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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