1. Sue Sharpe Chief Executive
Funding cuts
Sue Sharpe
Chief Executive

2. The 17 December letter
Desire for a clinically focussed community pharmacy service
But no proposals
Integration fund
Cut in funding
Reduction of £170m minimum, taken October-March
Centralised dispensing
Driving Online
Hub + Spoke
Too many pharmacies
Access scheme
Simplifying payments
Using volume measures
Remove Establishment payments
Single activity fee
Increase prescription duration
Timescale for negotiations to 24 March

3. Why are they doing it? The £22bn cuts challenge
Pharmacy numbers growth
Large chains
Hub + spoke etc cost savings
Commoditising supply to save costs
Making CCGs responsible for primary care delivery
Supporting growth of employed pharmacists in GP practices

4. Our reply – positives Pharmacies will develop the online offer
Hub + Spoke but not hub no spoke/ Amazon
Regulations to remove blocks to voluntary mergers of neighbouring pharmacies
Clinical focus and service development proposals

5. Our reply - negatives
Ill considered; not informed by understanding of pharmacy value
No analysis or data seen to help us understand and test proposals or assertions – ‘no compromise to quality’
Bad decision, will cost more elsewhere, pharmacies will need to cut back
Combination of proposals incurs high risk of destabilising market
Insufficient time and detail for a consultation

6. The Campaign A Coalition – with NPA and others
Not disparate insurgents
Every pharmacy must help – it harms us if not
MPs, local councillors, charities, health and social care sector workers
And patients
Aim to find a win-win

7. Campaign Planning Luther Pendragon on political lobbying
-Local activity
-National activity
Planning for a two year campaign
Economic consultants
Other expert advice
Legal advice
Strong partnership with NPA
Collaboration with RPS, CCA, AIMp, PV, NPA

8. How are we doing so far? Very early stages
But already having an impact
Every pharmacy has a role to play in their future