1. TACKLING HEALTH INEQUALITIES in PORTSMOUTH Katie Hovenden Director of Professional and Clinical Development NHS Portsmouth CCG

2. A PORTRAIT OF PORTSMOUTH

3. 41 Community Pharmacies Majority of population within 0.5km of pharmacy.

4. What distinguishes a healthy living pharmacy...

5. Workforce Development PharmacistTechnician & MCA World Cafe Leadership EventsRecognition & award

6. Environment Enhanced consultation rooms & Facilities Enhanced IT services Data entry and analysis via web based systems Underpinning recordable patient outcomes and evidence of effectiveness

7. Community Road show Territorial Army Event Late Night Opening Promotion

8. Outcomes

9. Smoking Cessation 2012 - 2013 658 quitters 58% Quit rate 25% PCT target 80% of 4 week quitters sustaining the effort for 8-12 weeks

10. 1860 kg lost 283 people recruited 81 people lost 5% 34 People lost 10% 1680 sessions delivered Recruiting 25 -30 clients per month 19 pharmacies Average weight loss per client that’s completed the programme 6.3kg Highest weight loss for an individual in programme this year is 21kg 140 people completed at least 6 sessions. Healthy Weight 2012 to 2013

11. Alcohol Intervention Brief Advice Service: 5860 Audit C scratch cards completed 120 + pharmacy staff trained 650 people have had structured intervention Alcohol Awareness 2012- 2013

12. Sexual Health 2012-2013 4236 EHC consultations

13. Substance Misuse and Recovery services April 2012-March 2013 14900 Needle Exchanges 440 Clients used the supervised consumption programme Access to Minor Ailments scheme

14. NHS Health Checks 2012 –2013 743 Health checks carried out in 13 accredited pharmacies Providing an alternative venue to GP practice Follows successful pilot programme Participating in outreach programme 95% of patients surveyed were satisfied or very satisfied with the pharmacy service

15. Healthy Start Vitamins Dementia HLP Champion Signposting for Carers

16. Respiratory MURS –ACT scores increased by 2 at follow up –Improved inhaler technique –Integration with Stop Smoking service GP leaflets to direct MURs Activity to increase GP and Pharmacist dialogue Concordance service for housebound and vulnerable CCG - Medicine Optimisation

17. Minor Ailments – 2012-13 FREE ADVICE AND TREATMENT FOR - Athletes foot Coughs Colds Fever Blocked nose Earache Sore throats Diarrhoea Constipation Threadworm Headlice Indigestion Heart burn Insect bites and stings Teething Headache and migraine 2000 + consultations through nine pharmacies

18. Patient Satisfaction I am, for the first time in 10 years slowly losing weight. I am delighted. The whole family have given up smoking with.. Pharmacy. My wife, son, daughter and myself. We can all get there and use it at a time that suits us I greatly appreciate the one-to-one approach … Having been overweight for a long time and with angina limiting my exercise this is just what I needed 96% of patients using Portsmouth Pharmacy Health Check would recommend the service 98.3% would recommend the service to others – HLP national evaluation

19. Sustainable Future HLP will continue to be the framework for future commissioning of public health services in Portsmouth and we will continue to develop and work with this workforce Public Health Services commissioned from local authority Eg hepatitis screening & vaccination for injecting drug users Targeted outreach events for men’s health or health checks Retaining links with CCG Eg Targeted MURs for local issues COPD, CVD and Heart Failure, Osteoporosis and Falls Medicine optimisation service NHS England – exploring participation in flu programme