Choosing Health: the contribution of Pharmacy

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Choosing Health the contribution of Pharmacy

• Richard Copeland
• Northumbria Healthcare
• NHS Trust

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Mary Barton Elizabeth Gaskell

• The Druggist .. concluded it was typhus fever,
  very prevalent in that neighbourhood and
  proceeded to make up a bottle of medicine, sweet
  spirit of nitre, or some such innocent potion,
  very good for slight colds, but utterly powerless
  to stop, for an instant, the raging fever of the
  poor man it was intended to relieve.

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21st Century Public Health Priorities

• Cardiovascular risk
• Smoking
• Obesity
• Diabetes
• Teenage pregnancy
• Long-term conditions
• Reducing Inequalities

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A day in the life of..

• .a 21st Century pharmacist

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A day in the life of.

• 9.30am
• briefing session on local health campaign
• 11.00am
• Supply of methadone identification of early COPD
• Lunch
• Visit to local school healthy eating

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A day in the life of.

• 2pm
• Weight management session
• 4pm
• discussion with hospital pharmacist re stop
  smoking referrals
• signposting

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A day in the life of..

• 4.30pm
• Acute Rx service
• 7pm
• Discussion with local diabetic patient group

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Pharmacy Public Health in Manchester

• gt200 pharmacies providing EHC
• Chlamydia testing pilot
• Mental health patients access their medicines
• Supervised methadone
• Needle exchange schemes
• Governance framework for LPS, nPhS

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Pharmacy Public Health in UK

• New contracts
• Public Health Agenda
• Use of New Opportunities Funds

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Pharmacy Public Health in UK

• Chlamydia screening
• EHC schemes
• Hospital Pharmacy Smoking Cessation
• Weight Management Programmes
• Reducing Falls
• Early identification - osteoporosis

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What can Pharmacy offer?

• Strategic level
• Health Boards, HAs, PCTs
• Community Pharmacy
• developing evidence base
• Hospital Practice
• evidence based therapeutics, risk management,
  safe handling of medicines

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What can Pharmacy offer?

• Community Pharmacies
• Healthy customers
• Untapped resource
• Limited capacity of other primary and community
  based services

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21st Century Public Health Priorities

• Cardiovascular risk
• Smoking
• Obesity
• Diabetes
• Teenage pregnancy
• Long-term conditions
• Reducing Inequalities

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Pharmacys contribution to improving health

• National
• Cardiovascular risk
• Smoking
• Obesity
• Diabetes

• Pharmacy
• Health promotion, blood pressure checks
• Integrated Stop smoking services
• Weight reduction programmes, healthy eating
• Blood checks, local groups

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Pharmacys contribution to improving health

• National
• Teenage pregnancy
• Long-term conditions
• Reducing Inequalities

• Pharmacy
• EHC via PGDs
• Case management, medication reviews
• Siting of pharmacy, signposting, use of premises
  by community groups

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Pharmacys contribution to improving health

• COPD
• Early identification
• Mens Health
• pop down your local
• Immunisation
• Data gathering
• practice systems

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Barriers to Progress

• Slow Contract development
• Funding for enhanced services
• Leadership
• Reluctance to change
• Seen as additional work

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Challenges

• Retail versus practice based model
• Public health integrated into practice based model

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Making it Happen

• Strategic Leadership
• Changes at Practice Level
• Different Ways of Working
• Bottom-up involvement
• communities, partnership working

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Making it Happen

• Collaboration within Primary Care
• Collaboration with secondary care
• Pharmacies as key healthy voices within the
  community

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Conclusions

• Pharmacy
• Can further contribute to improving health
• Integral to implementation of Choosing Health
• Must seize the opportunity !