1. Community Pharmacists – How you can make every Opportunity Count
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 practice – test of change
MeOC in pharmacy placement

3. National and local direction of travel
Prevent + Improve + Change + Reduce Health Inequalities

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

6. 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

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

8. Pharmacies enabling people

9. Yes No

10. 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.

11. signposting and referral
MeOC 3 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

12. Supporting people at greater risk
People who are vulnerable
People who are dependent
People at greater risk of ill health
People with money worries
People who are older
People with existing health issues
People with limited mobility.....

14. Link to range of videos

15. 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?

17. Core PHS activities – MeOC helps you to:
Promote self care
Encourage a more pro-active approach to self-care
Provide access to appropriate information, materials and advice
Offer opportunistic support to promote wellbeing
Use window/frontage /display space in pharmacies to promote health
Consider a rolling programme of pharmacy based wellbeing activities

18. Testing change (1) Keeping it simple Conversation to enable
Profile of customers? What does it look like?
Expectations of customers on health and wellbeing pharmacy service? Changing expectations?
What health and wellbeing priorities are important to your particular pharmacy?
Where would you get information for your customers e.g.on concerns about money, benefit, employment?
What messaging does pharmacy currently use?

19. Testing change (2) What is it about the messaging?
Building on good practice?
Skills and systems in your pharmacy?
How can MeOC approach add value to your pharmacy?
Added value – for example - for the role of the Pharmacy Assistant?
What links does your pharmacy have with other local services/initiatives ?
Provision of materials - tools, messages, signposting?
Benefits of a wellbeing ‘card’? Access to videos?
Introduce a test of change?

20. Connecting people to services
Making every Opportunity Count – easy tools to help
Specific needs
Connecting people to services
Brief

21. Agreement with Pharmacy - example
To support community pharmacy public health service activities , initial focus: *People who may have a caring role *People who may benefit from accessing information to help young mums/families *People who may benefit from being able to access support for mental wellbeing including stress.

22. Markers of success agreed - example
Number of MeOC conversations
Number of people signposted to services
Handful of brief case studies captured by staff to illustrate impact.

23. You Matter! Looking after your health and wellbeing is important Find out about local help if you need it
Sample poster created with MeOC proof of concept pharmacy
Support & friendship
for families
Are you a carer?
Tips on looking
after yourself
Money
concerns?
Want to know more? – ask our Pharmacy staff at the counter

24. https://www. hi-netgrampian