Contents · This workbook and portfolio is to be cross-referenced to and used in conjunction with PHEs document ^Healthy Living Pharmacy Level 1 Quality Criteria Assessment of Compliance

Healthy Living Pharmacy Level 1: workbook and portfolio guidance

© The National Pharmacy Association. February 2017. Produced by the NPA Pharmacy Services team. Direct Dial: 01727 891 800 Email: [email protected] Online: www.npa.co.uk

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Contents Section Page

Introduction 1

Key standards and requirements 2

Evidence 3

(1) Workforce Development 3

(2) Engagement 7

(3) Environment 10

Photography 13

Photography Consent Form 15

References and further reading 16

Introduction Healthy Living Pharmacy (HLP) Level 1 (self-assessment) is one of the criterion in the quality

payments scheme. To achieve this criterion, the pharmacy must achieve Public Health England’s

(PHE) HLP Level 1 status, set out in “Healthy Living Pharmacy Level 1 Quality Criteria Assessment of

Compliance Healthy Living Pharmacy (HLP) Level 1”. Pharmacies must be able to provide evidence

for each of PHE’s HLP Level 1 quality criteria.

How to use

This “Healthy Living Pharmacy Level 1: workbook and guidance” document outlines PHE’s quality

criteria and associated evidence the pharmacy could provide to demonstrate that the set criteria are

met. It also outlines suggestions of evidence that could be provided for each criterion, including both

PHE suggested evidence and NPA guidance. This document should be used in conjunction with the

NPA’s “Healthy Living Pharmacy Level 1: workbook and portfolio” to compile evidence to

demonstrate compliance with the HLP Level 1 quality criteria.

Please note that:

Any forms of evidence that are stated as ‘REQUIRED’ must be provided

o This is commonly any certificates of completed training and assessments, or where this

is not available; evidence of relevant training that has been attended and completed

The suggested evidence in this resource are examples which could be provided to demonstrate

the quality criteria

o There may be other forms of evidence that are suitable to demonstrate the quality

criteria and can be used where appropriate

o At least one piece of evidence should be provided for each criterion

o The pharmacy can use the same piece of evidence to support more than one quality

criterion

o The list of suggested evidence is not exhaustive

It is important that the evidence portfolio is comprised of quality, concise evidence, and not a

large quantity of unnecessary documents

o It is recommended that the evidence portfolio is no larger than a single ring binder

https://www.gov.uk/government/publications/healthy-living-pharmacy-level-1-quality-criteria


https://www.npa.co.uk/information-and-guidance/healthy-living-pharmacy-resources/




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This workbook and portfolio is to be cross-referenced to and used in conjunction with PHE’s

document “Healthy Living Pharmacy Level 1 Quality Criteria Assessment of Compliance Healthy

Living Pharmacy (HLP) Level 1”

To use this workbook and portfolio effectively, the pharmacy should take the following steps:

Key standards and requirements Prior to working through PHE’s HLP Level 1 quality criteria, the pharmacy must ensure it meets the

following requirements:

Have a consultation room which complies with the NHS Advanced Services standards and be

appropriate for the services on offer

In the past year, the pharmacist has provided both Medicines Use Reviews (MURs) and the New

Medicine Service (NMS), and staff have proactively engaged in health promoting behaviours

In the past year, the pharmacist has provided the NHS England Community Pharmacy seasonal

influenza vaccination Advanced Service or actively referred patients to other NHS providers of

vaccinations

Comply with the General Pharmaceutical Council (GPhC) “Standards for Registered Premises”

and “Standards of Conduct, Ethics, and Performance”

Comply with the NHS Community Pharmacy Contractual Framework (CPCF) requirements

Steps Actions to take

Step 1

Read through and become familiar with PHE’s

“Healthy Living Pharmacy Level 1 Quality Criteria Assessment of Compliance Healthy

Living Pharmacy (HLP) Level 1”

Step 2

Print the NPA’s “Healthy Living Pharmacy Level 1: workbook guidance”

and “Healthy Living Pharmacy Level 1: workbook evidence” –

read through each of the sections, categories and quality criteria

Step 3

Using the “Healthy Living Pharmacy Level 1: workbook evidence”,

compile the PHE suggested evidence and use the NPA guidance to help meet each

quality criterion – if applicable, attach any certificates or photographic evidence to the

workbook

Step 4

Once the evidence has been compiled,

tick the completed box for each section in the “Healthy Living Pharmacy Level 1:

workbook guidance”

Step 5

To ensure all of PHE’s quality criteria have been met,

complete the HLP Level 1 Checklist summary included in the “Healthy Living Pharmacy

Level 1: workbook evidence”

Step 6 Complete the online Assessment of compliance available on the

Royal Society for Public Health’s (RSPHs) website – the Quality Assurance (QA) provider

Step 7 The confirmation email should be kept as the pharmacy’s evidence of submission

Step 8

Await a response from RSPH (they will endeavor to respond by mail or email within ten

working days) – the pharmacy will become a HLP Level 1 pharmacy only after RSPH has

confirmed registration (RSPH will provide the HLP logo and certificate)


https://www.pharmacyregulation.org/standards/standards-registered-pharmacies

https://www.pharmacyregulation.org/standards/conduct-ethics-and-performance










https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1/assessment-of-compliance.html



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Evidence PHE’s HLP Level 1 quality criteria consists of three sections, nine categories and 27 quality

criteria

o Table 1 below lists the sections and categories

The pharmacy must provide evidence to demonstrate they meet the 27 quality criteria through

evidence of behaviours, activities and the physical environment

Table 1: PHE’s HLP Level 1 quality criteria sections and categories

(1) Workforce development (2) Engagement (3) Environment

a) Public Health Needs (a) Community Engagement (a) Health Promoting

Environment

b) Health and Wellbeing

Ethos

(b) Commissioner Engagement (b) Data Collection

c) Team Leadership (c) Sustainability

d) Communication

(1) Workforce development The aim of PHE’s quality criteria for this section is to develop the pharmacy staff – the staff should

be able to embrace the healthy living ethos and proactively promote health and wellbeing messages.

This section consists of the following categories:

(a) Public Health Needs

(b) Health and Wellbeing Ethos

(c) Team Leadership

(d) Communication

(a) Public Health Needs

PHE quality criterion

(i) All pharmacy staff have an awareness of the local public health and pharmaceutical needs

outlined in the Joint Strategic Needs Assessment (JSNA), Pharmaceutical Needs Assessment

(PNA) and Health Profiles for their area including where and how to access them

PHE Suggested Evidence NPA Guidance Completed

Certificate of completion of

the “Introduction to Public

Health” Centre for

Pharmacy Postgraduate

Education (CPPE) module

(additional costs may

apply)

Table 1: List of pharmacy professionals who

have completed CPPE’s “Introduction to Public

Health” module

https://www.cppe.ac.uk/programmes/l/intropub-p-01/

https://www.cppe.ac.uk/programmes/l/intropub-p-01/



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List of the website links to

the Joint Strategic Needs

Assessment (JSNA),

Pharmaceutical Needs

Assessment (PNA) and/or

Health Profiles for the

pharmacy’s area or

correspondence about them

or evidence of attendance

at seminars or meetings on

them

Table 2: List of website links to JSNA, PNA and

Health Profiles for the pharmacy’s area

Table 3: List of pharmacy staff who have

attended seminars or meetings about the

topic(s) of JSNA, PNA and/or Health Profiles

Copies of the relevant

extracts of the JSNA, PNA

and/or Health Profiles for

the pharmacy’s area

Table 2: List of website links to JSNA, PNA and

Health Profiles for the pharmacy’s area

o As these may be very large documents,

printing the front page or web page is

acceptable

List of pharmacy events in

the local area and/or local

or national campaigns

showing direct links to the

local public health and

pharmaceutical needs

Table 4: List of pharmacy events in the local

area and/or national campaigns participated in

o If applicable, photographic evidence

included in Appendix 1 (please see

‘photography’ guidance below)

Questions linked to health

and wellbeing services have

been added to the annual

Community Pharmacy

Patient Questionnaire

(CPPQ) so that the

pharmacy responds to local

needs

Print off a copy of the pharmacy’s annual CPPQ

results

Table 5: List of additional questions added to

the pharmacy’s annual CPPQ in response to

local health and wellbeing needs

(b) Health and Wellbeing Ethos

PHE quality criteria

(i) All pharmacy staff understand the basic principles of health and wellbeing, and that every

interaction is an opportunity for a health promoting intervention

(ii) At least one member of pharmacy staff (1 Full-Time Equivalent) has completed the training

and assessment of the Royal Society for Public Health (RSPH) Level 2 Award in

Understanding Health Improvement and is therefore a Health Champion


Certificate(s) for the RSPH

Level 2 Award in

Understanding Health

Improvement by any

pharmacy team members


completed the RSPH Level 2 Award in

Understanding Health Improvement course

and assessment, and is/are therefore a Health

Champion (REQUIRED – any certificate of



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either displayed in the

pharmacy or in the evidence

portfolio (REQUIRED)

completed training and assessment, or where

this is not available; evidence of relevant

training that has been attended and

completed)

Certificate(s) of any Health

and Wellbeing Training

completed by any pharmacy

team members either

displayed in the pharmacy

or in the evidence portfolio


undertaken any other health and wellbeing

training

A supporting letter from a commissioner is

ideal, however not essential

Certificate of completion of

the “Introduction to Public

Health” CPPE module

(additional costs may

apply)

Table 1: List of pharmacy professionals who

have completed CPPE’s “Introduction to Public

Health” module

Minutes of pharmacy team

meetings that show shared

learning from the Health

Champion(s) to the

pharmacy team

Table 8: List of pharmacy team meetings that

demonstrate shared learning from the Health

Champion(s) to the pharmacy team

Table 9: Template minutes of pharmacy team

meetings that show shared learning from the

Health Champion(s) to the pharmacy team

(c) Team Leadership


(i) An individual from the pharmacy team has undergone leadership training internally or through

an organisation that maps to/encompasses the following domains:

Inspiring a shared purpose – Valuing a service ethos, curious about how to improve services

and care, behaving in a way that reflects the principles and values of the organisation

Sharing the vision – Communicating a compelling and credible vision of the future in a way

that makes it feel achievable and exciting

Engaging the team – Involving individuals and demonstrating that their contributions and

ideas are valued and important for delivering outcomes and continuous improvements to the

service

Developing capability – Building capability to enable people to meet future challenges, using

a range of experiences as a vehicle for individual and organisational learning, acting as a role

model for personal development

Influencing for results – Deciding how to have a positive impact on other people, building

relationships to recognise other people’s passions and concerns, using interpersonal and

organisational understanding to persuade and build collaboration

(ii) There is a clear leader within the team who is responsible for creating an ethos of proactive

health and wellbeing within the pharmacy

(iii) There is effective leadership within the team that encourages the best use of team members’

skills and creates an environment that supports and mentors other team members

(iv) The leader, jointly with the pharmacy team, has developed an action plan on achieving Level 1

HLP



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Certificate(s) or registration

for any leadership training

or equivalent completed by

a pharmacist or the

pharmacy manager either

displayed in the pharmacy

or in the evidence portfolio

(REQUIRED)


completed HLP leadership training (REQUIRED

– any certificate of completed training and

assessment, or where this is not available;

evidence of relevant training that has been

attended and completed)

An HLP action plan

developed by the pharmacy

team leader and/or

pharmacy team in the

evidence portfolio

Table 11: Example action plan developed by

the pharmacy team on achieving HLP Level 1

status

Written feedback of

pharmacy team members

on their team leader in the

evidence portfolio

Table 12: Written feedback from pharmacy

team members on their team leader (to be

completed by pharmacy team members)

(d) Communication


(i) All pharmacy staff can use NHS choices, the local public health information and pharmaceutical

needs information, bearing in mind the findings of each PNAs and JSNAS such as location of

services, when providing advice on health issues when appropriate

(ii) The pharmacy team is friendly, welcoming and sensitive to the need for privacy for different

individuals seeking advice including respecting people’s values and beliefs

(iii) The pharmacy team routinely explain who they are, wear a name badge and inform people

about the information and/or services on offer

(iv) All pharmacy staff receive training on how to approach people to discuss difficult or sensitive

public health issues

(v) All pharmacy staff are able to provide brief health and wellbeing advice (2-3 minutes) and have

an awareness that the person may need additional support for behavioural change

This category and associated criteria will be assessed through observation during a Quality

Assurance (QA) visit – pharmacies will be selected at random for a QA visit and the pharmacy

will be notified in advance of the visit.

RSPH Suggested Evidence NPA Guidance Completed

Customer feedback

mechanisms are in place in

the pharmacy

Implement a customer suggestion box and

review regularly

Print off a copy of the pharmacy’s most recent

CPPQ results

Action areas of improvement from the results

of the pharmacy’s CPPQ

Customers are informed

about the pharmacy

Ensure there is a pharmacy practice leaflet on

offer for customers – contact NPA Sales on



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services on offer 01727 800 401 for further information

Ensure the pharmacy’s NHS Choices entry is

up-to-date

Ensure the pharmacy has a signposting folder

to help refer customers to other relevant

organisations if necessary

Ensure the pharmacy has a consultation room

or alternative area in which staff and

customers can have a private conversation

The pharmacy has a clear

job description for each

member of staff with clear

customer service standards

The NPA has produced sample job descriptions

and person specifications - “Job Description

Template”

The NPA has a produced a template “Employee

Confidentiality Agreement”

The NPA’s “Staff Handbook” includes guidance

on maintaining confidentiality and expected

staff behaviours

Each staff member of the

pharmacy wears a name

badge

Contact NPA Sales on 01727 800 401 for

further information

Each staff member is aware

of how to discuss difficult or

sensitive public health

issues

Table 13: Suggested activities and practice

scenarios for pharmacy staff to demonstrate

advice provided on health issues

Each staff member can

provide brief health and

wellbeing advice and aware

the customer may need

additional support for

behavioural change

Table 13: Suggested activities and practice

scenarios for pharmacy staff to demonstrate

advice provided on health issues

(2) Engagement The aim for the quality criteria in this section is to demonstrate that the pharmacy team is actively

working alongside the local community, including:

The public

Health and social care professionals

Commissioners

Local organisations (for example the voluntary sector)

This section consists of two categories:

(a) Community Engagement

(b) Commissioner Engagement

https://www.npa.co.uk/information-and-guidance/job-description-template/


https://www.npa.co.uk/information-and-guidance/employee-confidentiality-agreement/


https://www.npa.co.uk/information-and-guidance/staff-handbook/



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(a) Community Engagement


(i) The pharmacy team proactively engages with patients and the public in the pharmacy, to

offer them advice, support and signposting to other providers of services in the community

where applicable

(ii) The pharmacy team actively works in collaboration with other community organisations (e.g.

schools, care homes, local events, charities) to deliver pharmacy outreach and/or services

(iii) The pharmacy team is aware of health and wellbeing resources available in the community

to direct the public/patients to (e.g. support groups and community exercise groups)

(iv) The pharmacy encourages local charities and other providers to work with the pharmacy for

delivery of key health messages/displays where appropriate

(v) The pharmacy team is aware of appropriate health and social care providers in their

community (e.g. specialist clinics, Healthwatch, Smoking Cessation, Drug and Alcohol

Services, Health Trainer Service), which Local Authorities could provide information about


Photographs of pharmacy

team engaging with the

public

Photographic evidence included in Appendix 1

(please see ‘photography’ guidance below)

Table 14: Log of local outreach work

Case studies and

photographs of local

outreach work (e.g.

roadshows attended)



Table 14: Log of local outreach work

List of local community

health and wellbeing

resources readily available

in the pharmacy

There are many organisations and charities

that provide leaflets and resources, some free

of charge, that can be used to promote health

and wellbeing in the pharmacy.

Examples include:

o Public Health England: Campaign Resource

Centre

o Patient: Health Information – A to Z

o Easyhealth.org.uk

o Asthma UK: resources

o Diabetes UK: booklets & leaflets

o Alzheimer’s Society: publications and

factsheets

Table 15: List of local community health and

wellbeing resources kept within the pharmacy

A local health and wellbeing

notice board in the

pharmacy



The pharmacy’s local health and wellbeing

notice board is located:

https://campaignresources.phe.gov.uk/resources/

https://campaignresources.phe.gov.uk/resources/

http://patient.info/health/a-z

http://easyhealth.org.uk/

https://www.asthma.org.uk/advice/resources/

https://shop.diabetes.org.uk/store/managing-your-diabetes/information/booklets-and-leaflets

https://www.alzheimers.org.uk/info/20033/publications_and_factsheets

https://www.alzheimers.org.uk/info/20033/publications_and_factsheets



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A signposting folder

The pharmacy’s signposting folder is kept:

Self-care and signposting resources are

available from the NPA, these include:

o Self-care and signposting guidance

o Self-care and signposting Standard

Operating Procedure (SOP)

o Self-care and signposting directory

Table 16: Template signposting record log

Access to the local authority

website (with the local

health and social care

providers) readily available

(b) Commissioner Engagement


(i) The HLP lead is aware of the local commissioners for public health services, which may

include Local Authority, NHS England, Clinical Commissioning Group, etc

(ii) The pharmacy team is aware of the commissioner contacts if seeking to submit bids for

public health services


List of local commissioners

for public health services

readily available (or in the

evidence portfolio) or any

examples of

correspondence

Table 17: Log of correspondence with local

commissioners

Table 18: List of local commissioners for public

health services and contact information

List of contact information

of local commissioners for

public health services or any

examples of

correspondence

Table 18: List of local commissioners for public

health services and contact information

https://www.npa.co.uk/information-and-guidance/self-care-signposting/



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(3) Environment The aim of the quality criteria in this section is to have a health promoting environment that

embraces the ethos of a HLP, including an atmosphere created by the premises, alongside staff

attitudes and actions. The environment should also ensure confidentiality for service users.

This section consists of two categories: (a) Health Promoting Environment (b) Data Collection (c)

Sustainability

(a) Health Promoting Environment


(i) It is clear to the public that free, confidential advice on their health and wellbeing can be

accessed

(ii) The pharmacy has a dedicated Health Promotion Zone, that:

o Is clearly marked and accessible,

o Has a professional appearance and

o Is appropriately equipped with up-to-date professional health and wellbeing information

that meets the local public health needs as suggested in the JSNA/PSNA, Annual Report

of the Director of Public Health or after discussion with commissioners/public health

professionals

(iii) The health and wellbeing information available appeals to a wide range of the public

including men and women, young people, smokers, people with long term conditions,

learning difficulties and older people

o Where the community includes a significant ethnic minority group, then their needs must

be accommodated

(iv) All materials should be generic and not promoting a specific brand over another, which can

be seen as endorsement or promotional

(v) The Health Promotion Zone resources should be updated at least every two months to ensure

information provided is relevant, up-to-date and appropriate

(vi) Once accredited, the HLP logo is displayed in prominent places


Photographs of pharmacy

and consultation area



List of leaflets or

promotional material used

in the Health Promotion

Zone

Table 19: Health Promotion Zone material and

maintenance log

Other formats for the health

and wellbeing information

may include: a touch-

screen, plasma screen,

books, DVDs, leaflets,

promotional displays or

demonstration models, etc


maintenance log



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Annual Community

Pharmacy Patient

Questionnaire (CPPQ)

results

Annual Community Pharmacy Patient

Questionnaire (CPPQ) results are published on

NHS Choices

YES NO

If yes, please provide website link:

If no, please provide details of where the annual

CPPQ results are kept:

Record of Health Promotion

Zone being checked by a

member of the pharmacy

staff at least once monthly

and restocked appropriately


maintenance log

Photograph of where the

HLP logo is displayed in the

pharmacy (after

accreditation)



A local health and wellbeing

notice board



(b) Data Collection


(i) Procedures are in place to ensure emails are checked regularly and that they are

appropriately secure. Internet access enabled for accessing locally and nationally

recognised websites.


IT system is accessible in the

consultation room with

access to the internet

Self-declaration:

Does the consultation room contain an IT system?

YES NO



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Self-declaration of

accessibility to internet (for

data collection where

applicable) and ability to

print appropriate material

Does this IT system have internet access?

YES NO

Is the IT system connected to a printer?

YES NO

Where applicable and

appropriate, a copy of the

type of data collected and

how the data links to

support pharmacy to gain a

better understanding of the

individual and population

health needs

Table 20: Data collected and benefits to local

health needs

Information governance

policy available in the

pharmacy

Does the pharmacy have an information

governance policy in place?

YES NO

The Information Governance Policy can be found

in:

Information governance resources available

from the NPA includes:

o Information governance requirements

o Information governance FAQs

(c) Sustainability


(i) The pharmacy contributes to a sustainable environment and this is reflected in the way the

business is operated (e.g. using recyclable materials).


Photographs of recycling

bins and paper disposal

system, etc



Table 21: Methods the pharmacy use to

contribute to a sustainable environment

https://www.npa.co.uk/information-and-guidance/information-governance-requirements/



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Photography ! Please note: The suggested evidence in the PHE HLP Level 1 quality criteria, which can be used to

demonstrate compliance as part of the self-assessment, includes the use of photographs. In

particular, for the category ‘Community Engagement’, the PHE suggested evidence includes

‘Photographs of pharmacy team engaging with the Public’.

There are a number of legal, ethical and practical issues to take into account when considering

taking photographs of members of the public. Examples of evidence to demonstrate compliance

with the quality criteria in the ‘Community Engagement’ category include case studies of local

outreach work, a signposting folder and a local health and wellbeing notice board in the pharmacy.

Using photographs of the public as evidence should be reserved as a last option, where other forms

of evidence cannot be obtained to demonstrate compliance with the quality criteria.

Consent

To ensure compliance with the Data Protection Act 1998, written consent must be obtained prior to

taking a photograph of a member of the public; on each occasion, the individual member of public

must provide explicit consent.

When obtaining consent, it must be clear:

Why you are requesting to take photograph(s) of the individual

What you will be using the photograph(s) for

Where the photograph(s) will be stored

Who may look at the photograph(s)

Ensure that the individual has the capacity to give consent to having their photograph(s) taken. If

photograph(s) are to be taken of an individual they must complete a Photography Consent Form –

please see below.

Children

Photographs of children under 18 years of age should not be taken and used as evidence.

Equipment

The camera used to must be owned by the pharmacy business and used solely for this purpose.

Personal cameras/phone cameras belonging to members of the pharmacy staff must not be used.

Identification and storage

The sole purpose of taking the photographs is to demonstrate compliance with the HLP Level 1

quality criteria. They must be stored only in the evidence portfolio which is only to be viewed by

pharmacy staff, NHS England inspectors and/or Quality Assurance (QA) evaluators from the Royal

Society for Public Health (RSPH) for the purpose of ensuring compliance with the HLP Level 1 quality

criteria. The photographs are not for public display, to be shared on the pharmacy website or on

social media.

http://www.legislation.gov.uk/ukpga/1998/29/contents



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All photograph(s) stored in a digital format must meet Information Governance requirements and be

securely stored. For example, photograph(s) stored on a computer must be protected by a password

in order to restrict unauthorised access. Each photograph should ideally be allocated a reference

number to aid identification; the reference number should be logged on the consent form.

Inducements

No forms of inducement should be used to encourage individuals to be photographed; this may

include any offers or discounts.

Best practice

Using photographs of the public as evidence should be reserved as a last option, where other

forms of evidence cannot be obtained to demonstrate compliance with the quality criteria

Remember — the only requirement is to show members of the pharmacy team engaging with

patients; there is no need to show them doing so with/next to health promotion material

Be sensitive — do not photograph the individual with/next to health promotion material that

could offend the individual involved or make them uncomfortable; for example, next to the

alcohol awareness display

Clearly explain — the intention behind taking each photograph(s) and ask for the individual’s

consent if photographing them with/next to each type of health promotion material

Be careful — do not include any indication of the content of the discussion; for example,

inserting captions on the photograph(s)

Please see the NPA Service User Consent Policy resources which are designed to support

pharmacists to obtain patient consent. These include guidance notes for pharmacists in regards to

consent and obtaining consent and a patient notice about consent to be displayed in the pharmacy.


https://www.npa.co.uk/information-and-guidance/service-user-consent-policy-resources/



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Photography Consent Form Patient notes If you require any further information or have any further questions, please ask

To be completed by the patient Patient’s full name

Patient’s address

Date of birth Male Female

Patient consent and declaration

I understand:

That I have had the opportunity to discuss details of the use of the photograph(s) and any concerns that I may have with the pharmacist

That the photograph(s) will be used solely as evidence to demonstrate that this pharmacy is compliant with Public Health England Health Living Pharmacy (HLP) Level 1 quality criteria

The photograph(s) will only be viewed by pharmacy staff, NHS England inspectors during contract monitoring visits and/or Quality Assurance (QA) evaluators from the Royal Society for Public Health (RSPH) registry body, for the purpose of ensuring compliance with the HLP Level 1 quality criteria

I consent to having my photograph(s) taken within this pharmacy as described to me.

Pharmacy name and address

Patient’s signature

Date

To be completed by the pharmacist Confirmation of consent

I confirm that I have:

Explained the reason and use of the photograph(s) to the patient and explained what this will involve

Explained any particular concerns which the patient has raised

Explained who will view the photograph(s)

Confirmed with the patient that he/she has no further questions and is happy for their photograph(s) to be taken within this pharmacy to use as evidence to demonstrate that this pharmacy is compliant with Public Health England Health Living Pharmacy (HLP) Level 1 quality criteria

Please tick one of the following boxes For patients aged 18 years of age and over:

After a careful assessment and discussion with the patient, I believe the patient has the capacity to consent to having their photograph taken

Number of photograph(s) taken: Reference number(s):

Pharmacist’s signature

Date

Pharmacist’s full name (print)

Pharmacist’s full job title

GPhC number

Copy of Photography Consent Form provided to individual



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NPA resources “Healthy Living Pharmacy: FAQs” “Healthy Living Pharmacy Level 1: overview” “Healthy Living Pharmacy Level 1: workbook and portfolio”

References and further reading General Pharmaceutical Council (GPhC)

o “Standards for Registered Pharmacies”:


o “Standards of Conduct, Ethics and Performance”:


National Pharmacy Association (NPA)

o “Employee Confidentiality Agreement”: https://www.npa.co.uk/information-and-

guidance/employee-confidentiality-agreement/

o “Healthy Living Champion Course”:

https://www.npa.co.uk/training/training-a-z/healthy-living-champion-course/

o “Information Governance”:

https://www.npa.co.uk/information-and-guidance/information-governance-

requirements/

o “Job Description Template”:


o “Leadership Training for Healthy Living Pharmacy”:

https://www.npa.co.uk/training/training-a-z/hlp-leadership-training/

o “Self-care and signposting”:


o “Staff Handbook”:


NHS Choices :

http://www.nhs.uk/pages/home.aspx

Pharmaceutical Services Negotiating Committee (PSNC) “Healthy Living Pharmacies”:

http://psnc.org.uk/services-commissioning/locally-commissioned-services/healthy-living-

pharmacies/

Public Health England (PHE)“Healthy Living Pharmacy: Level 1 Quality Criteria”:


Royal Society for Public Health (RSPH)

o “Assessment of compliance”:

https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-

level1/assessment-of-compliance.html

o “Profession-led Self-Assessment of Healthy Living Pharmacies Level 1”:

https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-

level1.html

Disclaimer: The information published is, to the best of our knowledge, correct at the time of publication.

However, no responsibility will be accepted for any consequences of decisions made using this information.





https://www.npa.co.uk/training/training-a-z/healthy-living-champion-course/




https://www.npa.co.uk/training/training-a-z/hlp-leadership-training/



http://www.nhs.uk/pages/home.aspx

http://psnc.org.uk/services-commissioning/locally-commissioned-services/healthy-living-pharmacies/

http://psnc.org.uk/services-commissioning/locally-commissioned-services/healthy-living-pharmacies/




https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1.html

https://www.rsph.org.uk/our-services/registration-healthy-living-pharmacies-level1.html

Documents

Contents · This workbook and portfolio is to be cross-referenced to and used in conjunction with PHEs document ^Healthy Living Pharmacy Level 1 Quality Criteria Assessment of Compliance