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.
Being an HLP has been included in the Quality Payment Scheme since the scheme was introduced. The Community Pharmacy Contractual Framework (CPCF) 2019-2024 was released in July 2019 and as part of the contract the new Pharmacy Quality Scheme (PQS) was announced. In the PQS requirements there are gateway criteria which must be met in order to qualify for any PQS payments, some of the quality criteria for this year stand alone and some have been bundled. A community pharmacy has to meet either the stand alone criterion to claim payment for that part of the PQS and for all of the criteria in a bundle to claim payment for any of the bundled PQS criteria.
For 2019-2020 PQS being a level 1 HLP is part of the Prevention Composite Bundle – see more information on the CPCF and PQS pages which are being added to the LPC website over the next few days and also information on the PSNC QPS webpage
How to become a Healthy Living Pharmacy (HLP)
The Healthy Living Pharmacy (HLP) framework is a tiered commissioning framework aimed at achieving consistent delivery of a broad range of high quality services through community pharmacies to meet local need, improving the health and wellbeing of the local population and helping to reduce health inequalities.
The HLP framework is underpinned by three enablers:
- workforce development – a skilled team to pro-actively support and promote behaviour change, improving health and wellbeing;
- premises that are fit for purpose; and
- engagement with the local community, other health professionals (especially GPs), social care and public health professionals and local authorities
Latest Healthy Living Pharmacy (HLP) figures show that over 9000 pharmacies have progressed through the profession-led self-assessment process and registered with the Royal Society for Public Health (RSPH) to attain Level 1 HLP status.
HLP register – Update
The Royal Society for Public Health (RSPH) is no longer accepting HLP assessments of compliance from contractors who wish to register as an HLP Level 1 – see details below.
The Royal Society for Public Health (RSPH) was commissioned by Public Health England to create and maintain a Healthy Living Pharmacy (HLP) register, as well as provide a quality assurance process to assure the public, commissioners, and other healthcare professionals that the HLP quality criteria were met consistently across the country. The funding for this finished on 31st March 2019, therefore, the RSPH will no longer be accepting new assessments of compliance.
The Healthy Living Pharmacy (HLP) register will still be available on the RSPH website. The public-facing register lists those community pharmacies that have successfully completed the HLP profession-led self-assessment process.*
The register allows the user to search for an HLP by region and will be updated during the last week of each month.
Pharmacies who are currently listed on the register, will remain on the register for the time being. However, to maintain HLP status, contractors must assess their pharmacy against the HLP quality criteria every two years. Contractors will need to meet the requirements of an HLP Level 1 as defined by PHE (if accredited locally) or ensure they still meet the requirements if accredited via the profession led self-assessment route.
Once contractors have met the requirements or ensured they still meet the requirements, a pharmacy professional will need to complete an assessment of compliance and retain this in the pharmacy (this is available in the section above).
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.
The LPC has an arrangement with Virtual Outcomes for pharmacy team training and there is a module available via them to train your HLC. This training includes a discounted rate for the RSPH exam. More information is available on the Virtual Outcomes info page on this website.
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.
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.
You can find more information on the PSNC website
Public Health Campaigns
Please see the information on the Public Health Campaign Page of this website