Pharmaceutical Needs Assessment Wandsworth 2014

DRAFT: Progress as at 31st October 2014

Joint Strategic

Needs Assessment

Locality definitions

Locality needs

Locality provision Consultation

Recommendationsfor Health and

Wellbeing Board approval in March

2015

Laurence Gibson Public Health WBC pharmacy@wandsworth.gov.uk

Wandsworth JSNA 2014

Categorised needs in terms of; care for vulnerable households, and care of the elderly

Inequalities; deprived communities with high cancer and cardiovascular mortality under the age of 75; and black ethnic groups with high rates of sexually transmitted diseases

Excess winter deaths

Falls and fractured neck of femurs

Sexually Transmitted Infections

High childhood obesity levels

Alcohol related hospital admissions

Immunity for measles, mumps, and rubella

Mental Health and Self reported wellbeing

Breast and bowel screening

Adult obesity and lack of physical activity

Learning disabilities; (23% known)

210 Children looked after

79% completed treatment for TB in 2012

800 Care Home Residents

Localities

Population Density per Hectare (Census 2011)

Six localities of Pharmaceutical Needs Assessment

Locality needs

Common Issues

-Obesity-COPD

-Smoking

-Mental Health-Sexual health-Alcohol-Cancer screening

-Mental Health-Teenage Sexual Health-Alcohol / drugs in young people-CVD

-Diabetes-A&E-Health promotion for minorities and seldom heard groups

Clinical Commissioning Group, Locality Priorities

West Wandsworth

Wandle

Battersea

Garratt Lane and Wandsworth

Common (76,000)

Few over 85’s, few older people living

alone.More affluent, low

level of self assessed bad health

Stroke and respiratory disease mortality is

high for the older age groups

West Hill and Putney (69,000)

Older age groups, higher % of BME

More affluent, low level of self assessed

bad health

Over 65 breast and prostate cancer. Under 75 cancer

mortality

Winstanley (59,000)

More deprived, average self assessed

bad healthAdult Obesity

Children’s development and obesity

Binge drinkingEmergency admissions to hospital. High overall

mortality particularly circulatory disease.

Char

acte

ristic

Issu

es to

tack

le

Tooting Bec(78,000)

High under 16’s, and over 85’s

High level of BME, and no English

languageMore deprived,

average self assessed bad health

Nine Elms (12,000)

Development areaHigh deprivation and

BMEAverage self assessed

bad health

Children’s academic achievement and

obesityHigh COPD admissions

High under 75 mortality rates

Roehampton (14,000)

Development areaHigh proportion

between 16 and 24, and pensioners living

aloneHigh deprivation and

BME

Risk factors for circulatory disease

and cancerSelf harm, alcohol

abuseObesity

COPD admissionsFalls

Char

acte

ristic

Issu

es to

tack

le

Locality provision

Estimation of the average number of pharmacies per 100,000 population in 2014

Pharmacy and GP provision in Wandsworth

LONDON

Wandsworth

Tooting Bec

Winstanley

Garratt Lane & Wandsworth Common

West Hill & Putney

Roehampton

Nine Elms

0 5 10 15 20 25 30 35 40

Consultation and feedback

Numerous focus groups involving 400 people and a

public survey engaging more

than 370 people

September

Pharmacy Stakeholder Engagement Event

Lesbian Gay Bisexual and Transgender Forum meetingKatherine Low Settlement Group

South Thames College- Freshers FayreYouth debate club (under 19’s club)

Annual Clinical Commissioning Group ConferenceSpecial Schools

Substance Misuse Service User Group

October

Mimosa Women’s groupCommunity Wellbeing day

West Wandsworth Patient Consultative Group MeetingOlder peoples drop in session

Wandsworth Older People’s ForumWandsworth Carers

Carey Gardens committee meeting

Wandle Patient Consultative Group MeetingSheltered Housing Forum

Roehampton University Students

November

Roehampton ForumSenior Citizens Event

Wandsworth Council Public Meeting

Battersea Patient Consultative Group meetingCo-op (housing) forum

Children’s Centre

DecemberArea Housing Forum (Wandsworth resident associations)

HealthWatch Forum meetingWandsworth Deaf ForumEastwood Children Centre

Lack of awareness around services, (advertise and web

presence)

Need to target young people

An out-of-hours pharmacy should be commissioned

Shop perception where consultations lack privacy

People are aware that pharmacists and GPs

'compete' for services

Equality and Diversity training is needed

Services

What the public are saying

Recommendations (draft)

RecommendationsPharmaceutical Quality Assurance Programme

• Routinely scrutinise the activity and quality of services e.g. the Minor Ailments Scheme

Pharmaceutical Outreach Programme

• Encourage pharmacies to engage in more outreach work, to prioritise a series of outreach initiatives and measure the social and economic implications • Work with local primary care services to tackle highly localised issues, for example sexual health in Nine Elms, overweight in Shaftesbury, and diabetes in Tooting.• There are service gaps within the borough, most acutely in Nine Elms. New service providers should be found, but not before outreach services from existing suppliers are

investigated. In developing the outreach programme existing venues, services and vacant council owned shops should be considered.

JSNA priority alignment

• Investigate the feasibility and economic validity of the contribution pharmacy can make to the JSNA priorities, e.g;• Falls and medication review• Sexual health screening• Medication and mental health• Community equipment programme