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Primary Care

Health and Wellbeing Boards are required to undertake Pharmaceutical Needs Assessments (PNAs) every three years.  The purpose of the PNA is to assess the provision of pharmaceutical services across Bolton, ascertain whether the system is appropriate to meet the needs of our population and identify any potential gaps in the current service delivery.  The PNA will be used by NHS England to inform decisions regarding applications to join Bolton’s pharmaceutical list.

This cross-sector paper urges the public and policy makers to look beyond general practice as the only alternative to hospital care. It highlights the political drive to address the extreme demand and fiscal pressure on the NHS by taking care out of hospital and into the community, but argues that this can only be successful if people have a clear understanding that GPs are not always the most appropriate first contact. It further argues that reducing demand is an imperative and that high street health specialists have a key role to play in tackling public health challenges like smoking and obesity. This resource can be downloaded by clicking here:

The report gives details of how Public Health England is providing leadership for the development, implementation and evaluation of public health practice for pharmacy, taking national and local priorities into account. This report can be viewed by clicking here:


This briefing summarises NICE's recommendations for local authorities and partner organisations that could be used to encourage people to have NHS Health Checks and support them to change their behaviour after the NHS Health Check and reduce their risk factors. It is particularly relevant to health and wellbeing boards. The guidance can be accessed and downloaded by clicking here:

A report produced in 2012 by Bolton LInK (Local Involvement  Network) (now Healthwatch) that examined GP access by 'marginalised' communities. This data should be of interest to all those involved in how users access primary care services.

The insights in these packs will support local discussion about prioritisation and utilisation of resources. The aim of this pack is to help local leaders to improve healthcare quality, outcomes and efficiency by providing the first phase in the NHS Right Care approach - “Where to Look”. That is, where to look to help CCGs to deliver value to their populations. They are also the first product CCGs will receive as part of the new planning round for commissioners - a vital part of NHS England’s ‘Call to Action’ where everyone is being encouraged to take an active part in ensuring a sustainable future for the NHS.

The proactive management of people with long-term conditions, including the promotion of self-care by patients, is a key priority for the NHS. General practice has a central role in delivering more integrated and personalised care, and in implementing policies that target 'at-risk' individuals with appropriate interventions.

This document sets out the priorities for Public Health England in 2013/2014. These are:

  1. Helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health associated with smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol
  2. Reducing the burden of disease and disability in life by focusing on preventing and recovering from the conditions with the greatest impact, including dementia, anxiety, depression and drug dependency
  3. Protecting the country from infectious diseases and environmental hazards, including the growing problem of infections that resist treatment with antibiotics
  4. Supporting families to give children and young people the best start in life, through working with health visiting and school nursing, family nurse partnerships and the Troubled Families programme
  5. Improving health in the workplace by encouraging employers to support their staff, and those moving into and out of the workforce, to lead healthier lives

To underpin these outcome-focused priorities we will:

  1. Promote the development of place-based public health systems
  2. Develop our own capacity and capability to provide professional, scientific and delivery expertise to our partners

This is the Access to GP JSNA Indicator Sheet from the Behaviour and Access to Services section. JSNA Indicator Sheets summarise the current position and recent trends for Bolton, comparators to Bolton, and inequalities across population groups and geographical areas of Bolton.


  • Over the previous 12 months, people are more likely to visit their Bolton GP on 2-3 occassions;
  • Bolton men are far more likely than Bolton women to have not visited their GP at all over the last 12 months, though this number has reduced since 2001;
  • There persists a relatively even distribution by deprivation quintile for no visits, but the most deprived group are more likely to make 6 or more visits over a 12 month period;
  • Compared to the White British group, a greater proportion of the Asian Pakistani and Asian Indian groups tend to visit their GP more than 6 times over a 12 month period.


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