A report on the findings from the Mid Ulster Community Pharmacy Partnership Networking Event, Making links to lighten the load

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A report on the findings from the Mid Ulster Community Pharmacy Partnership Networking Event, Making links to lighten the load Community Development and Health Network (CDHN) have produced this report to collate and present the findings from the Mid Ulster Community Pharmacy Partnership s recent networking event which CDHN facilitated in Cookstown. 37 people attended at the event including 26 pharmacists/pharmacy staff representing 8 separate pharmacies from across the council area. 8 organisations displayed and shared their work at the information stands and there were 4 formal presentations community, voluntary and statutory sector organisations to give and insight into their services and highlight the links to pharmacy. The event was very successful; the feedback has been extremely positive and this has proven to be a great opportunity to share information, provide support and develop connections and relationships between sectors. This event marks the start of an engagement process for the Mid Ulster Community Pharmacy Partnership and the learning from it will help shape the next steps for the partnership. There are currently 3 key areas the partnership is keen to explore further: 1. Knowledge Exchange To ensure that the learning from the work of the Partnership is shared across NI at both local and strategic level. The report will be shared with all participants, and through Trust, Council, ICP, PHA, local communities and CDHN networks. It will also be shared on the pharmacy section of the Knowledge Exchange and with the Health and Social Care Board and Department of Health. 2. Asset Mapping The Partnership is planning to support asset mapping pilots within two pharmacies one in the Northern Trust and one in the Southern. This work help pharmacist to broaden their understanding of the social model of health and map support available to them and their customers, so that they can get better fulfil their public health role. 3. Health Literacy The Partnership recognises the importance of Health Literacy and plans to organise a workshop for pharmacy staff to increase their understanding and ascertain the necessity for more formal training in this area.

Background to the Partnership The Mid Ulster Community Pharmacy Partnership is a multi-agency group with representation from the Mid Ulster District Council, the Northern and Southern Health and Social Care Trusts, Integrated Care Partnerships, the Public Health Agency and the Community Development and Health Network (CDHN). Strategic policy context The Mid Ulster Community Pharmacy Partnership operate within the strategic policy context and this guides our work. It clearly emphasises an enhanced role for pharmacy with a greater focus on health promotion and medicines management, to support patient centred care by helping people stay independent and well, gaining optimal benefits from medicines when needed. Making it Better Through Pharmacy in the Community: A Five Year Strategy for Pharmacy in the Community. Making Life Better a whole system strategic framework for public health 2013-2023 and Systems, Not Structures: Changing Health and Social Care20 ( the Bengoa Report ) both recognise the importance public health role of pharmacy. The Partnership recognise pharmacies have a key part to play in the delivery of public health messages and that they are well positioned to do so. They also recognise that being better connected and networked into local community, voluntary and statutory support structures will help them to do this more effectively. They can support people to implement individual changes and signpost them to other organisations and services that may be able to support them on wider issues. 'The Mid Ulster Community Pharmacy Partnership also greatly supports the ethos of the Mid Ulster Community Plan. The need to work together across Agencies is recognised as key to growing healthy communities and reducing health inequalities. In particular, the proposed Ageing Well initiative to improve the health of older people will have pharmacists as a key partner.

The Networking Event The Mid Ulster District Council, on behalf of the Mid Ulster Community Pharmacy Partnership, hosted a networking event for local Community Pharmacists entitled, Making Links to Lighten the Load. The event was held in the Glenavon House Hotel, Cookstown on the 29 th March 2017. This event was primarily for local community pharmacists and staff to increase their knowledge of what other services are available to them in local communities and to develop their skills in strengthening the relationship with them.

On the evening Kathy Martin from CDHN welcomed everyone. She explained the running order for the event, there were 4 presentations and 2 separate round table discussion sessions. She encouraged everyone to participate in the discussion and hoped that, despite the formality of the setting, that the event would feel relaxed and engaging. The presentations were chosen to be completely practical and would describe a service in the community to demonstrate how pharmacy did or could engage with it or how pharmacists could signpost people into it. The event was then officially opened by special guest and key note speaker, Cllr Sharon McAleer, Deputy Chair of the Mid Ulster Council. The pharmacists and their staff were warmly welcomed by Cllr McAleer who said that her hope for the event was that those in attendance, will have a better understanding of local initiatives that are available within your local community which could lighten your own workload and that of your staff, and benefit your customers. Emphasising working in partnership Anne Caldwell, Principal Environmental Health Officer, Mid Ulster District Council highlighted the role of health and wellbeing within the Council. She emphasised the importance of partnership working in addressing health and well-being for the people of Mid Ulster and briefly discussed both the Home Accident Prevention and Make a Change programmes which the Council run. Anne was keen to emphasise that she hoped the evening would raise more awareness of the services that council run which could be availed of by the local pharmacies and their communities. Roberta Tasker (pictured below far right) who is the ICP Pharmacy Lead set the context for the evening. Briefly outlining the recent history of the partnership and the impending launch of the Mid Ulster Community Plan she reiterated earlier thoughts on the necessity and importance of partnership working in order that citizens live longer, healthier and more active lives. She ended by acknowledging that in an increasingly busy and challenging time it was difficult to know what was available locally that could support local community pharmacists. Roberta said that the event was an opportunity to start to shine a light on some of the fantastic services and that it would be the beginning of a getting to know you and what you do process.

Presentations 4 presentations were given from both statutory and community based programmes which gave those who had gathered a very practical insight into the work of the various organisations and how they can better engage with them. Mid Ulster District Council gave 2 presentations; one was the Home Accident Prevention and the other Make a Change programme. There were 2 community based presentations from Alzheimer s Society and the Northern Recovery College. The evening was divided into 2 sessions each with 2 presentations followed by a table discussion. The slides and details of the presentations are available on request. Each presentation gave an overview of their programme and highlighted how they could be accessed by the community pharmacist and their staff. There was also opportunity for those who were attending the event to talk to the presenters during the discussion and networking time. The four presenters pictured with Cllr McAleer from left to right: Mona McGlade, Alzheimer s Society; Raisa Donnelly, Make a Change Mid Ulster District Council; Catherine McKenna, Home Accident Prevention Mid-Ulster District Council and Gillian Lennox, Recovery College Northern Health and Social Care Trust.

Round Table Discussion Following the presentations those gathered were asked to think about their current engagement practice and consider 3 questions from a pharmacy perspective. 1. Could you link with these initiatives? 2. What are the advantages/opportunities of engaging? 3. What are the barriers/challenges to engaging? Flip chart sheets were provided for the tables and the groups were encouraged to record the main point of their discussion, these have been collated and included below. Question 1 Could you link with these initiatives? All the tables agreed that they could link in some way to the programmes or organisations who had presented. Comments included: I just didn t know there was so much out there definitely disappointed that we haven t up until this point Question 2 What are the advantages/opportunities of engaging? Home Accident Prevention Raise awareness among our customers Easy to link in with We hear about falls daily First point of contact when diagnosed Can let families know about the service Alzheimer s Society Can let family members know about the service Have an Alzheimer s day in Pharmacy then customers can approach directly Potential for staff training for Alzheimer Friendly Pharmacy Patients benefit from resources Link and support for Pharmacists

Recovery College The informal structure is appealing, less stigma Family can be involved, learn more about the condition and how to cope Variety of courses which are relevant to our patients Collaborative approach Can signpost people to Recovery College Great information about their conditions Understanding is key to patient recovery More than just medication is important for recovery Positive for younger people Make a Change Great opportunity for patients to get help and advice on healthy lifestyle Opportunity to get out and meet peers Potential for referral The comments in this table demonstrate the strength of feeling from those who attended the event that there was huge potential in learning about and from the other services who work at a community level. There were more opportunities and advantages in engaging than barriers or challenges identified. Question 3 What are the barriers/challenges to engaging? Home Accident Prevention Elderly fixed ideas hard to change their ways Denial they need help Time constraints Hard to recognise their problems during brief interaction Stigma of being vulnerable Not knowing what services are available for us to use or refer to Difficulty in identifying patients at risk of accidents Recovery College Not many knew about this Alzheimer s Society Stigma Denial they need help Time Openness of patients Tricky subject Make a Change Some overlap with existing services provided by Pharmacy

A general point made in relation to barriers was that a customer s independence may be compromised, a careful approach must be taken, it must be patient led. One of the people who attended the event commented, The groups who spoke today resonated well with the issues we see daily, massive opportunity to work together. Information exchange and networking There was much networking and exchanging of contact details that has not been formally recorded but has enriched the wealth of knowledge that was shared. Some of this has been captured in the evaluation information which is included as an appendix at the end. Table discussions following the presentations

The networking event gave several organisations the opportunity to host a stand. This provided a further chance to give and receive information about other services that support health and well -being in the local community The groups who presented today have resonated well with the issues we see daily Pharmacist

Evaluation and Feedback A post event questionnaire was completed by 22 attendees. The questionnaire and feedback have been collated in the appendix. The evaluation feedback was extremely positive. 82% of those who responded rated the pre-event information as either good or very good (55%). This is very encouraging as there were some challenges in getting information out to pharmacies. Most pharmacies have a shared email address and it is not as reassuring as being able to know you are contacting people directly. We relied on the personal relationships build up between the ICP Pharmacy Leads to disseminate invites and information. 64% of respondents rated the quality of presentations as very good and 32% as good. There were only 5% who selected average. We had selected presentations and were strict about the length of the presentation and restricted the number of slides. Our strategy was to give a snapshot of the work and leave attendees hungry for more information and with the connections to follow up themselves; this was achieved as several respondents stated they would have liked more slides. 100% of respondents felt that the event was relevant to their work, 86% believed the networking opportunity was either good or very good and 100% rated the quality of discussion as good or very good. There was hot food served at the start of the evening and everyone thought it was good or very good. We asked What did we do well, the responses illustrated that attendees believed the presentations provided relevant, timely and useful information. They said it was well presented and they appreciated the visual aids and keeping to time. Many attendees expressed surprise at the amount happening in their community that they were not aware off and said that they intended to use the service and felt confident that they could do so. Some suggestions for improvement related to the contact details of both attendees, presenters and those with information stands. Attendees would have liked all contact details of presenters to take home and emails of attendees to be shared. This was followed up by the group after and all attendees will also get a copy of this report. From a list of 20 words these were the top 5 used to indicate respondent s overall impression of the event.

Appendix 1 Evaluation Please rate this event in relation to... 18 16 14 12 10 8 6 Very Good Good Average Poor Very Poor 4 2 0 Pre-event information Quality of presentations Relevance to your work Networking opportunity Quality of discussion Venue and catering

Qualitative Data Collected What did we do well? Good range of leaflets. Very good for us in pharmacy for us to signpost to these services Good range of people from different services The networking- being able to see what s available out there and take the information home and use it for signposting Very informative I was not aware of the Recovery College which I plan to use in the future Providing us with very useful information Great night allowing us to get all this information The groups who spoke today have resonated well with the issues we see daily, massive opportunity to work together Concise information Great variety of different groups presented. All talks very informative and relevant Very relevant to our pharmacy Gave us great knowledge about organisations we didn t know existed Great variety of opportunities Eventing was well presented and very informative Organising the event was a positive as I was not aware of most of these group Keeping to time and great information Quick, factual and informative Timing and content I had no idea that these services existed Short, sharp and to the point Good visual aids that will make services memorable What could we have done better/ differently? Perhaps more visual presentations Possible more slides for presentations Keep involving local pharmacies Multi-disiplinary working Give contact details directally to us so we can make contact Collate contact details Engage Southern Trust ICP More information on slides Share emails Earlier notice of event Too much jargon, use plain language and simply explain what you do. A copy of the evaluation form used is included for information.

Mid Ulster Community Pharmacy Partnership Networking Event Making links to lighten the load Please rate this event in relation to: EVALUATION FORM Pre-event information Quality of presentations Relevance to your work Networking opportunity Quality of discussion Venue and catering Very Poor Poor Average Good Very Good What did we do well? What could we do better/ differently? Please circle three words below to indicate your overall impression of the event. Engaging Tedious Challenging Motivating Irrelevant Informative Too long Frustrating Rushed Enjoyable Confusing Clear Innovative Useful Invigorating Inspiring Dull Impractical Practical Pointless We appreciate your help in evaluating this event. THANK YOU

Mid Ulster Community Pharmacy Partnership Networking Event Making links to lighten the load This event was supported by