN3 5HL
56
Appendix 4 – Pharmacy Services - Essential and Advanced Services
Locality 1
ESSENTIAL SERVICES
Code
Pharmacy
FQF30
Manor Pharmacy
4 Gathurst Lane
FC923
JE & NA Richardson Chemist
38B Gathurst Lane
FW187
Standish Pharmacy
15 Preston Road
FX694
Shevington Pharmacy
Houghton Lane
FLK57
Appley Bridge Pharmacy
53 Woodnook Road
FLR88
JE & NA RichardsonChemist
42 High Street
FLL04
New Springs Pharmacy
21 Wigan Road
FGM90
Cohens Chemist
47a High Street
FXM89
WA Salter (Chemist) Ltd
4 Moorside, Scot Lane
FL336
Lloyds Pharmacy
41 Standishgate
FFH39
Manor Pharmacy
Boston House
FYQ21
Boots
22-23 Grand Arcade
FCW22
Lloyds Pharmacy
91A Mesnes Street
Essential
Services
Appliances
Trusses
ADVANCED SERVICES
Consultation
Room Available
Medicines Use
Review
New Medicines
Service
Appliance Use
Review
Stoma Appliance
Customisation
57
ESSENTIAL SERVICES
Code
Pharmacy
FGM80
Tesco Pharmacy
Central Park Way
FJG67
Tims and Parker
Claire House, Phoenix Way
FEA28
Lloyds Pharmacy
234 Scholes
FM634
England Pharmacy
280 Gidlow Lane
FA200
WA Salter (Chemist) Ltd
7 Ince Green Lane
FPC22
WA Salter (Chemist) Ltd
11 Mesnes Street
Essential
Services
Appliances
Trusses
ADVANCED SERVICES
Consultation
Room Available
Medicines Use
Review
New Medicines
Service
Appliance Use
Review
Stoma Appliance
Customisation
58
Locality 2
ESSENTIAL SERVICES
Code
Pharmacy
FRE68
Bradshaw Street Pharmacy
Bradshaw Street
FQ045
Manor Pharmacy
Chandler House
FM484
Blundells Pharmacy
8 Worsley Mesnes Drive
FKH90
Asda Pharmacy
Soho Street
FEY33
Rowlands Pharmacy
52 Marsh Green
FQP74
George Wilson
Pemberton PCRC
FMR35
Your Local Boots Pharmacy
765 Ormskirk Road
FMH96
Hawkley Pharmacy
54 Carr Lane
FRG44
Boots the Chemist
Robin Park
FY111
The Co-operative Pharmacy
216 Ormskirk Road
FRW39
Your Local Boots Pharmacy
91 Holmes House Ave
FDH71
Cohens Chemist
259c Orrell Road
FHG83
The Co-operative Pharmacy
56 Church Street
FGN21
Sainsbury’s Pharmacy
Sainsbury’s Supermarket
Essential
Services
Appliances
Trusses
ADVANCED SERVICES
Consultation
Room Available
Medicines Use
Review
New Medicines
Service
Appliance Use
Review
Stoma Appliance
Customisation
59
Locality 3
ESSENTIAL SERVICES
Code
Pharmacy
FG017
Your Local Boots Pharmacy
254-256 Wigan Road
FJR77
Rowlands Pharmacy
Ashton Medical Centre
FLP99
J Morris Pharmacy
109 Wigan Road
FAT70
Boots the Chemist
Unit 8a, The Gerard Centre
FKX71
Trayners Chemist
108 Market Street
FGN59
Abram Pharmacy
258 Warrington Road
FAL71
Platt Bridge HC Pharmacy
Rivington Ave
FVX03
Liverpool Road Pharmacy
612 Liverpool Road
FY680
The Co-operative Pharmacy
Hindley Medical Centre
FXV58
Hindley HC Pharmacy
17 Liverpool Road
FGL99
WA Salter (Chemist) Ltd
760 Atherton Road
FAN14
Imaan Pharmacy
3-7 Borsdane Ave
Essential
Services
Appliances
Trusses
ADVANCED SERVICES
Consultation
Room Available
Medicines Use
Review
New Medicines
Service
Appliance Use
Review
Stoma Appliance
Customisation
60
Locality 4
ESSENTIAL SERVICES
Code
Pharmacy
FDP26
Golborne Late Night Chemist
98 High Street
FHH13
Cohens Chemist
36a Braithwaite Road
FA756
Rowlands Pharmacy
5 Oaklands Road
FR006
The Co-operative Pharmacy
97-99 High Street
FLA12
The Co-operative Pharmacy
62 High Street
FLX23
Manor Pharmacy
90-92 Manchester Road
FJK23
Boots the Chemist
29/31 Bradshawgate
FJD69
Manor Pharmacy
12 The Centre
FXG57
Rowlands Pharmacy
Sainsbury’s Supermarket
FK754
Rowlands Pharmacy
475 Wigan Road
FYQ60
Tims and Parker
Leigh Health Centre
FNH71
Tims and Parker
76 Bradshawgate
FPW00
Tims and Parker
Derby Street East
FKK46
Tims and Parker
11 College Street
Essential
Services
Appliances
Trusses
ADVANCED SERVICES
Consultation
Room Available
Medicines Use
Review
New Medicines
Service
Appliance Use
Review
Stoma Appliance
Customisation
61
ESSENTIAL SERVICES
Code
Pharmacy
FHL39
Asda Pharmacy
Atherleigh Way
FQL08
Asda Pharmacy
Edge Green Lane
FXW22
Tesco Pharmacy
Spinning Jenny Way
FPT79
Manor Pharmacy
Leigh Sports Village
Essential
Services
Appliances
Trusses
ADVANCED SERVICES
Consultation
Room Available
Medicines Use
Review
New Medicines
Service
Appliance Use
Review
Stoma Appliance
Customisation
62
Locality 5
ESSENTIAL SERVICES
Code
Pharmacy
FRF02
Cohens Chemist
Ormerod House, Atherton
FTF35
Lloyds Pharmacy
23 Church Street
FWN99
Lloyds Pharmacy
36-38 Market Street
FMF32
Boots the Chemist
82 Market Street
FDH26
Davina Pharmacy Ltd
155 Elliott Street
FJ016
The Co-operative Pharmacy
1 Coldalhurst Lane
FW814
Lloyds Pharmacy
147-149 Elliott Street
FVM22
Rowlands Pharmacy
391 Manchester Road
FCV17
Elliott Street Pharmacy
177 Elliott Street
Essential
Services
Appliances
Trusses
ADVANCED SERVICES
Consultation
Room Available
Medicines Use
Review
New Medicines
Service
Appliance Use
Review
Stoma Appliance
Customisation
63
Appendix 5 - Pharmacy Services - Locally Commissioned Services
Locality 1
Code
Pharmacy
FQF30
Manor Pharmacy
4 Gathurst Lane
FC923
JE & NA Richardson Chemist
38B Gathurst Lane
FW187
Standish Pharmacy
15 Preston Road
FLK57
Appley Bridge Pharmacy
53 Woodnook Road
FLR88
JE & NA Richardson Chemist
42 High Street
FX694
Shevington Pharmacy
Houghton Lane
FLL04
New Springs Pharmacy
21 Wigan Road
FGM90
Cohens Chemist
47a High Street
FXM89
WA Salter (Chemist) Ltd
4 Moorside, Scot Lane
FL336
Lloyds Pharmacy
41 Standishgate
FFH39
Manor Pharmacy
Boston House
FYQ21
Boots
12-14 Grand Arcade
FCW22
Lloyds Pharmacy
91A Mesnes Street
Chlamydia
Screening
Emergency
Hormonal
Contraception
Monitored
Dosage
System
Minor
Ailment
Scheme
Needle
Exchange
Palliative
Care
Scheme
Stop
Smoking
Service
Supervised
Consumption
Healthy
Living
Pharmacy
64
Code
Pharmacy
FGM80
Tesco Pharmacy
Central Park Way
FJG67
Tims and Parker
Claire House, Phoenix Way
FEA28
Lloyds Pharmacy
234 Scholes
FM634
England Pharmacy
280 Gidlow Lane
FA200
WA Salter (Chemist) Ltd
7 Ince Green Lane
FPC22
WA Salter (Chemist) Ltd
11 Mesnes Street
Chlamydia
Screening
Emergency
Hormonal
Contraception
Monitored
Dosage
System
Minor
Ailment
Scheme
Needle
Exchange
Palliative
Care
Scheme
Stop
Smoking
Service
Supervised
Consumption
Healthy
Living
Pharmacy
65
Locality 2
Code
Pharmacy
FRE68
Bradshaw Street Pharmacy
Bradshaw Street
FQ045
Manor Pharmacy
Chandler House
FM484
Blundells Pharmacy
8 Worsley Mesnes Drive
FKH90
Asda Pharmacy
Soho Street
FEY33
Rowlands Pharmacy
52 Marsh Green
FQP74
George Wilson
Pemberton PCRC
FMR35
Your Local Boots Pharmacy
765 Ormskirk Road
FMH96
Hawkley Pharmacy
54 Carr Lane
FRG44
Boots the Chemist
Robin Park
FY111
The Co-operative Pharmacy
216 Ormskirk Road
FRW39
Your Local Boots Pharmacy
91 Holmes House Ave
FDH71
Cohens Chemist
259c Orrell Road
FHG83
The Co-operative Pharmacy
56 Church Street
FGN21
Sainsbury’s Pharmacy
Sainsbury’s Supermarket
Chlamydia
Screening
Emergency
Hormonal
Contraception
Monitored
Dosage
System
Minor
Ailment
Scheme
Needle
Exchange
Palliative
Care
Scheme
Stop
Smoking
Service
Supervised
Consumption
Healthy Living
Pharmacy
66
Locality 3
Code
Pharmacy
FG017
Your Local Boots Pharmacy
254-256 Wigan Road
FJR77
Rowlands Pharmacy
Ashton Medical Centre
FLP99
J Morris Pharmacy
109 Wigan Road
FAT70
Boots the Chemist
Unit 8a, The Gerard Centre
FKX71
Trayners Chemist
108 Market Street
FGN59
Abram Pharmacy
258 Warrington Road
FAL71
Platt Bridge Health Ctr Pharmacy
Rivington Ave
FVX03
Liverpool Road Pharmacy
612 Liverpool Road
FY680
The Co-operative Pharmacy
Hindley Medical Centre
FXV58
Hindley Health Centre Pharmacy
17 Liverpool Road
FGL99
WA Salter (Chemist) Ltd
760 Atherton Road
FAN14
Imaan Pharmacy
3-7 Borsdane Ave
Chlamydia
Screening
Emergency
Hormonal
Contraception
Monitored
Dosage
System
Minor
Ailment
Scheme
Needle
Exchange
Palliative
Care
Scheme
Stop
Smoking
Service
Supervised
Consumption
Healthy Living
Pharmacy
67
Locality 4
Code
Pharmacy
FDP26
Golborne Late Night Chemist
98 High Street
FHH13
Cohens Chemist
36a Braithwaite Road
FA756
Rowlands Pharmacy
5 Oaklands Road
FR006
The Co-operative Pharmacy
97-99 High Street
FLA12
The Co-operative Pharmacy
62 High Street
FLX23
Manor Pharmacy
90-92 Manchester Road
FJK23
Boots the Chemist
29/31 Bradshawgate
FJD69
Manor Pharmacy
12 The Centre
FXG57
Rowlands Pharmacy
Sainsbury’s Supermarket
FK754
Rowlands Pharmacy
475 Wigan Road
FYQ60
Tims and Parker
Leigh Health Centre
FNH71
Tims and Parker
76 Bradshawgate
FPW00
Tims and Parker
Derby Street East
FKK46
Tims and Parker
11 College Street
Chlamydia
Screening
Emergency
Hormonal
Contraception
Monitored
Dosage
System
Minor
Ailment
Scheme
Needle
Exchange
Palliative
Care
Scheme
Stop
Smoking
Service
Supervised
Consumption
Healthy
Living
Pharmacy
68
Code
Pharmacy
FHL39
Asda Pharmacy
Atherleigh Way
FQL08
Asda Pharmacy
Edge Green Lane
FXW22
Instore Pharmacy Tesco Stores
Spinning Jenny Way
FPT79
Manor Pharmacy
Leigh Sports Village
Chlamydia
Screening
Emergency
Hormonal
Contraception
Monitored
Dosage
System
Minor
Ailment
Scheme
Needle
Exchange
Palliative
Care
Scheme
Stop
Smoking
Service
Supervised
Consumption
Healthy
Living
Pharmacy
69
Locality 5
Code
Pharmacy
FRF02
Cohens Chemist
Ormerod House, Atherton HC
FTF35
Lloyds Pharmacy
23 Church Street
FWN99
Lloyds Pharmacy
36-38 Market Street
FMF32
Boots the Chemist
82 Market Street
FDH26
Davina Pharmacy Ltd
155 Elliott Street
FJ016
The Co-operative Pharmacy
1 Coldalhurst Lane
FW814
Lloyds Pharmacy
147-149 Elliott Street
FVM22
Rowlands Pharmacy
391 Manchester Road
FCV17
Elliott Street Pharmacy
177 Elliott Street
Chlamydia
Screening
Emergency
Hormonal
Contraception
Monitored
Dosage
System
Minor
Ailment
Scheme
Needle
Exchange
Palliative
Care
Scheme
Stop
Smoking
Service
Supervised
Consumption
Healthy
Living
Pharmacy
70
Appendix 6 - Pharmacy Access
Locality 1
Code
FQF30
FC923
FW187
FX694
FLK57
FLR88
FLL04
FGM90
FXM89
FL336
FFH39
FYQ21
FCW22
Pharmacy
Wheelchair
Access
Hearing
Loop
Parking within
100 Metres
Bus Stop within
100 Metres
Train Station
within 500 Metres
Prescription
Collection
Prescription
Delivery
Manor Pharmacy
4 Gathurst Lane
JE & NA Richardson Chemist
38B Gathurst Lane
Standish Pharmacy
15 Preston Road
Shevington Pharmacy
Houghton Lane
Appley Bridge Pharmacy
53 Woodnook Road
JE & NA Richardson Chemist
42 High Street
New Springs Pharmacy
21 Wigan Road
Cohens Chemist
47a High Street
WA Salter (Chemist) Ltd
4 Moorside, Scot Lane
Lloyds Pharmacy
41 Standishgate
Manor Pharmacy
Boston House
Boots
22-23 Grand Arcade
Lloyds Pharmacy
91A Mesnes Street
71
Code
FGM80
FJG67
FEA28
FM634
FA200
FPC22
Pharmacy
Wheelchair
Access
Hearing
Loop
Parking within
100 Metres
Bus Stop within
100 Metres
Train Station
within 500 Metres
Prescription
Collection
Prescription
Delivery
Tesco Pharmacy
Central Park Way
Tims and Parker
Claire House, Phoenix Way
Lloyds Pharmacy
234 Scholes
England Pharmacy
280 Gidlow Lane
WA Salter (Chemist) Ltd
7 Ince Green Lane
WA Salter (Chemist) Ltd
11 Mesnes Street
72
Locality 2
Code
FRE68
FQ045
FM484
FKH90
FEY33
FQP74
FMR35
FMH96
FRG44
FY111
FRW39
FDH71
FHG83
FGN21
Pharmacy
Wheelchair
Access
Hearing
Loop
Parking within
100 Metres
Bus Stop within
100 Metres
Train Station
within 500 Metres
Prescription
Collection
Prescription
Delivery
Bradshaw Street Pharmacy
Bradshaw Street
Manor Pharmacy
Chandler House
Blundells Pharmacy
8 Worsley Mesnes Drive
Asda Pharmacy
Soho Street
Rowlands Pharmacy
52 Marsh Green
George Wilson
Pemberton PCRC
Your Local Boots Pharmacy
765 Ormskirk Road
Hawkley Pharmacy
54 Carr Lane
Boots the Chemist
Robin Park
The Co-operative Pharmacy
216 Ormskirk Road
Your Local Boots Pharmacy
91 Holmes House Ave
Cohens Chemist
259c Orrell Road
The Co-operative Pharmacy
56 Church Street
Sainsbury’s Pharmacy
Sainsbury’s Supermarket
73
Locality 3
Code
FG017
FJR77
FLP99
FAT70
FKX71
FGN59
FAL71
FVX03
FY680
FXV58
FGL99
FAN14
Pharmacy
Wheelchair
Access
Hearing
Loop
Parking within
100 Metres
Bus Stop within
100 Metres
Train Station
within 500 Metres
Prescription
Collection
Prescription
Delivery
Your Local Boots Pharmacy
254-256 Wigan Road
Rowlands Pharmacy
Ashton Medical Centre
J Morris Pharmacy
109 Wigan Road
Boots the Chemist
Unit 8a, The Gerard Centre
Trayners Chemist
108 Market Street
Abram Pharmacy
258 Warrington Road
Platt Bridge HC Pharmacy
Rivington Ave
Liverpool Road Pharmacy
612 Liverpool Road
The Co-operative Pharmacy
Hindley Medical Centre
Hindley HC Pharmacy
17 Liverpool Road
WA Salter (Chemist) Ltd
760 Atherton Road
Imaan Pharmacy
3-7 Borsdane Ave
74
Locality 4
Code
FDP26
FHH13
FA756
FR006
FLA12
FLX23
FJK23
FJD69
FXG57
FK754
FYQ60
FNH71
FPW00
FKK46
Pharmacy
Wheelchair
Access
Hearing
Loop
Parking within
100 Metres
Bus Stop within
100 Metres
Train Station
Prescription
within 500 Metres Collection
Prescription
Delivery
Golborne Late Night Chemist
98 High Street
Cohens Chemist
36a Braithwaite Road
Rowlands Pharmacy
5 Oaklands Road
The Co-operative Pharmacy
97-99 High Street
The Co-operative Pharmacy
62 High Street
Manor Pharmacy
90-92 Manchester Road
Boots the Chemist
29/31 Bradshawgate
Manor Pharmacy
12 The Centre
Rowlands Pharmacy
Sainsbury’s Supermarket
Rowlands Pharmacy
475 Wigan Road
Tims and Parker
Leigh Health Centre
Tims and Parker
76 Bradshawgate
Tims and Parker
Derby Street East
Tims and Parker
11 College Street
75
Code
FHL39
FQL08
FXW22
FPT79
Pharmacy
Wheelchair
Access
Hearing
Loop
Parking within
100 Metres
Bus Stop within
100 Metres
Train Station
Prescription
within 500 Metres Collection
Prescription
Delivery
Wheelchair
Access
Hearing
Loop
Parking within
100 Metres
Bus Stop within
100 Metres
Train Station
Prescription
within 500 Metres Collection
Prescription
Delivery
Asda Pharmacy
Atherleigh Way
Asda Pharmacy
Edge Green Lane
Tesco Pharmacy
Spinning Jenny Way
Manor Pharmacy
Leigh Sports Village
Locality 5
Code
Pharmacy
Cohens Chemist
Ormerod House, Atherton
Lloyds Pharmacy
FTF35
23 Church Street
Lloyds Pharmacy
FWN99
36-38 Market Street
Boots the Chemist
FMF32
82 Market Street
Davina Pharmacy Ltd
FDH26
155 Elliott Street
The Co-operative Pharmacy
FJ016
1 Coldalhurst Lane
Lloyds Pharmacy
FW814
147-149 Elliott Street
Rowlands Pharmacy
FVM22
391 Manchester Road
Elliott Street Pharmacy
FCV17
177 Elliott Street
FRF02
76
Appendix 7 - Pharmacy and General Practice Opening Hours
Locality 1
Code
Pharmacy or General Practice
P92014
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Standish Medical Practice
High Street, Standish
08:15 – 18:30
08:15 – 20:30
08:15 – 18:00
08:15 – 18:30
08:15 – 18:30
FW187
Standish Pharmacy
15 Preston Road
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
FLR88
JE & NA Richardson Chemist
42 High Street
09:00 – 18:30
09:00 – 18:30
09:00 – 17:00
09:00 – 18:30
09:00 – 18:30
FGM90
Cohens Chemist
47a High Street
08:30 – 17:00
08:30 – 17:00
08:30 – 17:00
08:30 – 17:00
08:30 – 17:00
P92017
Shevington Surgery
Houghton Lane
08:30 - 12:30
13:30 - 20:00
08:30 - 12:30
13:30 - 20:00
08:30 - 12:30
13:30 - 16:30
08:30 - 12:30
13:30 - 20:00
08:30 - 12:30
13:30 - 18:30
FLK57
Appley Bridge Pharmacy
53 Woodnook Road
09:00 – 18:30
09:00 – 18:30
09:00 – 17:00
09:00 – 18:30
09:00 – 18:30
09:00 – 13:00
FX694
Shevington Pharmacy
Houghton Lane
07:00 – 22:00
07:00 – 22:00
07:00 – 22:00
07:00 – 22:00
07:00 – 22:00
07:00 – 22:00
FQF30
Manor Pharmacy
4 Gathurst Lane
09:00 - 13:00
14:00 - 18:30
09:00 - 13:00
14:00 - 18:30
09:00 - 13:00
14:00 - 17:00
09:00 - 13:00
14:00 - 18:30
09:00 - 13:00
14:00 - 18:30
09:00 - 13:00
14:00 - 17:00
FC923
JE & NA Richardson Chemist
38B Gathurst Lane
09:00 – 18:30
09:00 – 18:30
09:00 – 17:30
09:00 – 18:30
09:00 – 18:30
P92015
Aspull Surgery
Haigh Road
08:30 – 20:00
08:30 – 18:30
08:00 – 13:00
08:30 – 20:00
08:30 – 18:30
FXM89
WA Salter (Chemist) Ltd
4 Moorside, Scot Lane
09:00 - 13:00
14:00 - 18:00
09:00 - 13:00
14:00 - 18:00
09:00 – 13:00
09:00 - 13:00
14:00 - 18:00
09:00 - 13:00
14:00 - 18:00
09:00 – 13:00
FLL04
New Springs Pharmacy
21 Wigan Road
09:00 – 19:00
09:00 – 19:00
09:00 – 19:00
09:00 – 19:00
09:00 – 19:00
09:00 – 13:00
Sunday
09:00 – 13:00
09:00 – 17:00
10:00 – 20:00
77
Code
Pharmacy or General Practice
P92010
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Beech Hill Medical Practice
Gidlow Lane
07:00 – 20:00
08:00 – 18:30
08:00 – 13:00
07:00 – 20:00
08:00 – 18:30
FM634
England Pharmacy
280 Gidlow Lane
08:15 – 19:00
08:15 – 19:00
08:15 – 17:30
08:15 – 19:00
08:15 – 19:00
P92003
Mughal and Partners
Boston House
07:00 - 12:30
13:30 - 18:15
07:00 - 12:30
13:30 - 18:15
08:30 - 12:30
13:30 - 18:15
08:30 - 12:30
13:30 - 18:15
08:30 - 12:30
13:30 - 18:15
FFH39
Manor Pharmacy
Boston House
08:30 - 12:30
13:30 - 18:30
08:30 - 12:30
13:30 - 18:30
08:30 - 13:00
14:00 - 17:00
08:30 - 12:30
13:30 - 18:30
08:30 - 12:30
13:30 - 18:30
P92030
Seabrook
Wrightington Street
08:00 – 18:00
07:00 – 18:00
08:30 – 13:00
07:00 – 18:00
08:00 – 18:00
P92635
Ellis and Partners
Mesnes Street
08:00 – 21:00
08:00 – 18:00
08:00 – 13:00
08:00 – 18:00
08:00 – 18:00
FCW22
Lloyds Pharmacy
91A Mesnes Street
08:30 – 18:00
08:30 – 18:00
08:30 – 18:00
08:30 – 18:00
08:30 – 18:00
FPC22
WA Salter (Chemist) Ltd
11 Mesnes Street
09:00 – 18:00
09:00 – 18:00
09:00 – 17:00
09:00 – 18:00
09:00 – 18:00
09:00 – 17:00
FL336
Lloyds Pharmacy
41 Standishgate
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:00
FYQ21
Boots
22-23 Grand Arcade
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 20:00
09:00 – 18:00
09:00 – 18:00
P92011
Smith and Partners
Sullivan Way
08:30 – 18:30
08:30 – 18:30
08:30 – 13:00
08:30 – 18:30
08:30 – 18:30
09:30 – 12:30
P92026
Kamath and Partners
Longshoot Health Centre
07:00 – 20:00
07:00 – 20:00
07:00 – 13:00
07:00 – 20:00
08:30 – 18:00
FGM80
Tesco Pharmacy
Central Park Way
08:00 – 22:00
08:00 – 22:00
08:00 – 22:00
08:00 – 22:00
08:00 – 22:00
08:00 – 20:00
FEA28
Lloyds Pharmacy
234 Scholes
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 13:00
P92616
Ince Surgery
Manchester Road
08:00 – 18:30
08:00 – 18:30
08:00 – 13:30
08:00 – 20:00
08:00 – 18:30
FA200
WA Salter (Chemist) Ltd
7 Ince Green Lane
09:00 - 13:15
14:15 - 18:00
09:00 - 13:15
14:15 - 18:00
09:00 – 13:00
09:00 - 13:15
14:15 - 18:00
09:00 - 13:15
14:15 - 18:00
Sunday
08:15 – 16:00
09:00 – 13:00
11:00 – 17:00
10:00 – 16:00
09:00 – 13:00
78
Code
Pharmacy or General Practice
P92620
FJG67
Monday
Tuesday
Wednesday
Thursday
Friday
Lower Ince Surgery
Claire House
08:00 – 18:30
08:00 – 18:30
08:00 – 20:00
08:00 – 18:30
08:00 – 18:30
Tims and Parker
Claire House, Phoenix Way
08:30 – 18:30
08:30 – 18:30
08:30 – 18:30
08:30 – 18:30
08:30 – 18:30
Saturday
Sunday
09:00 – 13:00
79
Locality 2
Code
Pharmacy or General Practice
Y02885
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
IntraHealth Marsh Green
Harrow Road
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 12:00
FEY33
Rowlands Pharmacy
52 Marsh Green
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
FRG44
Boots the Chemist
Robin Park
09:00 – 20:00
09:00 – 20:00
09:00 – 20:00
09:00 – 20:00
09:00 – 20:00
09:00 – 18:00
10:00 – 17:00
FKH90
Asda Pharmacy
Soho Street
08:00 – 22:00
08:00 – 22:00
08:00 – 22:00
08:00 – 22:00
08:00 – 22:00
08:00 – 22:00
10:30 – 16:30
P92008
Bradshaw Medical Practice
Bradshaw Street
08:00 – 20:00
08:00 – 18:30
08:00 – 13:00
08:00 – 20:00
08:00 – 18:30
FRE68
Bradshaw Street Pharmacy
Bradshaw Street
08:30 – 18:15
08:30 – 18:15
08:00 – 16:00
08:30 – 18:15
08:30 – 18:15
FHG83
The Co-operative Pharmacy
56 Church Street
08:30 – 19:00
08:30 – 18:00
08:30 – 18:00
08:30 – 19:00
08:30 – 16:00
FDH71
Cohens Chemist
259c Orrell Road
09:00 – 17:00
09:00 – 17:00
09:00 – 14:00
09:00 – 17:00
09:00 – 17:00
P92021
Newtown Medical Practice
Pemberton PCRC
08:30 – 18:00
08:30 – 18:00
08:30 – 13:00
08:30 – 18:00
08:30 – 18:00
P92019
Pemberton Surgery
Pemberton PCRC
08:00 – 20:30
08:00 – 18:30
08:00 – 13:30
08:00 – 20:00
08:00 – 18:30
FQP74
George Wilson
Pemberton PCRC
08:30 – 18:00
08:30 – 18:00
08:30 – 17:00
08:30 – 18:00
08:30 – 18:00
09:00 – 12:30
FMR35
Your Local Boots Pharmacy
765 Ormskirk Road
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 17:30
FY111
The Co-operative Pharmacy
216 Ormskirk Road
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 17:30
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
P92642
Marus Bridge Practice
Chandler House
07:00 – 20:00
08:00 – 18:30
08:00 – 13:00
08:00 – 18:30
08:00 – 18:30
09:00 – 12:00
09:00 – 12:00
80
Code
Pharmacy or General Practice
P92647
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Ollerton
Chandler House
08:00 – 18:30
08:00 – 20:30
08:00 – 13:00
08:00 – 18:30
08:00 – 18:30
P92024
Russell and Partners
Chandler House
07:00 – 20:00
08:00 – 18:30
08:00 – 13:00
07:00 – 18:30
08:00 – 18:30
P92005
Zaman and Partner
Chandler House
08:30 – 12:00
13:00 – 20:30
08:30 – 12:00
13:00 – 20:30
08:30 – 12:00
08:30 – 12:00
13:00 – 18:00
08:30 – 12:00
13:00 – 18:00
P92653
Shakespeare Surgery Ltd
Chandler House
08:15 – 18:30
08:15 - 18:30
08:15 – 13:00
08:15 – 18:30
08:15 – 18:30
FQ045
Manor Pharmacy
Chandler House
08:30 – 13:00
14:15 – 18:30
08:30 – 13:00
14:15 – 18:30
08:30 – 13:00
14:00 – 16:00
08:30 – 13:00
14:15 – 18:30
08:30 – 13:00
14:15 – 18:30
FM484
Blundells Pharmacy
8 Worsley Mesnes Drive
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 17:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
FMH96
Hawkley Pharmacy
54 Carr Lane
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 12:30
P92038
Saxena
Winstanley Medical Practice
08:00 – 18:30
08:00 – 20:00
08:00 – 13:00
08:00 – 18:30
08:00 – 18:30
FRW39
Your Local Boots Pharmacy
91 Holmes House Ave
09:00 – 18:00
09:00 – 18:00
09:00 – 17:30
09:00 – 18:00
09:00 – 18:00
09:00 – 17:30
FGN21
Sainsbury’s Pharmacy
Sainsbury’s Supermarket
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 21:00
08:00 – 21:00
08:00 – 19:00
Sunday
10:00 – 16:00
81
Locality 3
Code
Pharmacy or General Practice
P92016
Monday
Tuesday
Wednesday
Thursday
Friday
Pennygate Medical Centre
109 Ladies Lane
07:00 – 18:00
07:00 – 18:00
07:00 – 13:00
07:00 – 20:00
07:00 – 18:00
FY680
The Co-operative Pharmacy
Hindley Medical Centre
08:30 – 18:30
08:30 – 18:30
08:30 – 18:30
08:30 – 18:30
08:30 – 18:30
09:30 – 11:30
P92004
Ninan and Partner
Liverpool Road
08:00 – 20:30
08:00 – 18:30
08:00 – 17:00
07:00 – 18:30
08:00 – 18:30
09:00 – 11:00
FXV58
Hindley HC Pharmacy
17 Liverpool Road
08:30 – 19:00
08:30 – 19:00
08:30 – 17:00
08:30 – 19:00
08:30 – 19:00
09:00 – 11:00
FKX71
Trayners Chemist
108 Market Street
08:00 – 18:00
08:00 – 18:00
08:00 – 16:00
08:00 – 18:00
08:00 – 18:00
08:00 – 14:00
FAN14
Imaan Pharmacy
3-7 Borsdane Ave
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 13:00
FGL99
WA Salter (Chemist) Ltd
760 Atherton Road
09:00 – 14:00
15:00 – 18:00
09:00 – 14:00
15:00 – 18:00
09:00 – 17:00
09:00 – 14:00
15:00 – 18:00
09:00 – 14:00
15:00 – 18:00
P92006
Ahmad and Partners
Platt Bridge HC
08:30 – 20:15
08:30 – 18:00
08:30 – 13:00
08:30 – 20:15
08:30 – 18:00
P92031
Ullah
Platt Bridge HC
08:30 – 18:00
08:30 – 20:15
08:30 – 13:00
08:30 – 18:00
08:30 – 18:00
Y02274
IntraHealth Platt Bridge
Platt Bridge HC
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
B
Xavier
647 Liverpool Rd
08:30 – 18:00
08:30 – 18:00
09:00 – 13:00
08:30 – 18:00
08:30 – 18:00
FAL71
Platt Bridge HC Pharmacy
Rivington Ave
08:30 – 13:30
14:30 – 18:30
08:30 – 13:30
14:30 – 18:30
08:30 – 13:30
14:30 – 18:30
08:30 – 13:30
14:30 – 18:30
08:30 – 13:30
14:30 – 18:30
FVX03
Liverpool Road Pharmacy
612 Liverpool Road
09:00 – 12:30
13:30 – 18:00
09:00 – 12:30
13:30 – 18:00
09:00 – 12:30
13:30 – 18:00
09:00 – 12:30
13:30 – 18:00
09:00 – 12:30
13:30 – 18:00
P92029
Trivedi and Partner
429a Warrington Road
08:30 – 18:30
08:30 – 19:30
08:30 – 13:00
08:30 – 18:00
08:30 – 18:30
P92651
Saturday
Sunday
08:00 – 12:00
09:00 – 12:30
82
Code
Pharmacy or General Practice
FGN59
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Abram Pharmacy
258 Warrington Road
09:00 – 13:00
14:15 – 18:15
09:00 – 13:00
14:15 – 18:00
09:00 – 13:00
09:00 – 13:00
14:15 – 18:00
09:00 – 13:00
14:15 – 18:00
P92034
Ashworth and Partners
246 Wigan Rd
08:30 – 18:30
08:30 – 18:30
08:30 – 13:00
08:30 – 18:30
08:30 – 18:30
07:00 – 10:00
Y02378
Dr Alistair Ashton
233 Wigan Road
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 12:00
P92001
Sharma and Partners
Medicentre, 185 Wigan Rd
08:00 – 12:00
13:00 – 20:00
08:00 – 12:00
13:00 – 18:30
08:00 – 12:00
08:00 – 12:00
13:00 – 20:00
08:00 – 12:00
13:00 – 18:30
FG017
Your Local Boots Pharmacy
254-256 Wigan Road
09:00 – 22:00
09:00 – 22:00
09:00 – 22:00
09:00 – 22:00
09:00 – 22:00
09:00 – 22:00
P92041
Pitalia and Partner
Ashton Medical Centre
08:00 – 20:00
08:00 – 18:30
08:00 – 20:00
08:00 – 18:30
08:00 – 18:30
09:00 – 11:30
P92630
Pal and Partner
Ashton Medical Centre
08:00 – 18:30
08:00 – 19:30
08:00 – 18:30
08:00 – 13:00
08:00 – 18:30
FJR77
Rowlands Pharmacy
Ashton Medical Centre
09:00 – 13:00
14:00 – 18:30
09:00 – 13:00
14:00 – 18:30
09:00 – 13:00
14:00 – 18:30
09:00 – 13:00
14:00 – 18:30
09:00 – 13:00
14:00 – 18:30
FLP99
J Morris Pharmacy
109 Wigan Road
09:00 – 18:30
09:00 – 18:30
09:00 – 18:30
09:00 – 18:30
09:00 – 18:30
09:00 – 13:00
FAT70
Boots the Chemist
Unit 8a, The Gerard Centre
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
Sunday
16:00 – 22:00
83
Locality 4
Code
Pharmacy or General Practice
P92012
P92639
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Anis and Partner
Golborne Health Centre
08:15 – 20:00
08:15 – 18:30
08:15 – 15:00
08:15 – 18:30
08:15 – 18:30
09:00 – 12:00
Shahbazi
Golborne Health Centre
08:30 - 13:00
14:00 – 18:00
08:30 - 13:00
14:00 – 18:00
07:30 – 13:00
07:30 - 13:00
14:00 – 19:00
08:30 - 13:00
14:00 – 18:00
B
Dr Alistair Ashton
Golborne Health Centre
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
P92630
B
Pal and Partner
Golborne Health Centre
08:30 – 18:30
08:00 – 18:30
08:00 – 13:00
08:30 – 18:30
08:30 – 18:30
FDP26
Golborne Late Night Chemist
98 High Street
07:00 – 22:00
07:00 – 22:00
07:00 – 22:00
07:00 – 22:00
07:00 – 22:00
FLA12
The Co-operative Pharmacy
62 High Street
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
FR006
The Co-operative Pharmacy
97-99 High Street
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 13:00
FQL08
Asda Pharmacy
Edge Green Lane
08:00 – 23:00
07:00 – 23:00
07:00 – 23:00
07:00 – 23:00
07:00 – 23:00
07:00 – 22:00
P92002
Braithwaite Surgery
Braithwaite Road
08:00 – 20:00
08:00 – 20:00
08:00 – 18:30
08:00 – 18:00
08:00 – 18:30
P92648
Mahadevappa
Slag Lane MC
08:30 – 18:30
08:30 – 18:30
08:30 – 14:00
08:30 – 19:45
08:30 – 18:30
FHH13
Cohens Chemist
36a Braithwaite Road
09:00 – 18:30
09:00 – 18:30
09:00 – 18:30
09:00 – 18:30
09:00 – 18:30
P92651
Xavier
Newton Road, Lowton
08:30 – 18:00
08:30 – 18:00
08:30 – 13:00
08:30 – 18:00
08:30 – 18:00
FA756
Rowlands Pharmacy
5 Oaklands Road
09:00 – 13:00
14:00 – 18:15
09:00 – 13:00
14:00 – 18:15
09:00 – 13:00
14:00 – 18:15
09:00 – 13:00
14:00 – 18:15
09:00 – 13:00
14:00 – 18:00
P92007
Speilman and Partners
Old Henry Street MC
08:20 – 13:00
14:00 – 18:30
08:20 – 13:00
14:00 – 20:00
08:20 – 13:00
08:20 – 13:00
14:00 – 20:00
08:20 – 13:00
14:00 – 18:30
Y02378
Sunday
08:00 – 12:00
07:00 – 22:00
08:00 –18:00
10:00 – 18:00
09:00 – 12:00
09:00 – 13:00
84
Code
Pharmacy or General Practice
P92602
Monday
Tuesday
Wednesday
Thursday
Friday
Foxleigh Surgery
Bridgewater Medical Centre
08:00 – 18:30
08:00 – 20:00
08:00 – 17:00
08:00 – 18:30
08:00 – 18:30
Y00050
Gupta
Bridgewater Medical Centre
08:30 – 19:45
08:30 – 18:00
08:30 – 17:00
08:30 – 18:00
08:30 – 17:00
Y02322
Leigh Family Practice
Bridgewater Medical Centre
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
P92621
Premier Health Team
Bridgewater Medical Centre
08:30 – 18:00
08:30 – 20:00
08:30 – 17:00
08:30 – 13:00
16:00 – 18:00
08:30 – 18:00
FLX23
Manor Pharmacy
90-92 Manchester Road
09:00 – 18:00
09:00 – 18:00
09:00 – 17:00
09:00 – 18:00
09:00 – 18:00
FPE00
Tims and Parker
Derby Street East
09:00 – 13:00
13:30 – 18:00
09:00 – 13:00
13:30 – 18:00
09:00 – 13:00
13:30 – 17:00
09:00 – 13:00
13:30 – 18:00
09:00 – 13:00
13:30 – 18:00
FXW22
Tesco Pharmacy
Spinning Jenny Way
08:00 – 22:30
06:30 – 22:30
06:30 – 22:30
06:30 – 22:30
06:30 – 22:30
P92023
Brookmill Medical Centre
College Street
08:30 – 18:00
08:30 – 20:00
08:30 – 18:00
07:00 – 18:00
08:30 – 18:00
FKK46
Tims and Parker
11 College Street
09:00 – 13:00
13:30 – 17:45
09:00 – 13:00
13:30 – 17:45
09:00 – 13:00
13:30 – 17:45
09:00 – 13:00
13:30 – 17:45
09:00 – 13:00
13:30 – 17:45
08:30 – 18:00
08:30 – 18:00
08:30 – 17:00
08:30 – 18:00
08:30 – 18:00
08:30 – 18:30
08:30 – 18:30
08:30 – 17:00
08:30 – 18:30
08:30 – 18:30
P92035
P92632
Lilford Park Surgery
Leigh Health Centre
Lewis
Leigh Health Centre
P92607
Martin
Leigh Health Centre
08:30 – 18:30
08:30 – 18:30
08:30 – 17:00
08:30 – 18:30
08:30 – 18:30
P92615
Esa
Leigh Health Centre
08:30 – 18:30
08:30 – 18:30
08:30 – 17:00
08:30 – 18:30
08:30 – 18:30
P92623
Maung
Leigh Health Centre
08:30 – 18:30
08:30 – 18:30
08:30 – 17:00
08:30 – 18:30
08:30 – 18:30
P92606
Doublet-Stewart
Leigh Health Centre
08:30 – 18:30
08:30 – 18:30
08:30 – 17:00
08:30 – 18:30
08:30 – 18:30
Saturday
Sunday
08:00 – 12:00
09:00 – 13:00
06:30 – 22:00
11:00 – 19:00
09:00 – 11:00
09:00 – 12:00
85
Code
Pharmacy or General Practice
FYQ60
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Tims and Parker
Leigh Health Centre
08:30 – 20:00
08:30 – 20:00
08:30 – 20:00
08:30 – 20:00
08:30 – 20:00
09:00 – 12:00
11:00 – 14:00
P92643
Das
79 Church Street
08:30 – 13:00
14:00 – 18:00
08:30 – 13:00
14:00 – 18:00
08:30 – 13:00
08:30 – 13:00
14:00 – 19:45
08:30 – 13:00
14:00 – 18:00
FJK23
Boots the Chemist
29/31 Bradshawgate
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
09:00 – 17:30
FNH71
Tims and Parker
76 Bradshawgate
09:00 – 13:00
13:30 – 17:30
09:00 – 13:00
13:30 – 17:30
09:00 – 13:00
13:30 – 17:30
09:00 – 13:00
13:30 – 17:30
09:00 – 13:00
13:30 – 17:30
09:00 – 13:00
13:30 – 17:00
P92029
Trivedi and Partner
The Surgery, Westleigh Ln
08:30 – 18:30
08:30 – 19:30
08:30 – 13:00
08:30 – 18:00
08:30 – 18:30
FHL39
Asda Pharmacy
Atherleigh Way
08:00 – 23:00
07:00 – 23:00
07:00 – 23:00
07:00 – 23:00
07:00 – 23:00
07:00 – 22:00
Y02887
IntraHealth LSV
Leigh Sports Village
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 12:00
Y02886
IntraHealth Family Practice
Leigh Sports Village
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 12:00
FPT79
Manor Pharmacy
Leigh Sports Village
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
Y02322
Leigh Family Practice
6 Richmond Centre
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 12:00
FJD69
Manor Pharmacy
12 The Centre
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
Y02322
Leigh Family Practice
155 Wigan Road
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 12:00
FK754
Rowlands Pharmacy
475 Wigan Road
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
FXG57
Rowlands Pharmacy
Sainsbury’s Supermarket
09:00 – 13:00
13:20 – 20:00
09:00 – 13:00
13:20 – 20:00
09:00 – 13:00
13:20 – 20:00
09:00 – 13:00
13:20 – 20:00
09:00 – 13:00
13:20 – 20:00
B
B
B
09:00 – 13:00
13:20 – 20:00
10:00 – 16:00
10:30 – 13:00
13:20 – 16:30
86
Locality 5
Code
Pharmacy or General Practice
P92626
Monday
Tuesday
Wednesday
Thursday
Friday
Atrey
Ormerod House
08:30 – 19:30
08:30 – 18:30
08:30 – 13:30
08:30 – 20:00
08:30 – 18:30
P92619
Sharma
Ormerod House
08:30 – 19:30
08:30 – 18:30
08:30 – 13:00
08:30 – 20:00
08:30 – 18:30
P92635
Vasanth and Partner
Ormerod House
08:30 – 19:30
08:30 – 18:30
08:30 – 13:00
08:30 – 20:30
08:30 – 20:30
B
IntraHealth Tyldesley
Ormerod House
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 - 20:00
08:00 – 20:00
08:00 – 12:00
P92652
B
Thompson
3 Formby Ave
09:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 12:00
13:30 – 20:00
08:00 – 17:30
09:00 – 12:00
FRF02
Cohens Chemist
Ormerod House, Atherton
09:00 – 18:30
09:00 – 18:30
09:00 – 13:00
09:00 – 18:30
09:00 – 18:30
10:00 – 12:00
P92633
Hati Kakoty
Bee Fold Lane
08:30 – 12:00
13:00 – 18:00
08:30 – 12:00
13:00 – 18:00
07:00 – 13:00
08:30 – 12:00
13:00 – 18:00
08:30 – 12:00
13:00 – 18:00
P92042
Chan
Seven Brooks MC
08:00 – 12:30
13:30 – 18:00
08:00 – 12:30
13:30 – 18:00
08:00 – 12:30
13:30 – 20:00
07:00 – 12:30
13:30 – 18:00
08:00 – 12:30
13:30 – 18:00
P92652
Thompson
Seven Brooks MC
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 18:30
FTF35
Lloyds Pharmacy
23 Church Street
08:15 – 18:15
08:15 – 20:15
08:15 – 18:15
08:15 – 20:15
08:15 – 18:15
FWN99
Lloyds Pharmacy
36-38 Market Street
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 13:00
FMF32
Boots the Chemist
82 Market Street
08:30 – 18:00
08:30 – 18:00
08:30 – 18:00
08:30 – 18:00
08:30 – 18:00
08:30 – 17:00
Y02321
IntraHealth Tyldesley
Tyldesley Heath Centre
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 20:00
08:00 – 12:00
P92033
Khatri C (Mr)
The Surgery, High St
08:30 – 13:00
14:00 – 20:30
08:30 – 13:00
14:00 – 18:00
08:30 – 13:00
08:30 – 13:00
14:00 – 18:00
08:30 – 13:00
14:00 – 18:00
Y02321
Saturday
Sunday
09:00 – 12:00
87
Code
Pharmacy or General Practice
P92028
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Shah
Elliott Street Surgery
08:30 – 20:15
08:30 – 18:30
08:30 – 13:00
08:30 – 18:30
08:30 – 18:30
FDH26
Davina Pharmacy Ltd
155 Elliott Street
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
14:00 – 18:00
09:00 – 13:00
FCV17
Elliott Street Pharmacy
177 Elliott Street
08:00 – 22:30
08:00 – 22:30
08:00 – 22:30
08:00 – 22:30
08:00 – 22:30
08:00 – 22:30
FW814
Lloyds Pharmacy
147-149 Elliott Street
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 18:00
09:00 – 13:00
P92646
Khatri K (Mrs)
10 Higher Green Lane
08:30 – 13:00
14:00 – 20:00
08:30 – 13:00
14:00 – 18:00
08:30 – 12:00
08:30 – 13:00
14:00 – 18:30
08:30 – 13:00
14:00 – 18:30
P92020
Sivakumar and Partner
1 Coldalhurst Lane
08:00 – 20:15
08:00 – 18:30
08:30 – 12:00
08:30 – 18:30
08:30 – 18:30
FJ016
The Co-operative Pharmacy
1 Coldalhurst Lane
08:30 – 13:00
14:00 – 18:45
08:30 – 13:00
14:00 – 18:45
08:30 – 12:30
08:30 – 13:00
14:00 – 18:45
08:30 – 13:00
14:00 – 18:45
P92637
Astley General Practice
391 Manchester Road
08:00 – 13:00
14:00 – 18:30
08:00 – 13:00
14:00 – 20:00
08:00 – 13:00
08:00 – 13:00
14:00 – 18:30
08:00 – 13:00
14:00 – 18:30
FVM22
Rowlands Pharmacy
391 Manchester Road
09:00 – 13:00
13:20 – 18:30
09:00 – 13:00
13:20 – 18:30
09:00 – 13:00
13:20 – 17:00
09:00 – 13:00
13:20 – 18:30
09:00 – 13:00
13:20 – 18:30
P92605
Anderson and Partner
Mosley Common Rd
08:00 – 18:00
08:00 – 20:00
08:00 – 18:00
08:00 – 20:00
08:00 – 18:00
Sunday
09:30 – 22:30
09:00 – 13:00
88
Appendix 8 - Locality Maps – Pharmacy and General Practice Location
Locality 1a – Standish, Aspull, Shevington
89
Locality 1b – Wigan North
90
Locality 2a – Wigan South
91
Locality 2b – Orrell, Billinge, Winstanley
92
Locality 3a – Ashton, Bryn
93
Locality 3b – Hindley, Abram
94
Locality 4a – Golborne, Lowton
95
Locality 4b – Leigh
96
Locality 5a – Atherton
97
Locality 5b – Tyldesley, Astley
98