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Healthy Living Pharmacies (HLPs) represent a new concept in community pharmacy services designed to meet public health needs through a nationally agreed but locally commissioned tiered framework. The White Paper, Pharmacy in England: Building on strengths, delivering the future, published in April 2008 described the role community pharmacy could play in supporting public health: "Pharmacies will become healthy living centres: promoting and supporting healthy living and health literacy; offering patients and the public healthy lifestyle advice, support on self care and a range of pressing public health concerns; treating minor ailments and; supporting patients with long-term conditions". A national framework for HLPs was developed then ratified by the National Public Health Leadership Forum for pharmacy (PHLFP) in January 2010. This was tested in Portsmouth Primary Care Trust. Findings of the project led to the HLP concept being rolled out across England in 2012 to 20 pathfinder sites (areas, regions, site sounds like an individual pharmacy) involving 100 pharmacies. As of March 2013, there were 478 HLPs across 28 areas and presently there are 721 HLPs in over 35 areas. There are a range of impacts that can be demonstrated from this research including changes to community practice and government policy; increase in public use of pharmacies and improved patient outcomes.
The work of Professor Diane Cox has been instrumental in enhancing services and improving outcomes for patients with Chronic Fatigue Syndrome / Myalgic Encephalomyelitis (CFS/ME), and other fatigue related conditions. Primarily, this has been through changing the interventions used by Occupational Therapists and other Allied Health Professionals in healthcare practice to manage such conditions. The research has influenced amendments to professional standards, guidelines and training for use of activity and lifestyle management approaches to treating CFS and related conditions, and has had further impact through influencing the set-up of specific CFS services using these techniques. The research has demonstrated that Occupational Therapy can improve engagement and participation in occupations through activity, and led to its widespread uptake into practice throughout the UK. The research has underpinned the National Institute for Health and Clinical Excellence (NICE) guidelines for CFS/ME and directly influenced the form and implementation of NHS and private service provision for these conditions in the UK.