Healthy Lifestyle Checks Community Pharmacy

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Healthy Lifestyle Checks Community Pharmacy

• Kimberley Hall
• Head of Primary Care Commissioning (Pharmacy /
  Dental / Eye Care)

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BACKGROUND

• NEED Inequalities / 10 year gap
• Access Acute / Primary Care
• Community Pharmacy
• Accessibility and visibility. POTENTIAL
• Existing services Smoking cessation / MUR
• BIG TICKET Service redesign

For the entire population served by NHS South
West Essex to become one of the healthiest and
best cared for in the country.
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• There is considerable variation in age
  standardised CVD emergency admission rates by
  practice as a proportion of patients on the CHD
  register for 2006/7.
• 8-fold variation in emergency admission rates for
  highest to lowest rates
• The PCT is currently spending a significant
  amount of money commissioning secondary care as a
  result of emergency and elective admissions of
  CVD

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DEVELOPING AGENDA

• Pharmacy White Paper into reality
• Joint Working it takes time..!
• Pharmacists
• GPs
• LPC / LMC
• Board and Director Drive (Public Health)
• CVD Clinical Lead / Clinical Network
• Focus Groups Who and How?
• Cardiovascular checks pilot
• Leicester model (Birmingham / Hull)
• Near patient testing non-fasting glucose
• Results to GP (need to automate)

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FOCUS GROUPS

• NHS cares
• CVD risk assessments are attractive
• Pharmacy first choice (Nurse 2nd)
• Public scared of G.Ps
• Knowledge on
• heart conditions is high
• Stroke is low
• The term CVD is low
• Educational campaign as well as an advertising
  one
• Offer people choice in services

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BARRIERS

• Pump priming
• Health Diagnostics Equipment
• IT solutions (PC / Printer / internet)
• Training
• Pharmacists
• Pharmacy staff (booking patients)
• Infrastructure
• Smoking cessation / weight management
• VITALITY personal advisor

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New Way of working

• Introduction of National Healthy Lifestyle checks
• Re-Branding
• PCT Target
• Pharmacy target agreed based on size
• Payment structure revised
• Marketing and Publicity
• Invitation Letter
• Outreach (CRB / Premises)

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Healthy Lifestyle Checks

• 2009/10 7,500
• 20010/11 15,000
• 2011/12 25,000
• Delivered through-
• Community Pharmacy
• Nurses in GP practices
• VITALITY

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Key lessons

• Communication
• Pharmacy
• Internal
• GPs
• Recognition of Pharmacy Business Model
• Slow burn
• Support
• Quality Monitoring

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QUESTIONS?