Post on 15-Dec-2015
Think different. Do different. Be different.
Healthy Living Pharmacy Pilot
The Plymouth HLP Evaluation
AIM:
The key question that must be answered is; can this concept
and the results be replicated in other areas with different
demographies, such as ethnicity, age, deprivation index, post-
code?
Think different. Do different. Be different.
Healthy Living Pharmacy Pilot
The Plymouth HLP Evaluation
National Quality Criteria:
1. Leadership Training
2. Public Health Promotion Training
Our Local Criteria:
3. Local HLP Network – If agreed
4. The Entry level and Advanced level accreditation
Think different. Do different. Be different.
Healthy Living Pharmacy Pilot
Measuring SuccessService Aim Measures
1. Stop Smoking To identify improved outcomes from HLP pharmacies when compared to non-HLP
Activity, number of 4 week quits, average quit rate, patient satisfaction
2. EHCTo identify improved outcomes from HLP pharmacies when compared to same pharmacy in previous year
Activity, chlamydia kits offered and issued, patient satisfaction
3. Medicines Use Reviews
To identify improved outcomes from HLP pharmacies when compared to non-HLP
Activity, tMUR categories, pharmacist self-assessed outcomes (e.g. better understanding)
4. New Medicines Service
To identify improved outcomes from HLP pharmacies when compared to non-HLP
Activity, number of patients with; advice provided, adherent at 2nd intervention, referred to GP, provided with lifestyle advice
Think different. Do different. Be different.
Plymouth HLP CalendarPharmacy Activity Who To Complete When
1. Creating an action plan to meet the entry level award of HLP
Pharmacy Leader, support provided by LPC/PCT
By June 2012
1. First Pharmacies awarded HLP status LPC/PCT
June 2012
1. EHC and Chlamydia LES Training EHC and Chlamydia training for
pharmacists (who are not accredited)
28th and 30th of May 2012
1. Follow up leadership training: coaching and delegating
Pharmacy Leaders 14th June 2012
1. Your HLP! Innovation Survey All interest pharmacy staff members June/July 2012
1. Public Health Intervention: Skin Awareness
Nominated Health Champions July 2012
1. Your Pharmacy Your HLP Networking
EventPharmacy Leader, Health Promotion Champion
September 2012
1. Launch of the Diabetes MUR Pharmacists, Health Promotion
Champions
October 2012
1. Public Health Intervention: Alcohol Nominated Health Champions November 2012
1. Public Health Intervention: Diabetes
Risk Assessments InterventionNominated Health Champions
February 2013
Think different. Do different. Be different.
Indicator (Entry)
Pharmacy ServicesService outcomes
Service availabilityStaff Training Premises
Health Promotions MUR NMS CG
Intervention records
Patient Survey
Engagement
Information
Reporting and Claims Policies
Environment
Progress Mandatory Y YTraining
Attendance Y YY (PCT
directed) Y Y YFuture Marker Y
Plympton HC Boots AchievedSome progress
Good progress
Good progress
Good progress
Good progress
Good progress Achieved Achieved Achieved
Some progress Achieved Achieved
Good progress Achieved
Achieved Achieved
Salisbury Road Boots AchievedSome progress Achieved Achieved Achieved Achieved
Some progress Achieved Achieved Achieved Achieved
Some progress
Some progress
Some progress
Some progress
Achieved
Good progress
St Levans Pharmacy AchievedSome progress
Some progress
Good progress Achieved Achieved
Good progress
Some progress
Good progress Achieved
Some progress
Some progress Achieved Achieved Achieved
Achieved Achieved
Hyde Park Pharmacy AchievedSome progress
Good progress
Good progress Achieved Achieved
Good progress Achieved Achieved Achieved
Good progress Achieved Achieved Achieved Achieved
Achieved Achieved
Morrisons Plympton AchievedSome progress
Good progress Achieved
Good progress Achieved Achieved Achieved
Good progress Achieved Achieved Achieved
Good progress
Good progress
Good progress
Achieved Achieved
St Budeux Boots AchievedSome progress
Good progress
Good progress
Good progress Achieved
Some progress Achieved Achieved
Good progress Achieved Achieved Achieved
Good progress
Good progress
Achieved
Good progress
Keyham Pharmacy AchievedSome progress Achieved Achieved Achieved Achieved Achieved Achieved
Good progress Achieved
Some progress Achieved
Good progress
Good progress Achieved
Achieved Achieved
Drakes Circus Boots AchievedGood progress Achieved
Good progress
Good progress Achieved
Some progress Achieved Achieved
Good progress
Some progress Achieved
Good progress
Good progress
Good progress
Achieved Achieved
Mutley Plain BootsSome progress
Some progress
Some progress
Good progress
Good progress
Good progress
Some progress Achieved
Good progress
Good progress
Good progress Achieved
Good progress
Some progress Achieved
Achieved Achieved
Mount Wise Pharmacy AchievedSome progress Achieved
Good progress
Good progress Achieved
Good progress Achieved Achieved Achieved
Some progress Achieved
Good progress Achieved
Good progress
Achieved Achieved
Estover Boots AchievedSome progress
Good progress
Good progress Achieved Achieved
Some progress Achieved
Good progress Achieved
Some progress Achieved
Some progress
Good progress Achieved
Achieved Achieved
New George St. Boots AchievedGood progress Achieved
Good progress Achieved Achieved
Some progress Achieved Achieved Achieved
Some progress Achieved
Good progress
Good progress Achieved
Achieved Achieved
Plymstock Boots, Broadway Achieved
Good progress
Good progress
Some progress
Good progress Achieved
Good progress Achieved
Good progress
Good progress
Some progress
Some progress Achieved
Good progress Achieved
Achieved Achieved
Efford Co-op Pharmacy, Torridge Way Achieved
Some progress Achieved
Some progress
Good progress Achieved
Good progress Achieved
Good progress
Good progress
Some progress Achieved Achieved
Good progress
Good progress
Achieved
Good progress
Efford Co-op Pharmacy, Old Laira Road Achieved
Some progress
Good progress
Good progress
Good progress Achieved Achieved Achieved Achieved Achieved Achieved Achieved Achieved
Good progress Achieved
Achieved Achieved
Plympton Ridgeway Boots
Some progress
Some progress
Some progress
Some progress
Good progress
Good progress
Some progress Achieved Achieved
Some progress
Some progress
Some progress
Some progress
Some progress
Some progress
Achieved
Good progress
Plympton Co-op Chaddlewood
Good progress
Some progress
Some progress Achieved Achieved Achieved
Good progress
Some progress
Good progress Achieved
Some progress Achieved
Some progress Achieved
Some progress
Achieved Achieved
Stoke Co-op PharmacyGood progress
Some progress
Some progress
Good progress
Good progress Achieved
Good progress
Some progress
Some progress
Some progress
Some progress
Some progress
Good progress
Good progress
Some progress
Achieved Achieved
Think different. Do different. Be different.
Indicator (Advanced)
Pharmacy ServicesService outcomes
Service availability Sustainability Training Premises MUR NMS Engagement
Progress Mandatory
Plympton HC Boots Some progress Some progress Some progress Some progress Some progress Some progress Some progress Some progress Good progress
Salisbury Road Boots Some progress Some progress Achieved Achieved Good progress Achieved Some progress Some progress Some progress
St Levans Pharmacy Some progress Some progress Some progress Some progress Good progress Some progress Some progress Some progress Good progressHyde Park Pharmacy Some progress Some progress Some progress Some progress Good progress Good progress Some progress Some progress Good progress
Morrisons Plympton Some progress Some progress Some progress Some progress Some progress Some progress Good progress Some progress Some progress
St Budeux Boots Some progress Some progress Some progress Some progress Some progress Achieved Achieved Some progress Good progress
Keyham Pharmacy Some progress Some progress Some progress Some progress Good progress Achieved Some progress Some progress Some progress
Drakes Circus Boots Some progress Some progress Achieved Some progress Some progress Good progress Achieved Some progress Some progress
Mutley Plain Boots Some progress Some progress Some progress Some progress Some progress Some progress Good progress Some progress Some progress
Mount Wise Pharmacy Some progress Some progress Some progress Some progress Some progress Some progress Some progress Some progress Some progress
Estover Boots Some progress Some progress Some progress Some progress Good progress Achieved Some progress Some progress Some progress
New George St. Boots Some progress Some progress Some progress Some progress Good progress Some progress Some progress Some progress Some progress
Plymstock Boots, Broadway Some progress Some progress Some progress Some progress Some progress Some progress Some progress Some progress Good progress
Efford Co-op Pharmacy, Torridge Way Some progress Some progress Some progress Some progress Some progress Some progress Some progress Some progress Good progress
Efford Co-op Pharmacy, Old Laira Road Some progress Some progress Some progress Some progress Some progress Achieved Some progress Some progress Good progress
Plympton Ridgeway Boots Some progress Some progress Some progress Some progress Some progress Some progress Some progress Achieved Some progress
Plympton Co-op Chaddlewood Some progress Some progress Some progress Some progress Good progress Achieved Some progress Some progress Some progress
Stoke Co-op Pharmacy Some progress Some progress Some progress Some progress Some progress Achieved Some progress Some progress Some progress
Prescription needing interventions
Prescriptions
Repeats New Acute
Changes No changes
No intervention Intervention
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Relative value of pharmacistAt the PMR Final check Pharmacy
counterAccess to patients 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5Ability to be interrupted 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Opportunities to add value
Value of input 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Relative value 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Prescription needing interventions
Prescriptions
Repeats New Acute
Changes No changes
No intervention Intervention
80% 16%4%
20% 80%
80% 20%
= 49%16% + 13% + 4% + 16%
Think different. Do different. Be different.
What is delegation?
Entrusting an individual or individuals with a particular work task or to make a decision
within their limits of authority
Think different. Do different. Be different.
A process for delegating – STOP-QC
• Situation
• Task
• Options
• Plan
• Questions
• Confirmation
Development levels
D1D2D3D4
EnthusiasticBeginner
Low competence
High commitment
PeakPerformer
High competence
High commitment
DisillusionedLearner
Low competence
Low commitment
Reluctant Contributor
High competence
Low commitment
Think different. Do different. Be different.
S4
Low Supportive and Low DirectiveBehavior
S1
High Directive and Low SupportiveBehavior
S2
High Directive and High SupportiveBehavior
S3
High Supportive and Low DirectiveBehavior
DIRECTIVE BEHAVIOR
(High)
(High)(Low)
SUPPORTIVE BEHAVIOR
DEVELOPMENT LEVEL OF FOLLOWER(S)DEVELOPED DEVELOPING
HIGH LOWMODERATE
D4 D1D2D3
Follow these instructions
I think you should do this, what do you think?
Tell me how you think you
should do this.
Keep me informed of
your progress
Think different. Do different. Be different.
Definition of coaching
• Belief that the people can improve their performance
• Leadership style that empowers others• Lead by coachee• Facilitated by tools and methods
The art of facilitating the performance, learning and development of another
Think different. Do different. Be different.
The benefits of coaching
• High leverage activity (time management)• Filling a performance gap• Developing skills for new tasks• Making good better• An essential part of the
Effective Development Model
The Effective Development Model
Princeton University
10%
70%
20%
On job experienceand reflection
Coaching andmentoring
Off job training
Skill
sO
utco
me
The difference between coaching and training
TrainingPutting in
CoachingDrawing out
TellingExplaining
TestingSummarising
ListeningQuestioning
Problem solvingEmpathising
DependenceSingle track thinkingInstruction followersLimited engagement
IndependenceProblem solvingInitiative takers
Increased engagement
GROW coaching modelGoal
What is it that you want to achieve? New skill,
improve performance, etc
Reality
Where are you now? Current performance,
current skills
Options
What are your options for developing? What
could you do?
Will
What will you do? By when?
Think different. Do different. Be different.
People are generally better persuaded by reasons which they have themselves
discovered than by those which come into the mind of others.
Blaise Pascal, 17thC