Transcript DRAFT: Progress as at 31 st October 2014

Pharmaceutical Needs Assessment
Wandsworth 2014
DRAFT: Progress as at 31st October 2014
Joint
Strategic
Needs
Assessment
Locality
definitions
Locality
needs
Laurence Gibson Public Health WBC
Locality
provision
Consultation
Recommendations
for Health and
Wellbeing Board
approval in March
2015
[email protected]
Excess winter deaths
Wandsworth
JSNA 2014
Falls and fractured neck of femurs
Sexually Transmitted Infections
High childhood obesity levels
Alcohol related hospital admissions
Categorised needs in terms of;
care for vulnerable households,
and care of the elderly
Immunity for measles, mumps, and rubella
Mental Health and Self reported wellbeing
Breast and bowel screening
Adult obesity and lack of physical activity
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
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
Clinical Commissioning Group, Locality Priorities
-Mental Health
-Teenage Sexual
Health
-Alcohol / drugs in
young people
-CVD
-Mental Health
-Sexual health
-Alcohol
-Cancer screening
Common Issues
-Obesity
-COPD
-Smoking
-Diabetes
-A&E
-Health
promotion for
minorities and
seldom heard
groups
Issues to tackle
Characteristic
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 health
Adult Obesity
Children’s development
and obesity
Binge drinking
Emergency admissions
to hospital. High overall
mortality particularly
circulatory disease.
Characteristic
Issues to tackle
Tooting Bec
(78,000)
Nine Elms
(12,000)
Roehampton
(14,000)
High under 16’s, and
over 85’s
Development area
Development area
High deprivation and
BME
High proportion
between 16 and 24,
and pensioners living
alone
High level of BME, and
no English language
More deprived,
average self assessed
bad health
Long term
unemployment
Average self assessed
bad health
High deprivation and
BME
Risk factors for
circulatory disease
and cancer
Children’s academic
achievement
Children’s academic
achievement and
obesity
Low birth weight
High COPD admissions
Self harm, alcohol
abuse
High <75 mortality
despite average
lifestyle indicators,
why?
High under 75
mortality rates
Obesity
COPD admissions
Falls
Locality provision
Estimation of the average number of pharmacies per 100,000 population in 2014
Nine Elms
Roehampton
West Hill & Putney
Garratt Lane & Wandsworth Common
Winstanley
Tooting Bec
Wandsworth
LONDON
0
10
20
30
40
Pharmacy and GP provision in Wandsworth
Consultation and
feedback
Pharmacy Stakeholder Engagement Event
September
Lesbian Gay Bisexual and Transgender Forum meeting
Katherine Low Settlement Group
South Thames College- Freshers Fayre
Youth debate club (under 19’s club)
Annual Clinical Commissioning Group Conference
Special Schools
Substance Misuse Service User Group
Mimosa Women’s group
Community Wellbeing day
October
November
December
West Wandsworth Patient Consultative Group Meeting
Older peoples drop in session
Wandsworth Older People’s Forum
Wandsworth Carers
Carey Gardens committee meeting
Wandle Patient Consultative Group Meeting
Sheltered Housing Forum
Roehampton University Students
Roehampton Forum
Senior Citizens Event
Wandsworth Council Public Meeting
Battersea Patient Consultative Group meeting
Co-op (housing) forum
Children’s Centre
Area Housing Forum (Wandsworth resident associations)
HealthWatch Forum meeting
Wandsworth Deaf Forum
Eastwood Children Centre
Numerous focus
groups involving
400 people and a
public survey
engaging more
than 370 people
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
• Medication use review
• Medicine management reviews for HIV
• Blood screening services should be
available at pharmacy for everything
from cholesterol checks to HIV testing
• Vaccinations should be made accessible
via pharmacy
• The disposal and storage of medication
• Delivery of repeat medications to the
home, the fact they are visiting the
home of vulnerable people is an
opportunity for other help or advice
Recommendations
(draft)
Recommendations
Pharmaceutical 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