Healthy Living Pharmacy (HLP)
Healthy Living Pharmacy (HLP)
What is a Healthy Living Pharmacy?
The Healthy Living Pharmacy concept was developed to by NHS Portsmouth (Primary Care Trust), working together with the Hampshire and Isle of Wight Local Pharmaceutical Committee (LPC). It recognised the significant role community pharmacies could pay in helping reduce health inequalities by delivering consistent and high quality health and wellbeing services, promoting health and providing proactive health advice and interventions.
The Healthy Living Pharmacy (HLP) programme was then rolled out across a number of other areas as part of an HLP pathfinder programme supported by the pharmacy organisations and Department of Health. South Staffordshire, North Staffordshire and Stoke on Trent were all pathfinder sites for HLP.
Healthy Living Pharmacy and QPS
HLP has been included in the new NHS contract Quality Payment Scheme for 2017-18.
On the day of the review, the pharmacy is a Healthy Living Pharmacy Level 1 (self-assessment).20 points for achieving HLP Level 1 – contractors can claim points EITHER in April OR November
Who can apply to become an HLP?
You will only be able to complete HLP assessment of compliance when you have met both:
• The General Pharmaceutical Council (GPhC) standards for the safe and effective practice of pharmacy from pharmacy premises, and
• The NHS Community Pharmacy Contractual Framework (CPCF) requirements which determine the services and standards that must be provided by community pharmacies. Compliance with these is assessed by the Community Pharmacy Assurance Framework (CPAF).
Both these sets of standards and requirements must be met prior to the completion of the HLP assessment of compliance.
Who should complete the HLP assessment?
The assessment is for an individual pharmacy. It is not permitted to complete a single form for several pharmacies within a group. Each pharmacy must complete its own individual assessment.
Which staff does the HLP assessment apply to?
The criteria for staff only relate to those individuals working within the scope of the pharmacy business, they do not apply to staff working in larger stores who do not interface in the health aspects of the business.
What is the HLP Level 1 criteria?
The Healthy Living Pharmacy: Level 1 quality criteria were produced by Royal Society for Public Health (RSPH) and set out the criteria that pharmacies must achieve to gain HLP Level 1 status.
The quality criteria outline what is required for achieving Healthy Living Pharmacy (HLP) Level 1 status as part of the assessment of compliance process and set out the behaviours, activities and physical environment you must be able to evidence.
The evidence you put together will help you towards achieving and then maintaining your HLP status. The specific criteria are detailed under the section headings: Workforce Development, Engagement and Environment.
The Royal Pharmaceutical Society Professional Standards for Public Health Practice for Pharmacy have been embedded in the quality criteria.
The quality criteria are not listed in any priority order as they are all equally important.
As new developments arise, there may be additional quality criteria added, but all HLP Level 1 pharmacies will be notified when any alterations are made. The quality criteria will be reviewed by the HLP Task Group every two years.
PharmOutcomes have uploaded the criteria onto the system and in addition have produced a self-assessment module so that you can self-assess your pharmacy against the criteria – every pharmacy in Staffordshire and Stoke on Trent has access to this module.
The LPC would encourage you to use the PharmOutcomes module to assess your readiness to apply to RSPH to become an HLP.
You will find the self-assessment module under the assessments tab of PharmOutcomes.
Do I need to re-assess/apply if my pharmacy was an HLP already (from when our LPC area was a pathfinder site)?
Existing Staffordshire and Stoke Healthy Living Pharmacies DO need to complete the self-accreditation process:
This is because although many of our Staffordshire and Stoke pharmacies have been accredited as HLPs this process was completed over 2 years ago, and so despite negotiations between PSNC and NHSE around a ‘grand-parenting’ approach for existing HLPs it is not expected that this will apply to Staffordshire and Stoke HLPs.
Do I have to tell RSPH that I intend to become an HLP?
Contractors do not need to notify RSPH that they intend to become a HLP Level 1, simply work through the criteria, complete the self-assessment and then when you are ready to apply to RSPH follow the steps outlined in the relevant section below.
Healthy Living Champions
How many Healthy Living Champions (HLCs) do I need?
The requirement is that each HLP has a full time equivalent HLC so if you have part time staff you may need to have more than one HLC trained to reach the full time equivalent requirement.
Who should train to be a Healthy Living Champions (HLC)?
HLCs are members of the front-line team who deal with customers and patients and who will be able to give proactive lifestyle advice. They will also maintain your Health Zone, look after your public health campaigns and get the rest of the team involved in improving health outcomes for your local population.
It is important to understand that the HLC role is not for pharmacists. This is because although the pharmacist knows about public health and healthy lifestyles they will usually be busy with services etc. and the HLC role has been developed so that front line staff are spreading healthy lifestyle information whenever possible to as many people using the pharmacy as they can.
Pharmacists do obviously engage with patients about these matters e.g. when counselling patients and during MURs and NMS etc. so the HLC role is complementary to what the pharmacist should already be doing.
I was previously an HLP and have staff who were trained as Healthy Living Champions (HLC). Do they need to retrain?
Regardless of what level your HLP was, if you have a qualified HLC they will have passed the RSPH Level 2 award in Understanding Health Improvement and should have their certificate either displayed in the pharmacy or in the evidence portfolio. If you are uncertain check their certificate to confirm their Level 2 status.
There is no need to repeat the training for HLCs or to resit their exam – they have their certificate.
They do of course need to keep up to date with ongoing local health needs.
What training is available for staff to be a Healthy Living Champion (HLC)?
Various routes are possible including online training and the staff member then sits the RSPH exam under exam conditions.
We have secured some funding from HEE to run HLC training, some of these events have already been advertised and we are hoping to secure more funds to run further events. If we are successful we will send out an invitation with details of venues and dates. This training takes a full day and at the end of the day your staff member will sit the RSPH exam. They need to take photo ID to the training as proof of identity.
Who needs to complete the Leadership Training?
The leadership training requirement is that either the pharmacist or the pharmacy manager completes an approved Leadership training course.
Where it is not the pharmacist who is undertaking the leadership training the person involved should have direct involvement in the running of the pharmacy part of the business and the leadership requirement is based around health needs etc. and so it is not intended that a remote manager completes the training.
Only one person needs to complete the Leadership Training per pharmacy.
What kind of Leadership Training meets the requirements?
The Leadership Training must be mapped to the RPS Leadership Framework and this means that any training you have already undertaken may not meet this particular criterion. In South Staffs we did run some leadership evening events but these were not mapped to the RPS Framework so will not meet the HLP Criterion.
CPPE Full Day Leadership for HLP fully meets the requirement and the day also includes activities around awareness of local population needs
CPPE Leadership School – anyone who has attended this 4 day course meets the HLP requirement for leadership training but you will also need to look at the health needs of your local population and lead your team in this area.
If you are interested in attending there is more information on the CPPE website or contact Gill at email@example.com
How often (if at all) will I need to repeat the Leadership Training?
Once you have completed an approved leadership course there is no need to repeat that training to maintain your HLP status. With respect to QPS, as long as a contractor has staff in post that have undertaken the relevant training, that will meet the requirements.
How to Register as an HLP with RSPH
How do I become a certified HLP?
Contractors need to notify RSPH once they are ready to register as a HLP Level 1 by completing the assessment of compliance on the RSPH website.
How do I know I have been accepted as an HLP?
Important: A pharmacy is not an HLP Level 1 until RSPH has confirmed registration and provided the HLP logo and certificate. RSPH will endeavour to contact contractors by mail or email within 10 working days after they have received the submitted online assessment of compliance.
Other frequently asked questions (FAQs) on HLP can be found on the RSPH website.
Public Health Campaigns 2017
Please see the information on the Public Health Campaign Page of this website