Healthy Living Pharmacy

Healthy Living Pharmacy (HLP) is a “tiered quality framework” striving to lay down the foundation for the future of pharmacy by developing the pharmacy workforce to be proactive in making health interventions to the people in their communities, often their neighbours, to make a difference to the quality of their lives.

HLP will contribute to the reduction of health inequalities that are so evident across the different communities of Lancashire by empowering the people of our communities to make more informed decisions about the choices that affect their health.

This programme will create a sustainable future for Healthy Living Pharmacy (HLP) and develop the community pharmacy workforce. It will build on the foundations of existing community pharmacy services such as support for self-care, promotion of healthy lifestyles and other health services. HLP is a tiered quality framework which includes completion of Royal Society of Public Health Level 2 qualifications leading to a pharmacy workforce which is more proactive in making health interventions that empower their communities to make healthier lifestyle choices.

These healthier choices help to make a difference to the quality of their lives and the empowerment of communities supports the delivery of the ambitions of the Healthier Lancashire and South Cumbria Sustainability and Transformation Partnership (STP), in particular, supporting the delivery of the “Must do’s” as set out in the STP. Specifically, it will support the achievement of the following “Must do’s” as quoted in the STP:

  • “Must do 3 – Develop and implement a local plan to address the sustainability and quality of general practice, including workforce and workload issues.
  • Our GPs will work with colleagues in community pharmacy to promote best access for those with minor self limiting conditions, those on multiple medications and those needing medicines management support.
  • Must do 4 – Get back on track with access standards for A&E and ambulance waits, ensuring more than 95 percent of patients wait no more than four hours in A&E, and that all ambulance trusts respond to 75 percent of Category A calls within eight minutes; including through making progress in implementing the urgent and emergency care review and associated ambulance standard pilots.
  • We will offer increased access to primary care services in the evenings and at weekends using a hub approach.
  • Must do 9 – Develop and implement an affordable plan to make improvements in quality particularly for organisations in special measures. In addition, providers are required to participate in the annual publication of avoidable mortality rates by individual trusts. Also: suicide prevention; improving emotional resilience in CYP; improve dementia diagnosis. Diabetes prevention, Workplace health and wellbeing to reduce sickness absence and improve productivity Cancer prevention, screening and early detection Addressing Right Care priorities to reduce unwarranted clinical variation, in particular improve the uptake of shared decision making, Supporting improvement of patient safety and reducing avoidable mortality.
  • A key focus of our plan is to scale up our strategies to prevent ill health so that, in the medium to longer term we have a healthier, more health literate population, engaged in, and with the knowledge to adopt lifestyles which promote good health particularly with regard to smoking, alcohol and obesity.
  • Our population will be supported to have the confidence to manage their own care at home when suffering from minor, self limiting conditions, thus limiting the burden on primary and urgent care services.
  • Those with Long Term Conditions such as COPD , Diabetes and Heart failure will benefit from structured education and support to help them to manage the own condition as effectively as possible .
  • We will focus primary care teams on systematic, evidence based secondary prevention to reduce the risk of further complication or deterioration in those already suffering from long term conditions.
  • Population health approach to risk stratification to achieve Proactive, anticipatory, joined up community based support for the top 5% complex individuals and families across all ages
  • Supporting self care and health coaching for the next tier (6%-20%) of the risk stratified population
  • Fully engaged confident and connected communities for health, wellbeing and resilience”

Healthier Lancashire and South Cumbria, Sustainability and Transformation Plan 2016/17 – 2020/21 Draft, Third Submission to NHS England, 21st October 2016, Draft version 7.7

Sustainability & Transformation Plan

Why should I do Lancashire HLP?

By starting on the HLP journey and making those health interventions in our communities as well as delivering all our advanced and locally commissioned services to a high-quality standard we are on the road to developing our teams to become better integrated with other NHS and social care service providers.

The model of Healthy Living Pharmacy has been recognised nationally as a quality standard under the new Quality Payments Scheme. In Lancashire we have been supporting our pharmacy teams to become HLPs since the first national HLP pathfinder programme in 2012 and subsequently in 2014 to 2016 when this model was developed. The Lancashire HLP programme is above and beyond the national Quality Payments HLP standards and therefore accreditation to the Lancashire standard ensures national accreditation by the provision of additional training and support.

  • A Healthy Living Pharmacy is one where the ethos and approach have been transformed to be proactive and public health focused by investment in staff development and a new emphasis on skill mix.
  • Achievement of Healthy Living Pharmacy accreditation is defined by changes in staff attitudes and approach that encourage sharing of healthy lifestyle and wellbeing advice and interventions with all patients and customers in the pharmacy. Thus further enhancing the promotion of self-care and prevention of long term conditions.
  • Assessments take place using tools such as PharmOutcomes® and accreditation visits.
  • On accreditation as a Lancashire Healthy Living Pharmacy, the pharmacy will receive their certificate.
  • The pharmacy will be able to use the Healthy Living Pharmacy logo, in accordance with local guidance.

The requirements that NHS England in conjunction with the Lancashire Local Professional Network (Pharmacy)(LPN) asks of your pharmacy to be awarded the HLP accreditation are laid out below.

Overarching Requirements

  • At all times the pharmacy practices in accordance with all pharmaceutical legislation and professional guidance.
  • At all times the pharmacy practices in accordance with General Pharmaceutical Council Standards of conduct, ethics and performance.
  • The pharmacy actively uses PharmOutcomes®.
  • The pharmacy is contracted to receive and dispense prescriptions on a face to face basis with patients. Distance selling pharmacies are therefore excluded on this basis.
  • The pharmacy complies with and demonstrates all the requirements as part of Lancashire HLP accreditation.
  • Plans to meet the PharmOutcomes® assessment criteria are entered in the boxes under each criterion on the assessments found under the Assessments tab. Boxes are created by clicking “Reveal Plans”.
  • Evidence of compliance with the assessment standards is collected and organised in a portfolio that is available for inspection by Choose Health and NHSE representatives.

Lancashire Healthy Living Pharmacy Prospectus

For more information on how to apply to become a Lancashire HLP, please contact Laura Dunkley help@choosehealth.org.uk.