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My Experience of Screening for CVD in Community Pharmacy

Background. Green Light Pharmacy founded in 1999First branch: Drummond St, Euston

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My Experience of Screening for CVD in Community Pharmacy

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    1. My Experience of Screening for CVD in Community Pharmacy Alistair Murray Community Pharmacist Green Light Pharmacy, Euston

    2. Background Green Light Pharmacy founded in 1999 First branch: Drummond St, Euston ‘Healthcare-only’ model Focus on public health

    3. The Local Picture Life expectancy in West Euston area is 10 years below that of Hampstead - 3 miles up the road Regents Park ward among most deprived 20% of wards in the country

    4. Focusing on the Local Bangladeshi Population 40% of population of Bangladeshi origin Diabetes more prevalent 44% of Bangladeshi men locally are smokers Fried foods play a major part in the diet

    5. What Can A Pharmacy Do? Understand local health beliefs Opportunistic public health messages Speak to people BEFORE they become ill

    6. Starting A Screening Service Formed the West Euston Healthy Community Project Local community groups and statutory bodies as partners, including local GP practice Applied for funding from the Big Lottery Fund for five years - about £600K Budget to screen 200 people each quarter

    7. Where do we screen? Opportunistically in the pharmacy Community fairs Health bus parked on high streets Bingo!

    8. Screening Questions Family history Diet Exercise Smoking status Alcohol consumption Recent blood pressure & blood glucose Weight/BMI/Waist circumference Recent cholesterol check

    9. Everybody stand up please! Ask people to sit down if they smoke, don’t eat enough veg, oily fish etc to show that screening could throw up a lot of peopleAsk people to sit down if they smoke, don’t eat enough veg, oily fish etc to show that screening could throw up a lot of people

    10. Screening Questions Family history Diet Exercise Smoking status Alcohol consumption Recent blood pressure & blood glucose Weight/BMI/Waist circumference Recent cholesterol check

    11. Screening Outcomes Reinforce good behaviour Watchful waiting Tailor health advice Invite for follow-up Refer if necessary

    12. Referral Stop smoking service Public Health Assistant Exercise on prescription Wonderful Walks for Women (Men’s walk also available!) Patient education classes (Sylheti- and English-speaking) Badminton club Tai chi

    13. Clinical Governance Keep good notes Get informed consent Explain the significance and/or limitations of any readings taken Good communication with other healthcare professionals

    14. What can you do? Speak to local pharmacies and the Local Pharmaceutical Committee (LPC) Watch for developments in the national pharmacy contract - screening is likely to feature in new services Target pharmacies in priority areas and who have good links with particular target communities Make sure that any services feed into existing networks

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