Healthy Living Pharmacies

Transcript

We know that healthy living pharmacies consistently deliver high quality public health services for their populations. During the Portsmouth pilot, smokers walking into a healthy living pharmacy were twice as likely to set a quit date and give up, compared with a person walking into a non-healthy living pharmacy and over 3,500 individuals received brief advice on safe alcohol consumption. Public Health England has made it easier to become a Level 1 HLP by publishing quality criteria and a self-assessment framework, and being a Level 1 Healthy Living Pharmacy attracts points for the community pharmacy Quality Payments scheme. The resources and information on this page will help you to gather the evidence that you need to meet the quality criteria. Let’s start with the basics. Provision of Advanced services is key in achieving HLP level 1. Here you can find the learning resources to support you in providing quality services for MUR, NMS and Flu vaccination. Your pharmacy will need a HLP leader. Our e-learning programmes and workshop will support them in working with peers to develop the skills and behaviours to become an effective leader. And let’s not forget the patient who is the focus of the services you deliver. Take a look at the learning available on communication and public health which have been developed for the whole pharmacy team to make sure your patients really get the best from their healthy living pharmacy.

This focal point will give you an understanding of familial hypercholesterolaemia (FH), and its identification and management. It will enable you to improve care for people with known FH and identify people who are not yet diagnosed, supporting them to make informed decisions about their condition.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• recognise the characteristics of an individual that suggest they may have familial hypercholesterolaemia (FH)
• describe the tools commonly used in the initial diagnosis of FH
• refer a person who may need assessment for a diagnosis of FH to an appropriate healthcare professional
• discuss the condition and its impact on cardiovascular risk in a sensitive and person-centred way
• apply the principles of shared decision making to support people living with FH to optimise their treatment
• create a list of resources to enable you to support people living with FH to make lifestyle choices that can reduce their cardiovascular risk.

The course covers public health principles and practice in the UK, and then focuses on public health practice in pharmacy with scenarios, examples and techniques from hospital, primary care and community pharmacy. Learners will be able to integrate public health principles into their own practice to benefit person-centred care.

To facilitate your learning, we have structured the course into four units. All units are of a similar size, and we estimate that you will need to commit an average of two hours of learning for each unit.

• Unit 1 - What is public health?
• Unit 2 - Why is public health so important to pharmacy practice?
• Unit 3 - The role of pharmacy in public health
• Unit 4 - Being equipped to delivery equality and innovation

Learning Outcomes:

• list the three domains of public health
• describe the role of the UK Health Security Agency (UKHSA), the Office for Health Improvement and Disparities (OHID), the Faculty of Public Health (FPH) and the Royal Society for Public Health (RSPH) in supporting the provision of public health
• recognise the role of Integrated Care Systems (ICS), including local government, the NHS and other organisations in delivering public health
• identify how pharmacy professionals in all sectors can support the delivery of public health across England
• outline the main health inequalities in your local area
• recognise national priorities in public health
• review and evaluate the roles that pharmacy professionals in all sectors can play in supporting national and local priorities and public health services
• critique the evidence for public health practice in pharmacy practice and plan actions to support your patients and the public to protect and improve their health.

This short self-directed e-course has been developed for pharmacy professionals with an interest in developing their leadership skills as part of the requirements towards achieving or maintaining Healthy Living Pharmacy status in line with NHS contractual requirements.

The course uses the dimensions of the NHS Healthcare Leadership Model to help you explore the rewards and challenges of leadership and inspire you to develop your leadership skills and behaviours.

You will have the opportunity to learn using a variety of media and to take part in activities that can help you provide evidence for self-assessment. We estimate that the reading and activities will take around eight hours in total.

Learning Outcomes:

• develop your staff so they are equipped to understand public health needs
• delegate efficiently and effectively
• manage and motivate your team to deliver proactive healthy lifestyle advice
• apply the principles of effective change management to communicate the impact of the HLP to your team.

This is a downloadable programme that enables you to describe the key communication and consultation skills and techniques required for person-centred care. You will learn how to explore a person’s beliefs, ideas, concerns and expectations and tailor the consultation to help them get the best from their medicines and to make informed health and lifestyle choices. The programme also develops your skills in engaging the person in shared decision making and enabling them to be a true partner in the consultation.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• explain the concept of person-centred care
• describe the key communication and consultation skills and techniques required to conduct patient-centred care
• apply methods to assess your own practice and identify areas of improvement
• support patients, by using a patient-centred approach, to help them get the best from their medicines and/or in making healthy lifestyle choices
• further develop your practice by exploring tools and techniques, such as health coaching.

This programme explores how culturally competent communication is essential to improving the use of medicines, patient safety and the health and wellbeing of people we interact with. People with lived experience of prejudice, discrimination, and inequality provide their tips on culturally appropriate language to reduce the risk of causing offense and promote a sense of belonging, inclusion, dignity and respect.

Learning Outcomes:

• distinguish between the terms culture, ethnicity, race and cultural competence
• summarise the reasons for constructing a new dialogue for interacting with diverse communities and cultural groups
• list the barriers to developing culturally competent communication in person-centred care
• define the term microaggression and list the different types
• identify examples of culturally inappropriate language and behaviour used in microaggressions
• recognise key words and phrases to use in culturally competent person-centred interactions
• describe how to respond with dignity and respect to culturally inappropriate behaviour, language or microaggressions
• explain how culturally competent person-centred care can contribute to effective use of medicines, improved patient safety and health outcomes
• apply the principles of language for culturally competent person-centred care to a patient consultation to identify best practice.

In this programme, you will learn about health inequalities and how they affect people. The programme will show you how to identify the needs of your local population and provide a tailored service to meet them. You will also learn how to work with the multidisciplinary team to manage and prevent long-term conditions while reducing health inequalities.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• describe what is meant by health inequalities and how health inequalities can affect individuals
• explain pharmacy teams’ unique role in addressing health inequalities by delivering health promotion, prevention and improvement interventions to prevent and support the management of long-term health conditions in the community
• recognise how pharmacy can work with other local organisations and members of the local community in order to enable better access to healthcare services
• use the knowledge that you have gained about the needs of your local population in order to provide a more tailored and individualised service
• apply what you have learnt to deliver personalised care to those who access your services, recognising both the positive and negative impacts that these interactions may have on each person.

This e-learning uses real-life stories to illustrate some of the challenges the medically under-served face in managing their medicines. It has been co-produced by a team of researchers including Nottingham University and the National Institute for Health Research.

This e-assessment is linked with the practice standards for consultation skills and the CPPE consultation skills learning programmes.

Why should I do this assessment?

Access and successful completion of this assessment will contribute to your own personal development plan, be recorded in your My CPPE record and will enable you to complete a CPD entry on the learning. It may also provide evidence for achieving competencies in the RPS Foundation or Advanced Pharmacy Frameworks. If you are working towards completing a Declaration of Competence for a pharmacy service, successful completion of this assessment will provide evidence of your learning.

This e-assessment is linked with the CPPE Fundamentals of public health for pharmacy practice learning programme and assesses you on the learning outcomes in that programme.

Why should I do this assessment?

Excellent communication and consultation skills are a key part of providing safe and effective services. CPPE has developed this set of cards to help all pharmacy staff improve their skills. All members of the pharmacy team should find this resource useful for improving their communication and consultation skills. The cards can be used by individuals, or as a tool to facilitate a training session.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• describe what person-centred care means
• be more confident when communicating with the people who come into your pharmacy
• recognise good communication and consultation skills, compared with those that need improvement
• explain how facial expressions and body language can improve communication and help to build a rapport
• apply good listening skills
• know how to close a consultation effectively and safely
• discuss some of the challenges and barriers to good communication in community pharmacy.

This is a 3 minute video from Public Health England introducing ‘All our health’. All Our Health is a call to action for all healthcare professionals to use their skills and relationships to maximise their impact on avoidable illness, health protection and promotion of wellbeing and resilience. Further information can be found https://www.gov.uk/government/collections/all-our-health-personalised-care-and-population-health#resources

Staff are able to provide advise on sensitive/difficult public health issues (e.g. when providing advise on alcohol consumption, sexual health issues)