1. How to achieve the HLP and asthma quality criteria
Leyla Hannbeck MSc. MPharm. M.A.

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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. s, letters)

9. 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

10. 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
RSPH site still does not have the registration information on it

11. 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

12. 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

13. 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.