Quality Payments – Healthy Living Pharmacy (HLP) self-assessment

Quality Payments – Healthy Living Pharmacy (HLP) self-assessment

Please note, the interim Quality Payments Scheme for the first six months of 2017/18 has now ended. No decisions have been made by the Department of Health and Social Care and NHS England on the future of Quality Payments beyond the first six months of 2018; this will be a matter for discussion with PSNC, once substantive negotiations for 2018/19 commence.

Community pharmacy contractors passing the gateway criteria will receive a Quality Payment if they meet one or more of the quality criteria. One of the quality criteria is:

‘On the day of the review, the pharmacy is a Healthy Living Pharmacy level 1 (self-assessment).’


Click on a heading below for more information.

NHS England guidance

NHS England has published new guidance ahead of the June 2018 review point of the Quality Payments Scheme:

  • NHS England – Pharmacy Quality Payments Guidance for the June 2018 Declaration (published 30th April 2018).

The June 2018 guidance should be read in conjunction with NHS England’s gateway criteria guidance and the quality criteria guidance:

  • NHS England – Pharmacy Quality Payments Gateway Criteria Guidance (published 23rd December 2016); and
  • NHS England – Pharmacy Quality Payments Quality Criteria Guidance (published 27th February 2017).

These documents are available on the NHS England website.

PSNC strongly encourages all contractors to read the new NHS England guidance, as well as the previous guidance, to ensure they are fully briefed on the requirements of the Quality Payments Scheme ahead of the June 2018 review point.

Quality criterion points and value

The value of this quality criterion is as follows:

Total points for the June 2018 review point 20
Value of total points £640-1280*

*The funding will be divided between qualifying pharmacies based on the number of points they have achieved. Each point will have a minimum value worth £32 and a maximum of £64.

Aim/rationale for this quality criterion

The aim of this quality criterion is to maximise the role of the pharmacy in prevention of ill health, reduction of disease burden, reduction of health inequalities and in support of health and wellbeing. The Healthy Living Pharmacy (HLP) concept is designed to develop (in respect of health and wellbeing services):

  • the community pharmacy workforce;
  • community pharmacy engagement with the general public (including ‘Making Every Contact Count’);
  • community pharmacy engagement with local stakeholders such as local authorities, voluntary organisations and other health and social care professionals; and
  • the environment in which health and wellbeing services are delivered.

How to achieve this quality criterion

Further information on how to achieve HLP Level 1 can be found on the HLP page of the PSNC website.

In order to meet this quality criterion, the pharmacy must on the day of the review be meeting the requirements of a Level 1 HLP as defined by (Public Health England (PHE) or have been accredited as an HLP locally between 30th June 2016 and 29th June 2018.

This may be demonstrated in one of the following ways:

  • an entry in the Royal Society for Public Health (RSPH) online register as a profession-led self-assessed HLP Level 1; or
  • a copy of the signed and dated documentation that demonstrates that between 30th June 2016 and 29th June 2018 the pharmacy was accredited as an HLP Level 1 locally. Pharmacies that have been accredited between 30th June 2016 and 29th June 2018, do not need to go through the profession-led self-assessment process led by PHE to qualify for the quality criterion; or
  • a copy of the signed and dated documentation that demonstrates that the pharmacy was accredited as an HLP Level 1 prior to 30th June 2016 and that the contractor has completed the profession led self-assessment and is meeting the requirements of a HLP Level 1 as defined by PHE on the day of the review, without the pharmacy being listed on the RSPH registry.

Pharmacies becoming Healthy Living Pharmacies for the first time

Pharmacies becoming HLPs for the first time will need to register on the RSPH online register by completing the assessment of compliance once they have met the requirements of a HLP Level 1 as defined by PHE. The RSPH online register has been commissioned by PHE until the end of March 2019 and will continue to carry out a proportionate quality assurance process.

The declaration process

Contractors will be required to confirm through the NHS BSA online declaration page (this webpage is not live yet) that they meet this quality criterion.

FAQs

Other frequently asked questions on HLP can be found on the RSPH website.

Q. What are the criteria for becoming a Healthy Living Pharmacy (HLP) Level 1?
The Healthy Living Pharmacy: Level 1 quality criteria set out the criteria that pharmacies must achieve to gain HLP Level 1 status.

Q. Do I need to complete a form or any paperwork prior to registering as a HLP to notify RSPH that my pharmacy intends to become a HLP Level 1?
No. Contractors do not need to notify RSPH that they intend to become an HLP Level 1. Contractors only 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.

Q. How often (if at all) will the leadership and RSPH training need to be repeated?
There is no reference to the need for repeated training in the HLP quality requirements, so as long as a contractor has staff in post that have undertaken the relevant training, that will meet the requirements.

Q. The HLP quality criteria framework has a criterion which states that the pharmacy team actively works in collaboration with other community organisations to deliver pharmacy outreach and/or services. Can this be done in the pharmacy, as part of the health promotion event that is required to be held every 4 months or do the pharmacy staff have to deliver an event/service away from the pharmacy premises?
The outreach work needs to be carried out off the pharmacy premises, so while it would be good to have collaborative working on the premises, collaborative working off the premises would satisfy that requirement. HLPs have previously done that via attendance at local roadshows for the public, stands in shopping centres, visits to schools and care homes to take part in health promotion work.

Q. I have completed the assessment of compliance on the RSPH website; does that mean my pharmacy is now a HLP Level 1?
No. A pharmacy is not a HLP Level 1 until RSPH has confirmed registration and provided the HLP logo and certificate. RSPH will endeavour to contact contractors by email within 10 working days after they have received the submitted online assessment of compliance.

Contractors are therefore advised to consider this time frame when planning how long it will take to achieve HLP Level 1 to ensure this ‘processing time’ does not prevent contractors from achieving the quality criterion at the June 2018 review point.

Q. Can a Distance Selling Pharmacy (DSP) become a Healthy Living Pharmacy (HLP) Level 1 and therefore meet the quality criterion?
Any pharmacy that wishes to be an HLP must fully meet the requirements set out by Public Health England (PHE). These requirements were developed for bricks and mortar pharmacies, not pharmacies that operate via a distance selling model. DSPs are also prohibited from providing Essential Services, including the Public Health (Promotion of Healthy Lifestyles service), on the pharmacy 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.

Q. What constitutes a full time equivalent (FTE) member of staff?
A FTE is the hours worked by one employee on a full-time basis. The GOV.UK website states there is no specific number of hours that makes someone full or part-time, but a full-time worker will usually work 35 hours or more a week.

To read about the Working Time Regulations, please visit the GOV.UK website.

Q. Is attendance at face-to-face RSPH training a requirement to qualify for HLP Health Champion training?
The requirements to qualify for HLP Health Champion training will depend on the training provider that the contractor has chosen to use and how their course has been designed to meet the RSPH Level 2 Award in Understanding Health Improvement (the course that needs to be completed for someone to become a Health Champion). Therefore, depending on the course provider, face-to-face training may be required as part of their course. However, it is not stipulated that training must be provided face-to-face in the HLP Level 1 quality criteria guidance published by Public Health England.

Q. Is the RSPH HLP Level 1 register publicly available to view?
Yes. The RSPH HLP Level 1 register is available to view on the RSPH website.

Further FAQs on the Quality Payments Scheme can be found on the Quality Payments – FAQs page.

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