Pharmacy led Community Outreach Programme with undergraduate support: An integrated initiative

Dudley Group NHS Foundation Trust - Place Division

This project addressed health inequalities in diabetes, cardiovascular disease (CVD), and hypertension within South Asian and African Caribbean communities—groups at higher risk of poor outcomes but less likely to engage with traditional healthcare services. Recognising this gap, a proactive, culturally tailored approach was developed to improve access, engagement, and clinical outcomes.

Using population-level searches, high-risk individuals were identified and invited to targeted interventions designed around cultural and community needs. Two key initiatives were delivered.

“Sweet Enough” is a culturally adapted group consultation model for South Asian patients with diabetes. It incorporates dietary advice aligned to cultural practices, education on the 8 care processes, medicines optimisation, and diabetes remission, delivered in a peer-supported environment to improve engagement and understanding.

In parallel, a community-based cardiovascular case-finding initiative was delivered within an African Caribbean community centre, incorporating point-of-care testing (POCT) for cholesterol and blood pressure monitoring. This was complemented by town centre outreach, improving accessibility and follow-up.

This approach improved access, trust, and engagement, particularly among underserved populations. Of 80 individuals with elevated blood pressure, 25% were diagnosed and initiated on treatment, preventing long-term complications.

The project demonstrates how pharmacy-led neighbourhood health interventions can deliver measurable outcomes, reduce inequalities, and support prevention closer to home. at the same time as supporting undergraduate trainees bringing together communities and sectors.