Public Health & Community Pharmacy Partnership working Dr Ruth Milton Public Health Hampshire County Council I’m delighted to be here to talk to you about public health in our new world, how we continue developments from our old world and further develop partnership working with community pharmacies

The new Public Health System National leadership – Public Health England Local leadership – Local authorities Local democratic leadership New duty to improve the public’s health with support from specialist staff & budget The new public health system was implemented by the 2012 Health and Social Care Act and came into being in April 2013 It includes the national leadership by PHE providing specialist resources at a national level and support fro the local leadership by the professional DPH in local government where there is a new duty to improve the public’s health This is supported by a public health specialist workforce and a ring-fenced budget at present – from national public health monies (DH not DCLG)

Working in partnership to improve the public’s health Strategic - planning Operational – commissioning Clear criteria and outcomes based Operational – community engagement and development Public health work has always relied on working in partnership for success I’m going to outline how this is now organised for us, sitting in local government Essentially it includes the strategic approach which is then implemented through commissioning and partnership working

Health & Wellbeing Board Leaders from health and local authority come together to improve the health and wellbeing and reduce inequalities Joint Strategic Needs Assessment (includes Pharmaceutical Needs Assessment) informs: Joint Health and Wellbeing Strategy informs: Commissioning by member organisations The strategic role sits with the LA HWB This new statutory committee of the local authority includes CCGs, health watch, at least one elected councillor. as well as the directors of adults services, children's services and public health as core members The key tasks include developing the JSNA to inform the JHWS which then is delivered through commissioning by the members sitting around the table and through partnership working All to address health and wellbeing issues and to reduce inequalities

Commissioned interventions from community pharmacy Services commissioned from community pharmacy to improve the public’s health (LES) include: Sexual health Contraception Chlamydia testing Smoking cessation Drug & alcohol services Public health on its transfer to local government, brought a range of existing contracts with it, some of which are with community pharmacy through the previous NHS Locally Enhanced Service agreements. These cannot be continued as such and so provide an opportunity to think differently about this important relationship with a healthcare professional sitting in local communities.

New relationships with Public Health Local authority – non-NHS contracts Opportunities Move from Local Enhanced Service for each service to a “public health service” Outcomes based Rely on pharmacy systems And……………… So………. Changing the type of contract Changing the scope of contract from activity based to outcomes based in line with the PHOF Use the information in the JSNA to identify and confirm opportunities

Health Living Pharmacy National pilots inform on-going development New contracting mechanisms Changing population needs From the community for the community New conversation with clients “place of clinical safety” Families Working age people Older people Using new levers such as the HLP developments to attract the public to community pharmacy For example in Hampshire A&E increases in attendance are not just lots more older frail people ……..its mostly young working age adults and families with children seeking ad hoc primary care advice and support when its convenient for them rather than for their GP But also with an ageing population, most people even when experiencing early dementia, know their local pharmacy and feel safe to go there…..

Process for HLP LPC taking a coordinating and leading role Public health identifying key areas for next development Initially develop HLP Then…..network for on-going development Business opportunities –Public health, NHS commissioners So we’re got the LPC really coordinating the way for us locally We’ve got learning from Portsmouth We need to roll this out, develop and share new relationships and a revised commissioning approach that addresses the population needs, develops your business and is within the available resources