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Vol 273 No 7314 p278
28 August 2004

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Pharmacists in Fife to assess men's health

Pharmacists are to assess men’s health because of their ready accessibility

Four community pharmacies in Fife are being funded to provide men's health assessments. Training is about to start and the service will be rolled out on 1 January next year.

Tom Burns, public health pharmacist at NHS Fife, explained: “The health of Scotland’s men is particularly poor. In one part of Glasgow, men’s life expectancy is the lowest in Europe. On the back of this, the Scottish Executive Health Department made money available for men’s health assessments.” He added: “I very much see screening services as part of the public health component of the new pharmacy contract.”

The new pharmacy service is part of a multi-agency scheme. It is the only one of seven men’s health assessment schemes funded by the Scottish Executive that includes pharmacists. All professionals offering the service — such as pharmacists, health visitors and district nurses — will use the same standardised health assessment. It will include measuring height and weight, calculating body mass index and assessing cardiovascular risk. If needed, cholesterol and blood glucose tests will be carried out. Other agencies involved in the scheme, such as the Fife Alcohol Advisory Service, are providing support should men need to be referred to them. It is envisaged that the pharmacists will be able to refer men directly to secondary care.

Pharmacies have been included because of their accessibility in terms of both convenient locations and extended opening hours. “We will be advertising the service in the local press and local radio, targeting men through their partners and targeting men who generally do not access health services,” said Mr Burns.

Altogether, the Fife scheme has been awarded £266,000 over the next two years; commuity pharmacies will receive £42,000. Pharmacists will be paid at a rate of £40 for a 40-minute consultation and will be expected to undertake two assessments a week for the two years the service will last.

“We hope that men will find the high street service convenient and accessible. If this is borne out in the evaluation then it should lead to future funding for pharmacy services,” commented Mr Burns.

Oral health Another public health initiative about to begin in Fife involves 10 community pharmacists carrying out oral health assessments. If any potentially cancerous lesions are identified the pharmacist can directly refer the patient to the specialist hospital head and neck service.

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