COMMUNITY PHARMACY&

PUBLIC HEALTH

By

Dr Rafia Fatimah

Lecturer

Hajvery University Lahore

Community Pharmacists …

and pharmacy teams as a valuable and trusted public health resource

trusted professionals in supporting individual, family and community health

see people in every state of health and are ideally placed to play a central role in the prevention of ill health.

Public health services from community pharmacies include:1. NATIONAL Essential services Including dispensing medicines

and appliancesProviding prescription-linked

healthy lifestyle adviceDisposal of unwanted medicinesSupport for self-care

Advanced services including targeted Medicine Use

Reviews (MURs), Appliance Use Reviews (AURs) New Medicine Service (NMS) tosupport patients with long-term

conditions who are prescribed new medicines

Provision of medical equipment

2. LOCAL Enhanced services to care homes, disease-specific medicines

management minor ailment services

Opportunities identified for community pharmacy in the Public Health service include

NHS checksRational use of drugsPoisoning preventionEpidemiological controlSmoking cessation servicesEmergency Hormonal ContraceptionPrevention and management of drug abuse,

misuse and addictionHealthy eating and lifestyle adviceChronic Disease Management Infection control and preventionMinor Ailments Schemes

NHS Checks includeSexual health services including

chlamydiascreening and treatment, HIV

testing,Emergency hormonal

contraception through ‘patient group directions

Smoking CessationCommunity pharmacy based stop

smoking services run by trained pharmacy staff were effective and cost-effective in helping smokers quit.

Supply of medicines relevant to stopping smoking

Provision of emergency hormonal contraceptives

There is good evidence that community pharmacy EHC(emergency hormonal replacement) services provided timely access to therapy and are highly rated by women who use them.

EHC services have emerged as a major public health strategy in the prevention of unintended pregnancies.

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Prevention and management of drug abuse, misuse and addictionAlcohol use awakeness programAlcohol advice and harm reduction servicesNeedle and syringe exchange for people with drug addictionsSupervised administration of methadone and other substitutes

Chronic disease management and Prevention_community pharmacy interventions

can improve respiratory function and use of

medicines in patients with asthma. promote cardiovascular health in

terms of cholesterol reduction and high blood pressure.

to improve the management of other chronic diseases such as diabetes.

For example, someone taking medicines for high blood pressure might also be a smoker.

Similarly, people with diabetes could receive healthy eating and weight

management services at the pharmacy.

Healthy eating and lifestyle advice

needs to target patients with chronic diseases as part of the national strategy

weight reduction programmes detect and manage obesityadvice on diet and physical

activity

Infection control and prevention

vaccinationMinor Ailments Schemes

(MAS)

Environmental Hazards

In commissioning public health (PH) services from community pharmacies, some of the services will be associated with the supply of a medicine.

Some examples of medicines:medicines relevant to stopping

smokingscreening and treatments for sexually transmitted diseasesmedicines for weight managementmethadone for people addicted to

heroin.

Ideas for success“Alcohol or smoking scratch

cards or performa”“Know your skin”Community Walk groupsCholesterol checking