QUALITY PAYMENTS HEALTHY LIVING PHARMACY (HLP) - LEVEL 1 Aim of HLP - - PowerPoint PPT Presentation

QUALITY PAYMENTS

HEALTHY LIVING PHARMACY (HLP) - LEVEL 1

Aim of HLP criteria

• maximise the role of the pharmacy in prevention of ill health,

reduction of disease burden, reduction of health inequalities and in support of health and wellbeing.

• HLP is designed to develop
• the community pharmacy workforce;
• community pharmacy engagement with the general public

(including “Making Every Contact Count”);

• community pharmacy engagement with local stakeholders

such as local authorities, voluntary organisations and other health and social care professionals; and

• the environment in which health and wellbeing services are

delivered

HEALTHY LIVING PHARMACY

• ‘On the day of the review, the pharmacy is a Healthy Living

Pharmacy level 1 (via self-assessment)’

• There is one review point for this criterion:

Friday 28th April 2017 or Friday 24th November 2017

• No need to rush! LPC/PSNC websites will provide additional

support.

• Make sure allowance made for 10 day registration time prior

to 24th November (but see later info in presentation also)!

Points available…

• 20 points - therefore seen as demanding criteria.
• Minimum at £64 per point: £1280.
• Maximum at £128 per point: £2560.

Why Self-Assessment (S-A)?

• PHE were working on possible S-A route prior to QPS
• RSPH only funded to run S-A pilot for 500 pharmacies
• Random QA visits from the RSPH to sample of the 500
• Plan was to confirm S-A robust - then role out nationwide
• PHE/RSPH not currently funded to certify every pharmacy
• Pilot ends 31.3.2017. If S-A not approved???????????????
• From 1.4.2017 no-one knows yet!!!!

Registration Process

• There are 5 key requirements to be met (as well as

gateway requirements) before attempting to meet the 27 criteria points

Registration Process for Brand New HLPs up until 31.3.2107

For those pharmacies who have NEVER been an HLP

• Once you have self assessed that all criteria points met and evidence

collated, keep your portfolio in the pharmacy, register as compliant at the ‘Royal Society for Public Health’ (RSPH) website: tinyurl.com/RSPHAoC

• RSPH will then register the pharmacy as a HLP within 10 days, send

certificate and logo

• Random QA visits from the RSPH (CSU are also thinking of wanting

this role)

Registration Process for Brand New HLPs after 1.4.2017

For those pharmacies who have NEVER been an HLP

• Once you have self assessed that all criteria points met and evidence

collated, keep your portfolio in the pharmacy, then………………………

• What happens from April 2017
• To be announced!!!!!

Registration Process for Previously accredited HLPs

If accredited as HLP Level 1 locally between 1.12.2014 and 28.4.2017

• Do NOT need to do Self-Assessment
• Do NOT register with RSPH
• Download the declaration from RSPH, sign and retain in pharmacy
• Keep your original HLP certificate and portfolio of HLP evidence in the

pharmacy in case requested

Registration Process for Previously accredited HLPs

If accredited as HLP Level BEFORE 1.12.2014

• Must complete the S-A
• Do NOT register with RSPH
• Download the declaration from RSPH, sign and retain in pharmacy
• Keep your original HLP certificate and your portfolio of HLP evidence in

the pharmacy in case requested

Process Overview …

• There are 5 key requirements to be met (as well as

gateway requirements) before attempting to meet the 27 criteria points

• Re-assessment will be required every 2 years

The criteria

HLP History……

• Rolled out in 2013 following a successful pilot in Portsmouth.
• A HLP had to proactively deliver a locally tailored healthy lifestyle message over

entire opening hours of the pharmacy

• 3 levels of expertise have been developed:
• Level 1: Promotion – Promoting health, wellbeing and self-care (in July 2016,

level 1 changed from a commissioner-led process to a profession-led self-assessment process);

• Level 2: Prevention – Providing services (commissioner-led);
• Level 3: Protection – Providing treatment (commissioner-led).
• To achieve Quality Payment: Level 1 only required.

HEALTHY LIVING PHARMACY

HEALTHY LIVING PHARMACY

HEALTHY LIVING PHARMACY

The Quality Criteria

• There is 27 criteria based around 3

underpinning enablers:

• Workforce development

Skilled team to pro-actively support and

promote behaviour change, improving health and wellbeing

• Engagement

With local community, local authorities, GPs

• Environment

A health promoting environment in premises fit for purpose

The evidence …

• Each criteria must be supported by at least ONE example of

evidence which is to be made available at inspection by QA provider (Royal Society for Public Health RSPH)

• However the same piece of evidence can be used to support

more than one criterion

• Each individual pharmacy must complete its own assessment

(i.e: not transferrable to multiple sites)

• If no evidence collated then not compliant

Self Assessment tools….

• Pharmoutcomes provides good online self-assessment
• tool. LPC recommends using PharmOutcomes tool

NB: This is not the official registration portal. Registration is via RSPH website.

• PSNC has published a paperbased self assessment tool

‘HLP Level 1 Evidence Portfolio Workbook’ available at psnc.org.uk/hlp

• Use these to record and collate evidence.

Required for inspection

Sample Pharmoutcomes

Sample Pharmoutcomes

Log evidence under ‘Reveal Plans’. Suggested evidence is under ‘Need Help?’

Workforce Development –1. Public health Needs

All pharmacy staff have an awareness of the local public health and pharmaceutical needs outlined in the

• Joint Strategic Needs Assessment (JSNA).

Document outlining the health and wellbeing needs of local

• populations. Jointly prepared by local authority Health and

Wellbeing Boards (HWB) and CCGs

• Pharmaceutical Needs Assessment (PNA)

Produced by HWB. Reviews local pharmacy services and identifies any gaps in service delivery compared to local need.

• Health Profiles for their area.

Produced annually. Provide a concise overview of health for each local

• authority. Helps inform the JSNA. Useful summary

The evidence (No1)…

• Retain JSNA, PNA, and Health Profile for your area (note web page link).

Have relevant pages (or min the front page) available as evidence. Any areas that could form basis of your campaigns?

• CPPE - An introduction to public health distance learning course and e-
• assessment. Pharmacists and technicians (can roll out to other staff). Not

essential but useful.

• Log any pharmacy events in the local area or local/national campaigns

showing direct links to the local public health, JSNA or pharmaceutical needs – use them wherever possible as evidence

• Add questions linked to health and wellbeing services to the annual

Community Pharmacy Patient Questionnaire (CPPQ) so that the pharmacy demonstrates that it responds to local needs.

Workforce Development – 2 & 3 Health & Wellbeing Ethos

• 2. All pharmacy staff understand the basic principles of

health and wellbeing, and that every interaction is an

• pportunity for a health promoting intervention.
• 3. At least one member of pharmacy staff (1 Full Time

Equivalent) has completed the training and assessment of the RSPH Level 2 Award in Understanding Health Improvement and is therefore a ‘Health Champion’.

The evidence (2 to 3)…

‘HLC’ Course Providers (NB: RETAIN CERTIFICATES !!);

• LPC (free!)
• Buttercups/Numark (called ‘Level 2 RSPH Understanding Health

Improvement’) approx £75.00 ex VAT

• NPA (‘Healthy Living Course’) from £60.00 ex VAT
• Log staff interventions to promote services eg: Smoking Cessation/

Vaccination? ‘Making Every Contact Count’. Team prizes for recruitment rates?

• Pharmacists and pharmacy technicians who have completed the CPPE An

introduction to public health (Certificates). NB: Pharmacists should not be a HLC

• Record minutes of pharmacy team meetings that show shared learning

from the Health Champion(s) to the pharmacy team.

Workforce Development – 4 to 7. Team leadership

• 4. An individual from the pharmacy has undergone Leadership training that

encompasses: Inspiring a shared purpose, Sharing the vision, Engaging the team, Developing capability, Influencing for results

• 5. There is a clear leader within the team who is responsible for creating an

ethos of proactive health and wellbeing within the pharmacy

• 6. There is effective leadership within the team that encourages the best use
• f team members’ skills and creates an environment that supports and

mentors other team members.

• 7. The leader, jointly with the pharmacy team, has developed an action plan
• n achieving Level 1 HLP

The evidence (4 to 7)…

• Accredited Leadership training – CPPE have two accredited courses –

‘Leadership for HLP e-learning’ (4 modules) or full day workshop

(weekend – any demand??)

• Suggested action points to engage your team, provide leadership and

develop an action plan for your HLP

Team meeting to introduce HLP concept Team meetings to identify local health issues and Health Promotion action you can take Action taken to identify Healthy Living Champion and training requirements Record feedback from staff to illustrate engagement

Workforce development 8 to 12 - Communication

• 8. All pharmacy staff can use NHS choices, local public health information

and pharmaceutical needs information, bearing in mind the findings of e.g. PNAs and JSNAs such as location of services

• 9. The pharmacy team is friendly, welcoming and sensitive to the need for

privacy for different individuals seeking advice including respecting people’s values and beliefs. 10.The pharmacy team routinely explain who they are, wear a name badge and inform people about the information and/or services on offer. 11.All pharmacy staff receive training on how to approach people to discuss difficult or sensitive public health issues. 12.All pharmacy staff are able to provide brief health and wellbeing advice (2-3 minutes) and have an awareness that the person may need additional support for behavioural change.

The evidence (8 to 12)…

• A record of all staff who have been trained on use of NHS

choices.

• A record of other training the staff have received
• Shared learning from Healthy Living Champion

Training

• Basic Customer Service training (Counter

Assistants course)

• Dementia Friend training

The evidence (8 to 12)…

Equality and Diversity training: www.e-LfH – lots of excellent free from courses from Health Education England) Making Every Contact Count – www.e-LfH or via HLC training www.thelearningpharmacy.com from CPPE: ‘Consultation Skills’ - covers all aspects of good communication. Flexible and suitable for all staff. CPPE – ‘Consultation Skills for Community Pharmacy Support Staff’ and other courses

Engagement – 13 to 17 Community Engagement

13.The pharmacy team proactively engages with patients and the public in the pharmacy, to

• ffer them advice, support and signposting to other providers of services in the community

where applicable. 14.The pharmacy team actively works in collaboration with other community organisations (e.g. schools, care homes, local events, charities) to deliver pharmacy outreach and or services. 15.The pharmacy team is aware of health and wellbeing resources available in the community to direct the public/patients to (e.g. support groups, community exercise groups). 16.The pharmacy encourages local charities and other providers to work with the pharmacy for delivery of key health messages/displays where appropriate. 17.The pharmacy team is aware of appropriate health and social care providers in their community (e.g. specialist clinics, Healthwatch, Smoking Cessation, Drug and Alcohol Services ,Health Trainer Service), which Local Authorities could provide information about.

The evidence (13 to 17)…

• PSNC are currently working on a ‘Health Awareness Campaign’

document (events, dates, resources, facts & figures, suggested local groups/people to invite to your event etc).

• Photographs of pharmacy teams engaging with the public
• Details of case studies and photographs of local outreach work

(e.g. roadshows attended? health promotion event at local venue?

The evidence (13 to 17)…

• Create a ‘Health and Wellbeing’ noticeboard
• Signposting folder available (location noted)
• Note the local authority web address
• Log the public health events the pharmacy has

participated in as part of the contractual requirements (up to six campaigns)

• List the health and wellbeing resources the pharmacy has
• collated. Store them together.

Engagement – 18 to 19 Commissioner Engagement

18.The HLP lead is aware of the local commissioners for public health services, which may include Local Authority, NHS England, Clinical Commissioning Group, etc. 19.The pharmacy team is aware of the commissioner contacts if seeking to submit bids for public health services.

The evidence (18 to 19) …

• A list of local commissioners of public health services,

their organisation name and contact details (eg: Public Health Staffordshire, The Staffordshire & SOT partnership NHS trust, CCG names & details)

• Retain any correspondence around public health services

in your evidence log

The Environment – 20 to 25 Health Promoting Environment

20.It is clear to the public that free, confidential advice on their health and wellbeing can be accessed. 21.The pharmacy has a dedicated ‘Health Promotion Zone’ that is clearly marked and accessible & has a professional appearance, is appropriately equipped with up-to-date professional health and wellbeing information that meets the local public health needs as suggested in the JSNA/PNA (Annual Report of the Director of Public Health)

• r after discussion with commissioners/public health professionals.

22.The health and wellbeing information available appeals to a wide range of the public including men and women, young people, smokers, people with long term conditions, learning difficulties and older people. Where the community includes a significant ethnic minority group, then their needs must be accommodated. 23.All materials should be generic and not promoting a specific brand over another, which can be seen as endorsement or promotional. 24.The Health Promotion Zone resources should be updated at least every two months to ensure information provided is relevant, up-to-date and appropriate. 25.Once accredited, the HLP logo is displayed in prominent places.

The evidence – 20 to 25

Photographs of the pharmacy dedicated

• Health Promotion Zone
• Consultation room
• List the leaflets or promotional

materials used in the Health Promotion Zone.

• The results of latest Patient

Questionnaire and action taken (or a note of where to find it)

• A log of when (and by who) the Health

Promotion Zone and Health and wellbeing Noticeboard was checked, updated and restocked (at least monthly)

• Photographs of the HLP logo in use

THE ENVIRONMENT – 26 DATA COLLECTION

• 26. Procedures are in place to ensure emails are checked

regularly and that they are appropriately secure. Internet access enabled for accessing locally and nationally recognised websites.

The evidence (26) …

• Does the pharmacy have an IT system which is

accessible in the consultation room with access to the internet? YES/NO

• Does the pharmacy have an Information Governance

policy? YES/NO Log the location in the workbook for future inspection.

THE ENVIRONMENT – 27 SUSTAINABILITY

27.The pharmacy contributes to a sustainable environment and this is reflected in the way they operate their business (e.g. using recyclable materials).

The Evidence (27) …

• Photos of the recycling bins, paper disposal system.
• Any other evidence? Recycling systems/purchasing

Once all criteria met…

• PHE has appointed the Royal Society for Public Health (RSPH) as the
• rganisation that will register and quality assure HLP pharmacies
• Use the RSPH self-assessment tool available at: tinyurl.com/RSPHAoC
• Sign your declaration
• Take appropriate action depending on whether existing HLP or brand new

to HLP

• Keep all of your HLP evidence available for inspection (RSPH during pilot,

NHSE as part of QPS).

Registration Process for Brand New HLPs up until 31.3.2107

For those pharmacies who have NEVER been an HLP

• Once you have self assessed that all criteria points met and evidence

collated, keep your portfolio in the pharmacy, register as compliant at the ‘Royal Society for Public Health’ (RSPH) website: tinyurl.com/RSPHAoC

• RSPH will then register the pharmacy as a HLP within 10 days, send

certificate and logo

• Random QA visits from the RSPH (CSU are also thinking of wanting

this role)

Registration Process for Brand New HLPs after 1.4.2017

For those pharmacies who have NEVER been an HLP

• Once you have self assessed that all criteria points met and evidence

collated, keep your portfolio in the pharmacy, then………………………

• What happens from April 2017
• To be announced!!!!!

Registration Process for Previously accredited HLPs

All existing Staffs and Stoke HLPs were accredited BEFORE 1.12.2014 so your process is:

• Must complete the S-A
• Do NOT register with RSPH
• Download the declaration from RSPH, sign and retain in pharmacy
• Keep your original HLP certificate and your portfolio of HLP evidence in

the pharmacy in case requested

Payments

• Once registered a declaration will need to be made to the NHS

BSA on approved form (pharmoutcomes?)

• Fee will be paid as part of full FP34 for that month (April or

November).

• The reconciliation of the unclaimed monies will be based on the

number of points a pharmacy has achieved. Paid on full FP34 for March 2018 (ie: end of May/beginning of June 2018).

Other Points …

• No current requirement to ‘update’ HLC if got Level 2 award
• May need to update leadership if course attended was not mapped to 5

domains (CPPE full day meets need)

• QA visits from RSPH to those pharmacies in the pilot will be made on a

random basis to check evidence/compliance. The pharmacy will be notified in advance if selected for a visit.

• Not yet known what will happen for new HLPs from April 1st 2017 - TBA

Other Points …

• No decision taken on the future of the QP scheme generally beyond

2017/18

• However, HLPs perceived positively by NHS England. Future services

possibly rolled out through HLP?

• Take time to consider. Involves commitment (not a tick box exercise!)

and cost