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Annex 4: Summary of the Evidence for the Contribution of Pharmacy to Public Health

Overview of the evidence base: Community Pharmacy

(PharmacyHealthLink and RPSGB forthcoming)

1. Research suggests a strong evidence base for the following:

Proactive leaflet distribution supporting advice on medicines or health advice

Brief consultations with clients on health behaviours, linked to PCTs' public health programmes

Stop-smoking services - community pharmacies as providers of opportunistic and specialist services

Community-based initiatives to reduce health inequalities and contribute to neighbourhood renewal

Diabetes - people with diabetes being offered monitoring and information in community pharmacies

Emergency hormonal contraception - the continuation of, and expansion into, services for the under-16s and into sexual health advice generally

Flu immunisation for older people

2. The evidence base also supports, with appropriate evaluation:

Secondary prevention of coronary heart disease - pharmacy-based programmes for risk factor monitoring and advice, prophylactic aspirin, and lipid control

Weight reduction and healthy eating programmes - based in pharmacies

3. The careful evaluation of pharmacy-based programmes is recommended in the following areas where the evidence is, as yet, less strong:

Physical activity, alcohol misuse, skin cancer, oral health, asthma education (in schools), mental health, head lice, prevention of sexually transmitted infections, travel health

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