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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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Change is an attitude
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
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
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
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 • 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