Abstract

Introduction Poor oral health is a significant public health concern, costing the NHS in England £3.4 billion annually.
Community pharmacies are easily accessible, frequently visited by patients and the community pharmacy contractual
framework requires pharmacies to provide healthy living advice to patients - therefore offering a little explored avenue for
the delivery of oral health interventions. Methodology A pilot oral health promotion intervention was introduced in five
pharmacies in deprived areas of County Durham between September and December 2016. A mixed methods approach to
the evaluation was performed, utilising a patient evaluation questionnaire and semi-structured qualitative interviews with
pharmacy staff. Results One thousand and eighty-nine participants received the intervention. Following the intervention
72% of participants perceived their knowledge of oral health as much better, 66% definitely intended to change their oral
health habits and 64% definitely thought a pharmacy was the right place to receive advice about oral health. Three themes
emerged from the qualitative data: (1) intervention feedback, (2) knowledge gap and (3) service development. Discussion
The data demonstrated the acceptability of patients to a community pharmacy based oral health intervention, with most
patients reporting intentions to change their oral healthcare habits after receiving the intervention. Previous literature has
identified a willingness of pharmacy staff to become involved with oral health; this study provides evidence that patients
are also receptive to such services being delivered in the community pharmacy setting. Further work is required to assess
the benefits of a community pharmacy based oral health intervention and the potential for further growth of this role.
Conclusion A community pharmacy is perceived by patients as an acceptable provider of oral health interventions and has
the potential to provide positive changes to the oral health of the population.