Quality Payments – Healthy Living Pharmacy (HLP)
Quality Payments – Healthy Living Pharmacy (HLP)
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); and
80% of staff working at the pharmacy (including pharmacy professionals) that provide healthcare advice to the public have successfully completed the CPPE children’s oral health training assessment.’
Click on a heading below for more information.
NHS England guidance
NHS England has published guidance for the February 2019 review point of the Quality Payments Scheme. The new guidance should be read in conjunction with NHS England’s previously published gateway criteria and 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.
Quality criterion points and value
The value of this quality criterion is as follows:
|Total points for the February 2019 review point||15|
|Value of total points||£480-960*|
*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.
How to achieve this quality criterion (includes PSNC resources)
An overview of how to achieve this quality criterion can be found in PSNC Briefing 052/18: Quality Payments – How to achieve the Healthy Living Pharmacy quality criterion (October 2018). Further information is also available on the HLP page on the PSNC website.
Contractors are reminded that if their pharmacy was accredited as an HLP Level 1 locally or through the profession led self-assessment process this accreditation is only valid for two years. Therefore, if contractors were accredited before 16th February 2017, they will need to re-accredit their pharmacy as an HLP to meet the quality criterion on the day of the review (15th February 2019). PSNC Briefing 052/18: Quality Payments – How to achieve the Healthy Living Pharmacy quality criterion (October 2018) provides further information on the process contractors will need to follow if they need to re-accredit their pharmacy as an HLP.
Pharmacies becoming Healthy Living Pharmacies for the first time – Beware of time delays
Contractors should be aware that when members of staff complete the RSPH Level 2 Award in Understanding Health Improvement course, which is provided by several national and local organisations, it may take a few weeks after completion of the assessment before staff members receive their certificate from the course provider (RSPH return certificates to the course provider and aim to do that within 10 working days).
There is also a time delay, after completing the assessment of compliance on the RSPH website (RSPH will endeavour to contact contractors by mail or email within 10 working days) before registration is confirmed.
Contractors are therefore advised to consider these time frames when planning how long it will take to achieve HLP Level 1 to ensure these ‘processing times’ do not prevent contractors from achieving the HLP quality criterion at the February 2019 review point.
CPPE Children’s oral health training
The CPPE Children’s oral health video and e-assessment can be accessed on the Pharmacy Quality Payments Scheme page on the CPPE website.
Staff working at the pharmacy (including pharmacy professionals*) that provide healthcare advice to the public are required to watch the e-learning video and successfuly complete the e-assessment.
PSNC has created a CPPE Children’s oral health record sheet which contractors can choose to use to keep a record of the pharmacy staff that have watched the CPPE e-learning video and successfully completed the e-assessment.
When a member of staff has watched the e-learning video and successfully completed the e-assessment, a certificate of completion will be stored in their personal record on the CPPE website. This can be printed to provide evidence of completion; contractors are advised to keep a copy of the certificate within the pharmacy.
Each member of staff that provides healthcare advice to the public who is working in the pharmacy on the day of the review (15th February 2019) will count as one, regardless of how many hours they have worked.
For example, if five members of staff that provide healthcare advice to the public are working in the pharmacy on 15th February 2019, the contractor will need to ensure that at least four of them (80%) have watched the e-learning video and successfully completed the e-assessment.
*Pharmacy professionals are pharmacists and pharmacy technicians.
The declaration process
Contractors will be required to confirm through the NHSBSA online declaration page (the portal will go live on Monday 4th February 2019 at 9am and will be available until Friday 1st March 2019 at 11.59pm) that they meet this quality criterion.
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. Our pharmacy was locally accredited as an HLP Level 1 and we completed the self-assessment for the first QPS review point. Do I have to repeat the self-assessment process?
Please see the process outlined on page 3 of PSNC Briefing 052/18: Quality Payments – How to achieve the Healthy Living Pharmacy quality criterion.
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.
Q. Are non-GPhC registered staff able to register with CPPE to complete the Children’s oral health training?
Yes. CPPE has enabled non-GPhC registered staff members to register on the CPPE as ‘non-registrants’ to complete this training material.
If contractors have members of staff who are unable to register with CPPE, e.g. those not having a work or personal email address to access registration, then they can complete an open assessment for Children’s oral health without registration.
Whilst this will enable the staff member to undertake the assessment and, when successful, print off or save the PDF certificate as evidence of meeting this criterion, however this will need to be done immediately after the assessment as it cannot be saved on the CPPE website. It will not be possible for CPPE to provide any personalised support, feedback or a CPPE record for that member of staff. Contractors are therefore recommended to encourage staff members to register with CPPE to complete the assessment if at all possible.
Q. Are delivery drivers required to complete the CPPE Children’s oral health training?
If a delivery driver has an additional role in the pharmacy in which they provide healthcare advice to patients, then they will need to complete the training.
More FAQs on the Quality Payments Scheme are available on the Quality Payments – FAQs page.