Michelle Dyoss
Public Health Practitioner Pharmacy
Dudley Office of Public Health
Pharmacy White Paper states vision for
pharmacies to become Healthy Living Centres
Portsmouth develop HLP concept with
support from DH, Director of Public
Health and LPC
Portsmouth HLPs deliver positive interim
results. Minister asks can the results be
replicated in differing demography and
geography?
March 2011 National pharmacy bodies working with
DH launch pathfinder programme
April 2013
Evaluation of pathfinder
programme
April 2008
June 2009
Sept 2010
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Provides a commissioning framework
Consistently delivers broad range of high quality
commissioned services
Has a common vision & goal
Quality, innovation and productivity
Proactive team ethos
Has a least one Health Champion
Identifiable by the public
Achievement of Quality Criteria
A quality mark
Sedgley
Sedgley
Coseley
Coseley
East
East
Coseley
Coseley
West
West
ID 2010
National Deciles
Castle
Castle &
&
Priory
Priory
Gornal
Gornal Wood
Wood
St
St Jam
James
es
Kingsw
Kingswinford
inford North
North
&
& Wall
Wall Heath
Heath
Kingsw
Kingswinford
inford South
South
Brockm
Brockmoor
oor
&
&
Pensnett
Pensnett
Netherton
Netherton
&
&
Woodside
Woodside
St
St Thom
Thomas
as
St
St Andrew
Andrewss
Wordsley
Wordsley
Brierley
Brierley Hill
Hill
Am
Amblecote
blecote
Wollaston
Wollaston &
&
Stourbridge
Stourbridge West
West
Belle
Belle Vale
Vale
&
& Hasbury
Hasbury
Lye
Lye &
&
Wollescote
Wollescote
Norton
Norton
Pedm
Pedmore
ore &
&
Stourbridge
Stourbridge
East
East
Halesow
Halesowen
en
North
North
Quarry
Quarry Bank
Bank
&
& Cradley
Cradley
Hayley
Hayley
Green
Green
Halesow
Halesowen
en South
South
10% Most deprived (19)
(28)
(32)
(18)
(19)
(13)
(18)
(21)
(17)
10% Least Deprived (17)
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Population 313,000
About 13,300 children live in poverty
About 23% children obese
Priorities
 To reduce health inequalities particularly through:
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Tobacco control
Reduce obesity
To tackle alcohol-related harm
Environment more supportive of healthy lifestyles
Life Expectancy at Birth by Local Deprivation Deciles Showing the Slope
Index of Inequality, Dudley, Males & Females, 2005-2009
Standardised Rate per 100,000 Population
90
Deprivation
gap
6 years
85
80
75
70
65
60
Deprivation
gap
10 years
Significantly worse than England Average
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Long term unemployment
Smoking in pregnancy
Breastfeeding initiation
Obese children (year 6)
Teenage pregnancy
Healthy eating adults
• Physically active adults
• Obese adults
• Hospital stays for alcohol related
harm
• People diagnosed with diabetes
• Excess winter deaths
• Life expectancy – male
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14 Pharmacies awarded HLP status in March 2012
Grand opening of 1st HLP in Dudley
Opening day for all HLPs in Dudley
Roadshows annually
 Annual
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Campaigns
Currently have
18 HLPs, 69 Leaders and 87 HLCs
• Launched in March 2012
18 Healthy Living Pharmacies
87 Healthy Living Champions
69 Leaders
All accredited pharmacies have:
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Health promotion zones
Staff trained to Royal Society Public Health Level 2 award
(Healthy Living Champions)
Managers who have completed HLC Leadership training
Offer core public health services
Proactively link into other healthcare professionals
Support the public health priorities in Dudley
Signpost to other services
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24 pharmacies working towards HLP status
Level 2 and Level 3 framework
Reaccreditation
Case studies
Sharing practice
Roadshows in summer
Health events throughout year
Healthy Living Opticians
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Healthy Living Champion
Leader
Health Information Zone
Services
◦ Smoking Cessation
◦ Alcohol IBA
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Additional Services
◦ NHS Health Checks
◦ Weight Management
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Accreditation requirements
◦ NCSCT level 1 & 2 training
◦ DSSS training
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Remuneration
◦ £84 for a 4 week quit
◦ £20 for a relapse
◦ £10 for a lost to follow up
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Expected outcomes
◦ Minimum of 20 clients per year
◦ 85% of 4 week quitters should be carbon monoxide
validated
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Accreditation requirements
◦ IBA e-learning
◦ Face to face training session
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Remuneration
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Low risk drinkers = £1
Increased risk = £10
Follow up = £3
Referral = £5
Expected outcomes
◦ 30 screens per year
◦ Referral and follows up recorded
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Accreditation requirements
◦ DOPH workshop
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Remuneration
◦ £20 per check
◦ £30 per check incl. NPT
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Accreditation requirements
◦ 2-day workshop
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Remuneration
◦ By appointment and weight loss
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Expected outcomes
◦ 6 clients per year
◦ Clients attend all appointments
◦ Clients achieve >5% weight loss
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Training - DOPH
Budget
Lead (project group)
Resources
Logo/branding
Development of QC and governance
arrangements
Evaluation of ‘pilot’