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Pharmaceutical Needs Assessment Wandsworth 2014
DRAFT: Progress as at 31st October 2014
Joint Strategic
Needs Assessment
Locality definitions
Locality needs
Locality provision Consultation
Recommendationsfor Health and
Wellbeing Board approval in March
2015
Laurence Gibson Public Health WBC [email protected]
Wandsworth JSNA 2014
Categorised needs in terms of; care for vulnerable households, and care of the elderly
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
Excess winter deaths
Falls and fractured neck of femurs
Sexually Transmitted Infections
High childhood obesity levels
Alcohol related hospital admissions
Immunity for measles, mumps, and rubella
Mental Health and Self reported wellbeing
Breast and bowel screening
Adult obesity and lack of physical activity
Learning disabilities; (23% known)
210 Children looked after
79% completed treatment for TB in 2012
800 Care Home Residents
Common Issues
-Obesity-COPD
-Smoking
-Mental Health-Sexual health-Alcohol-Cancer screening
-Mental Health-Teenage Sexual Health-Alcohol / drugs in young people-CVD
-Diabetes-A&E-Health promotion for minorities and seldom heard groups
Clinical Commissioning Group, Locality Priorities
West Wandsworth
Wandle
Battersea
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 healthAdult Obesity
Children’s development and obesity
Binge drinkingEmergency admissions to hospital. High overall
mortality particularly circulatory disease.
Char
acte
ristic
Issu
es to
tack
le
Tooting Bec(78,000)
High under 16’s, and over 85’s
High level of BME, and no English
languageMore deprived,
average self assessed bad health
Nine Elms (12,000)
Development areaHigh deprivation and
BMEAverage self assessed
bad health
Children’s academic achievement and
obesityHigh COPD admissions
High under 75 mortality rates
Roehampton (14,000)
Development areaHigh proportion
between 16 and 24, and pensioners living
aloneHigh deprivation and
BME
Risk factors for circulatory disease
and cancerSelf harm, alcohol
abuseObesity
COPD admissionsFalls
Char
acte
ristic
Issu
es to
tack
le
Estimation of the average number of pharmacies per 100,000 population in 2014
Pharmacy and GP provision in Wandsworth
LONDON
Wandsworth
Tooting Bec
Winstanley
Garratt Lane & Wandsworth Common
West Hill & Putney
Roehampton
Nine Elms
0 5 10 15 20 25 30 35 40
Numerous focus groups involving 400 people and a
public survey engaging more
than 370 people
September
Pharmacy Stakeholder Engagement Event
Lesbian Gay Bisexual and Transgender Forum meetingKatherine Low Settlement Group
South Thames College- Freshers FayreYouth debate club (under 19’s club)
Annual Clinical Commissioning Group ConferenceSpecial Schools
Substance Misuse Service User Group
October
Mimosa Women’s groupCommunity Wellbeing day
West Wandsworth Patient Consultative Group MeetingOlder peoples drop in session
Wandsworth Older People’s ForumWandsworth Carers
Carey Gardens committee meeting
Wandle Patient Consultative Group MeetingSheltered Housing Forum
Roehampton University Students
November
Roehampton ForumSenior Citizens Event
Wandsworth Council Public Meeting
Battersea Patient Consultative Group meetingCo-op (housing) forum
Children’s Centre
DecemberArea Housing Forum (Wandsworth resident associations)
HealthWatch Forum meetingWandsworth Deaf ForumEastwood Children Centre
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
What the public are saying
RecommendationsPharmaceutical 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