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 24 th 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 S killed 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 opportunity 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 of 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 on 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
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