1. Public Health & Community Pharmacy Partnership working
Dr Ruth Milton
Public Health
Hampshire County Council
I’m delighted to be here to talk to you about public health in our new world, how we continue developments from our old world and further develop partnership working with community pharmacies

2. The new Public Health System
National leadership – Public Health England
Local leadership – Local authorities
Local democratic leadership
New duty to improve the public’s health with support from specialist staff & budget
The new public health system was implemented by the 2012 Health and Social Care Act and came into being in April 2013
It includes the national leadership by PHE providing specialist resources at a national level and support fro the local leadership by the professional DPH in local government where there is a new duty to improve the public’s health
This is supported by a public health specialist workforce and a ring-fenced budget at present – from national public health monies (DH not DCLG)

3. Working in partnership to improve the public’s health
Strategic - planning
Operational – commissioning
Clear criteria and outcomes based
Operational – community engagement and development
Public health work has always relied on working in partnership for success
I’m going to outline how this is now organised for us, sitting in local government
Essentially it includes the strategic approach which is then implemented through commissioning and partnership working

4. Health & Wellbeing Board
Leaders from health and local authority come together to improve the health and wellbeing and reduce inequalities
Joint Strategic Needs Assessment (includes Pharmaceutical Needs Assessment) informs:
Joint Health and Wellbeing Strategy informs:
Commissioning by member organisations
The strategic role sits with the LA HWB
This new statutory committee of the local authority includes CCGs, health watch, at least one elected councillor. as well as the directors of adults services, children's services and public health as core members
The key tasks include developing the JSNA to inform the JHWS which then is delivered through commissioning by the members sitting around the table and through partnership working
All to address health and wellbeing issues and to reduce inequalities

5. Commissioned interventions from community pharmacy
Services commissioned from community pharmacy to improve the public’s health (LES) include:
Sexual health
Contraception
Chlamydia testing
Smoking cessation
Drug & alcohol services
Public health on its transfer to local government, brought a range of existing contracts with it, some of which are with community pharmacy through the previous NHS Locally Enhanced Service agreements. These cannot be continued as such and so provide an opportunity to think differently about this important relationship with a healthcare professional sitting in local communities.

6. New relationships with Public Health
Local authority – non-NHS contracts
Opportunities
Move from Local Enhanced Service for each service to a “public health service”
Outcomes based
Rely on pharmacy systems
And………………
So……….
Changing the type of contract
Changing the scope of contract from activity based to outcomes based in line with the PHOF
Use the information in the JSNA to identify and confirm opportunities

7. Health Living Pharmacy
National pilots inform on-going development
New contracting mechanisms
Changing population needs
From the community for the community
New conversation with clients
“place of clinical safety”
Families
Working age people
Older people
Using new levers such as the HLP developments to attract the public to community pharmacy
For example in Hampshire A&E increases in attendance are not just lots more older frail people ……..its mostly young working age adults and families with children seeking ad hoc primary care advice and support when its convenient for them rather than for their GP
But also with an ageing population, most people even when experiencing early dementia, know their local pharmacy and feel safe to go there…..

8. Process for HLP LPC taking a coordinating and leading role
Public health identifying key areas for next development
Initially develop HLP
Then…..network for on-going development
Business opportunities –Public health, NHS commissioners
So we’re got the LPC really coordinating the way for us locally
We’ve got learning from Portsmouth
We need to roll this out, develop and share new relationships and a revised commissioning approach that addresses the population needs, develops your business and is within the available resources