The Health Minister Mike Nesbitt has announced a series of initiatives to protect key health and social care services during another highly challenging winter period.

The measures are detailed in a 2024/25 Winter Preparedness Plan.

They will not eliminate winter pressures on the HSC system but will help to alleviate their impact.

The Health Minister said: “There is no doubt that the Health and Social Care system is again facing a very difficult winter period. While there are ongoing pressures across the system all year, it is clear that more people become sicker, for longer, over the winter months.  This is particularly true of our older population.

“The planning process for winter gets underway in springtime, to ensure that we can mitigate, as far as possible, the additional pressures that we know we will face.  For this winter, this includes measures to keep the population well in the community, including the use of community pharmacy, and measures to protect primary care, hospital care and social care.

“We can all play our part again this winter to look after ourselves and support the health service. This can include getting vaccinated if you are eligible, taking sensible steps to stay well, and co-operating with hospital discharge processes if you or a family member are well enough to leave hospital.

“Timely hospital discharges are essential to ensure patient flow through hospitals, freeing up capacity in Emergency Departments and the Ambulance Service.”

In response to the plan, CPNI commented: “Community pharmacy is a valuable first port of call for many winter ailments and the clinical expertise of highly trained pharmacists is available on every high street, without an appointment. 

This announcement coincides with  Ask Your Pharmacist Week, an annual reminder of the value of community pharmacies in keeping people well in their own communities with Pharmacy teams now delivering the all-important flu and COVID vaccinations to keep people protected this winter.

With additional resources, community pharmacies can support patients further and help alleviate pressures on GPs and Emergency Departments. ”

The full publication can be viewed here: https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-winter-preparedness-plan-2024-25.PDF

Clinical Expertise close to home, with no appointment needed 

It’s Ask Your Pharmacist Week from 4-11 November and community pharmacies across Northern Ireland are using the National Pharmacy Association awareness campaign to remind people of the wealth of clinical expertise available locally without an appointment.

With difficulties accessing GP and emergency department services continuing, the role of community pharmacies has never been more important and the first port of call for many everyday health conditions could be to simply Ask Your Pharmacist.

 Gerard Greene, Chief Executive of Community Pharmacy Northern Ireland (CPNI) said,

Patients have access to a health professional in the form of a highly trained team of clinical experts in their community pharmacy. Pharmacists train for five years, learning about the use of medicines to treat disease and diagnosing common illnesses, and they are continually developing their knowledge and skills. 

“Many everyday conditions can be treated urgently without needing to see a GP. However, very importantly, community pharmacists know how to spot the signs of serious illness, and they will refer patients to a doctor or other suitable healthcare professional if necessary.

“There have been many cases where a pharmacist has spotted signs of something which needed medical attention. In fact, there have been with numerous life-saving interventions by pharmacists across Northern Ireland with conditions such as a stroke, skin cancer and severe allergic reactions picked up and subsequently treated successfully.

“As an essential part of frontline health and social care, community pharmacists have expanded their range of services over the years to deliver support with COVID-19 and flu vaccination programmes and to provide treatments for some of the common winter illnesses.

“Under the Pharmacy First service, many pharmacies offer over the counter emergency contraception; and they can treat urinary tract and bacterial sore throat infections. Community pharmacy services like these can significantly relieve the pressure on GPs.

“Community pharmacists aim to keep people healthy and well at home for as long as possible. They live locally and they get to know entire generations of families, from the cradle to old age and they support many patients with long-term medical conditions. They are a trusted and integral part of front line services to keep people well in their local community. Ask Your Pharmacy Week provides a welcome opportunity to remind people of the clinical health expertise right on their doorstep. We would encourage people to make their local community pharmacy a natural first port of call for expert healthcare advice.”

As many pharmacists are already aware, a key aspect of the ongoing reforms to pharmacy education and training, is the increasing time that pharmacy undergraduates must spend on experiential learning (or “EL”) placements in each of the main pharmacy sectors – community, general practice, and hospital.  Since the beginning of the EL programme, community pharmacy has been a leading provider and hosted 770 EL placement weeks during the 2023/2024 period. 

The sector’s vital contribution will continue in 2024/2025, with over 200 community pharmacies signed up to host EL students.  The programme was officially launched by the Health Minister Mike Nesbitt and Chief Pharmaceutical Officer Prof. Cathy Harrison on 14th October, with visits to EL training sites within each sector, including Clear Pharmacy on the Lisburn Road, Belfast. 

At the launch Gerard Greene, CPNI Chief Executive spoke of the importance of the community pharmacy sector in supporting pharmacy students: CPNI is extremely proud that feedback for our sector to date has been so positive, with 91% of students agreeing that their community pharmacy placement helped them feel more confident and competent in their professional skills.

 As we all know, learning in theory is essential, but building practical experience and confidence is an equally vital step for the pharmacists of the future.  We wish the next cohort of EL students a very productive and enriching experience and hope it allows them to gain an insight into the expanding clinical role of the community pharmacists.”

Further information is available here

A new Living Well campaign – ‘Looking after your sexual health’ – has been launched in community pharmacies across Northern Ireland, helping to raise awareness of the importance of practising good sexual health.

Living Well is offered in over 500 pharmacies across Northern Ireland and provides information and advice on public health issues. It is delivered in partnership with the Public Health Agency (PHA), Community Pharmacy NI (CPNI), and the Department of Health (DoH).

Dr Rachel Coyle, Consultant at the PHA, said: “Sexual health and wellbeing is important, and looking after it can have a positive impact on your general mental and physical health and help you develop positive relationships. It is also about having the knowledge and awareness that is relevant throughout different stages of your life, from adolescence onwards, and not just during the reproductive years.

“Contraception is an important part of sexual health and there are lots of different methods available. Knowing how and where to access contraception can help prevent pregnancy.

“However, it is important to remember that while there are many contraceptive options, to also help protect yourself against STIs, you need to use condoms. They are the only method of contraception that help protect against both pregnancy and STIs.”

The campaign key messages include:

  • Good sexual health means being able to make informed choices about sex and relationships.
  • Condoms help prevent STIs and unplanned pregnancy.
  • Not all STIs have symptoms.
  • If you think you may be at risk of having an STI, get tested.
  • There are lots of different types of contraception and contraception is available for free across Northern Ireland.

Peter McCavert, Community Pharmacist at Chemist Connect, said: “Community pharmacy is the front door to the health service, and this accessibility is key to raising awareness through the Living Well campaign that is encouraging patients to look after their sexual health. Community pharmacy can offer confidential advice to patients from a healthcare professional without the need to make an appointment.

“Throughout this campaign pharmacy teams across Northern Ireland will promote the importance of looking after your sexual health and, where needed, can advise and signpost patients appropriately for further support and guidance.”

Good sexual health means being able to make informed choices about sex and relationships. For further information and support visit www.sexualhealthni.info

Peter McCavert, Community Pharmacist at Chemist Connect and Dr Rachel Coyle, Consultant at the PHA. 

The body that represents community pharmacists in Northern Ireland has again called on the Department of Health to sort out the community pharmacy funding arrangements in Northern Ireland which are causing community pharmacies to lose thousands of pounds each month by dispensing many essential medicines at a loss.

In recent weeks, pharmacy owners have been faced with new soaring costs for several medicines, the latest being the commonly prescribed drug, Apixaban which is used to prevent blood clots.

Recent costs rises mean that pharmacies are paying as much as £36 per pack of Apixaban, however the Department of Health is currently paying a pharmacy back around £2.21 – £2.48 per pack, resulting in a significant gap in a pharmacy’s finances.

The Department temporarily increased the payment for these drugs to £14.99 on the last day of August before reintroducing the lower prices on 1st September again.

There are typically around 150 lines of medicines affected in this way every month and Community Pharmacy NI (CPNI) say this is both grossly unfair and unsustainable.

Community Pharmacy NI has been raising issues with the drug payment arrangements for years and says it is time for a fair contract for pharmacy owners. It recently met the new Health Minister to outline this again.

It points to the closure of 15 community pharmacies in the past 20 months as proof that these businesses are becoming unsustainable under current funding arrangements, with another two pharmacies closing permanently here at the end of August.

Chief Executive of Community Pharmacy NI, Gerard Greene said: 

“We have been fighting for the basic prices of medicines to be met for far too long, it is a simple principle of fairness. It cannot be the case that community pharmacy owners are expected to subsidise Northern Ireland’s medicine bill from their own pockets. We know for a fact that some community pharmacy owners have had to borrow money from family members to meet medicine wholesaler bills and earlier this year the representative body for UK medicines wholesalers issued a warning that community pharmacies were struggling to pay their wholesaler bills. For a first world health service this is the sorry state of affairs.

“Community Pharmacy has two key asks. Firstly, an urgent injection of funding to help community pharmacies pay their medicine bills, and secondly, a longer-term solution in the form of a Northern Ireland specific drug tariff that meets the needs of a modern community pharmacy network, allowing it to take on a greater role in community-based healthcare.

“What we continuously hear is that there is no money, yet if primary care and community pharmacy was stabilised, community pharmacy can provide solutions to many of the issues facing our health service. Community pharmacies provide local, accessible healthcare services in every town and village across Northern Ireland. We can help prevent people from being admitted to hospital. We can help address the bottleneck in General Practice. Community pharmacy is a solution that is ready to be utilised if the will and the resource is there to do it.”

A new campaign focussing on the importance and benefits of physical activity to help   live longer and stronger, has been launched in community pharmacies across Northern Ireland.

The ‘Live longer and stronger’ campaign aims to raise awareness of age-related deconditioning and the importance of physical activity and will run in community pharmacies throughout August and September as part of the Living Well service.  

Living Well is offered in over 500 pharmacies across Northern Ireland and provides information and advice on public health issues. It is delivered in partnership with the Public Health Agency (PHA), Community Pharmacy NI (CPNI), and the Department of Health (DoH).

Jeff Scroggie, Health and Social Wellbeing Improvement Manager and Ageing Well Lead at the PHA said: “It is never too late to gain health benefits from physical activity. Ageing is inevitable, but the pace at which physical changes occur can be slowed or even reversed with regular physical activity.

“Including some physical activity into your weekly routine will benefit you mentally as well as increase your quality of life. It can help make you feel happier, keep your brain sharp, prevent falls and help to keep you living independently to enjoy life and activities with friends and family for longer.”

Local Community Pharmacist Killian Johnston from H Sweeny Pharmacy, Quayside Shopping Centre in Derry/Londonderry, welcomed the campaign.

He said: “Community pharmacy is an ideal setting to help encourage people to look after their health by engaging in initiatives such as the Living Well campaigns.

“You are more likely to maintain your independence and overall wellbeing if you have led an active lifestyle and made healthier choices throughout your life. The more time spent being physically active, the greater the health benefits including better sleep.

“Pharmacy teams will be promoting the benefits of physical activity and where possible, signposting to relevant local groups and activities people can take part in. We would encourage patients and customers to call into their local pharmacy to ask for advice and information.”

Gerard Walls, Senior Health and Social Wellbeing Improvement Officer at the PHA, said: “The UK Chief Medical Officers recommend being active for at least two and a half hours each week, including doing activities that can help improve muscle strength and balance at least twice a week. We would recommend breaking up the activity into smaller bouts across the week and limit the amount of time spent being sedentary, such as lying or sitting.

“It is also important to remember that everyone has a different starting point, if this level of weekly activity is not achievable for you, start with light activities, such as walking, try to walk a bit faster than normal, cleaning or gardening is also a good way to try to build up gradually.

“Research shows that from 50 years of age we naturally lose muscle and bone density year on year, but being active can help reverse this.

“Regular physical activity provides physical and mental health and wellbeing benefits, including having a healthier heart and helping to lower the risk of developing conditions like dementia, Type 2 diabetes, stroke and some cancers.

“Even relatively small increases in physical activity can contribute to improved health and quality of life. No matter how active you may be, doing a little more can help. Every movement counts.”

Top tips

  • Limit the amount of time spent being sedentary, such as lying or sitting.
  • Activities that improve strength and balance, such as carrying heavy shopping bags, yoga or doing exercises that use your own body weight, such as push-ups or wall presses and sit to stands. These activities will help to reduce the risk of falls and help you feel more confident.
  • Find out what group activities happen in your local leisure centres, churches or community centres.
  • Join a local Walking for Health group. They cater for walkers of all abilities.
  • Take a walk with friends, rather than sitting with them for a chat.
  • Do some strengthening activities, such as standing up from a chair without using your arms or aided if needed.
  • Move around the house. Cleaning and gardening counts as physical activity.
  • You could use the time waiting for the kettle to boil to walk up and down the stairs or do some lunges, wall presses or heel raises.
  • Work on your balance by standing on one leg while you brush your teeth.

As part of the Living Well campaign, community pharmacies across Northern Ireland are providing free information leaflets.

In addition to the campaign materials, information on ways to get active and advice about how to eat and drink well as we get older is available  at www.choosetolivebetter.com

Notes to the editor

  • Institute of Public Health (IPH) data* indicates that a third of the population in Northern Ireland (33%) knows the weekly recommendations to do at least two and a half hours of physical activity.
  • Women (37%) are more knowledgeable than men (30%) about the weekly recommendations for activity, but are less active. People from lower socioeconomic groupings, were much less likely than those from higher groupings to know the benefits of physical activity for health.
  • People who knew the recommendations (37%) were significantly more likely to be active than those who didn’t know (30%). However, when analysed by gender, this association was only true for men and not for women.
  • Overall, 28% of people in Northern Ireland were active five days or more per week. One in seven (14%) were inactive. Women were much less likely to be active than men (26% compared to 31%) and women were also much more likely to be inactive (20% women, compared to 14% men).
  • Older people aged 65+ were more likely to be inactive than younger people (18-24) in Northern Ireland (20% compared to 15%). At a population level, knowledge of the benefits of physical activity and the consequences of physical inactivity has an association with increased physical activity.

*Sheehan A, O’Sullivan R. Mind the gap – exploring knowledge about physical activity in Ireland and Northern Ireland. Executive summary. Dublin: Institute of Public Health, 2023.

www.publichealth.ie/sites/default/files/2023-02/wp-content/uploads/2023/04/Mind-the-Gap-Exploring-knowledge-about-PA-in-Ireland-and-N-Ireland-Exec-Summary.pdf