How to achieve the HLP and asthma quality criteria Leyla Hannbeck MSc. MPharm. M.A. Twitter: @LeylaHannbeck Email: l.hannbeck@npa.co.uk

What is a 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 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

Healthy Living Pharmacy (HLP) £1280 (20 points) Can be claimed for at one of the two review points and is worth 20 points Requires pharmacy to achieve HLP level 1 status – this is self-assessed HLP level 1 status includes having at least one member of the pharmacy staff being a Health Champion, and at least one member of the team undergoing leadership training

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 NPA training for HLC and leadership to be provided FTE = Full time equivalent • All pharmacy staff understand the basic principles of health and wellbeing, and that every interaction is an opportunity for a health promoting intervention. • At least one member of pharmacy staff (1 Full Time Equivalent) has completed the training and assessment of the Royal Society for Public Health (RSPH) Level 2 Award in Understanding Health Improvement and is therefore a Health Champion. Not known if the 1 FTE can be split across more than one person or across more than one pharmacy • An individual from the pharmacy team has undergone leadership training internally or through an organisation that maps to/encompasses the following domains Inspiring a shared purpose Sharing the vision Engaging the team Developing capability Influencing for results

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 JSNA = Joint Strategic Needs Assessment PNA = Pharmaceutical Needs Assessment Communication skills – all members of pharmacy team able to provide health and wellbeing advice, use NHS Choices, discuss difficult topics sensitively

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 This list is not exhaustive but offers some guidance on how to show that the requirements have been met

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 improvement / Objective / Goal Actions to be taken When by Who is responsible Support / resources available Outcome HLC training and certification Identify suitable member of pharmacy team to train, source training (NPA), book, payment, allocate time to undertake 30 April 2017 Joe Bloggs e.g. Funding to undertake training, training time for individual, training provider identified - NPA Training undertaken by [a] on [date], certificate available Team leadership Source training (NPA), book, allocate time to attend 31 May 2017 Pharmacist/Pharmacy owner MUR Continue to provide service Ongoing Pharmacist Service provision maintained NMS Health promotion zone Identify relevant local health topics to promote. Review and update at least every two months Review every two months and update HLC Time to research local issues and update the information. Local health campaigns and resources can be used HLC regularly updates content and patients are using the resources Example of an action plan that contractors can set up to ensure standards are met

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 https://www.npa.co.uk/training/training-a-z/healthy-living-pharmacy/ RSPH site still does not have the registration information on it

Asthma review £1280 (20 points) Can be claimed for at both review points and is worth 10 points at each review (20 points in total) Requires pharmacists to refer asthma patients to an appropriate healthcare professional if they have been dispensed more than six short-acting bronchodilators without any corticosteroid inhaler within a six month period Evidence required and number of patients to be referred not yet clear In the meantime, consider what changes may need to be made to, for example, standard operating procedures (SOPs), and Patient Medication Record (PMR) systems Ensure pharmacy team can identify short-acting bronchodilator inhalers and corticosteroid inhalers

Asthma review Eligibility They have been diagnosed with asthma They have been prescribed an inhaler containing one of the following short-acting bronchodilators: Short-acting beta-2 agonist Ipratropium bromide They have been prescribed more than six inhalers containing a short acting bronchodilator in the last six months Inhaled corticosteroid therapy has not been prescribed during this six month period

Asthma review Meeting the criterion Identify potential patients that meet this criterion E.g. Checking patient medication record (PMR) to see if the patient is eligible when presenting with a prescription Speak with the patient to understand their inhaler use Medicines Use Review (MUR) or their inhaler technique check may be undertaken If an issue is identified: Refer patient to their GP using the pre-determined referral system All referrals should be documented on the patients PMR It may also be appropriate to use a data collection form as evidence for the criterion being met The NPA has produced a data collection form that can be used to collect the data.