Public Health Pharmacy

Question 1

Essential services

Answer 1

• Dispensing medicines
• Repeat dispensing
• Dispensing appliances
• Disposal of unwanted medicines
• Public health (promotion of healthy lifestyles)
• Signposting
• Support for self‐care
• Clinical governance

Question 2

Advanced services

Answer 2

• Medicines Use Review & Prescription intervention
service
• Appliance Use Review Service
• Stoma Appliance Customisation Service
• New Medicine Service
• Seasonal influenza vaccination service (since Jul 15)

Question 3

New Medicines Service
• Focus on particular patient groups and
conditions

Answer 3

‐ Asthma and COPD
‐ Type 2 Diabetes
‐ Antiplatelet / Anticoagulant therapy
‐ Hypertension
‐ One or more medicines on a nationally defined list

Question 4

Enhanced (locally commissioned) services

Answer 4

North Staffordshire & Stoke‐on‐Trent
• Common / minor ailment schemes
• Needle exchange scheme
• Sexual health services / emergency hormonal contraceptive services
• Stop smoking services (including supply of varenicline
under PGD)

Question 5

Secondary care examples

Answer 5

• Opportunistic health advice
• Health protection (e.g. infection control)
• Multidisciplinary Rehabilitation services (e.g.
cardiac rehabilitation)

Question 6

Nine key areas

Answer 6

1. Surveillance and assessment of the population’s health
   and wellbeing
2. Public health intelligence
3. Assessing the evidence of effectiveness of health and
   healthcare interventions, programmes & services
4. Health improvement
5. Health protection
6. Health and social service quality
7. Policy and strategy development and implementation
8. Strategic leadership and collaborative working for
   health
9. Academic Public Health

Question 7

Three domains of public health

Answer 7

Health Improvement
• Lifestyle
• Health inequalities
• Wider social influences

Health protection
• Infectious disease
• Environmental hazards
• Emergency preparedness

Health services
• Planning, efficiency, audit & evaluation

Question 8

Current situation: The NHS Community Pharmacy Contract: Made up of 3 service levels:

Answer 8

• Essential services (all contractors)
• Advanced services (all accredited contractors)
• Enhanced services (locally commissioned)

Question 9

Brown et al: Conclusions

Answer 9

• Effective: Community pharmacy interventions: for smoking cessation
• Needed: Evaluations of community pharmacy interventions for alcohol misuse and obesity
• Unclear: Effect of community pharmacy interventions for health inequalities

Question 10

Timeline of changes
• Health & Social Care Bill:
• LA’s took on public health responsibilities:
• Public Health England:

Answer 10

• Health & Social Care Bill: Passed 2012
• LA’s took on public health responsibilities: April
2013
• Public Health England: Created April 2013