Singapore

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Singapore
AAH Pharmaceuticals Convention
2007
understanding tomorrow today
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Ajit Malhi
Support For Today, Preparation For Tomorrow
Support For Today, Preparation For Tomorrow
Mark James
Commercial Director AAH Pharmaceuticals

• Professional Services Manager
• AAH Pharmaceuticals

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Introduction
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Community Pharmacy The Last 5 Years
Pharmacy contracts
Vision for pharmacy
Choosing health through pharmacy
NHS Plan
Supporting people with LTC
Pharmacy in the Future
Commissioning a patient led NHS
Our health, Our Care, Our Say
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Achievement To Date

• Pharmacists beginning to be seen as
  healthcare professionals
• Local development of Enhanced Services
• e.g. morning-after pill
• Counter prescribing
• New Pharmacy Contracts moving towards services
• Introduction of the first advanced service
• Medicines Management
• Development of support staff skills
  qualifications
• Accreditation training
• Crossed the crossroads!

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Community Pharmacy The Next 5 Years
Singapore
2007
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Challenges
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10 Year Growth In Prescription Items Fees
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External Challenges

• Lack of consistency
• NHS re-structuring
• Local service development
• Too many priorities
• Control of Entry
• Practice Based Commissioning
• Responsible Pharmacist Consultation
• Funding priorities
• NHS deficits
• Torn between two worlds (service vs. supply)
• Lack of stability
• Long term investment?

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Pharmacy Response

• Moving out of the pharmacy
• Integration into communities
• Becoming part of the wider NHS
• Becoming more Service/Healthcare focussed
• Making small positive steps
• Developing a track record
• Dealing with greater competition
• Different players
• Demands for funding

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An introduction to our panel!
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Singapore
AAH Pharmaceuticals Convention
2007
understanding tomorrow today
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Generating critical mass
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Health Watch programme

• Support community pharmacy to deliver community
  pharmacy based healthcare services
• Established history
• Complete support not just a box!
• Continuing to evolve

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Services Currently Available

• Health screening services

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Services Currently Available

• Health screening services

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Services Currently Available

• Medicines management resources

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Singapore
AAH Pharmaceuticals Convention
2007
understanding tomorrow today
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Building the right Infrastructure
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Finding Time to provide the New Services

• Support of your Full Line Wholesaler
• The right technology
• LINK Suite of products
• MUR Wizard
• Backed up with services to support your business
• Professional Services support
• Front of Shop Support

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Category Management
Merchandising Support

• Bi-monthly merchandiser visit
• 2 different sized pictorial planograms (per
  category)
• Product lists
• Category update
• Patient Focus accredited by CPP and
  an evaluation sheet
• Products news
• Shelf strips category specific

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Vantage own label

• 54 Products
• Trusted brand for over 30 years
• Quality alternatives to branded products
• Excellent value for money
• Regular promotions and free Point of Sale material

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Having the tools is not enough!

• Need the right skills to deliver services
• Recent AAH study confirms
  these conclusions
• Key skill requirements
• Management Retail
• NHS Commissioning
• Relationship Building

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Singapore
AAH Pharmaceuticals Convention
2007
understanding tomorrow today
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Future Development
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Singapore
AAH Pharmaceuticals Convention
2007
understanding tomorrow today
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Focus for 2007/08

• Key health priorities
• Sexual Health
• Obesity
• Smoking Cessation
• Making full use of Pharmacy
• Pressure to develop as advanced services for the
  future
• Can start to make progress today
• Need to have the right skills tools now

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Weight Management

• Proportion of men and women who are obese or
  overweight has risen in recent years
• men 66
• women 59
• Obesity may reduce life expectance by 3 14
  years
• May cause
• Hypertension
• CHD
• Type II diabetes
• Obesity will soon surpass smoking as
  the
  greatest preventable cause
  of premature
  death

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Weight Management Resource Pack

• VHW weight management service since April 2005
• Weight management service upgraded
• Taking into account latest evidence guidance
• To provide different levels of service provision
• To provide a more structured delivery programme
• To support the community pharmacy contract
• To support GMS QOF
• To support engagement of community pharmacy
  within primary care
• Working with and utilising knowledge
  and expertise of
  suppliers

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Weight Management Resource Pack

• Individual components include
• Training resource for pharmacists support staff
• Weight management service specification
• Standard operating procedure
• Risk assessment tools
• Readiness to change questionnaire
• Patient contract and
  appointment booklet
• Patient information leaflets

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Service Specification SOP
Level 1
Level 2
Level 3
Level 4
Patient assessment (BMI) waist
circumference Risk assessment and/or lifestyle
assessment Basic advice on weight management
Patient assessment (BMI) waist
circumference Basic advice on weight management
Patient assessment (BMI) waist
circumference Risk assessment and/or lifestyle
assessment Assess patients readiness to
change 6 month structured weight
management programme
Patient assessment (BMI) waist
circumference Risk assessment and/or lifestyle
assessment Assess patients readiness to
change 6 month structured weight
management programme Supply of
anti-obesity medication under a PGD
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Smoking Cessation

• Approx 12 million adults in the UK smoke
  cigarettes
• Smoking is highest among 20 24 year olds
• Every year, around 114,000 smokers in the UK die
  as a result of smoking
• Approx 30,000 people in the UK will die from lung
  cancer each year
• Smoking causes around 84 of lung cancer deaths
• Around 25,000 people in the UK die each year from
  chronic bronchitis and emphysemea

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Smoking Cessation Training Resource Pack

• Support change in smoking legislation
• Provide information on

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Sexual Health

• GUM clinic visits have doubled over the last
  decade
• Diagnosis of chlamydia, gonorrhoea and
  infectious syphilis have more than doubled over
  the last decade
• One in ten sexually active young women (under 25)
  may be infected with chlamydia
• 10 30 of infected women develop pelvic
  inflammatory disease
• Britain has the worst record in Western Europe

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Sexual Health Service
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PBC Proposal

• A real opportunity
• Building relationships
• Identifying suitable partners
• Received several proposals
• Determining next steps

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In Summary.
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Singapore
AAH Pharmaceuticals Convention
2007
understanding tomorrow today
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A big thank you!

• Brian Deal Ashwell Pharmacy
• Bipin Patel Clockwork Pharmacy
• Prashant Patel Clockwork Group
• Ranjit Mann Ringwood Pharmacy
• Sarah Bailey Seaforth Pharmacy
• Len McAllister Burrels Pharmacy

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Singapore
AAH Pharmaceuticals Convention
2007
understanding tomorrow today