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7.00-7.45pm: Refreshments & Meeting Other Providers 7.45pm: Introduction- Tony Dean

Agenda for Tonight. 7.00-7.45pm: Refreshments & Meeting Other Providers 7.45pm: Introduction- Tony Dean 8.00pm: Norfolk’s Public Health Challenges and the Role of Community Pharmacies- Dr Jenny Harries, DPH, Norfolk.

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7.00-7.45pm: Refreshments & Meeting Other Providers 7.45pm: Introduction- Tony Dean

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  1. Agenda for Tonight 7.00-7.45pm: Refreshments & Meeting Other Providers 7.45pm: Introduction- Tony Dean 8.00pm: Norfolk’s Public Health Challenges and the Role of Community Pharmacies-Dr Jenny Harries, DPH, Norfolk. 8.25pm: Presentation of Health Champion Certificates 8.30pm: Norfolk’s Living Well- Tony Trotman, Assistant Director, Strategy Performance and Resource, Norfolk Public Health. 8.50pm: Healthy Living Pharmacy 9.20pm: Health Trainers: Liz Snapes, Health Trainer Service 9.30pm: Next Steps. What Can We Do NOW? 9.45pm: Questions and Close

  2. Public Health &Community Pharmacy 2012 Integrating Pharmacy Services. Working Together Tony Dean MRPharmS Chief Officer Norfolk LPC

  3. Background to NHS Changes • Commissioning From CP • Existing CP Public Health Services • What Are the Issues? • Integration is the Way! • Healthy Living Pharmacy

  4. Background to NHS Changes • “The NHS is safe in our hands”

  5. Commissioning From CP • National Commissioning Board: Essential and Advanced Services. New national services? Local Area Teams (LATs). Picture developing (our LAT is NSC), very limited human resource. Contract monitoring (Survey Monkey?). Powers of regulation. Includes market exit. What good “national” services if they are not integrated by design into care pathways???????

  6. Commissioning From CP 2. Clinical Commissioning Groups: 4+1 • Very focussed on authorisation and reducing spending on secondary care, bringing services into community. • Starting to talk to LPCs, mainly around prescribing/optimisation. • Good scope for better integration of essential and advanced services (tMURs, NMS etc.) and linking to LTC pathways. Reducing admissions.

  7. Commissioning From CP 3. Public Health (Local Authority) Currently (and hopefully will still) Commission: • Smoking Cessation (pharmacy figures up 28% in 2011-12). Level 2 advice and NRT via voucher • Sexual Health (EHC, Chlamydia, Pregnancy tests, C-Card, Signposting and Advice • NHS HealthChecks • Needle Exchange/Supervised Consumption

  8. Public Health • How Should CP Interact? Most Important? • LPC place on Health and Wellbeing Board? • Formal Written Consultation? • Constant Generic Lobbying? • Or • Day to day working relationships built on mutual need and respect/shared values? • Quality provision of current services that can’t be ignored? • Trust in a supportive DPH to involve us?

  9. What Are The Issues? • Funding- National and Local? • Lack of Public Awareness? • Robustness of Service? Staff Continuity? • Use of Skill Mix!!! Communication!!! • Recording Evidence/ Proving Outcomes? • “Lack of Referrals”? – some commissioning-driven issues. • CP working in isolation? • Do we get to know other providers/services? • Do we make direct referrals? • Do we MAKE EVERY CONTACT COUNT?

  10. Integration is the Way • Commissioned service providers work together, putting patients first. • Range of Providers still part of clear clinical pathways/”Equal Billing”. • Choice and quality vs. competition. • CP needs to understand the local PH challenges and priorities. • Need to break down barriers

  11. Healthy Living Pharmacy • A Framework for the Future • Quality and Marketing • Positive DH view • Great Potential (but also some risks if we get it wrong…) • Overview &Local Update later… but it’s about the CULTURE NOT THE NAME.

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