Healthy Living Pharmacies in Hertfordshire

1. Healthy Living Pharmacies in Hertfordshire Pauline Walton Lead Pharmacist NHS Hertfordshire May 2012

2. The Vision • A professional, highly regarded and well used healthcare facility offering a full range of services to meet local need with a focus on health improvement on a daily basis. • To be delivered by all staff at the appropriate level. • Promoting a healthy living environment.

3. WHY? • Close collaboration between the PCT and LPC to support Community Pharmacies • Mutual gains • Patients • Local community • Pharmacy Staff • Improved relationships • Improved understanding of local health need • New services

4. The Present • Current pharmacies already meeting standards? • Current pharmacies nearly there? • Pharmacies aspiring to meet standards? • Plans for phased introduction in waves.

5. Priority areas for Healthy Living Smoking Cessation Sexual Health Weight management Alcohol Physical Activity Substance Misuse

6. Priority areas for Healthy Living • Long term conditions • CHD • Diabetes • Workforce development • Environment • Engagement

7. Levels of Achievement/Activity • Basic core activities – full compliance. • Level one – able to provide all additional specified services in the future to go onto • Level two • Level three

8. Core Role in all Public Health areas • Health promotion • Self-care • Signposting • Records of interventions • OTC supply

9. Level One evidence-smoking cessation • Brief intervention advice to all smokers • Smoking LES provider and compliance with service specification. • Minimum quit rate of 50% measured quarterly and a minimum of one successful quit per month. • Leaflets, posters, evidence of promotion of and referral to smoking cessation services. • Evidence of CO monitoring/verification • Signposting of complex patients, eg: mental health patients, to other services

10. Level One evidence –Sexual Health • Accredited for Sexual Health LES and PGD for emergency hormonal contraception (NHS service)

11. Level One evidence -general • Evidence of brief interventions that support local messages through health promotion campaigns and records of interventions (4 per month). • Completion of e-learning on brief interventions ‘Making Every Contact Count’.

12. Level One evidence - substance misuse • Accredited and delivering the Supervised Consumption LES to meet local need.

13. Training • Leadership training for pharmacists/managers • Healthy living training for at least one member of staff who will act as a local champion and empower all pharmacy staff • Evidence from all staff training records, CPD for pharmacists and technicians. • All medicines counter assistants trained in brief intervention/healthy living advice.

14. Environment • Pharmacy environment conducive to health and well being • Advanced IT (including daily checking of corporate email or NHSmail). • Consulting room to contractual standards. • Area devoted to Healthy Living Information

15. Engagement • Evidence of joint working with local practices, including supporting the QIPP agenda and clear communication pathways • Local Community Engagement activity/event.

16. Marketing • Quality mark in pharmacy • Communication - with public and within local health economy • Press launch • Evaluation

17. Next steps • Complete the expression of interest form • Identify staff for leadership and healthy living champion training • Attend and complete training • Complete baseline audit • Accreditation visit by LPC and PCT • Ongoing service standards and submission of data to PCT/NCB • Ongoing commitment to training and development of whole team.