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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?
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