1. Community Pharmacy and Its Contribution to Public Health Andrew Radley Consultant in Public Health (Pharmacy)

2. What community pharmacy does How community pharmacy can help How we currently use community pharmacy What we may need in the future?

4. What community pharmacy does Acute Medication Service Minor Ailments Service Chronic Medication Service Public Health Service National Community Pharmacy Contract

5. What community pharmacy does Alcohol BI Counterweight Frail Elderly Immunisation Substance misuse Palliative care Locally Negotiated Services

6. How we currently use community pharmacy Coronary Heart Disease212 Hypertension668 Stroke / TIA109 Asthma / COPD360 Diabetes198 Estimated Patient Numbers Per Pharmacy

7. How we currently use community pharmacy

8. Estimated % pregnant smokers attempting to quit NHS Tayside38% NHS Scotland25% Smoking Cessation Amongst Pregnant Smokers ISD 2012

9. Family (same surname)256 Same Address (Not same surname)191 Close Neighbour ( within 10 houses)1201 Near Neighbour (odds & evens mix)566 Not close312 Total2520 Close Proximity of Smokers Attempting to Quit

13. What have we learnt about effective behaviour change? Social marketing Modelling behaviour – friendship / kinship effects Access and diversity of presentation Health literacy Peer communication

14. Community Pharmacy as Partners Advantages Proximity to communities Range of service users Generic skills in behaviour change Ability to respond to change Considerations Focus on medicines Financial imperative Pharmacy chains Communication

15. What we may need in the future? Identified health need Brief advice Sign-posting or referral Shared outcomes

16. Questions?