1. West Essex Patient group Ongar Health Centre 5th September 2018

2. Agenda Ongar Health Centre statistics Open The Bag Patient On Line Ordering OTC guidance and supporting self care Gluten Free prescribing

3. Who am I and what do I do? Hazel Angus Senior Pharmacist

4. Ongar Health Centre Prescribing Budget for West Essex £40,500,000 Ongar Health Centre Prescribing spend £1,598,000 Ongar Health Centre Prescribing budget £1,692,000 4% of the CCG budget

5. Open the bag Campaign

9. Patient On line What is patient on Line
Patient On line What is patient on Line? What services can patients access using patient on line? How does the patient sign up to this service? Who in the room is signed up to the service?

10. What are the benefits for The patient. The GP surgery
What are the benefits for The patient? The GP surgery? 38% of the surgery population currently use the on line service The Highest use in West Essex is 57%

11. To sign up to the Patient on line service in your surgery Complete the Patient On Line form Show Proof of Identity Receive your log on details Start using the system

12. Over the Counter medication prescribing changes

13. What does the recent Over The Counter medication guidance mean to you
What does the recent Over The Counter medication guidance mean to you? Are you aware of the changes? How can you support the surgery in promoting the campaign?

14. Hay fever tablets Pain killers Heat rubs Sun lotions Tyxilix Tyrozets Dry skin lotions fungal nail infection paint nasal decongestant Calpol Nurofen

15. We are aiming to stop the routine prescribing of products which can be purchased over the counter, and sometimes at a lower cost than that which would be incurred by the NHS – paracetamol is an average of four times as expensive when provided on prescription by the NHS, compared to when it is purchased in pharmacies or supermarkets. It can costs around £34 for 32 on prescription including dispensing and GP consultation fees.

16. Breakdown 12 anti-sickness tablets cost £2 OTC Cost over £3 on Rx after dispensing fee paid Total cost over £35 after GP consultation and administration costs

18. OTC Support Materials

20. West Essex CCG spend on OTC medicines £1,751,066 Ongar Health Centre annual spend on prescribing over the counter medication £68,560,

22. Changes to Gluten free Prescribing

23. Since the beginning of the year Only bread mix and bread products are available on prescription. The surgery will no longer provide prescriptions for pasta, cookies, pretzels and other non essential foods.

24. Any questions?