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Vol 272 No 7295 p462
17 April 2004

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Leading Articles

Mythical millions more
Seamlessly tackling chronic disease more


Mythical millions

About a month ago, the editorial team was discussing the origins of the “six million” figure — the number of people in Britain who are said to visit a pharmacy every day. Nobody knew where the figure emerged from, or on what evidence it was based, so we decided to commission an article to trace the source. The article, this week’s News feature (p467), is no more revealing, although it shows that the figure has been used with great authority by successive governments and the profession for as long as 20 years.

The article is of considerable value, however, in that it shows how hard it would be to determine an accurate figure of the number of people who go into a pharmacy every day for a whole range of reasons. And it also begs the question — does it matter?

What evidence there is suggests that, although six million is likely to be an overestimate of the number of people who converse with a pharmacist every day, it may well be a reasonable reflection of the number of people who go into a pharmacy, for whatever reason. In addition, it is certainly a huge underestimate of the number of people who pass a pharmacy window every day.

What these different figures do reveal is that pharmacies and pharmacists have extraordinary opportunities to deliver public health messages, some of which are exploited, some of which are not.

It could be argued that every pharmacy window represents an excellent opportunity to tell passers-by something about their health. In The Journal of 10 April (p443) we carried an announcement from Developing Patient Partnerships and the Consumer Health Information Centre about a competition for a window display used to encourage men to visit pharmacies for health advice in a campaign that will be launched on 29 April.

This is something that could be built upon: once a month a different organisation could support a window campaign and make awards for the most powerful images and messages displayed by pharmacies. The Journal would be happy to support such initiatives, give them advance publicity and publish details of the winners. Successful campaigns in one part of Britain could be copied in another and, whether it is one million, six million or 12 million people who benefit, health advice campaigns are always valuable.

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Seamlessly tackling chronic disease

Pharmacy is playing a major role in a new scheme in Salford that is seamlessly integrating health and social services in an attempt to tackle chronic disease in a run-down area. Although the service has yet to be evaluated, anecdotal evidence suggests a promising outcome (Vision for pharmacy, p473). We commend the initiative, which demonstrates how local pharmaceutical services can be used to improve public health.

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