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An evaluation of a multi-site community pharmacy-based chronic obstructive pulmonary disease support service

Wright, David; Twigg, Michael; Barton, Garry; Thornley, Tracey; Kerr, Clare


David Wright

Michael Twigg

Garry Barton

Clare Kerr


Objectives Chronic obstructive pulmonary disease (COPD) is a progressive chronic condition that can be effectively managed by smoking-cessation, optimising prescribed therapy and providing treatment to prevent chest infections from causing hospitalisation. The government agenda in the UK is for community pharmacists to become involved in chronic disease management, and COPD is one area where they are ideally located to provide a comprehensive service. This study aims to evaluate the effect of a community pharmacy-based COPD service on patient outcomes. Methods Patients in one UK location were recruited over a 10-week period to receive a community pharmacy-based COPD support service consisting of signposting to or provision of smoking-cessation service, therapy optimisation and recommendation to obtain a rescue pack containing steroid and antibiotic to prevent hospitalisation as a result of chest infection. Data were collected over a 6-month period for all recruited patients. Appropriate clinical outcomes, patient reported medication adherence, quality of life and National Health Service (NHS) resource utilisation were measured. Key findings Three hundred six patients accessed the service. Data to enable comparison before and after intervention was available for 137 patients. Significant improvements in patient reported adherence, utilisation of rescue packs, quality of life and a reduction in routine general practitioner (GP) visits were identified. The intervention cost was estimated to be off-set by reductions in the use of other NHS services (GP and accident and emergency visits and hospital admissions). Conclusions Results suggest that the service improved patient medicine taking behaviours and that it was cost-effective.


Wright, D., Twigg, M., Barton, G., Thornley, T., & Kerr, C. (2015). An evaluation of a multi-site community pharmacy-based chronic obstructive pulmonary disease support service. International Journal of Pharmacy Practice, 23(1), 36-43.

Journal Article Type Article
Acceptance Date Oct 24, 2014
Online Publication Date Nov 20, 2014
Publication Date Feb 1, 2015
Deposit Date Jan 14, 2023
Publicly Available Date Jan 20, 2023
Journal International Journal of Pharmacy Practice
Print ISSN 0961-7671
Electronic ISSN 2042-7174
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 23
Issue 1
Pages 36-43
Public URL
Publisher URL


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