Choosing health through pharmacy- implementation Community pharmacy contractual framework and Public Health Department of Health Gul Root Principal Pharmaceutical Officer Medicines, Pharmacy and Industry

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Choosing health through pharmacy-
implementationCommunity pharmacy contractual
framework and Public Health Department of
Health Gul RootPrincipal Pharmaceutical
OfficerMedicines, Pharmacy and Industry
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Pharmaceutical Public health
We will develop a coherent framework for a
pharmaceutical public health strategy by 2005
that is fully integrated with our overall
approach to improving public health
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Pharmaceutical Public health

• Pharmacists -probably the biggest untapped
  resource for health improvement

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Choosing health through pharmacy- a programme for
pharmaceutical public health 2005-2015
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Public health and the community pharmacy
contractual framework

• Development of Choosing health through pharmacy
  at
• the same time as negotiations for the new
  contractual
• framework for community pharmacy
• Opportunity to incorporate population health
  within
• the contractual framework

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Public health and the community pharmacy
contractual framework

• The contractual framework provides a framework to
  enhance and consolidate the contribution of
  community pharmacy to improve the health of the
  population, widen access, increase patient choice
  and help people with LTCs

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PH and the community pharmacy contractual
framework

• Brings to fruition objectives of Vision for
  Pharmacy (Jul 03) drawing on skills, expertise,
  experience of pharmacists their staff

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PH and the community pharmacy contractual
framework

• Community pharmacys presence in the heart of
  communities with a tradition of ready access to
  all
• Pharmacy to be and to be seen as an integral part
  of the NHS family

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PH and the community pharmacy contractual
framework

• Supporting people who wish to make healthy
  choices and care for themselves
• Responding to the diverse needs of patients
  communities

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PH and the community pharmacy contractual
framework

• Essential services
• Prescription linked healthy lifestyle advice
• National campaigns

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PH and the community pharmacy contractual
framework

• Support for self-care
• Signposting
• Disposal of medicinal waste

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Prescription-linked healthy lifestyle advice

• Brief opportunistic healthy lifestyle advice (
  up to 3 minutes) to people presenting
  prescriptions for CHD and diabetes especially
  those who smoke, those who are overweight and
  those with high blood pressure
• Not just about handing out leaflets although
  these do play a part

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Prescription-linked healthy lifestyle advice

• Not just about today, not just tomorrow but
  life-long changes
• Healthy lifestyle advice in addition to
  importance of taking medicines for CHD and
  diabetes, as intended, could potentially result
  in improved health outcomes

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Prescription-linked healthy lifestyle advice

• Stopping smoking
• Weight management
• Nutrition/diet e.g. 5-a-day, low salt diet
• Increased physical activity
• Reducing alcohol intake

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Prescription-linked healthy lifestyle advice

• The tools and resources to be presented next will
  support delivery of the prescription-linked
  healthy lifestyle advice component of essential
  services in a consistent manner
• Developed in close collaboration with pharmacy
  organisations

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Prescription-linked healthy lifestyle advice

• Consistent with Government policy- all material
  agreed and endorsed by DH policy leads
• Evidence based

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Prescription-linked healthy lifestyle advice

• Includes
• Guide to giving brief advice Pharmacy meets
  public health
• Information leaflet for members of the public to
  take away Helping you choose better health
• Set of cards to use as prompts to discuss
  smoking, weight management, alcohol reduction,
  nutrition and diet and physical activity

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Prescription-linked healthy lifestyle advice

• Expect that pharmacists will want to use the
  resources to effectively deliver
  prescription-linked healthy lifestyle component
  within essential services of the CPCF
• Pharmacy contractors may wish to demonstrate how
  these resources are being used as a means of
  demonstrating to their PCTs their compliance with
  the contractual requirements.

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Prescription-linked healthy lifestyle advice

• Where contractors are not using these resources,
  PCTs may ask for evidence of how the contractor
  is delivering this aspect of this service. They
  may need to identify what materials are being
  used
• Strongly recommend that these tools are used to
  ensure that members of the public get advice in a
  consistent manner throughout the country

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National/local public health campaigns

• Public Health Campaigns
• At the request of PCTs, pharmacists staff to
  participate in up to 6 campaigns a year, to
  promote PH messages

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National/local public health campaigns

• Pro-active participation in national or local
  campaigns as identified by PCT
• If requested by PCT, pharmacists their staff to
  record the number of people to whom the
  information has been provided as part of the
  campaigns

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National/local public health campaigns

• Although PCTs can choose the campaigns they could
  consider the following, for example
• Stop smoking
• Weight management
• Alcohol
• Nutrition/diet
• Physical activity
• influenza immunisation
• Diabetes
• Coronary heart disease
• Reporting ADRs to the public
• AAMW

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National/local public health campaigns

• Actions for PCTs
• To determine the topics of the health promotion
  campaigns, which reflect national/local
  priorities
• To provide appropriate support, such as patient
  information

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Locally commissioned enhanced services

• Stop smoking
• Supervised administration of prescribed medicines
• NX schemes
• EHC