Community Pharmacy and Its Contribution to Public Health

Andrew RadleyConsultant in Public Health (Pharmacy)

What community pharmacy does

How community pharmacy can help

How we currently use community pharmacy

What we may need in the future?

What community pharmacy does

Acute Medication ServiceMinor Ailments Service

Chronic Medication ServicePublic Health Service

National Community Pharmacy Contract

What community pharmacy does

•Alcohol BI

•Counterweight

•Frail Elderly

•Immunisation

•Substance misuse

•Palliative care

Locally Negotiated Services

How we currently use community pharmacy

Coronary Heart Disease 212

Hypertension 668

Stroke / TIA 109Asthma / COPD 360Diabetes 198

Estimated Patient Numbers Per Pharmacy

Percentage of Estimated Adult Smoking Population Utilising Smoking Cessation Services 2006-2011

0

2

4

6

8

10

12

14

2006 2007 2008 2009 2010 2011

% S

mok

ers Angus

Dundee

Perth&Kinross

Tayside

Scotland

How we currently use community pharmacy

How we currently use community pharmacy

Estimated % pregnant smokers attempting to quit

NHS Tayside 38%NHS Scotland 25%

Smoking Cessation Amongst Pregnant Smokers

ISD 2012

Family (same surname) 256Same Address (Not same surname) 191

Close Neighbour ( within 10 houses) 1201

Near Neighbour (odds & evens mix) 566

Not close 312Total 2520

Close Proximity of Smokers Attempting to Quit

What have we learnt about effective behaviour change?

•Social marketing

•Modelling behaviour – friendship / kinship effects

•Access and diversity of presentation

•Health literacy

•Peer communication

Community Pharmacy as Partners

Advantages

•Proximity to communities

•Range of service users

•Generic skills in behaviour change

•Ability to respond to change

Considerations

•Focus on medicines

•Financial imperative

•Pharmacy chains

•Communication

What we may need in the future?

Identified health need

Brief advice

Sign-posting or referral

Shared outcomes

Questions?