Healthy Living Pharmacy (HLP) Leadership Leyla Hannbeck Chief Pharmacist Twitter: @LeylaHannbeck
What we will cover today... • Changes in pharmacy and the direction of travel • What you need to know about Healthy Living Pharmacies • Qualities seen in great leaders and how this relates to pharmacy • Change management • How to build a great team – lead, motivate, delegate, develop self and others • Communication and how to build rapport • How to give feedback • How to manage a conflict situation • Group works, examples and action plan
Challenges facing the NHS • Self-created health issues affect many people 1 in 5 adults smoke 1/3 drink too much alcohol Just under 2/3 are overweight or obese • Ageing population • Increased prevalence of chronic diseases • Acute and episodic care • Care across primary, secondary, community and social settings lacking continuity • Money
Priority • Prevention! Prevention! Prevention! • Preventing premature mortality • Preventing chronic disability / reducing its impact • Prevention programmes to improve financial sustainability
Pharmacists support the NHS and patients with... • Prevention Weight loss Alcohol management Stop smoking • Detection Monitoring (BP, INR, blood glucose) Hepatitis C, HIV testing STIs (e.g. chlamydia) Referral / signposting • Medicines optimisation
HLP quality logo/mark • NPA registered the HLP logo on behalf of all pharmacy organisations With permission from Portsmouth LPC To protect it for community pharmacy Ensure this quality logo/mark had a future
Health Champions • Each HLP must have a trained Health Champion • Engage proactively with local community • Use every interaction opportunity for health promotion • “Make every contact count” • Improve health, reduce mortality, help reduce health inequalities
Health Champion accreditation • Undergo training for the “Understanding Health Improvement” Level 2 award Accredited by the Royal Society for Public Health • Recognised national qualification
GPhC standards / NHS requirements • Before being accredited as a HLP: Pharmacy must meet the requirements of the GPhC standards for registered pharmacy premises Pharmacy must meet the requirements of the NHS Terms of Service of Pharmacists NHS under the NHS (Pharmaceutical and Local Pharmaceutical Services Regulations) 2013
PHE: vision • Accelerate the roll-out of the HLP concept • Establishment of a national awarding body for the HLP quality mark • Quality assurance process • Revised quality criteria • NHS England to consider if, when and how to embed aspects of the HLP framework into the community pharmacy assurance framework (CPAF)
HLP quality criteria for Level 1 • Part of the assessment of compliance process for HLPs • Sets out behaviours, activities and physical environment which must be evidenced • Evidence contributes towards achieving and maintaining HLP status • Specific quality criteria relevant to three enablers
Healthy Living Pharmacy (HLP)? • It is a concept which was originally developed in 2009 as a means of improving provision and access to local pharmacy services in Portsmouth • A level 1 framework, commissioned by Public Health England and based on the original HLP model, was released in 2016 • This allows pharmacy contractors to achieve level 1 through self assessment
What are the aims of an HLP? • Aims of HLP: Health champion to provide lifestyle interventions and pharmacy support E.g. Offering brief advice on various health issues such as smoking cessation and alcohol consumption Services and support delivered from pharmacy premises fit for purpose Engagement with local stakeholders (e.g. other healthcare professionals and the local community) to improve patient care
Why become an HLP? • HLP level 1 accreditation is worth 20 quality points under the new pharmacy funding quality payment scheme • This is worth a minimum of £1,280 • The HLP-related quality points can be claimed at either the April or November review points
Checklist for getting HLP accredited • Key requirements: At least 1 FTE qualified Healthy Living champion (HLC) – certificate required Pharmacy owner or pharmacist leadership trained – certificate required Suitable consultation room Provide MUR, NMS, NHS flu vaccination services • If flu vaccinations are not provided, then there should be active referrals to other NHS providers Health promotion zone – display HLP logo prominently once accredited
Checklist for getting HLP accredited • The following criteria must also be completed and evidenced: Staff awareness of local public health and pharmaceutical needs (e.g. JSNA, PNA) Communication skills Proactive community engagement by whole pharmacy team, able to signpost to local service providers as appropriate Commissioner engagement – lists of local contact information Data collection – IG SOP and IT/internet system accessible in consultation room Promote environmental sustainability
Examples of evidence collection • Certificates – e.g. HLC, leadership training (required when claiming completion of training; certificates for assessment and/or training) • Minutes of pharmacy meeting notes showing HLC sharing learning with the pharmacy team • HLP action plan • Written feedback from pharmacy team members to their team leader • Photos of the pharmacy team engaging with the public (consent), consultation room, pharmacy, HLP logo location, recycling bins, paper disposal system, outreach work
Examples of evidence collection • Case studies of local outreach programmes conducted by pharmacy • Health and wellbeing notice board – local public health services / initiatives information • Health and wellbeing information in a range of formats (e.g. DVDs, plasma screen, leaflets etc) • Signposting information folder • Lists of local public health commissioners and their contact details along with examples of correspondence with them (e.g. emails, letters)
HLP action plan Area for Actions to be taken When by Who is Support / resources Outcome improvement / responsible available Objective / Goal HLC training and Identify suitable 30 April 2017 Joe Bloggs e.g. Funding to Training certification member of pharmacy undertake training, undertaken by [a] team to train, source training time for on [date], training (NPA), book, individual, training certificate payment, allocate provider identified - NPA available time to undertake Team leadership Source training 31 May 2017 Pharmacist/Phar e.g. Funding to Training (NPA), book, allocate macy owner undertake training, undertaken by [a] time to attend training time for on [date], individual, training certificate provider identified - NPA available MUR Continue to provide Ongoing Pharmacist Service provision service maintained NMS Continue to provide Ongoing Pharmacist Service provision service maintained Health promotion Identify relevant local Review every HLC Time to research local HLC regularly zone health topics to two months and issues and update the updates content promote. Review and update information. Local health and patients are update at least every campaigns and using the two months resources can be used resources
Next steps Download the HLP level 1 quality criteria document • Available through the NPA website Complete each component and compile evidence for each in a HLP folder Once all components are completed, register with the Royal Society of Public Health (RSPH) as a level 1 HLP • Registration information to follow Quality payment can only be claimed once level 1 HLP is achieved • This can be in either April or November 2017
Leadership
HLP Leadership Quality Criteria • An individual of the pharmacy team has undergone leadership training internally or through an organisation that maps to/encompasses the following competencies: Demonstrating personal qualities – developing self-awareness, managing yourself, continuing personal development, acting with integrity Working with others – developing networks, building and maintaining relationships, encouraging contribution, working within teams Setting direction – identifying the contexts for change, applying knowledge and evidence, making decisions, evaluating impact • Pharmacists and their teams engage and effectively lead multidisciplinary teams to maximise the contribution of pharmacy teams to improve and protect the public’s health. • There is a clear leader within the team who is responsible for creating an ethos of proactive health and wellbeing within the pharmacy. • There is effective leadership within the team that encourages the best use of team members’ skills and creates an environment that supports and mentors other team members. • The leader, jointly with the pharmacy team has developed an action plan on achieving Level 1 HLP. • Training and learning needs are reviewed and assessed and any identified training needs are met in order to ensure that pharmacists and their teams are competent to deliver quality public health services and support the public and patients to achieve good health outcomes.
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