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Mike Holden FRPharmS CEO NPA. Why?. Perfect Storm. Sex, Drugs and Rock & Roll. Change is an attitude. What?. What distinguishes a Healthy Living Pharmacy?. Consistently delivers broad range of high quality commissioned services Quality, innovation and productivity

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Mike Holden FRPharmS CEO NPA

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Mike HoldenFRPharmSCEO NPA


Why?


Perfect Storm


Sex, Drugs and Rock & Roll


Change is

an attitude


What?


What distinguishes a Healthy Living Pharmacy?

  • Consistently delivers broad range of high quality commissioned services

  • Quality, innovation and productivity

  • Proactive team ethos

  • Health Champion

  • Identifiable


Self care & Healthy Lifestyle advice and support

PATIENT and PUBLIC

Medicines Optimisation


How?


The Enablers

Quality Criteria


Workforce development

  • Leadership - engage, enable and inspire

  • Ownership

  • Develop capability

  • Capacity

  • Skill mix

  • Health Champion

  • Remove accreditation barriers


Effective engagement

  • GP practices

  • Other providers

  • Existing and new commissioners

  • The community we serve


The environment

Health promotion zone

Promote privacy

Remove barriers

IT capability


Making a difference


Outcomes: Smoking

  • 102% increase


Outcomes: Alcohol

World cup month (pilot)

  • 3649 adults took part

  • 50% took brief advice

  • 23% had more in depth consultation

    Alcohol IBA Service

  • 4800 interventions

  • 40% increasing or higher risk

  • 21% scoring 10 or more!

  • 22% accepted higher level intervention


Outcomes: Men’s Health

1100 interventions

21% not seen GP in last year

30% smokers; 36% active intervention

45% drinking at increasing risk

30% with BMI above 25


Medicines Optimisation


Outcomes: Respiratory

  • 1123 patients seen first intervention

  • 35% not seen by another HCP in previous 12 months

  • 70% uncontrolled

  • 48% seen second time have improved

  • 27% smokers

    • 75% recruited for stop smoking

    • 42% smokers have quit


IOW Outcomes: Respiratory MURs

  • Emergency admissions due to asthma fell by >50%

  • Total hospital bed days due to asthma fell by >50%

  • Deaths due to asthma fell by 75% (16 vs 4)

  • Related hospital savings >£600k in first year (66%)


Other services

  • Sexual health

  • Diet and activity

  • Supervised consumption

  • Harm reduction

  • Minor ailments

  • Health checks

  • Flu vaccination

  • Cancer awareness and early detection


Taking it National


Taking it National

  • Pharmacy and Public Health Forum

  • Support from national bodies

    • Pathfinder sites

    • HLP Network

    • Research -> evidence

    • Health improvement skills

    • Leadership skills

  • Influencing policy

    • NHS Plan 2010-2015

    • Public Health White Paper

    • Respiratory Strategy

    • NHS Future Forum report

    • Public Health Workforce Development


National roll-out

  • 600+ qualified Health Champions

  • 500+ leadership development

  • 232 plus Healthy Living Pharmacies!

    • 202 Pathfinder areas

    • 30 non-pathfinder areas

  • Pharmacy and Public Health Forum

  • Generate evidence and further develop the concept


What can you do now?

Decide is it right for you

Involve the whole team

Work towards meeting Quality Criteria

Identify who will be Health Champions

Engage with GPs and their teams

Deliver commissioned services excellently

Gather evidence


In summary, Healthy Living Pharmacy…

  • Provides a commissioning framework

  • Is an organisational development tool

  • Is a Quality mark

  • Is about the pharmacy team

  • Has a common vision & goal

  • Has a brand the public and others can recognise

  • Is a means to the end


The future is not some place we are going, but one we are creating.

The paths are not to be found, but made.

John Schaar, Sociologist & Professor Emeritus

University of California Santa Cruz


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