P122 The SIMPLE community pharmacy service for the management of COPD

Abstract

Background SIMPLE intervention, is an acronym for Stop Smoking, Inhaler technique, Monitoring, Pharmacotherapy, Lifestyle and Education.1 The impact of community pharmacists undertaking a COPD service based on the SIMPLE has not been evaluated to date. Some initial findings from the service evaluation are presented focusing on improvements in patient’s metered dose inhaler (MDI) technique. Method The initiative was delivered through 55 community pharmacies nationally. Community pharmacists trained in the SIMPLE intervention delivered the service. Baseline data were obtained on inhaler technique using a ‘7-steps’ scoring system, and on COPD control (COPD assessment test (CAT)) and breathlessness (MRC dyspnoea score). Further demographics and outcomes were recorded but not reported here. Subjects were followed up 2 months and 6 months post consultation. Inhaler technique was reassessed at 2 months. Results 125 participants were included at baseline; 55 lost to follow-up at six-months. Total CAT scores reduced by 3.6 points over this six-month period (p Discussion The improvement in inhaler technique is likely to have contributed to the improved CAT and dyspnoea scores. Further analysis is required to confirm the nature of any such relationship. In this initial analysis of the service there is strong evidence that the SIMPLE intervention implemented by community pharmacists can improve inhaler technique. Reference SIMPLE approach to asthma management. http://www.tin.nhs.uk/innovation-nhs-east-midlands/innovation-in-practice/regional-innovation-fund-projects-2009–10/simple-approach-to-asthma-management/