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  • Community Pharmacy and Its

    Contribution to Public Health

    Andrew Radley

    Consultant in Public Health (Pharmacy)

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  • What community pharmacy does

    How community pharmacy can help

    How we currently use community pharmacy

    What we may need in the future?

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  • What community pharmacy does

    National Community Pharmacy Contract

    Acute Medication ServiceMinor Ailments ServiceChronic Medication ServicePublic Health Service

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  • What community pharmacy does

    Alcohol BICounterweightFrail ElderlyImmunisationSubstance misusePalliative care

    Locally Negotiated Services

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  • How we currently use community pharmacy

    Estimated Patient Numbers Per Pharmacy

    Coronary Heart Disease212Hypertension668Stroke / TIA109Asthma / COPD360Diabetes198

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  • How we currently use community pharmacy

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  • How we currently use community pharmacy

    Smoking Cessation Amongst Pregnant Smokers

    ISD 2012

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

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  • 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

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  • What have we learnt about effective behaviour change?

    Social marketingModelling behaviour friendship / kinship effectsAccess and diversity of presentationHealth literacyPeer communication

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  • Community Pharmacy as Partners

    Advantages

    Proximity to communitiesRange of service usersGeneric skills in behaviour changeAbility to respond to change

    Considerations

    Focus on medicinesFinancial imperativePharmacy chainsCommunication

  • What we may need in the future?

    Identified health need

    Brief advice

    Sign-posting or referral

    Shared outcomes

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  • Questions?

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    Percentage of Estimated Adult Smoking Population Utilising

    Smoking Cessation Services 2006-2011

    0

    2

    4

    6

    8

    10

    12

    14

    200620072008200920102011

    % Smokers

    Angus

    Dundee

    Perth&Kinross

    Tayside

    Scotland