Awareness weeks, such as National Self-Care Week (18-24 November 2024), are crucial for spreading important public health messages. At the Self-Care Forum,
we believe these weeks are essential for encouraging better health choices.
Pharmacists: Key Players in Self-Care
Pharmacists are uniquely positioned to support self-care. They can provide advice on managing common ailments, medication adherence, and lifestyle changes. During
National Self-Care Week, pharmacists can promote self-care practices and educate the public on preventive health measures. And the Self-Care Forum has a variety
of free self-care aware fact sheets that are perfect resources to support people's health.
Impact of Preventable Illnesses
Preventable illnesses significantly impact lives and healthcare systems:
In 2021/22, there were 125,612 avoidable deaths in England and Wales.
Cardiovascular disease causes 168,000 deaths annually in the UK.
Preventable conditions consume 40 per cent of the NHS budget.
Long-term sickness cost the UK economy £21 billion in 2022/23.
Wes Streeting's speech at the Labour Party Conference 2024 outlines several key health and social care reforms, which hold significant implications for
community pharmacy in England. His focus on reforming and rebuilding the NHS to ensure fair, universal access to care, with prevention and early intervention at
its core, presents both opportunities and challenges for community pharmacy. Here are the potential implications:
1. Prevention Focus
Streeting's vision of a shift from a reactive, hospital-based model to a preventive healthcare system presents a promising future for community pharmacies. These
changes could significantly reduce pressures on GPs and hospitals, integrating pharmacies more closely into primary care networks and enhancing their role in
preventive care.
2. Digital Transformation
The move from an "analogue to digital" NHS could see community pharmacies adopting more digital tools and systems for service delivery. This would likely involve
greater use of digital prescribing, telehealth consultations, and AI-driven services. Pharmacies will need to invest in digital infrastructure and ensure that
pharmacy professionals are trained to operate within a more tech-centric environment.
3. Reform and Redistribution of Services
Streeting's plans to extend choice and equitable access to services mean that community pharmacies could become integral to providing care in underserved or
disadvantaged areas. With a focus on decentralising healthcare and bringing it closer to local communities, community pharmacies could play a more significant
role in supporting healthcare delivery in areas where GP services are stretched. This may include expanding access to pharmacy services in the most deprived
areas, aligning with Labour's emphasis on addressing health inequalities.
The College of General Dentistry, in partnership with Haleon, has unveiled a new report outlining recommendations from oral health professionals on how
to best improve the provision of preventative oral care.
The report includes insight-driven recommendations to bridge the gap between the intentions and practical delivery of this care.
Drawing on input from UK oral health professionals, the report highlighted the need for redesigned NHS contracts that would provide more time and financial support
in giving preventative oral care advice.
It also called for increased resources to offer consistent preventative oral healthcare education to combat misinformation and promote healthier habits.
Other key recommendations from the report include:
Working with the government to update the Delivering Better Oral Health Toolkit to make it simpler and more user-friendly.
Launching a national communications campaign to tackle misinformation about oral care
Encouraging businesses to include dental cover in their employee assistance programmes
Community pharmacy is stuck in a vicious circle. Pharmacies are closing at an alarming rate whilst the government is talking about moving care away
from hospitals and into the community to focus on preventative care. While the government talks about this vision for the future, the stark reality is that
pharmacies are already struggling to meet the current Pharmacy First thresholds. And now we discover that one of the key components that could create capacity
in pharmacy to deliver more clinical services has been put on hold…indefinitely.
The recently published Darzi review, which was commissioned after the new government came to power to assess the state of the NHS, praised the value of community
pharmacies and preventative services. But it recognised the level of pharmacy closures across the country and warned pharmacy access could be 'at risk'.
Community pharmacy is ideally placed to deliver the government's vision of preventative care in the community. But let's all be clear, moving preventative
services into community pharmacies has, so far, been nowhere near as successful as it could have been due to the current climate pharmacies find themselves in.
The Pharmacy First scheme is a testament to this.
Just this week it was announced that consultation thresholds for the Pharmacy First scheme have been reduced from 30 consultations to 20. It's the second time
in three months that the thresholds have been reduced and it follows an intervention from Community Pharmacy England who wanted to "save many pharmacies from
missing out on a vital payment this month." In June alone, 3,269 participating pharmacies failed to meet the threshold - that's almost a third of all community
pharmacies in England.
The NIHR Research Delivery Network (RDN) has published a new paper highlighting the learnings from a major COVID-19 research trial conducted in primary
care settings.
The paper, which draws on insights from the PANORAMIC study, emphasised the importance of prioritising primary care studies from the very start of any pandemic
to prevent worsening of patient symptoms and reduce hospital admission.
Additionally, it recommended considering the use of UK-wide pharmacy networks, including community pharmacies, to promote research inclusion for future similar
trials in primary care to increase recruitment in underserved communities.
Authored by Professor Phil Evans, GP and Deputy Health and Care Director at the NIHR RDN together with colleagues from the NIHR and University of Oxford, the
80-page paper concluded that primary care research should be at the forefront of future pandemic preparedness.
During the early stages of the COVID-19 pandemic, much research was carried out on critically ill patients in secondary care settings.
Dental care is often seen as a routine part of our healthcare regimen, but its significance cannot be overstated. The health of our teeth and gums affects
not just our oral well-being but also our overall health and quality of life. This is especially true when we consider the impact of dental health on the entire
family. In this blog post, we will delve into the importance of proper dental care for every member of the family and explore the benefits it brings.
Understanding Dental Health
Understanding dental health is fundamental to appreciating the importance of proper dental care. Professionals at newsmilelife.com explain how dental care involves
a spectrum of practices dedicated to preserving the well-being of our teeth, gums, and overall oral health. This encompasses consistent brushing and flossing,
regular dental examinations, professional cleanings, and addressing any dental concerns that emerge. These routines and interventions collectively contribute
to a healthy mouth, preventing common dental problems and promoting optimal oral hygiene for individuals and families alike.
On the occasion of World Sepsis Day, PAGB, the consumer healthcare association, has underscored the significant role that over-the-counter (OTC)
antiseptics can play in preventing sepsis, potentially saving the NHS millions of pounds each year.
Sepsis is a life-threatening condition where the body's immune system overreacts to an infection, causing damage to tissues and organs.
Early recognition and treatment are crucial, as sepsis can rapidly escalate without prompt care. Symptoms of sepsis include confusion or slurred speech,
fever, severe breathlessness, blotchy or mottled skin, and a lack of urination.
PAGB emphasised that using OTC medicines early on can help prevent infections from worsening and potentially leading to serious conditions like sepsis.
Michelle Riddalls, CEO of PAGB, stated: "Early prevention is always the best treatment for conditions that could potentially lead to sepsis.
"If you don't get the right care for sepsis quickly it can be life-threatening so it's essential to seek immediate help if you or someone else has any symptoms.
Health secretary Sajid Javid vouches support for a "pharmacy first" model of care for minor illnesses, to help clear the backlog of NHS care arising due to
the Covid-19 pandemic.
Speaking at the National Pharmacy Association's (NPA) centenary dinner in central London on Wednesday (November 24), Javid said he wanted to "go further" than existing services like the NHS Community Pharmacist Consultation Service, to make it "quicker and easier" for people to access primary care.
He said: "I want to see how much further we can go. That's one of the reasons why we're working up plans for a pharmacy first model in England that will direct more patients directly to pharmacies without having to go to see their GPs. This will help us to beat the backlog and make sure that even more people can benefit from (pharmacists') brilliant advice and care."
Expressing his commitment to transform every aspect of health and care in the country he said that community pharmacies should be "at the very heart of primary
care - not just treating people but preventing people from becoming patients in the first place."
A new report has highlighted that while NHS trusts are well placed to drive the new Labour government's desired healthcare transformation, additional
resources are essential to fully realise this vision.
Published by NHS Providers, the report explored how trusts are innovating and adapting to deliver the three key shifts outlined by the government: from hospital
to community-based cafe, from analogue to digital, and from treatment to prevention.
Titled "Providers Deliver: shifting care upstream," the report cited some successful approaches trusts have taken to ensure patients can get the care they need in
the right place at the right time.
Examples include:
Tackling the wider determinants of health to improve patient flow - Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Reducing demand for emergency care by providing support at home - East Lancashire Hospitals NHS Trust
Improving mental health crisis care from the ground up - North Staffordshire Combined Healthcare NHS Trust
Harnessing a culture of continuous improvement to deliver care in the right place - Walsall Healthcare NHS Trust
Taking the next step from hospital at home to early intervention - Hertfordshire Community NHS Trust
Matthew Taylor, Chief Executive of the NHS Confederation, delivered a compelling speech at the NHS ConfedExpo 2024, emphasising the critical need for
investment in community-based care and the revitalisation of primary care services.
In his address, Taylor also criticised the current health policy as "not fit for purpose," calling for radical changes to shift the NHS from a reactive to a
proactive health model.
Addressing delegates at the Manchester event, Taylor highlighted the importance of shifting resources towards prevention and community services.
Underscoring a strategic pivot from reactive to proactive health models, he said:
"We must see action to fulfil the long-held vision of a health service that invests better upstream in prevention, in primary and in community-based care."
The National Pharmacy Association (NPA) has lashed out at the British Medical Association (BMA) after GP leaders voted in favour of the motion to
terminate pharmacy blood pressure checks with immediate effect and redirect the funds into pharmacy dispensing fees.
Commenting on the BMA's vote, NPA chair Nick Kaye said: "It benefits no-one, least of all patients, for one set of health care professionals to talk down the
services provided by another."
He emphasised the importance of investment and collaboration across the healthcare system, particularly between general practice and community pharmacies, to
provide the best possible care for patients.
Furthermore, Kaye stressed the value of pharmacy-based NHS clinical services in improving access to care, while also providing more convenient care for patients
and relieving pressure on other parts of primary care.
"It would be terribly shortsighted to row back on preventative services such as hypertension case finding, which will be cost-saving as well as lifesaving in the
long term," he warned.
He noted that the NHS will only meet the growing needs and expectations of the ageing population by making the most of capacity and skills across the whole system.
With more than half of the UK population experiencing gum problems and many not believing their condition warrants treatment, there is a significant need for
an oral care range that promotes good gum health and prevents future issues.
Corsodyl is set to launch a new Gum Strength & Protect line, featuring two toothpastes and a daily mouthwash which are clinically proven to protect against gum
problems.
This range aims to meet the growing consumer demand for oral care solutions that help proactively manage gum health and prevent issues related to poor oral hygiene.
The Corsodyl Gum Strength & Protect line is designed to strengthen the gum seal around teeth, offering long-lasting protection.
The product is enriched with hyaluronic acid, a key building block for strong gums, and includes IPMP (Isopropyl Methylphenol) and zinc as antibacterial active
ingredients.
Major health, care and research bodies, including the Department of Health and Social Care and the Office for National Statistics, should establish a
national health data service in England to improve patient care and research - an NHS-commissioned review has recommended.
Professor Cathie Sudlow's independent review of the UK health data landscape concluded that "complex and inefficient" data systems prevent and delay crucial
analysis of health conditions affecting millions of people across the UK.
The review - 'Uniting the UK's health data: a huge opportunity for society', published on 8 November 2024 - stressed the need for coordinated action across
multiple organisations and stakeholders to ensure the greatest benefits for patients and the public from health-relevant data.
They identified several barriers to using health data for public benefit and set our five recommendations for overcoming these barriers and transforming the
national health data ecosystem.
These include the establishment of a national health data service for England, embedded within existing organisational structures but with accountable senior
leadership and a ring-fenced budget.
Professor Sudlow said: "We are simply not maximising the benefits to society from the rich abundance of health data in the UK.
In preparation for World Pharmacists Day on September 25, Pharmacy Business conducted a social media poll to explore how pharmacists can improve global
health outcomes.
More than 64 per cent of respondents indicated that pharmacists should prioritize promoting preventive care.
Other suggestions included advancing research and development (9 per cent), increasing interdisciplinary collaboration (14 per cent), and addressing health
disparities (14 per cent).
This year's theme for World Pharmacists Day is "Pharmacists: Meeting Global Health Needs."
The International Pharmaceutical Federation (FIP) emphasises that pharmacists are integral members of healthcare systems, playing a crucial role in meeting
health needs in various ways daily.
Health and Social Care Secretary, Wes Streeting, visited St Margaret's Hospital in Epping, West Essex, on Thursday (1 August) as part of an ongoing series
of planned engagements with NHS trusts across England.
Accompanied by NHS Chief Executive, Amanda Pritchard, Streeting observed how NHS staff are using innovative technology to monitor patients at home and prevent
unnecessary hospital admissions.
He met with staff from the hospital's Care Coordination Centre and the 'hospital at home' hub, which work to reduce unnecessary A&E admissions and facilitate
quick and safe discharges home.
Before the hospital tour, the health secretary met the trust's falls response team, which uses a specially equipped 'falls car' to assist patients who have
fallen at home, preventing A&E visits.
Later, Streeting visited the Ross Practice GP surgery in Harlow before holding a town hall event with health leaders in the region.
Community pharmacy is integral to accelerating the three shifts envisaged by the government, but concrete action is needed to address the current funding
crisis - the Company Chemists' Association (CCA) has stated in its response to the 10-year plan consultation.
The CCA highlighted a wide range of pharmacy services that could contribute to achieving the government's vision shifting care from hospitals to community, from
analogue to digital, and from treating sickness to prevention.
To strengthen the sector's role in prevention, it proposes expanding the pharmacy's role in vaccination, screening, emergency hormonal contraception (EHC), and
smoking cessation services.
Furthermore, the CCA's submission noted that the expansion of Pharmacy First as "key to moving more care into the community."
In his address to both Houses of Parliament today (17 July), King Charles III highlighted the new government's commitment to enhancing the National Health
Service (NHS), reducing waiting times, focussing on preventive care, and improving mental health services.
Marking the first State Opening of Parliament under the Labour government, the King unveiled a raft of bills and draft bills, including the Mental Health Bill
and the Tobacco and Vapes Bill.
King Charles III said: "My government will improve the National Health Service as a service for all, providing care on the basis of need regardless of the ability
to pay.
"It will seek to reduce the waiting times, focus on prevention and improve mental health provision for young people."
Furthermore, the King stated that mental health would be given the same attention and focus as physical health. He announced the introduction of the Mental Health
Bill, which aims to modernise the Mental Health Act to better meet contemporary needs.
A new report from the Company Chemists' Association (CCA) is calling on NHS England to commission a community pharmacy-based national Type 2 diabetes
screening service, which could save the NHS £50m each year.
The CCA report, titled 'Increasing Access to Diabetes Screening and Prevention Through Community Pharmacy', highlights the urgent need for a national patient
pathway for diabetes detection and management.
It outlines how NHS-commissioned diabetes screening in community pharmacies across England could deliver numerous health benefits each year, including:
Screening 1.5 million adults and identifying 180,000 prediabetics;
Detecting 45,000 undiagnosed cases of diabetes and preventing them from developing serious complications
Preventing nearly 7,000 heart attacks and strokes, and thus improving patients' quality of life
Avoiding severe sight loss in around 15,000 people over their lifetime
Saving the NHS £50 million annually by reducing diabetes-related costs.
Type 2 diabetes and its complications are currently estimated to account for 10 per cent of the NHS annual budget, and this figure is projected to rise
to 17 per cent by 2035/36.
Pharmacy minister Stephen Kinnock has pledged to enhance the role of community pharmacies, particularly in deprived areas, by making better use of the
skills of pharmacy teams.
In a video message at the SIGMA UK Community Pharmacy Conference 2024 on Sunday, Kinnock also announced plans to expand the Pharmacy First initiative and introduce
an independent prescribing service, making prescribing an integral part of the service delivered by community pharmacies.
He said: "Since taking on the role of minister of state for care in government, my message has been very clear: we must get our fantastic primary care sector back
on its feet to be able to deliver for our patients.
"This government is committed to shifting care from hospital to community, from analogue to digital, and from sickness to prevention, and pharmacies will play a
vital role in that."
Kinnock acknowledged the pressures faced by the sector and expressed concerns that so many community pharmacies have exited the market over the past decade.
The Company Chemists' Association (CCA) has voiced strong support for a recent report from the Tony Blair Institute (TBI), which advocates for the
establishment of a 'Digital Health Record' (DHR) for every individual in the UK.
The CCA, which was interviewed as part of the report's development, believes that the creation of a DHR could significantly enhance the NHS's efficiency,
improve preventative healthcare, and help the health service harness the full potential of artificial intelligence (AI).
The TBI report highlights that the current health and care system suffers from fragmented data, with individual records scattered across various providers,
including community pharmacies.
This siloed approach often hampers the delivery of seamless and effective care.
A unified DHR, the report argues, would consolidate all relevant health data into a single, accessible record, ensuring that patients receive timely and
appropriate care across the entire healthcare system.