Healthy Living Pharmacy HLP Dipesh Raghwani Clinical Lead

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

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

Introductions • Role at LPC • Questions • Feedback

Community Pharmacy in GM

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

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 ü Quality, innovation and productivity ü ü ü ü

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 1 a copy of the signed and dated documentation that demonstrates that between 1 st December 2014 and 28 th 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 1 st 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

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

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.

Why become a HLP? • • 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

The Process Including the National Framework

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

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

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

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 (www. pharmacyregulation. org/standards) • The pharmacy complies with the NHS Community Pharmacy Contractual Framework (CPCF) requirements (psnc. org. uk/contract)

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 emails to be routinely accessed confidentially • Sustainability - Contributes to a sustainable environment.

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

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

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.

Team Leadership • 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

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.

Communication • 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)

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.

Community Engagement • 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

Commissioner Engagement 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. • 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

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-todate 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.

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

Data Collection 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. • Ensure staff have access to a secure email 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

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

Next steps • 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

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

Successful HLP

Is this too much work? 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 • •

Resources • 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 Pharm. Outcomes Forms

Evidence recording area – only need to use once a month

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 email 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 Enquiries@gmlpc. org. uk 0161 228 6163 Bolton LPC – Louise Gatley louise. gatley. boltonlpc@gmail. com 07515 285178

Any questions?

Thanks for Listening Best of Luck with Becoming and Delivering HLP