Building the Community-Pharmacy Partnership

Level 2 & 3 Project Toolkit

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CONTENTS

1 INTRODUCTION.........................................................................................4

1.1 Background................................................................................4

1.2 Building the Community-Pharmacy Partnership............................4

1.3 The Project Toolkit.....................................................................5

2 STARTING YOUR PROJECT.......................................................................7

2.1 Introduction...............................................................................7

2.2 Local Needs................................................................................7

2.3 Aims and Objectives...................................................................8

2.4 Identifying Possible Outcomes....................................................9

2.5 Involving Participants in Planning..............................................10

3 START OF PROJECT DATA COLLECTION TOOLS....................11

3.1 Introduction.............................................................................11

3.2 Start of Project Data Collection Tools.........................................11

3.3 Core Group and Event-Based Sessions.......................................12

3.4 Core Group Participant Questionnaire – First Group Session........13

3.5 Event-Based Participant Questionnaires – After All Events..........14

3.6 Monitoring Report....................................................................14

3.7 Session Checklist......................................................................14

4 MONITORING CORE GROUP SESSIONS......................................16

4.1 Introduction.............................................................................16

4.2 Participant and Activity Monitoring...........................................16

4.3 Part Two Monitoring Report Completion.....................................19

5 MONITORING EVENT-BASED SESSIONS....................................20

5.1 Introduction.............................................................................20

5.2 Participant and Activity Monitoring...........................................20

6 MONITORING PARTICIPANT REFERRALS AND SUPPORT 22

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6.1 Introduction.............................................................................22

6.2 Referrals into Project................................................................22

6.3 One-to-One Support and Signposting .......................................22

7 OPTIONAL QUESTIONNAIRES FOR USE WITH LOCAL PEOPLE.........................................................................................................25

7.1 Introduction.............................................................................25

7.2 Optional Questionnaires............................................................25

7.3 How to Use the Questionnaires..................................................25

8 END OF PROJECT DATA COLLECTION TOOLS.........................28

8.1 Introduction.............................................................................28

8.2 End of Project Data Collection Tools..........................................28

8.3 Core Group Questionnaires – Last Session with Group................ 28

8.4 End of Project Reporting Pack...................................................29

8.5 Partner Questionnaires.............................................................30

8.6 End of Project Summary............................................................30

1. Planning the Session.................................................................38

2. Developing Your Themes and Questions....................................38

3. Facilitating the Session.............................................................39

4. Questions to help you Plan........................................................39

5. Questions to help you Evaluate.................................................40

6. Reporting on your Findings.......................................................42

Appendix One: Selected Information SourcesAppendix Two: Conducting Participant DiscussionsAppendix Three: Core Group Participant QuestionnairesAppendix Four: Core Group Participant Questionnaire – GHQ 12 ScoringAppendix Five: Event-Based Participant QuestionnaireAppendix Six: Monitoring ReportAppendix Seven: Final Reporting Pack Appendix Eight: Partner QuestionnairesAppendix Nine: Optional Questions for use with Local People

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1 Introduction

1. 1 BackgroundCommunities and community pharmacists have a vast range of skills, expertise and information that can help provide support to a wide range of individuals and groups.

Pharmacists are one of the most accessible members of the primary care team and are essentially an open door to the health service. They have regular contact with healthy, as well as sick people and can be contacted without an appointment.

As the most regular users of the pharmacy are often people who are vulnerable to poor health (e.g. the poor, the elderly, those with young children, and other marginalised groups such as those with disabilities, mental health problems and their carers), the pharmacy is well placed to work in partnership with local communities to help improve the health of those that are most likely to excluded from mainstream health and social care.

Often we see pharmacists as only dispensing our medicines BUT pharmacists, their staff and their premises have much more they can offer in relation to a range of health issues.  Pharmacies are increasingly being used as a community resource where information can be accessed on health and general wellbeing, as well as somewhere that people can be directed to other services.  Pharmacists can also provide outreach in a range of community and social settings.

It is clear that community and voluntary groups play a very active role within their local area. They may focus on particular needs (e.g. education, employment, environment, health) or on the needs of a specific group (e.g. carers, people with arthritis, older people, teenagers). 

By working together, sharing ideas and expertise, local groups and pharmacists can complement what is already taking place and increasingly can help meet local health needs.

1.2 Building the Community-Pharmacy Partnership

The Building the Community-Pharmacy Partnership (BCPP) is a partnership between the Community Development and Health Network (CDHN) and the Pharmacy Branch, Department of Health, Social Services and Public Safety (DHSSPS). The initiative benefits from the strategic direction of a multi-agency Steering Group and primarily aims to:

Establish stronger partnerships between local communities and community pharmacists; and

Address local health needs using a community development approach.

The factors that can influence health and wellbeing are many and multi-faceted. The work of the BCPP seeks to address the root causes of ill-health

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and to assist communities to take responsibility for their health. The model of partnership between the community and pharmacy:

Assumes community groups and pharmacies will work together to generate new ideas for joint work to the advantage of local people’s health;

Acknowledges the role the pharmacy fulfils in linking local people with other parts of the health care system, such as GPs and community nurses; and

Expects pharmacists to inform community groups and through them local people of potential actions that they could take to promote better health.

1.3 The Project ToolkitThe BCPP Steering Group commissioned the development of this Toolkit to enable community pharmacists and groups involved in BCPP funded projects to access background information, questionnaires and ideas that will help inform, develop and evaluate the work that they do.

Undertaking regular discussions with participants, monitoring attendance at activities and obtaining feedback should help local partners understand the contribution that their project is making to improving accessibility to health related information/services. The information and feedback generated through the process will provide the Steering Group and, ultimately the DHSSPS, with the evidence needed to determine the impact of the BCPP on health and wellbeing at a local and programme wide level.

This document and the accompanying questionnaires are available in the form of a booklet and in electronic format and will be available on the CDHN website www.cdhn.org/bcpp. It is intended that this will help you to reflect on your work and assess the performance of your project against what you set out to do.

The remainder of this Toolkit is made up of the following chapters:

Chapter Two: Starting your Project; Chapter Three: Start of Project Data Collection Tools; Chapter Four: Monitoring Core Group Sessions Chapter Five: Monitoring Event-Based sessions;

 

Throughout the document we have presented a number of questions for you to reflect upon in shaded text. These are intended to focus you on the key issues that need to be considered when planning and evaluating the impact of your project.

At the end of your funding period Lead Partners are required to provide BCPP with a summary of your project. This will provide the Steering Group with background on your progress and an assessment of what worked well and what could be improved. Each of the tasks provided in the document relate to those required for your end of project summary.

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Chapter Six: Monitoring Participant Referrals and Support; and Chapter Seven: End of Project Data Collection Tools.

There are also a number of appendices which provide you with the following details:

Appendix One: Selected Information Sources Appendix Two: Conducting Participant Discussions Appendix Three: Core Group Participant Questionnaires Appendix Four: Core Group Participant Questionnaire – GHQ 12

Scoring Appendix Five: Event-Based Participant Questionnaire Appendix Six: Monitoring Report Appendix Seven: Final Reporting Pack Appendix Eight: Partner Questionnaires Appendix Nine: Optional Questions for use with Local People

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2 Starting Your Project

2.1 IntroductionIn this chapter we will recap some of the issues you took into consideration when starting your BCPP project. We aim to help you review on the unmet local needs that you identified, what you wanted to achieve and the activities that you will undertook to help meet your objectives. You should look back at your original BCPP Application Form and agreed Contract when considering these issues.

2.2 Local NeedsThe BCPP initiative seeks to address the following needs:

The health and wellbeing of local people; and

The organisational needs of pharmacies to help integrate them with the local community infrastructure – and specifically with other community-based organisations.

Improving the health and wellbeing of local people provides the underlying rationale for DHSSPS investment in the initiative. It is anticipated that greater integration between services (such as pharmacies) and local communities will contribute to improving the health and wellbeing of local people.

In order to assess whether or not an intervention has made a difference to improving health and wellbeing or integrating pharmacies with communities, we need to understand what the situation was like before and after.

From your application you will have a good understanding of the level of deprivation in your area and how it compares with the rest of Northern Ireland on key issues. You will also be familiar with the Northern Ireland Multiple Deprivation Measure 2005 which details the levels of deprivation in 890 small areas. Refer back to your application to recap on this or enter your postcode into www.ninis.nisra.gov.uk to obtain these statistics.

Appendix One of this document lists people often suffering from inequality of access or opportunity – as identified under Section 75 of the NI Act (1998). However other groups experiencing disadvantage may include:

Those who suffer from drug or alcohol addiction; Those whose first language is not English; and Other groups – (For example, ex-offenders, refugees, homeless,

care leavers, Travellers, rural, lone parents, people in residential care).

It is important to recap on any disadvantages the people you worked with had. Overcoming disadvantage can result in overcoming or removing barriers to self-sufficiency. This may include enabling or empowering the group to develop the resources needed for self-sufficiency.

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2.3 Your Aims and Objectives

During your application you will have considered aims and objectives to help you address the needs in your area. Pages 1 and 2 of your BCPP Letter of Offer will clearly define the aims and objectives of your project. The core elements include:

Aims: Your aims are the changes you are trying to achieve in the group or groups you work with. These should be related to the needs which you wish to address;

Objectives: Your objectives are the activities you carry out to achieve your aims, the way you intend to achieve these changes; and

Actions: Your actions are the activities that you planned to undertake. These actions flow from your objectives. It is good to be clear about each person’s / partners role

 

Identifying Local Needs

What area was your project is based in? How did it compare to other areas in Northern Ireland in terms of socio-economic deprivation and health?

Who were the people that you worked with? Do they differ from the rest of the population in terms of health and wellbeing, confidence and abilities?

What external factors detracted from the health and wellbeing of the people that you targeted? For example, local housing conditions, lack of facilities, poor transport, or inaccessible primary care services.

Identifying Aims & Objectives

What are the specific needs in relation to health and wellbeing that your project seeks to address?

What are your aims and objectives?

What actions will you carry out?

In what ways do you think that your BCPP partnerships will help you meet your aims and objectives?

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2.4 Identifying Possible Outcomes

In your application you will have answered a question on what outcomes you wished to achieve in the project. It is helpful to connect your activities to the ultimate goals of your project. This involves making assumptions about how and why particular activities are going to make a difference. It involves identifying differences that are likely to evolve over time as a result of program activities (e.g. increased confidence, improved knowledge). Using a Logic Model Framework will help you achieve this by breaking down components of your project into the following:

Inputs: This refers to what different people and organisations are bringing to the project. For example, BCPP contributes funding and advice, the Pharmacist is providing specialist health related knowledge and expertise, community groups guide local people into the project;

Processes: These are the different ways which the various contributions are combined into working procedures. For example, community pharmacists could refer customers who are carers to attend support sessions co-facilitated by a local community group;

Outputs: These are the results of your processes. For example, the numbers of people taking part, number of sessions facilitated by health professionals, number of referrals made to other agencies; and

Outcomes: These refer to the changes brought about as a direct result of your project.

These are illustrated in the following example:

 

Inputs

Pharmacy skills

Referrals from pharmacy & other health professionals

Local community group knowledge

Processes

Discussions/workshops

Training for facilitators

Design & delivery of sessions

BCPP Partner Meetings

Outputs

10 sessions with core group of 8 people

Information event with 50 people

5 Staff trained in group work skills

Outcomes

Increased health awareness

Increased confidence

Increased use of pharmacy

New working relationships formed

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By using this method, you and your partners should be able to see the links between what you need to make happen in order to produce the outcomes that you want.

2.5 Involving Participants in Planning through eg Questionnaires

In your application you will have been asked to consider how you will involve participants in the planning, delivery and evaluation of your project. Having received funding from CDHN for a BCPP project you should contact participants to ensure the planned project will meet their needs.

It is important to listen to the views of the people that you will be working with. For example, you might like to know what people’s concerns are, the topics that people would like covered, the way that they are presented, their preferences for the timing and length of sessions and where they are held.

We recommend that projects working with the same people over a period of time (known as a core group), undertake an initial group planning session in order to inform the approach that you should take – we have devised a “start of project” questionnaire which should be completed by participants during this session (see Chapter Three). When these questionnaires have been completed they should be sent to CDHN. CDHN will then issue projects with a summary report which projects can use to plan and deliver the rest of the project.

If you will be carrying out 1 off sessions / events over the course of the project we ask you to get feedback from participants to enable you to take their recommendations into future planning. For this we have devised an “event questionnaire” to be completed by attendees (see Chapter Three).

Reappraisal should be ongoing throughout your project, as you begin to see what does and doesn’t work. You may wish to use/adapt the optional questions included in Appendix Nine, in order to learn more about the people that you are working with and the issues they face. However, these should always be additional to the BCPP data collection requirements as set out in this document.

 

Identifying Potential Outcomes

Identify the inputs, processes, outputs and outcomes for your project. Ensure that all partners discuss and understand their contribution that they need to make.

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3 Start of Project Data Collection Tools

3.1 IntroductionThis chapter describes the data collection tools that have been developed for use by BCPP projects at the start of their initiative. We have touched on some of these tools on the previous page. We will also indicate the type of tool to be used, who will complete it, at what stage in the project and when they should be submitted to BCPP. We also provide additional information for their completion (see Chapter Seven for an outline of the tools to be used at the end of the project). Please note that the Evaluation Officer will support you to use these tools.

3.2 Start of Project Data Collection Tools The Lead Partners of funded projects are required to complete a Monitoring Report at regular intervals – depending upon the level of the project.

Level 2 projects will complete a return every four months; and

Level 3 projects will complete a return every six months.

These Monitoring Reports will mainly summarise participant numbers, project activity and progress over the period and a number of data collection templates are included in the pack.

In addition to this, we also ask Lead Partners to collect information from participants in the form of questionnaires. These are to be submitted to BCPP after completion.

Table 3A overleaf illustrates the range of BCPP data collection tools that have been developed to assist projects in monitoring progress and to provide evidence on project impact. Completion of these data collection tools is essential. It is strongly recommended that you photocopy the monitoring reports (and all associated forms) that you are required to send to BCPP for your own records.

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Table 3AStart of Project Tools

Lead

 

Tool Type When Who Stage Submit

Core Group Participant Attendance Log

Monitoring

Ongoing Lead Partner working with core group(s)

After each session

With Monitoring Report (every 4/6 months)

Project Activity Log Monitoring

Ongoing Lead Partner

After each session/event

With Monitoring Report

One to One Support Summary

Monitoring

Ongoing All Partners

After each one-to-one

With Monitoring Report

Core Group Participant Questionnaire

Evaluation

One-off questionnaire – once at the start and once at end of group session

A core group of participants attending the project over a period of time

First session with group & Last session with group

Immediately after completion (i.e. don’t wait for your monitoring return)

Event-Based Participant Questionnaire

Evaluation

Ongoing To be completed by participants not usually connected with the project or attending occasionally

After each event facilitated/co-facilitated by the Pharmacist

After completion

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Partners will also complete a Final Reporting Pack covering data collection for the whole project when their funding ends.

Project Partners are also asked to complete a questionnaire to determine their feelings about the impact of their work at the end of the funding period. They are also required to develop a summary of their project, the activities that they undertook and its perceived impact. This is covered in more detail in Chapter Seven.

3.3 Core Group and Event-Based Sessions

BCPP projects work in different ways. Some will work with the same people over the funding period, others will run one-off sessions/events with different people/groups and some projects will use a mix of both approaches.

It is important that you are clear about which category each of your sessions fall into - as this will determine the data collection templates and participant questionnaires that you use.

If your BCPP project work is usually centred on a group of participants over a set number of sessions we refer to them as CORE GROUP SESSIONS (e.g. a group of local people with learning disabilities attending for eight sessions). Some of these projects will work with a number of different groups over the funding period – either running alongside each other, or starting a different intake of people after the allotted number of sessions with the previous group is completed.

If you work with different participants over the course of the project through one-off sessions we define this as being EVENT-BASED work. Examples of this work include health fairs or community open evenings at the Pharmacy and it is unlikely that the partners will have the same people at each session.

3.4 Core Group Participant Questionnaire – First Group SessionWe are interested in collecting information on the people who are attending BCPP core group projects and tracking their progress to see if there are any changes in their personal development, well-being and service use. Therefore it is compulsory that all participants taking part in BCPP over a period of time complete a Core Group Participant Questionnaire at the start of their involvement with the project (contained in Appendix Three).

Ideally questionnaires will be completed as a group at the initial session. We suggest that the partners use this session to help understand participant health awareness levels and support needs and then plan the project activities to suit.

Although we have tried to make the language straightforward it may be useful for the Lead Partner to read through each section of the questionnaire at a time and clarifying the meaning as necessary. After participants have filled in their answers general discussion could take place around the issues involved. We have provided information on conducting discussions with participants and some questions that you could ask during this session in Appendix Two.

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The General Health Questionnaire 12 (GHQ12) – a subjective measure of psychological well-being – can be found in Section Two of the Core Group Participant Questionnaire. The GHQ12 comprises twelve questions, asking informants about their general level of happiness, experience of depressive and anxiety symptoms and sleep disturbance over the last four weeks.

Interpretation of the answers is based on a four-point response scale under which the participant scores a “1” if the symptom is present and “0” if it is not present (e.g. responding “not at all”= 0, “same as usual” = 0, “more than usual” = 1 and “much more than usual” = 1).

We have provided the scoring for each answer in Appendix Four, for your information. A score of four or more, when the answers to all 12 questions are totalled, are referred to as 'high GHQ12 scores' and are considered to indicate poor psychological well-being. We recommend this section of the core participant questionnaire is only used with adults.

Please note that participants should be told that they do not need to put their names on the questionnaires and assured that their answers are confidential. You could consider providing an envelope or box for people to drop their questionnaires into on completion.

We understand that people will drift in and out of group sessions and therefore ask that Lead Partners ensure that participants complete the questionnaire at the earliest opportunity.

Core Group participants will also be asked to complete another questionnaire at their last group session (see Chapter Seven).

3.5 Event-Based Participant Questionnaires – After All EventsAlthough individuals attending your events may not be involved with your BCPP project on a prolonged basis we still wish to know about them and their views. The feedback will also be useful for future event planning and development.

The Event-Based Participant Questionnaire is designed to collect information on the participant, their health and service use and what they thought about the session that they have attended (contained in Appendix Five). This questionnaire should be provided at the end of event-based sessions – as a minimum the questionnaire MUST be distributed at all events co-facilitated by the Pharmacist.

We understand that it is easier to distribute questionnaires at presentations, or seminar based events and, that it may be more difficult to collect information from large numbers of people at health fairs for example. However, we encourage you to approach a number of people at each event in order to obtain their views.

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3.6 Monitoring ReportAs previously noted, the Lead Partners of funded projects are required to complete a Monitoring Report every four months (Level 2 projects) or every six months (Level 3 projects). The Monitoring Report (contained in Appendix Six) consists of four parts:

Part 1 – Income and Expenditure Report Part 2 – Monitoring Information Part 3 – Participant Referrals and Support Part 4 - Progress Update

This guide is concerned with helping you complete the monitoring and participant referral information in Part 2 and 3.

We require you to collect information on the participants attending your sessions and on the activities that you undertake. In order to complete the appropriate data collection templates (and to complete Part 2 of the Monitoring Report) you need to decide whether the particular session is CORE GROUP or EVENT-BASED work.

If you plan to conduct Core Group sessions please read Chapter 4 for direction on completing your data collection templates and how to answer Part 2 of the Monitoring Report.

If you plan to conduct Event-Based sessions please read Chapter 5 direction on completing your data collection templates and how to answer Part 2 of the Monitoring Report.

Participant Referrals and Support (Part 3 of the Monitoring Report) is the same for all BCPP projects and is explained in Chapter 6.

3.7 Session ChecklistIt is important that you are well-prepared for each session and have all of the relevant data collection tools with you. Recording information as you go along makes reporting easier and is likely to provide more accurate data. The illustration overleaf highlights which tools to take with you for each core group and/or event-based session. Each is discussed in the following sections:

 

Event-Based Session Checklist

Event-Based Activity Log for project

Participant One-to-One Support Summary

Event-Based Participant Questionnaire + pens

Core Group Session Checklist

Core Group Participant Questionnaire + pens (first session only)

Core Group Attendance Log for specific group

Activity Log for specific group

Participant One-to-One Support Summary to be completed by ALL relevant partners

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4 Monitoring Core Group Sessions

4.1 IntroductionThis section describes the data collection tools that have been developed for use by BCPP projects that will run sessions with a core group (or groups) of participants. It aims to assist projects understand which tools to use and how to complete Part 2 of the Monitoring Report.

4.2 Participant and Activity MonitoringPARTICIPANT monitoring for your core group work requires the Lead Partner to record the following:

The number of core groups that you have worked with over the monitoring period; and

The gender and age profile of each group and people’s attendance over the period.

An example of a completed Core Group Attendance Log for a “Young People’s Health and Happiness Group” is shown in Table 4A overleaf.

ACTIVITY monitoring for your core group work requires the Lead Partner to record the following for each session:

Topic covered; Your approach (i.e. what method you used to deliver the session); The location in which the session was held; Who delivered the session Length of the session; and The total number of people attending.

An example of a completed Core Group- Project Activity Log for the “Young People’s Health and Happiness Group” is shown in Table 4B, p.18.

 

Core Group - Attendance Log

The above information needs to be collected using the Core Group - Attendance Log. You will need to complete one Attendance Log for each group that you work with.

Core Group - Project Activity Log

The above information needs to be collected using the Core Group - Project Activity Log. You will need to complete one Project Activity Log for each group that you work with.

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Table 4A Core Group - Attendance LogThis table should be used to record details of participants that attend your project on a regular basis. Use one Log for each group that you work with (e.g. a core group of 9 young people over a 6 month period). Use the totals from the each group’s Attendance Log to answer Section 2.2 of the Monitoring Report. Please add additional rows as required. You need to submit this table to BCPP.

Group Name/Description Young People’s Health and Happiness Group

Num

ber A

ttend

ed

Participant

Gender Age Range Dat

e 01/05

08/05

15/05

22/05

29/05

04/06

11/06

18/06

25/06

03/07

Mal

e

Fem

ale

Und

er 1

6

17–

25

26 –

45

46 -6

4

65+

Unk

now

nSe

ssio

ns A

ttend

ed

S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 S12

1 John Smith 8

2 Ann Brown 8

3 Jane Grant 10

4 Lucy Johnston 10

5 Grace Fenton 8

6 Mark Bradly 7

7 Tara Benjamin 4

8 Lara Black 8

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9 Chris Matthews 7

Total Participant Breakdown 3 6 4 5 0 0 0 0Total Number of Sessions Attended 70

Average Sessions Attended (Total Number of Sessions Attended Divided by Number of Participants) – i.e. 70 divided by 9 = 7.77

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Table 4B Core Group - Project Activity LogComplete the table below using your session records. Use one Log for each group that you work with. Use the totals from the corresponding Group Work - Attendance Log and/or participant numbers collected from one-off events held with the wider community to answer Section 2.3 of the Monitoring Report.

Group Name/Description Young People’s Health & Happiness Group

Date Session Topic Approach Venue Who Delivered the Session Session Length (hrs)

Tota

l Pa

rtici

pant

s

01/05/09 S1 Introduction to participants Discussion Community Centre Community /Pharmacist 1 6

08/05/09 S2 Obesity Awareness Quiz/Group Work Community Centre Pharmacist/Dietician/Community 1.5 9

15/05/09 S3 Healthy Eating Cookery Class Community Centre Pharmacist/Community 1.5 5

22/05/09 S4 Diabetes Awareness Quiz/Group Work Community Centre Pharmacist/Community 1 8

29/05/09 S5 Get up & Go Dance lesson Community Centre Pharmacist/Community/Dance Teacher 1.5 7

04/06/09 S6 Alcohol Awareness DVD/Group Work Community Centre Pharmacist/Community/Voluntary 1.5 7

11/06/09 S7 Getting to know the pharmacy Information session Pharmacy Pharmacist/Community 1 4

18/06/09 S8 Personal Safety Group Work & Self Defence Community Centre Pharmacist/Community/Voluntary 1.5 6

25/06/09 S9 Sexual Health Peer Educator Group Work Community Centre Pharmacist/Community/Voluntary 1.5 9

03/07/09 S10 De-stress Demo & Group Work Community Centre Pharmacist/Community/Reflexologist 1.5 9

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Sessions 10 Total hours delivered 13.5

Sessions Delivered with Community Partner 10 Community Partner Time (hrs) (Total time spent at sessions by Community Partner)

13.5

Sessions Delivered with Pharmacist 10 Pharmacist Time (hrs) (Total time spent at sessions by Pharmacist)

13.5

Sessions Delivered with Other Partners (e.g. Dietician, Dance Teacher, Other Voluntary, Reflexologist)

6 Other Partners Time (hrs) (Total time spent at sessions by Other Partner)

9

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4.3 Part Two Monitoring Report CompletionPart 2 of the Monitoring Report is completed by undertaking the following

step:

STEP ONE

Section 2.1 of the Monitoring Report asks you to provide details of the numbers of participants and staff/volunteers who have received training through the project. It also asks you to provide information on the number of people who are acting as unpaid volunteers on the project and their role. Table 4F overleaf, provides an example of a completed Training Undertaken/Volunteer Activity Summary.

Table 2.1Sample Training Undertaken/Volunteer Activity Response

How many participants received training (e.g. group work skills, capacity building) as part of the project during this period?

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What was the nature of this training? “Ground Rules” to working as a group

In total, how many volunteers have assisted you with this project during the period?

1

What roles do they undertake? Monitoring & Administration

In total, how many staff/volunteers in your organisation have received training or developed their skills in order to help them with this project? (e.g. evaluation, finances, group-work skills)

2

What was the nature of this training/skills development? Group work facilitation BCPP Evaluation training

If you run event-based sessions in addition to core group work you will need to read Chapter 5 – Monitoring Event-Based Sessions.

Otherwise you may proceed to Chapter 6 with concerns Part 3 of the Monitoring Report – Monitoring Participant Referrals and Support.

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5 Monitoring Event-Based Sessions

5.1 IntroductionThis section describes the data collection tools that have been developed for use by BCPP projects that will run event-based sessions with a variety of participants. It aims to assist projects understand which tools to use and how to complete Part 2 of the Monitoring Report.

5.2 Participant and Activity MonitoringPARTICIPANT monitoring for event-based sessions requires the Lead Partner to record the following:

The number of people attending project events/sessions over the monitoring period.

The number of people attending could be collected by doing a headcount, passing around a “sign-in” sheet, totalling your Event-Based participant questionnaires or if there are a lot of people attending, providing a rough estimation of numbers.

ACTIVITY monitoring for your core group work requires the Lead Partner to record the following for each session:

Topic covered; Your approach (i.e. what method you used to deliver the session); The location in which the session was held; Who delivered the session Length of the session; and The total number of people attending.

An example of a completed Event-Based- Project Activity Log for the “Anytown Health Improvement Project” is shown in Table 5A overleaf.

 

Event-Based – Project Activity Log

The above information must be recorded in an Event-Based - Project Activity Log. Lead Partners need to complete these after each session.

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Table 5A Events - Project Activity LogPlease complete the table below using your session records. Use the totals from the participant numbers collected from one-off events held with the wider community. Please add additional rows as required.

Date Session Topic Approach Location and/or Group Who Delivered the Session Session Length

(hrs) Tota

l Pa

rtici

pant

s

03/01/09 S1 Recognising Stress Discussion Community Centre Community /Pharmacist 1 21

02/02/09 S2 Healthy Eating & Obesity Cookery Demonstration Community Centre Pharmacist/Dietician/Community 2 27

04/03/09 S3 Breast Cancer Awareness Demonstration Anytown Women’s Group

Pharmacist/Community/Health Visitor

1 9

01/04/09 S4 Young People & Alcohol Discussion Anytown Parents Group

Pharmacist/Community 1 6

29/04/09 S5 Stress Awareness Health Fair Community Centre Pharmacist/Community/Health Visitor/Voluntary

1.5 64

5/05/09 S6 Learning to Relax Demonstration Anytown Women’s Group

Pharmacist/Community/Aromatherapist

1.5 12

24/05/09 S7 Young People & Alcohol Discussion YMCA Pharmacist/Community 1 8

03/06/09 S8 Pharmacy Open Evening Drop-In Pharmacy Pharmacist/Community/chiropodist 3 28

18/06/09 S9 Healthy Packed Lunches Cookery Demonstration Community Centre -Mothers & Toddlers

Community/Dietician 1 7

05/07/09 S10 Breast Cancer Awareness Demonstration St Mary’s Grammar School

Health Visitor/Community 1 35

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Total Sessions

10 Totals 14 217

Sessions Delivered with Main Community Partner 10 Community Partner Time (hrs) (Total time spent at sessions by Community Partner)

14

Sessions Delivered with Pharmacist 9 Pharmacist Time (hrs) (Total time spent at sessions by Pharmacist)

13

Sessions Delivered with Other Partners (e.g. Dietician, Health Visitor, Aromatherapist, other voluntary)

7 Other Partner Time (hrs) (Total time spent at sessions by Other Partners)

11

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6 Monitoring Participant Referral and Support6.1 Introduction

This describes the data collection tools to be used to record information about any referrals into the project and one-to-one support which the project partners has provided to the people attending your events or your core group sessions. It also illustrates the information that you need to collect about any further information (referrals) which you have given to participants on other groups and/or services in the area that they might benefit from, in order to complete Part 3 of the Monitoring Report.

6.2 Referrals into project

Section 3.1 of the Monitoring Report requires you to provide the number of participants referred into your BCPP project from other sources (e.g. GP, other community groups, Pharmacy).

We understand that projects which have chosen to work with core groups may be more likely to obtain referrals into their project from pre-agreed sources, compared to events-based projects. However, event-based projects may work closely with a range of community groups in order to raise awareness of events amongst their members.

Table 6B provides an example of a BCPP project that has received referrals into their project from a local G.P, identification of people at the pharmacy and as a result of establishing a relationship with a mother and toddler group.

Table 6BSample “Referrals Into” Response

Please provide details of where participants were referred to you from:

Source NumberLocal G.P surgery 1

Pharmacy Partner – Pharmacist/counter staff 6

Mother & Toddler group 2

Total Referrals into your project 9

6.3 One to One Support and Referrals

In order to capture information on the “added value” which BCPP projects provide, we require you to record information about participant referrals. We are particularly interested in the following:

People who have later obtained One-to-One support by any of the project partners (e.g. community/voluntary, the pharmacist, other partners) as a result of attending a BCPP event or group; and

People have been advised of and, referred-on to another service/group by one of the BCPP partners.

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Any support/guidance which you provide to participants on a one-to-one basis needs to be recorded in a Participant One-to-One Support Summary at the end of each event-based and core group session. The One-to-One Support Summary (Table 6A, overleaf) is to be completed by all partners. One-to-one support may take place at the end of sessions or later at another location (e.g. at the pharmacy). However, they are distinguished by the fact that they occur as a direct result of your BCPP project. At the end of each support session partners must complete the summary and then they will submit them to the Lead Partner at the end of the reporting period for collation and input into the Monitoring Report. This information is very important to us and we ask that you complete the document after each session in order to ensure that the Monitoring Report is an accurate reflection of your work.

Participant One-to-One Support Summary

Details about any support or advice provided to individuals participating in group work and/or attending your events must be summarised in the Participant One-to-One Support Summary and submitted with the Monitoring Report. This helps capture evidence of the specialist knowledge/expertise which partners can provide to local people as a result of the project.

Also, any referrals-on to other services should be recorded in this Summary. These provide evidence of how your project is attempting to connect people to other services and illustrates pro-active and co-ordinated working practices.

 

Participant One-to-One Support Summary

Lead Partners must provide all partners with a Participant One-to-One Summary for them to complete. Lead Partners must collect and collate the information into the Monitoring Report.

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Table 6A: One-to-One Support Summary This Table is to be completed by Project Partners (e.g. pharmacist, community organisation and other partners) after providing advice/information/support to BCPP core group and/or event-based participants. The information collected will inform Section 3.2 & 3.3 of your Monitoring Report. Make sure each partner receives a copy of this from the start to fill in. Please add rows/photocopy as needed.

Partner (please tick) Pharmacist Main Community/Voluntary

Other Partner

Date

Gender Age

Issue(s) Support Offered:

Please give details of any referrals made to other agencies:

M FU

nder

16

17-2

5

26-4

5

46-6

5

Ove

r 65

Unk

now

n

Vol

unta

ry/

Com

mun

ity

GPs

Phar

mac

ist

One

-to O

ne

Oth

er H

ealth

se

rvic

e

Stat

utor

y A

genc

ies

Trai

ning

O

rgan

isat

ions

09/06/09

Young mother felt that the damp in her house was affecting her son’s asthma.

I spoke about asthma to group

17/06/09 Female carer was uncertain of why her son’s autism medication was changed

Met with participant in pharmacy and discussed her old & new medication & possible reasons why changed

17/06/09 Heavy smoker wanted information on the smoking cessation programme I run with another community group

Checked his eligibility & gave him contact details of community group

21/07/09 After diabetes talk, female was worried that her husband had symptoms

I offered to speak to him in pharmacy, but also suggested he contact his GP for a test

Totals 1 3 0 1 2 1 0 0Total Number of Referrals Made to: 1 1 1 0 0 0

Total Number of One-to-Ones 4

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7 Optional Questionnaires for Use with Local People

7.1 IntroductionIn this section we highlight the optional questionnaires which we have developed for your use – as appropriate - during your BCPP project.

7.2 Optional Questionnaires

The following questionnaires have been included in this Toolkit for BCPP project use:

How Healthy is Your Lifestyle – provides general questions on diet, exercise, smoking etc asking participants to total their scores to get feedback on the lifestyle;

Diet – focuses in on the types of foods usually eaten;

Smoking – focuses upon tobacco consumption;

Drinking – provides detailed questions on alcohol consumption;

Social Environment – explores quality of life issues, social networks etc;

Women’s Health – exploring participants’ attendance at breast screening and cervical smear tests; and

Caring Responsibilities – asks respondents to detail number of hours spent on caring duties and support group membership.

We have additionally included three data collection tools for use by the Pharmacist only. These are:

Confidential Health and Medicine Audit;

Prescription Monitoring Template; and

A Health Data Record.

Please note that the questionnaires can be found in Appendix Nine.

7.3 How to Use the Questionnaires

How you use the questionnaires is up to you. Unlike the other aspects of this Toolkit, they are not essential to the BCPP monitoring and evaluation system. We have provided them as an additional resource in recognition that projects cover a wide range of topics and work with different sections of the community.

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We suggest that you might like to use these questionnaires at the start of a session in order to gather information about the people that you will be working with – either on a one-off or ongoing basis.

Towards the end of each questionnaire we ask people about whether or not participating in the BCPP project has had any impact upon the issue explored. Therefore you will need to take these questions out if you are distributing the questionnaires at one-off events, or early into your group work sessions. Otherwise you could try a “before” and “after” approach to measuring changes in behaviour – giving the questionnaires out at the beginning of the project and then at project end.

The questionnaires can be adapted according to your needs, but will hopefully serve to get you thinking about the types of issues (and information) that you could collect at a local level.

Although it is not essential for you to distribute these questionnaires as part of your project, we would encourage you to be proactive. If you would like to use the questionnaires with participants we would ask you to submit any responses that you get to BCPP, after you have reviewed them. We will input completed forms into our systems and they will help us understand the types of issues which client groups are dealing with.

7.4 How to use the Pharmacist Data Collection Tools

As stated the following tools have been developed specifically for Pharmacist use:

Confidential Health and Medication Audit;

Health Data Record: and

Prescription Monitoring Template.

Brief guidance notes are provided for each tool.

Confidential Health and Medication Audit

The aim of this questionnaire is to help the project partners and, in particular the pharmacist, to understand participants’ current health issues and to find out details of any medication that they are taking. The first section is to be completed by participants although the pharmacist may be required to give assistance regarding medication. If you are working with a particular group over a number of sessions, you may wish to ask them to bring in any medication that they are taking to the next session in order to complete the questionnaire more accurately.

There is also a one page summary, to be completed by the pharmacist, after reviewing the participants’ responses. This feedback will use the pharmacist’s expertise to highlight any health or medication issues or concerns.

Health Data Record

This tool is to be used to record any health related data that you are collecting – for example as part of a health check. We have provided you with a number of examples of information which you may wish to explore. However, you may adapt the template according to your needs.

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The data could be collected at a one-off event, or you could monitor the same individual over time. If you decide to do the latter we suggest that you use one template for each person and make sure that you develop a unique code (e.g. 01, 02, 03) for each person – recording this in a separate place for your own use.

After you have completed this exercise please fill in the attached one page summary, based upon the results of your work.

Pharmacy Prescription Monitoring

This form is slightly different as it is not directly linked to BCPP participants. However it may have an impact upon the types of issues which you would like to explore in sessions. This task involves monitoring the number and types of prescriptions which your pharmacy issues over a period of time. The duration of monitoring can be adapted to suit your own working routine. Please feel free to adapt the template as necessary.

After the monitoring is completed we ask you to complete a short summary which will help us understand any trends in prescription and, indeed, over the counter drugs in your local area.

As with the other questionnaires, we ask you to submit any responses that you get to BCPP, after you have reviewed them. We will input completed forms into our systems and they will help us better understand local issues.

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8 End of Project Data Collection Tools

8.1 IntroductionIn this section we discuss what you will need to do at the end of your BCPP funding period. It lists the end of project data collection tools and your reporting requirements.

8.2 End of Project Data Collection Tools

Table 8A illustrates the range of BCPP data collection tools that need to be completed at the end of your period of funding. Each tool will be described in the following paragraphs.

Table 8AEnd of Project Checklist

 

Tool Type Who Stage SubmitCore Group End of Project Questionnaire

Evaluation

A core group of participants attending the project over a period of time

Last session with the group

After completion

End of Project Reporting Pack

Monitoring

Lead Partner End of Funding

After completion

Partner Questionnaires

Evaluation

Community Group/Pharmacist/other

End of Funding

With End of Project Reporting Pack

Project Summary

Evaluation

Lead Partner End of Funding

With End of Project Reporting Pack

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8.3 Core Group Questionnaires – Last Session with Group

During your last session with each core group we require you to distribute Core Group – End of Project questionnaires for completion by participants (contained in Appendix Three). The first three sections of these questionnaires are the same as those distributed at the first sessions and will enable us to see if there are any changes in people’s personal development, well-being and service use over time. The last section of the questionnaire asks about their experience of taking part in your BCPP project.

Ideally questionnaires will be completed as a group in order that BCPP partners receive feedback on their work. We suggest that the partners use this session to help understand the value of the project to participants and to gauge interest in developing further activities. We have provided some questions that you could ask during this session in Appendix Two.

As previously, participants should be told that they do not need to put their names on the questionnaires and assured that their answers are confidential. You could also consider providing an envelope or box for people to put their questionnaires into. These questionnaires should be submitted to BCPP on completion.

8.4 End of Project Reporting Pack

Lead Partners of funded projects are required to complete an End of Project Reporting Pack when their funding period comes to an end (contained in Appendix Seven). The End of Project Reporting Pack consists of three parts:

Part 1 – Monitoring Information; Part 2 – Participant Referrals and Support; and Part 3 – End of Project Summary.

Part 1 and 2 of the Reporting Pack are based upon the submissions which you would have completed during your routine Monitoring Reports for BCPP. However, the figures required are for the TOTALITY of your project.

Part 1 Monitoring Information asks for the following:

Duration of the project;

Frequency of sessions;

Participant Summary;

Core Group Attendance Summary – if relevant;

Project Activity Summary; and

Training Undertaken/Volunteer Activity.

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Part 2 Participant Referrals and Support consists of:

Referrals into your project;

One-to-One Support breakdown; and

Referrals made to participants.

Previous Monitoring Report submissions, plus any unaccounted for project sessions should be collated and recorded to reflect the entirety of your work over the length of the funding period as relevant. Is there a space/method to summarise the other optional tools, how will that be submitted to us and how do well collect and collate it, if at all?

Part 3 of the Reporting Pack requests a summary of your BCPP project. Level 2 and 3 Project Leaders are asked to distribute End of Project Questionnaires to their BCPP partners for completion and also to describe their project within a brief Summary Report.

The following sections of this chapter refer to the Partner Questionnaires and the development of your End of Project Summary.

8.5 Partner Questionnaires

All Level 2 and 3 projects should distribute End of Project Partner Questionnaires to individuals who have had a sustained relationship with the BCPP project over a period of time (contained in Appendix Eight). As a guideline to who should complete questionnaires – you should consider individuals to have had adequate contact to be able to answer questions and provide brief feedback on the following:

Participant Development;

Changes to Working Practices;

BCPP Partnership Working; and

Impact of the Project.

The Lead Partner and the Pharmacist partner (if the Pharmacist is not the Lead) must complete a partner questionnaire. The BCPP have developed two Partner Questionnaires – one for use by Pharmacists and one for use with community/voluntary groups and all other partners.

At the end of each section, partners are asked to provide their opinion on key issues, in order to provide us with additional information in support of their questionnaire responses. We would like to stress the importance of answering these questions honestly – as we would like to know the challenges that you have faced in addition to possible successes.

The Lead Partner should use these responses to inform their End of Project Summary. If completed electronically, sections can be directly copied and pasted into the Summary Report.

8.6 End of Project Summary

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Your BCPP project is a unique response which you have developed to meet specific needs in your area. We would like Lead Partners to write-up all the different elements of your project (e.g. partnerships formed, target groups, delivery approaches) and to describe the impact that it has had. This will essentially provide us with a summary of your BCPP project.

The summary needs to communicate the story behind the results by capturing what happened to bring it about. This is your opportunity to highlight your project’s successes, or to bring attention to a particular challenge or difficulty.

Project summaries typically describe an intervention put in place to address a particular problem. Therefore, the following elements are usually described:

Identification of need – What geographical area was covered? What groups were affected? Why did the problem need to be addressed?

The particular steps taken to address the need – What was done? For whom? By whom?

The results of the intervention – have there been any changes? The challenges and how they were met – What difficulties did you come

up against? How did you overcome them? Lasting results – Are the results sustainable? What has been left behind? Lessons learned – What could others learn from your experience?

As a result of the BCPP’s project monitoring requirements you will have collected a range of data regarding the people attending your project, your project activity, session facilitation, one-to-one support provided and referrals-on to other organisations. You will have also distributed questionnaires to participants and your partners and hopefully will have received verbal feedback on people’s opinion of the project along the way, via discussions with participants and co-facilitators.BCPP wish you to collate this information and to capture your project’s journey on paper, so that it may help other projects learn from your experiences. A descriptive template is provided overleaf (Table 8B overleaf) in order to help you compose your project summary.Please try and keep focused on the headings provided. We believe that the majority of summaries should be completed in around six pages. We are most interested in the impact of your work (Steps 7 -10) so these sections should make up the majority of your report.

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Table 8BEnd of Project Summary Guidelines

STEP

HOW TO COMPLETE YOUR END OF PROJECT SUMMARY

1 Project Rationale: Project Rationale: From your BCPP application (Section 4), please give us a short summary about the local population and location that you work in and the specific needs that you felt were not being met

2 Aims & Objectives: From your original BCPP application briefly tell us about your organisation (Section 2). From your agreed contract please tell us about the aims and objectivities of your BCPP project and your partners.

3 Project Description: From your Project Activity Logs describe the types of activities you undertook with participants, how and where sessions were delivered and the specific role of the partners in these activities. We would particularly like to know whether you ran one-off events with different people or worked with the same people over the duration of the project, the level of involvement that local people and pharmacists had, any informal/formal learning opportunities and how these activities worked towards reaching your initial objectives.

4 Project Monitoring: Please briefly describe the types of information that you are using to compile your case study (e.g. project session and participant records, pre/post project participant questionnaires, partner questionnaires).

5 Other Data Sources: Please describe any discussions or interviews that were undertaken with project participants/partners in relation to the direction of your work and/or its effectiveness (e.g. how many people took part? what issues were discussed?).

6 Participant Breakdown: From your Final Reporting Participant monitoring records tell us about the people benefiting from your project. Please describe the numbers taking part, attendance levels and the types of people that you worked with (e.g. gender, age, confidence, health service use, marginalised groups).

7 Impact on Participant Development: Thinking back to your end of project session with participants and the answers given to the BCPP end of Project Partner Questionnaires (Part 1) please tell us if you believe the project has had an effect upon:

Participants’ health awareness/local health provision knowledge; Participants’ use of the pharmacy/other services; and Participants’ personal development and involvement in the community.

8 Impact on Community Development: Based on your end of project session with participants and the answers to the BCPP end of Project Partner Questionnaires (Part 2) please describe any impact of the BCPP

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project upon: Your understanding of local people’s needs; The way you work with local people and organisations; How you feel you have developed and used your expertise; and Your involvement in local health issues and group membership (e.g. Local

Commissioning Group, Investing for Health, Neighbourhood Renewal).9 Impact on Partnership Working: Based on your end of project session

with participants and the answers to the BCPP end of Project Partner Questionnaires (Part 3) please describe the impact of the BCPP project upon:

Your relationship with your BCPP partners and how you worked together; Local pharmacy service development/wider service improvement in the

area; and Promoting learning, skills development and information sharing amongst

project partners.10 Conclusions: Please provide your conclusions on the overall benefits of the

project covering: Challenges you have encountered and “lessons learned”; Are there any lasting results from your work (e.g. relationships formed,

improvements in lifestyle and health status, signposting to other agencies/GPs, strategy development/influence);

Can you suggest areas for improving the BCPP initiative for partners and participants; and

What are your future plans/ Could this work be continued/developed in the future?

Appendix One Selected Information Sources

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Section 75 of the NI Act (1998) Equality Categories1

Examples of Groups Categories

Age Mainly those under 18; 18 - 65; and people over 65. However, age groups need to be issue sensitive.

Marital status: Married people; unmarried people; divorced or separated people; widowed people.

Men and women: Men (including boys); women (including girls); transgender people; transsexual people.

Persons with a disability: Persons with a disability as defined in Sections 1 and 2 and Schedules 1 and 2 of the Disability Discrimination Act 1995.

Persons with dependants: Persons with primary responsibility for the care of a child; persons with personal responsibility for the care of a person with a disability; persons with primary responsibility for the care of a dependant elderly person.

Political opinion: Unionists generally; Nationalists generally; members/supporters of any political party; other.

Racial group: Chinese; Irish Traveller; Indian; Pakistani; Bangladeshi; Black African; Black Caribbean; White; mixed ethnic group; any other ethnic group; nationality.

Religious belief: Protestant; Catholic; Hindu; Jewish; Islam /Muslim; Sikh; Buddhist; other religion; people of no religious belief.

Sexual orientation: Gay; lesbian; bisexual; heterosexual.

1 Equality Commission for NI (2005). Section 75 of the NI Act: Practical Guidance for Conducting an Equality Impact Assessment.

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Selected Information Sources

1. Local Area Based Information:

Northern Ireland Statistics and Research Agency (NISRA) provides high quality statistical and research information regarding Northern Ireland issues. From the homepage ( http://www.nisra.gov.uk/aboutus/default.asp2.htm) click on relevant links to obtain statistical information on Equality categories, Census statistics and Northern Ireland Deprivation Measures.

Alternatively, the link to the Northern Ireland Neighbourhood Information Service (NINIS), provides free access to statistical and location information relating to small areas across Northern Ireland (http://www.ninis.nisra.gov.uk). Information is available across a range of themes including Population, Social and Welfare, Agriculture, Education and Crime.  Users will be able to obtain an area profile based on a postcode or by selecting an area to view.

The Investing for Health section of NINIS (http://www.ninis.nisra.gov.uk/mapxtreme_ifh/default.asp) will give you a general profile of your area by entering a postcode in the Area Profile Quick Access.

PLEASE NOTE: Other useful sources of information about your area/area profiles can usually be found on your Council website.

2. Health Based Information:

The Department of Health, Social Services and Public Safety is one of 11 Northern Ireland Departments created in 1999 as part of the Northern Ireland Executive by the Northern Ireland Act 1998 and the Departments (Northern Ireland) Order 1999. All Statistics & Research for the Department is provided by the Information and Analysis Directorate (IAD) (http://www.dhsspsni.gov.uk/index/stats_research.htm). Information areas include community statistics, hospital statistics and health inequalities. Under Public Health you can view publications on cigarette smoking, Health and Lifestyle Report and Health and Social Care in Northern Ireland: A Statistical Profile.

The Inequalities Monitoring system comprises various indicators which are monitored over time to assess area differences across morbidity, utilisation and access to Health and Social Care services in NI. The Health and Social Care Inequalities Monitoring System Bulletins (http://www.dhsspsni.gov.uk/inequalities_monitoring_update2.pdf ) is useful statistical resources which highlight the differences between deprived and non-deprived areas on prevalence of self-harm, suicide, death rates etc. There is also a comparison of the Section 75 equality group profiles of the areas with the 20% worst outcomes with NI overall for selected indicators.

The Public Health Agency for Northern Ireland (formerly the Health Promotion Agency) (http://www.publichealth.hscni.net/) has a focus on improving the health and wellbeing of everyone in Northern Ireland.

PLEASE NOTE: Many community/voluntary organisations gather monitoring information and conduct research on behalf of their target groups. It may be useful to make contact with groups to obtain information of interest to your work.

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Appendix Two Conducting Participant Discussions

Conducting Participant DiscussionsDiscussion groups or focus groups are a powerful means to test new ideas or evaluate what you have done. Basically, focus groups are interviews, but with 6-8 people taking part in the same group.

Here are a few guidelines for conducting focus groups with core group members/local people who have attended your events:

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1. Planning the Session

Scheduling - Plan meetings to be one to 1.5 hours long; Setting and Refreshments - Hold sessions in a conference room, or other

setting with adequate air flow and lighting. Configure chairs so that all members can see each other – usually in a circle. Provide refreshments, especially if the session is held over lunch;

Ground Rules - It's critical that all members participate as much as possible, yet the session can keep to the allotted time. It's useful to have a few, short ground rules that focus people’s answers. Consider the following three ground rules: a) keep focused, b) maintain momentum and c) respect people’s views;

Discussion Guide - Consider the following guide: welcome, outline the reason you have asked people to take part, review of ground rules, introductions (if participants don’t know each other), themes and responses, wrap up. Read it over in advance and familiarise yourself with the themes;

Membership - Focus groups are usually conducted with 6-8 members who have something in common (e.g. attended/or may be interested in attending a BCPP core group or event); and

Take written notes. If this isn't practical, involve a co-facilitator who is there specifically to take notes.

2. Developing Your Themes and Questions

The discussions should last around one hour. In this time, you will probably be able to cover around four themes (15 minutes each). Questions could be about: Opinions/values (e.g. about what a person thinks about a topic covered) Behaviours (e.g. about what a person has done/is doing as a result of attending

BCPP sessions); Feelings (e.g. are they confident in group situations – has this improved?); Knowledge (e.g. about specific issues you would like to cover); Sensory (e.g. about what people think of the approaches that you use/plan to

use/used – demonstrations, presentations);

Some Tips

Get the respondents involved in the interview as soon as possible; Before asking about issues such as feelings, ask some factual questions.

With this approach, respondents can more easily engage in the interview before warming up to more personal matters;

Ask questions about the present before questions about the past or future. It's usually easier for them to talk about the present and then work into the past or future;

Wording should be open-ended. Respondents should be able to choose their own terms when answering questions;

Questions should be as neutral as possible. Avoid wording that might influence answers (e.g. We put a lot of time and effort into the session on diabetes. What did you think of it?);

Questions should be asked one at a time; Questions should be worded clearly; Be careful asking "why" questions. This type of question may also cause

respondents to feel defensive, e.g., that they have to justify their response; and The last questions might be to allow respondents to provide any other

information they prefer to add and their impressions of the interview.

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We have provided some themes/questions for you to consider undertaking at planning and evaluation participant focus groups in section 4 and 5. These should be adapted to reflect your particular project.

3. Facilitating the Session

The major goal of facilitation is collecting useful information which will answer your questions

Introduce yourself and the co-facilitator, if used; Record some background information on how many people are taking

part (e.g. age, gender); Explain how and why you are recording the information from the

discussion; Follow the discussion guide - (See above); Carefully word each question to the group. Then, facilitate discussion around

the answers to each question; Ensure even participation - If one or two people are dominating the meeting,

then call on others. Consider using a round- table approach, including going in one direction around the table, giving each person a minute to answer the question;

Don't lose control of the interview. This can occur when respondents stray to another topic, take so long to answer a question that times begins to run out, or even begin asking questions to the interviewer. Remain focused on the time and your discussion guide;

Closing the session - Thank members for coming and ensure they understand the value of their responses and what they will be used for.

4. Questions to help you Plan

If you are working with a core group or groups, we suggest that you use the completion of the Core Group Participant Questionnaires at the group’s first session, as a tool to stimulate discussions. Even if you do not plan to use the same group of participants throughout your project, you can still ask a group of local people their views and opinions on local needs. The following themes and questions are suggested to help you tailor your sessions to reflect local issues:

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Your Health

Do you think that people in the area are interested in health issues? Prompt their level of knowledge, lifestyle and behaviours such as healthy eating, alcohol, exercise etc

How do you feel about your own/family’s health? Prompt for issues that they would like more information on

Do you think that people in the area know where to go for support? Who are the usual supports? Prompt knowledge/membership of local groups, social networks, the types of services that they use.

How You’ve Been Feeling

Do you think that local people feel confident talking about their mental health/well-being? Why is this?

Thinking about your own community, what would you say are the main mental health issues? Prompt anxiety, depression, alcohol/drug abuse, trouble sleeping

What do you think are the underlying causes (e.g. family problems, money worries, anti-social behaviour)?

Prompt for issues/supports that they would like more information on

Your Local Health Services

Where do you usually go to get advice and support about health issues? Prompt use of G.P., clinics, community groups, pharmacist, other health professionals

Would you visit the pharmacist for advice? Prompt frequency, types of advice, awareness of services on offer, confidence in approaching pharmacist for help

What do you think about the quality of local health services? Prompt on accessibility, type of information/support offered, knowledge of specific services, feelings on engaging with professionals

Your Project Sessions

Thinking about your previous answers, what are the main topics that you would like to cover in your sessions?

Apart from the pharmacist are there any specific health professionals/support groups/statutory agencies that you would like to involve?

How would you like information to be delivered? Prompt use of presentations, demonstrations, DVDs, group discussions etc

5. Questions to help you Evaluate

Again, if you are working with a core group or groups, we suggest that you use the completion of the Core Group Participant Questionnaires at the group’s last session, as a tool to stimulate discussions. Even if you did not use the same group of participants throughout your project, you can still ask for feedback from a selection of people who have attended an event(s). The following themes and questions are suggested to help you evaluate the impact of your project:

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Participant Development

Do you feel that you have benefited from taking part in the project? Prompt knowledge about health issues, feelings of wellbeing, interaction between participants

In what ways, if any, has the project enabled you to take more responsibility for your health? Prompt for issues regarding confidence, skills development, awareness of where to go for help

Do you feel that your health/wellbeing has changed any since taking part? Why do you say that?

Has participation prompted you to make changes in your life? Prompt changes in diet, exercise, alcohol consumption, regular health checks, medication use & reasons behind changes

Your Local Health Services Impact of project upon use of G.P., clinics, community groups, other health

professionals – changes in relationship/frequency/nature of visits Have there been any changes in frequency/type of your visits to the pharmacist?

Prompt awareness of services on offer, changes in relationship Impact upon confidence in approaching health professionals (especially

pharmacist) for help Did you visit the GP/other health professionals as a result of being at the project? What do you think about the quality of local health services? Prompt any changes

in perceptions of accessibility, type of information/support offered, knowledge of specific services, feelings on engaging with professionals, benefits of outreach

Local Community/Voluntary Services

Has the project provided you with information/support to move on to other things? Prompt membership of other groups, participation in other activities such as volunteering, education/training, employment, applying for benefits, addressing housing issues etc

Has the project had any impact on your knowledge/use of local community/voluntary services? In what ways? Which services?

Your Project Sessions

What are your opinions on the project sessions? Prompt suitability of information, way it was presented, participant involvement – any sessions that worked particularly well

In what ways do you think that the pharmacist in particular has contributed to the project? Are there any other ways in which the services of the pharmacist could become more accessible to the local community?

Feelings on the type of support provided? Prompt group support, one-to-one sessions & referrals to other organisations

In what ways could we make the sessions better? Prompt suggestions for improvement

Would you be interested in taking part in other activities like these? Prompt types of issues would like covered, format duration of sessions etc.

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6. Reporting on your Findings

Your discussion notes should be written up as soon as practical after the event while it is still fresh in the mind.  You should start by reading through your notes and make a basic outline of the report based on central ideas and themes discussed in the group. It is usually easiest if you write up your comments under your original broad question headings.You could develop a brief introduction of why you are conducting the focus group (i.e. what you want to find out) and information about the number of people attending, their involvement with the BCPP project, the length of the discussion and where it was held.You should always remain objective when reporting people’s views – summarising the general opinions of the group (alongside any differences in opinion) and provide ad verbatim quotes to illustrate participants’ feelings on a subject where possible. Please note that you should not provide the names of participants in your write-up.Your write-up should provide your overall conclusions and a small number of recommendations on what needs to be done next as a result of the information.These group discussions provide extremely rich sources of information for project partners and the BCPP in general. Therefore, we would like you to report on this information in your end of project summary, stating how it has influenced the direction of your project. Although this is not mandatory – please feel free to submit your focus group write-ups to BCPP.

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Appendix Three Core Group Participant Questionnaire

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Appendix Four Core Group Participant Questionnaire –GHQ12 Scoring

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The General Health Questionnaire 12 (GHQ12) is a subjective measure of psychological well-being. It comprises of twelve questions, asking participants about their general level of happiness, experience of depressive and anxiety symptoms and sleep disturbance over the last four weeks.

Interpretation of the answers is based on a four-point response scale under which the participant scores a “1” if the symptom is present and “0” if it is not present (e.g. responding “not at all”= 0, “same as usual” = 0, “more than usual” = 1 and “much more than usual” = 1).

We have provided the scoring for each answer below. A score of four or more, when the answers to all 12 questions are totalled, are referred to as 'high GHQ12 scores' and are considered to indicate poor psychological well-being. We recommend this section of the core participant questionnaire is only used with adults. PLEASE NOTE: A score of four or more, when the answers to all 12 questions are totalled, are referred to as 'high GHQ12 scores' and are considered to indicate poor psychological well-being.

During the past 4 weeks have you ...

2.1 Been able to concentrate on what you were doing

1=Much less than usual 0= Same as usual 1=Less than usual 0= Better than usual

2.2 Lost much sleep over worry

0= Not at all 0= No more than usual 1= Rather more than usual 1= Much more than usual

2.3 Felt you were playing a useful part in things

1= Much less 1= Less so 0= Same as usual 0= More than usual

2.4 Felt capable of making decisions about things

1=Much less 1= Less so 0= Same as usual 0= More than usual

2.5 Felt constantly under strain

0= Not at all 0=No more than usual 1= Rather more than usual 1= Much more than usual

2.6 Felt that you couldn't get over your difficulties

0= Not at all 0= No more than usual 1= Rather more than usual 1= Much more than usual

2.7 Been able to enjoy your normal day-to-day activities

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1= Much less 1=Less so 0= Same as usual 0= More than usual

2.8 Been able to face up to your problems

1= Much less 1= Less so 0= Same as usual 0= More than usual

2.9 Been feeling unhappy or depressed

0= Not at all 0= No more than usual 1= Rather more 1= Much more

2.10 Been losing confidence in yourself

0= Not at all 0= No more than usual 1= Rather more 1= Much more

2.11 Been thinking of yourself as a worthless person

0=Not at all 0= No more than usual 1= Rather more 1= Much more

2.12 Been feeling reasonably happy, all things considered

0= More than usual 0= Same as usual 1= Less so 1= Much less

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Appendix Five Event-Based Participant Questionnaire

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Appendix SixMonitoring Report

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Appendix SevenEnd of Project Reporting Pack

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Appendix EightPartner Questionnaires

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Appendix NineOptional Questions for use with Local People

How Healthy is your Lifestyle?2

2 Adapted from www.healthyschools.gov.uk

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Please answer each question by placing a tick in ONE of the 4 boxes.

Question Always Usually Sometimes Never1 Do you eat a balanced diet,

low in sugar and fat?4 3 2 1

2 Do you eat 5 portions of vegetables each day?

4 3 2 1

3 Do you eat some fruit each day?

4 3 2 1

4 Are you happy with your body size and shape?

4 3 2 1

5 Do you drink about 6 glasses of water a day?

4 3 2 1

6 Do you avoid drinking sugary drinks?

4 3 2 1

7 Do you get enough sleep (about 8-10 hours a night)?

4 3 2 1

8 Do you brush your teeth daily? 4 3 2 1

9 Do you go to the dentist regularly for a check up?

4 3 2 1

10 Do you have a sensible balance between rest, work or chores and your social life?

4 3 2 1

11 Are you a non-smoker? 4 3 2 1

12 Are you calm and controlled? 4 3 2 1

13 Do you have a few good friends?

4 3 2 1

14 Do you do about 60 minutes of activity each day?

4 3 2 1

15 Do you think you are a healthy person?

4 3 2 1

16 Do you think you are an active person?

4 3 2 1

17 Do you think you are fit? 4 3 2 1

18 Would you describe yourself as happy?

4 3 2 1

TOTAL

TOTAL THE NUMBER OF TICKS IN EACH COLUMN

You score: 4 points for each ‘always’ response3 points for each ‘usually’ response

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2 points for each ‘sometimes’ response1 point for each ‘never’ response.

Add up the number of ticks in each column and your total score. For example if you tick 18 boxes under the ‘Always’ column then the total will be 18 x 4 = 72.

Over 60: Congratulations, you lead a very healthy lifestyle and will benefit from this now and in the future. Keep up the good work and try and influence your family and friends to be as healthy as you!

Between 40 and 59: Well done, you are healthy much of the time and will be benefiting from this. You might consider becoming even healthier by changing some of your lifestyle habits.

Between 21 and 39: This is okay but could be much better. You are healthy some of the time and will be benefiting from this. However, you might consider becoming healthier by improving on a number of your lifestyle habits.

Less than 20: Oh dear, you lead an unhealthy lifestyle and are likely to suffer because of this now and in later in life. You might consider becoming much healthier by improving many of your lifestyle habits.

Questions about Your Diet3

Gender Male Female

3 The following questions are adapted from the NISRA Health & Social Wellbeing Survey for NI

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Age .............................. yrs

Q1 How often do you eat the following... (please tick)

More than once a day

Once every day

Most days

Once or twice a week

Less often or never

Processed meat or chicken products - including meat pies, pasties, sausage rolls, burgers, sausages, chicken nuggets or breaded chickenpotatoes, including boiled, mashed, baked potatoes, but excluding roast potatoes, chipsor potato products (e.g. waffles, smiles)Biscuits, including wrapped chocolate biscuits (e.g. Twix, Kit-Kat, Penguin)Confectionary, including sweets and chocolate bars (e.g. Mars and Snickers)Savoury snacks (e.g. crisps, tortilla chips)Cakes, buns, desserts (e.g. cheesecakes, apple tart)Sugary fizzy drinks or squashes

Fruit, including fresh, frozen, dried, tinned and pure fruit juiceSalad or vegetables, including fresh, frozen, dried and tinned vegetables, but excluding potatoes

Q 2 On average how many portions of fruit do you eat each day? ......................per day

Q3 On average how many portions of salad, or vegetables, including fresh, frozen, tinned or dried do you eat each day? .........................per day

Q4 Since, taking part in this project have you changed your eating habits?

Yes No (end of questions)

Q5 If yes, in what ways have you changed your eating habits?..........................................................................................................................................................................................................................................................

Q6 Was this to help you lose weight?

Yes No (end of questions)

Q7 If yes, how much weight have you lost since being at the project?

...........stone ........................lbsQuestions about Smoking

Gender Male Female

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Age .............................. yrs

Q1 Do you spend any time regularly in enclosed places where other people are smoking or have been smoking (when you are not smoking yourself)?

Yes No

Q2 How much time do you spend in enclosed places where you breathe tobacco smoke (when you are not smoking yourself)?

At least 5 hours every day or most days One to 4 hours every day or most days At least 5 hours a week One to 4 hours a week Regularly but less often than that Other (Please specify)..........................................................................................

Q3 Where are you when you are exposed to tobacco smoke in this way (tick all that apply)?

Home Work Visiting family or friends Pub or club Cinema Car Bookies/betting shops Restaurants Other (Please specify)

.........................................................................................

Q4. Have you ever smoked a cigarette, a cigar or a pipe?

Yes No (Questionnaire Completed)

Q5. Do you smoke cigarettes at all nowadays?

Yes No (Go to Q11)

Q6. What age did you start smoking at? ................yrs

Q7. About how many cigarettes a DAY do you usually smoke at weekends? ............per day

Q8. About how many cigarettes a DAY do you usually smoke on weekdays? ...........per day

Q9. Has your GP (pharmacist or any healthcare professional) advised you to give up smoking? Yes

No

Q10. Would you like to give up smoking altogether? Yes No

Q11. Have you cut down, or stopped smoking as a result of being at this project?Yes, stopped Yes cut down No

Questions about Drinking Q1. Do you ever drink alcohol nowadays, including drinks you brew or make at home?

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Yes (Go to Q4) No

Q2. Have you always been a non-drinker or did you stop drinking alcohol for some reason?

Always a non-drinker (questions completed) Used to drink alcohol but stopped

Q3. Why did you stop? (questions completed)

..............................................................................................................................................

.................................................................................................................................... Q4. About how often have you had an alcoholic drink of any kind in the last 12 months?

(please tick one)

Almost every day 5 or 6 days a week 3 or 4 days a week Once or twice a week Once or twice a month Once every couple of months Once or twice a year Not at all in the last 12 months

Q5. Will you please tell me which of these kinds of drink you have drunk at all in the last 12 months? I do not need to know about non-alcoholic or low alcohol drinks: (please tick ALL THAT APPLY)

"Shandy, Beer, lager, stout, cider (INCLUDE BOTTLES/CANS) "Spirits or liqueurs, e.g. gin, whisky, rum, brandy, vodka, advocaat, cherry brandy", “Sherry "Sherry or martini, port, vermouth, cinzano, dubonnet", "Wine, champagne, baby cham", "Alcopops, (e.g. hooch, bacardi breezer, smirnoff ice), "Other alcoholic drink";

Q6. How many pints of shandy, beer, lager, stout or cider do you drink in a typical week OR if you drink less frequently in a typical month?

................... per week OR ..........................per month

Q7. If you drink at home you may not pour out exactly the same amount but I'd like you to estimate how many single measures of spirits or liqueur you drink in a typical week OR if you drink less frequently in a typical month?

................... per week OR ..........................per month

Q8. I'd like you to estimate how many glasses of sherry, port, martini or similar drinks you drink in a typical week OR if you drink less frequently in a typical month?

................... per week OR ..........................per month

Q9. I'd like you to estimate how many glasses of wine, champagne or babycham you drink in a typical week OR if you drink less frequently in a typical month?

................... per week OR ..........................per month

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Q10. I'd like you to estimate how many bottles of alcopops (e.g. hooch or bacardi breezer) you drink in a typical week OR if you drink less frequently in a typical month?

................... per week OR ..........................per month

Q11. Could you tell me if you have had any other alcoholic drinks during the last 12 months?

Yes No (Go to Q14)

Q12. What other type(s) of drink have you had?

..............................................................................................................................................

....................................................................................................................................

Q13. How many of this drink would you have in a typical week OR if you drink less frequently in a typical month?

................... per week OR ..........................per month

Q14. What age did you start drinking at? ......................yrs

Q15. Has your GP (pharmacist or any healthcare professional) advised you to cut down/give up drinking?

Yes No

Q16. Would you like to give up drinking altogether?

Yes No

Q17. Have you cut down on your drinking since being at this project?

Yes No

Questions about your Social EnvironmentGender Male Female

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Age .............................. yrs

The following questions are about the local area in which you live. We are interested to find out about how life in your local area is related to health.

Q1. How long have you lived in this area? (Please tick one)

Less than 12 months 12 months but less than 2 years 2 years but less than 3 years 3 years but less than 5 years 5 years but less than 10 years 10 years but less than 20 years 20 years or longer

Q2. How satisfied are you with this area as a place to live? (Please tick one)

Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Slightly dissatisfied Very dissatisfied

The following are questions about your immediate neighbourhood, by which we mean your street or the houses directly surrounding you.

Q3. Suppose you lost your purse/wallet containing your address details, and it was found in the street by someone living in the neighbourhood. How likely is it that it would be returned to you with nothing missing? (Please tick one)

Very likely Quite likely Not very likely Or not at all likely

Q4. How much of a problem are people being drunk or rowdy in public places? (Please tick one)

Very big problem Fairly big problem Not a very big problem Not a problem at all It happens but it’s not a problem

Q5. How much of a problem is rubbish or litter lying around? (Please tick one)

Very big problem Fairly big problem Not a very big problem Not a problem at all It happens but it’s not a problem

Q6. How much of a problem are vandalism, graffiti and other deliberate damage to property or vehicles? (Please tick one)

Very big problem Fairly big problem Not a very big problem

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Not a problem at all It happens but it’s not a problem

Q7. In the last 12 months have you taken any of the following actions in an attempt to solve a problem affecting people in your local area? (Please circle all that apply)

Contacted a local radio station, television station or newspaper Contacted the appropriate organisation to deal with the problem, such as the

council Contacted a local councillor or MLA Attended a public meeting or neighbourhood forum to discuss local issues Attended a tenants' or local residents' group Attended a protest meeting or joined an action group Helped organise a petition on a local issue No local problems None of these

The next questions are about how often you personally contact relatives, friends and neighbours

Q8. How often do you speak to relatives/friends on the phone? (Please tick one)

On most days Once or twice a week Once or twice a month Less often than once a month Never

Q9. How often do you speak to neighbours face-to-face? (Please tick one)

On most days Once or twice a week Once or twice a month Less often than once a month Never

Q10. How often do you speak with relatives/friends face-to-face? (Please tick one)

On most days Once or twice a week Once or twice a month Less often than once a month Never

Q11. How would you rate access to transport in your area? (Please tick one)

Very Poor Poor Neither good nor poor Good Very good

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Q12. How would you rate access to employment/training in your area? (Please tick one)

Very Poor Poor Neither good nor poor Good Very good

Q13. How would you rate access to health care services in your area? (Please tick one)

Very Poor Poor Neither good nor poor Good Very good

Q14. During the last 12 months have you given any unpaid help to any groups, clubs or organisations in any of these ways? (Please tick all that apply)

Raising or handling money/ taking part in sponsored event Leading the group/ member of a committee Organising or helping to run an activity or event Visiting people Befriending or mentoring people Giving advice/ information/ counselling Secretarial, admin or clerical work Providing transport/ driving Representing Campaigning Other practical help (e.g. helping out at school, religious group, shopping) Any other help None of these

Q15. How would you rate your quality of life? (Please tick one)

Very Poor Poor Neither good nor poor Good Very good

Q16. Would you say that your quality of life has changed in any way since taking part in this project?

Yes No (end of questions)

Q17. If yes, in what way(s)........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Questions about Women’s HealthQ1. What age are you? ........................................ yrs

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Q2. Have you ever had a cervical smear test?

Yes No (please go to Q4)

Q3. When did you last have a cervical smear test? (Please tick one)

Within the last six months More than six months ago but within the last year More than one year ago but within the last two years More than two years ago but within the last five years More than five years ago Can’t remember

Q4. Have you ever been invited or advised to have a cervical smear test?

Yes No (please go to Q6)

Q5. Could you please tell me why you didn't have a cervical smear test at that time? (Tick all that apply)

I didn’t think it would help me I was afraid it might be painful I was too embarrassed I may have had to be examined by a male I couldn't go at a convenient time I couldn't have it at a convenient place Other reason (please specify) ...............................................................

Q6. Have you ever undergone breast screening?

Yes No (please go to Q8)

Q7. When did you last undergo breast screening? (Please tick one)

Within the last six months More than six months ago but within the last year More than one year ago but within the last two years More than two years ago but within the last five years More than five years ago Can’t remember

Q8. Have you ever been invited or advised to undergo breast screening?

Yes No (questions completed)

Q9. Could you please tell me why you didn't undergo breast screening at that time? (Tick all that apply)

I didn’t think it would help me I was afraid it might be painful I was too embarrassed

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I may have had to be examined by a male I couldn't go at a convenient time I couldn't have it at a convenient place Other reason (please specify) ...............................................................

Q10. Has any of the information provided to you as a result of being at this project convinced you to regularly go for a cervical smear test or breast screening if requested?

Yes No

Questions about Caring Duties

Gender Male Female

Age .............................. yrs

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Q1. Do you do any of the following things listed for family members, friends, neighbours or others because they have long term physical or mental ill-health or disability, or problems relating to old age (e.g. shopping, gardening, giving medication, personal care etc). Please do not count anything you do as part of your paid employment:

Yes No (questions completed)

Q2. Thinking about all the things you do for anyone else, about how many hours a week do you spend looking after or helping them? Please include any time you spend travelling so that you can do these activities: (Please circle one)

0-4 hrs a week 5-9 hrs a week 10-19 hrs a week 20-34 hrs a week 35-49 hrs a week 50-99 hrs a week 100 or more hrs a week Varies- under 20 hrs a week Varies- 20 or more hours a week

Q3. In a typical week, on how many days would you do this? (Please tick one)

One Two Three Four Five Six Seven

Q4. Have you ever had your needs assessed by a health professional (i.e. a carer’s assessment)?

Yes No

Q5. Do you attend a support group made up of other people with caring responsibilities?

Yes No

Confidential Community Health and Medication AuditGender (please tick) M F Age ................yrs

1 Medical Conditions1.1 Have you had any unexplained weight loss in the last year? (please tick)

No Yes

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1.2 Are you currently attending a hospital/clinic/GP for treatment, or waiting for an appointment? (please tick) No Yes

1.3 Have you ever suffered from any of the following illnesses? (please tick all that apply)

Y N

A Visual defects/eye conditions (including colour-blindness) B Hearing defects/ear conditions C Severe anxiety, depression, other psychiatric disorder D Paralysis or other neurological disorder (e.g. stroke)E Fainting attacks, blackouts, epilepsy or fits F Recurrent headaches, migraine G Vertigo, giddiness or tinnitus H Heart disease, high blood pressure I Asthma, bronchitis, tuberculosis or other chest disease J Peptic ulcer or other digestive or bowel disorder K Liver disorder L Kidney of bladder problems M Gynaecological problems N Recurrent backache, arthritis, rheumatism O Any blood disorder P Eczema, dermatitis, other skin conditions Q Diabetes, thyroid or other gland problems R Hayfever, allergies to drugs, animals etc S Any recurrent infections T Any impairment of immunity to infection U Varicose veins causing trouble V Hernia W Any alcohol or drug related problems or illness X Any other medical condition, physical or mental, not mentioned

above If you have answered “yes” to any of the above, please provide brief details in this space:

2 Details of Prescribed Medication2.1 Do you currently use, or have you used any prescribed medication, including

tablets, capsules, injections, inhalers, drops and creams in the last 15 days? (please tick)

No (go to Section 3) Yes, but I’ve now finished Yes, I’m still taking it

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2.2 For every prescribed medicine you take (or took if you have recently finished the course) please complete the following information. An example has been provided in the first line but you may want to ask your BCPP pharmacist for help.

Medical Condition at Q1.3 (e.g. A,F,K)

Name of Medication

What it looks like

How much/many has to be taken

Frequency

Why you use/used it

Who said to take it

H Zocor, Simvastatin, 40g

Yellow pill 1 pill 3 times a day

For my heart

GP

3 Health and/or Medication Concerns

Please use this space to tell us if you have any concerns about your health or the medication that you take:

PHARMACIST HEALTH & MEDICATION AUDIT SUMMARY

This section should be completed by the Pharmacist on inspection of participants’ answers to the health and medication audit.

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1. Looking back at participants’ answers to the Medical Conditions Section - are there any trends emerging or issues of concern?

2. Looking back at participants’ answers to the Prescribed Medication Section - are there any trends emerging or issues of concern?

3. Will this, or has this audit influenced the direction of your BCPP work in any way? 4.

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Pharmacist Health Data Template Project ..........................................................................1. Please record any health data captured from participants attending core group and event-based sessions and detail any points of concern overleaf. A new template should be used for each event, or core group. If you are planning to track changes in core group participants over time, you may wish to use one template for each participant. Please photocopy these forms as required/amend to suit your needs. SUBMIT TO BCPPSession Type (please tick one)

Please provide details of Group or Event

Core GroupEventDate

Participant code (e.g. 000025)

Gender

Age(yrs)

Height(cms)

Weight (kgs)

Waist (cms)

BMI

Blood Pressure

Total Cholesterol

Blood Glucose

Carbon Monoxide

Concordance(health record)

Referred to GP/other

M F /

N Y

M F /N Y

M F/

N Y

M F/

N Y

M F/

N Y

M F/

N Y

M F/

N Y

M F/

N Y

M F/

N Y

M F/

N Y

Total Attending (or Total Sessions if same person)

/

TOTAL “Y”

AVERAGE SCORES

2. Please provide information on any trends in the health data in this space. Are there any causes of concern or emerging issues?

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3. Has this, or will this monitoring influence the direction of your BCPP work in any way?

Pharmacy Prescription MonitoringProject ...........................................

1. In order to help us understand health issues within your local community, please record the total number of prescriptions issued by your pharmacy over the course of the project (and detail any changes/points of interest overleaf). Please photocopy these forms and add additional rows as required. PLEASE SUBMIT TO BCPP WHEN COMPLETED

Drug Type Month 1

Month 2

Month 3

Month 4

Month 5

Month 6

Month 7

Month 8

Month 9

Month 10

Drugs used in DiabetesLipid-Regulating DrugsCorticosteroids (Respiratory)Hypertension and Heart FailureAnalgesicsAntidepressant DrugsDrugs Used In Psychoses & Related DisordersAntiepilepticsNit, Calc Block & Other Antianginal DrugsAntisecretory Drugs+ Mucosal Protectants

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Sex Hormones & Antag In Malig DiseaseOral NutritionAntiplatelet DrugsDrugs For Genito-Urinary DisordersAntibacterial DrugsDrugs Used In Rheumatic Diseases & GoutVaccines And AntiseraDrugs Used In Substance DependenceDrugs Used In Parkinsonism/Related Disorders

Total Number Prescribed

2. Please provide information on a trends in the number of prescriptions issued, types of drugs prescribed, what they are prescribed for and who they are prescribed to in this space:

3. Please provide information on any trends in the number of over the counter medication issued, types, what they are used for and usual customers in this space

4. Please detail any changes in the number of people coming into the pharmacy – and/or changes in the client group - since your involvement in the BCPP project. Why do you think this is?

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5. Has your prescription monitoring influenced the direction of your BCPP work in any way?

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