Community Pharmacy and Its Contribution to Public HealthAndrew RadleyConsultant in Public Health (Pharmacy)

What community pharmacy doesHow community pharmacy can helpHow we currently use community pharmacyWhat we may need in the future?

What community pharmacy doesNational Community Pharmacy Contract

Acute Medication ServiceMinor Ailments ServiceChronic Medication ServicePublic Health Service

What community pharmacy doesAlcohol BICounterweightFrail ElderlyImmunisationSubstance misusePalliative careLocally Negotiated Services

How we currently use community pharmacyEstimated Patient Numbers Per Pharmacy

Coronary Heart Disease212Hypertension668Stroke / TIA109Asthma / COPD360Diabetes198

How we currently use community pharmacy

How we currently use community pharmacySmoking Cessation Amongst Pregnant SmokersISD 2012

Estimated % pregnant smokers attempting to quitNHS Tayside38%NHS Scotland25%

Close Proximity of Smokers Attempting to Quit

Family (same surname)256Same Address (Not same surname)191Close Neighbour ( within 10 houses)1201Near Neighbour (odds & evens mix)566Not close312Total2520

What have we learnt about effective behaviour change?Social marketingModelling behaviour friendship / kinship effectsAccess and diversity of presentationHealth literacyPeer communication

Community Pharmacy as PartnersAdvantagesProximity to communitiesRange of service usersGeneric skills in behaviour changeAbility to respond to changeConsiderationsFocus on medicinesFinancial imperativePharmacy chainsCommunication

What we may need in the future?Identified health needBrief adviceSign-posting or referralShared outcomes

Questions?

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