1. Community Pharmacists Making every Opportunity Count – a systems approach
Dr Linda Leighton-Beck
Head of Social Inclusion
Public Health
NHS Grampian
3/18

2. Pharmacy practice – today
Transformation of services – policy direction
Adding Public Value
Implementing Contract - Public Health Service
Implementing NICE guidelines
Making every Opportunity Count (MeOC)
MeOC in pharmacy
MeOC in pre-service education

3. Transformation - better health, better value, better care
Transform culture through systems and high quality services:
Cross-sector focus on prevention
Behaviour and underlying conditions
Integrated services to support individuals, families
communities
Better value from all our resources
Equality of opportunity
Realistic medicine
SUSTAINABLE improvements.

4. Prescription for Excellence
Integrated delivery of care requires ...new and innovative models ...in collaborative partnerships ...to deliver the best possible health outcomes ...
Pharmacists undertake enhanced role in preventing ill-health, co-production and minimising health inequalities.
Pharmacists and the wider pharmacy workforce are trained appropriately for their enhanced role, pre and post qualification.

5. Transforming the way we go about
Transformation people and services
Transforming the way we go about
our business – personally and professionally
Each person doing a little to make a big difference
Volume and value
How you/pharmacy can help.

6. Your role as a health professional
 Best ways to reduce inequities through:
workforce capacity and capability
practical actions in interactions with patients
working in partnership
role of advocacy.
Meaningfully & easily managed using MeOC
Marmot, M et al (2013) Working for Equity: The Role of health Professionals, UCL

7. NICE Guideline - Community pharmacies: promoting health & wellbeing
Appointments not necessary
Opening hours long
Understand local community, culture and norms.
Consultation -

8. Overarching principles of NICE good practice
Use a standard approach
Personalised approach , continuity, under-served groups, knowledge of local area, using staff skills.
Promote community pharmacies –
Pharmacies form part of the care service, often
first point of contact.
Use every opportunity – signposting and referral

9. Community Pharmacy Contract – Public Health Service
Public Health Service covers three core activities:
health promoting philosophy
health promoting activities
health promoting environment.

10. Evolving roles for all services
Doing things with
Working with other disciplines
Seeking broader set of outcomes
Finding solutions outside ‘normal’ activity
Doing something now – preventing
Evidencing ‘social value’...

11. HOW? Our ambition Harness untapped partner ‘power’
Enable public/third sector to enable people
Maximise assets
Build from proof of concept
Win hearts and minds.

12. MeOC progress in NHSG
Outpatient Clinics, Aberdeen Royal Infirmary Clinic
Shuttle bus drivers
Royal Cornhill Hospital
Kildrummy Day Hospital
Peter Brunt Clinic
Pre-assessment
Radiology & Cath Labs
Outpatients Dr Gray’s Hospital, Elgin
Dermatology & Rheumatology
ITU
Antenatal Screening
Woodend Hospital Outpatients
Aberdeenshire HSCP
Moray HSCP
Aberdeen City HSCP
Community/ Third Sector
Timmermarket

13. How are we doing overall?
23 clinical areas
14082 people benefited from wellbeing conversations
0 wellbeing conversations, previously.
Record in e-health record

14. Power of brief conversation makes every opportunity count
Aveyard, P et al Screening and brief intervention for obesity in primary care: a parallel, two-arm, randomised trial Lancet 2016; 388: 2492–500.

15. signposting and referral
Three tiered approach
Complex
needs
3. Structured wellbeing conversation for complex needs
2. Specific conversation e.g.
alcohol, money concerns, wellbeing,
home energy, smoking, housing etc
Specific needs
1. Light touch conversation -
signposting and referral
Brief

16. Making every opportunity count (MeOC)
Integrated, sustainable, inclusive approach to prevention and self care
Suitable across public and third sectors
Builds on national & local proof of concept
Enhances person-centred approaches
Links well with direction of travel
Contributes a systematic approach
Building block is brief wellbeing conversation

17. Building a system SFRS ARI Woodend RCH Dr Gray’s Pharmacy HSCPs X3 DWP
Public Dental
service
City
SACRO
Victim
Support
Action for
Children
Foyer-
Aberdeen
ARI
Woodend
RCH
Dr Gray’s
Pharmacy
Families
Outside
HSCPs X3
DWP
X 3
Primary
Care
Criminal
Justice
Social Work
Cash in Your
Pocket
Care
Providers
Pathways
SFRS

18. Ownership is ALL Key Messages Hearts & minds
Granular markers for journey
Enabling approach for prevention & self-care
Everyone/ sector doing a little for a big difference
Positive effects on staff health
Acceptable, inclusive, feasible & transferable
Sustainable
Suitable across public and third sectors
Your contribution?

19. Link to range of resources