leadership through change

Think different. Do different. Be different.

Leadership through change

Delegating and coaching

Housekeeping

Fire


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?



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


Plymouth HLP Quality Criteria



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


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 Event

Pharmacy 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 Intervention

Nominated Health Champions

February 2013


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


Some progress

Some progress Achieved Achieved Achieved

Achieved Achieved

Hyde Park Pharmacy AchievedSome progress

Good progress



Good progress Achieved Achieved Achieved Achieved

Achieved Achieved

Morrisons Plympton AchievedSome progress




Good progress

Good progress

Good progress

Achieved Achieved

St Budeux Boots AchievedSome progress

Good progress

Good progress




Good progress

Good progress

Achieved

Good progress

Keyham Pharmacy AchievedSome progress Achieved Achieved Achieved Achieved Achieved Achieved


Some progress Achieved

Good progress


Achieved Achieved

Drakes Circus Boots AchievedGood progress Achieved

Good progress



Good progress


Good progress

Good progress

Good progress

Achieved Achieved

Mutley Plain BootsSome progress

Some progress

Some progress

Good progress

Good progress

Good progress


Good progress

Good progress


Good progress


Achieved Achieved

Mount Wise Pharmacy AchievedSome progress Achieved

Good progress





Good progress

Achieved Achieved

Estover Boots AchievedSome progress

Good progress





Some progress


Achieved Achieved

New George St. Boots AchievedGood progress Achieved




Good progress


Achieved Achieved

Plymstock Boots, Broadway Achieved

Good progress

Good progress

Some progress



Good progress

Good progress

Some progress



Achieved Achieved

Efford Co-op Pharmacy, Torridge Way Achieved


Some progress



Good progress

Good progress


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


Achieved Achieved

Plympton Ridgeway Boots

Some progress

Some progress

Some progress

Some progress

Good progress

Good progress


Some progress

Some progress

Some progress

Some progress

Some progress

Some progress

Achieved

Good progress

Plympton Co-op Chaddlewood

Good progress

Some progress


Good progress

Some progress




Some progress

Achieved Achieved

Stoke Co-op PharmacyGood progress

Some progress

Some progress

Good progress


Good progress

Some progress

Some progress

Some progress

Some progress

Some progress

Good progress

Good progress

Some progress

Achieved Achieved


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


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%

You can’t do it all yourself

Poor delegation

Abdicating Dumping

Micromanaging

Nofeedback

Vagueinstructions

Nosupervision

Nosupport Errors &

mistakes

Common delegation


What is delegation?

Entrusting an individual or individuals with a particular work task or to make a decision

within their limits of authority


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


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

Flexibility is everything!


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


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?


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

leadership through change

Documents

health of people

different demographies

lifestyle diseases

coaching think different

healthy lifestyle advice

hlp pharmacies

specific diseases

improved outcomes