1. Healthy Living Pharmacy (HLP)
Dipesh Raghwani – Clinical Lead GMLPC
Louise Gatley – Chief Officer Bolton LPC
Fin McCaul – GMLPC Board Member and Contractor Engagement Lead

2. What the webinar will cover:
Welcome and Introductions
Community Pharmacy in GM
What is HLP
HLP and Quality Payments
The national self-assessment framework
How to become a HLP
How to utilise HLP in the Pharmacy

3. Introductions
Role at LPC
Questions
Feedback

4. Community Pharmacy in GM

5. Medicines Optimisation
Common Ailments
Promotion Prevention Protection
Early detection
Diagnosis & Treatment
Initial supply and support
Ongoing adherence support
PATIENT and PUBLIC
Self care & Healthy lifestyle interventions
Medicines Optimisation

7. What is HLP? A quality mark Achievement of Quality Criteria
Identifiable by the public
Proactive team ethos
Has at least one Health Champion
Consistently delivers broad range of high quality commissioned services
Quality, innovation and productivity

10. Quality Payments
On the day of the review, the pharmacy is a Healthy Living Pharmacy level 1 (self-assessment).
Claim at ONE review point - 20 points (£1,280)
Self-assessment process and the RSPH
Meeting the criterion may be demonstrated in one of the following ways:
an entry in the RSPH online register as a profession-led self-assessed HLP level 1a copy of the signed and dated documentation that demonstrates that between 1st December 2014 and 28th April 2017 the pharmacy was accredited as a HLP level 1 locally
a copy of the signed and dated documentation that demonstrates that the pharmacy was accredited as a HLP level 1 prior to 1st December 2014 and that the contractor has completed the profession led self-assessment and are meeting the requirements of a level 1 HLP as defined by PHE on the day of the review, without the pharmacy being listed on the RSPH registry

11. Quality Payment Deadline is Friday 24th November 2017
Note RSPH registration may take some time so act quickly!

12. Distance Selling Pharmacies
DSPs – can they be HLPs?
Would need to fully meet all the requirements
Requirements were designed for bricks and mortar pharmacies
DSPs can’t provide Essential Services to patients on their premises
NHS England or PHE have not issued any guidance on this matter, but for the reasons set out above, PSNC believes it is unlikely that a DSP could fully meet the requirements for being an HLP.

13. Why become a HLP? Empowers team Builds loyalty Increases footfall
Empowers team
Builds loyalty
Increases footfall
Showcases social value of community pharmacy
Meets Quality Payment Criteria (£1280)
Free training available
Level 1 HLP is by self-assessment
Potential future commissioning

14. The Process Including the National Framework

15. Health Champion
Need at least 1 FTE Health Champion trained to RSPH Level 2 in Understanding Health Improvement
Training has been organised across GM and details are available on the LPC websites

16. Role of Health Champion
Engage proactively with the public
Understand what’s available locally
Signpost to local health and wellbeing services and national support
Establish and maintain health promotion zone
Put in place health promotional activities
Outreach into the local community

17. HLP Leader Need at least 1 HLP Leader
Need at least 1 HLP Leader
Training has been organised across GM and details are available on the LPC websites

18. HLP Pre-Requisites
The pharmacy has a consultation room which is compliant with the Advanced Services standards and is appropriate for the services on offer
In the past year, the pharmacy has participated in the provision of both Medicines Use Reviews and the New Medicine Service, and has proactively engaged in health promoting conversations
In the past year, the pharmacy has participated in the provision of the NHS Community Pharmacy Seasonal Influenza Vaccination Advanced Service or has actively referred patients to other NHS providers of vaccinations
The pharmacy complies with the General Pharmaceutical Council’s Standards for Registered Premises and Standards of Conduct, Ethics and Performance (
The pharmacy complies with the NHS Community Pharmacy Contractual Framework (CPCF) requirements (psnc.org.uk/contract)

19. Criteria
•  Public Health Needs - All pharmacy staff have an awareness of the local health and pharmaceutical needs
• Health and Well being Ethos – All pharmacy staff have an understanding of basic health and wellbeing and every interaction is used to promote
• Team Leadership - A member of the team has undergone leadership training
• Communication - The pharmacy team members are welcoming friendly and aware of privacy for different individuals seeking advice
• Community Engagement - The pharmacy team works with other organizations and can locally signpost where needed.
• Commissioner Engagement - Is aware of local commissioners and who to contact where needed
• Health Promoting Environment – Has a dedicated Health Promotion Zone (HPZ)
• Data Collection – Procedures are in place for secure s to be routinely accessed confidentially
• Sustainability - Contributes to a sustainable environment.

20. 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), Pharmaceutical Needs Assessment (PNA) and Health Profiles for their area including where and how to access them
All hosted on the LPC website as hyperlinks
Ensure staff are aware where these are
The LPC has also summarized key priorities by locality and these are also available to download and print
Have localized questions in your annual survey (CPPQ) to ensure you respond to local need

21. Health and Wellbeing Ethos
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.
Organisational values
Staff training
LPC organised Health Champion Training Sessions

22. Team Leadership
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
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.

23. Team Leadership Identify HLP Leader (does not need to be a pharmacist)
Identify HLP Leader (does not need to be a pharmacist)
Attend LPC organised HLP Leadership Training
Have a staff meeting in which
You engage the team about HLP
Mutually identify 2-3 key areas of focus for your team
Develop an action plan on how to deliver these with your current team
It is important you also get feedback as a leader and keep this with your evidence

24. Communication
All pharmacy staff can use NHS choices, the local public health information and pharmaceutical needs information, bearing in mind the findings of e.g. PNAs and JSNAs such as location of services, when providing advice on health issues when appropriate.
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.
The pharmacy team routinely explain who they are, wear a name badge and inform people about the information and/or services on offer.
All pharmacy staff receive training on how to approach people to discuss difficult or sensitive public health issues.
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.

25. Communication Record details of staff who can use NHS Choices
Record details of staff who can use NHS Choices
Record training of team members who have had customer service training, equality and diversity training, unconscious bias training or become a Dementia Friend for example
Ensure all team members have a name badge
Ensure team members are aware of pharmacy services available
Coach the team on dealing with sensitive issues and providing brief interventions (these can be topic focused)

26. Community Engagement The pharmacy team:
Proactively engages with patients and the public in the pharmacy, to offer them advice, support and signposting to other providers of services in the community where applicable,
Actively works in collaboration with other community organisations (e.g. schools, care homes, local events, charities) to deliver pharmacy outreach and or services,
Is aware of health and wellbeing resources available in the community to direct the public/patients to (e.g. support groups, community exercise groups),
Encourages local charities and other providers to work with the pharmacy for delivery of key health messages/displays where appropriate,
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.

27. Community Engagement Take photos of the team engaging with the public
Take photos of the team engaging with the public
Keep case studies and photographs of any local outreach work (eg roadshows attended)
Contact local health providers for a list of local community health and wellbeing resources and keep them readily available in the pharmacy
Keep a local health and wellbeing notice board in the pharmacy.
Keep a signposting folder to record activity
Ensure staff know how to access the Local Authority Website
Keep a list of the 6 contractual public health campaigns

28. Commissioner Engagement
Keep contact details for the Local Authority, CCG Medicines Management Team, NHS England, substance misuse providers and any other key commissioners (The LPC can help with these details if needed)
Ensure staff are aware where these are kept
The HLP lead is aware of the local commissioners for public health services, which may include Local Authority, NHS England, Clinical Commissioning Group, etc.
The pharmacy team is aware of the commissioner contacts if seeking to submit bids for public health services.

29. Health Promoting Environment
It is clear to the public that free, confidential advice on their health and wellbeing can be accessed.
The pharmacy has a dedicated Health Promotion Zone, that is clearly marked and accessible, has a professional appearance and is appropriately equipped with up-to-date professional health and wellbeing information meeting identified local needs
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.
All materials should be generic and not promoting a specific brand over another, which can be seen as endorsement or promotional.
The Health Promotion Zone resources should be updated at least every two months to ensure information provided is relevant, up-to-date and appropriate.

30. Health Promoting Environment
Take photos of the HPZ and archive
Keep a list of leaflets/ materials used in the HPZ
Keep the HPZ clean and professional looking
Display the HLP logo in a public facing area once accredited
Record when the HPZ is updated

31. Data Collection
Ensure staff have access to a secure address for the pharmacy and that this is checked frequently throughout the day (including weekends)
Review firewalls if appropriate to ensure necessary websites are accessible
Ensure your IG procedures are up-to-date and reviewed regularly (contractual requirement)
Ensure staff are aware where the IG policy is kept
Procedures are in place to ensure s are checked regularly and that they are appropriately secure. Internet access enabled for accessing locally and nationally recognised websites.

32. Sustainability Actively encourage recycling of waste
May take part in an inhaler/ ink cartridge recycling scheme
Take photos/ keep evidence of this
The pharmacy contributes to a sustainable environment and this is reflected in the way they operate their business (e.g. using recyclable materials).

33. Next steps Download Level 1 Framework
Download Level 1 Framework
Book Health Champion and Leadership training if not done already – dates on LPC website
Download PSNC workbook and complete
Have a staff meeting
Get RSPH accreditation
Ensure you claim the £1280 for Quality Payments

34. Successful HLP
Use PharmOutcomes to record activity – can be used to support commissioning
Think differently
The ‘sky is the limit’
Utilise the team

35. Successful HLP

36. Is this too much work? Quality marker Evidence for health benefit
Quality marker
Evidence for health benefit
Increased job satisfaction
Show your value to the local public and other health practitioners
A potential way of driving footfall and thus counter-acting the funding cuts
Encouraged by LA

37. Resources Dedicated page on the LPC websites
Dedicated page on the LPC websites
Dedicated page on the PSNC website
Public Health Need summary for each locality available on the LPC websites along with other items to support you to become accredited
Screenshots of the PharmOutcomes Forms

38. Evidence recording area – only need to use once a month

39. Contact us:
Greater Manchester and Bolton LPC are working together to support their contractors. Both websites host various resources.
We are also at the end of an or phone, so please do not hesitate to contact us with any queries you may have on the details below:
Greater Manchester LPC – Support Team
Bolton LPC – Louise Gatley   

40. Any questions?

41. Best of Luck with Becoming and Delivering HLP
Thanks for Listening
Best of Luck with Becoming and Delivering HLP