Purpose

This report is to set out the recommendations
for recommissioning the Pharmacotherapy function of the
Herefordshire Stop Smoking Service. Stop smoking services are
public health services for early identification, treatment, and
interventions to prevent the onset of avoidable disease and
development of long-term conditions. These diseases and other
long-term conditions would otherwise take up a high level of health
and social care resources. These are services mandated by Office
for Health Improvement and Disparities, to be funded from the
ring-fenced public health grant, for which responsibility
transferred from the NHS to local authorities in 2013. The existing
contract is due to expire in March 2025. The recommendations made
take account of the evidence base, lessons learnt following review
of current services, and available resources to ensure cost
effective delivery to achieve good health outcomes

Decision

That:
 
(a) procure a targeted number of pharmacies
across Herefordshire to provide stop smoking behavioural support to
complement the county wide pharmacotherapy and community stop
smoking service offer effective from 1 April 2025 up until 31 March
2029, This will not exceed expected cost
of £15,000 per year;
 
(b) stop smoking pharmacotherapy is
re-procured as the Multi Provider Multi Lot Framework and is
effective from 1 April 2025 up until March 2029 with a maximum
contract value of £70,000 per annum; subject to receipt of
the annual government Local Stop Smoking Services Grant
funding .
 
(c) direct award is made to PharmOutcomes system to support this delivery for a
period up to 31 March 2029 with a maximum contract value of
£24,000 (£6,000 per annum).
 
(d) the Director for Community Wellbeing and
the Director for Public Health, are both authorised to take all
necessary operational decisions to implement the above
recommendations.