accreditation of a dispensing / pharmacy assistant (pharmacy

1 General Pharmaceutical Council, Dispensing Assistant (Pharmacy Advisor) programme accreditation report Boots UK Ltd, 3 February 2015

Accreditation of a Dispensing / Pharmacy Assistant (Pharmacy Advisor) programme, Boots UK Ltd

Report of an accreditation event, 3 February 2015

Introduction The General Pharmaceutical Council (GPhC) is the statutory regulator for pharmacists and pharmacy technicians and is the accrediting body for pharmacy education in Great Britain. Boots UK Ltd approached the GPhC with an application for accreditation of a programme to train pharmacy advisors. In line with the GPhC’s process for accreditation of Dispensing/Pharmacy Assistant programmes, an event was scheduled for 3 February 2015 to review the programme’s suitability for accreditation. Accreditation was carried out in line with the GPhC’s processes and was to the GPhC’s 2010 standards for accreditation of dispensing and pharmacist assistant courses, which reflect the knowledge and understanding equivalent to the Pharmacy Services Skills level 2 NVQ (QCF).

Background Boots UK Ltd is currently accredited by the GPhC to provide a Dispensing Assistant Programme (DAP) (reaccredited in December 2013) and Medicines Counter Assistant (Healthcare Assistant) Programme (HAP) (reaccredited in July 2012). The proposed Pharmacy Advisor training programme is an amalgamation of the two courses and has been designed to train Boots’ staff to be able to work in both the dispensary and on the counter. The provider provided submission documentation to the GPhC in line with agreed timescales. The following documents were submitted by the provider in advance of the accreditation event:

- Completed GPhC submission template ‘Accreditation of dispensing/pharmacy assistant programmes’. - Evidence documents:

Training materials – Module 1, 2, 3, 4, 5 ,6 and 7


Tutor guide

Trainee guide

Supporting documents for accreditation booklet which contains: o Assessments o Sample questions o Staff CVs o Course regulations including assessment criteria, appeals and plagiarism o Sample certificate o Learning contract o NVQ Level 2 statement o Additional supporting documents for accreditation

The event The event was held on 3 February 2015 at the General Pharmaceutical Council, 25 Canada Square, London, E14 5LQ. The provider attended the event via video and telephone conference.

Accreditation team The GPhC’s accreditation team (‘the team’) comprised:

Name Designation at the time of accreditation event

Mr Peter Curphey Accreditation team leader, Pharmacy Consultant Mrs Donna Bartlett Accreditation team member (Pharmacy technician), Area compliance coordinator, Whitworth Chemist Ltd Ms Leonie Milliner Accreditation team member (Lay), Chief Executive, Association for Nutrition

along with:

Name Designation at the time of event

Ms Jenny Clapham Quality Assurance Officer (Education), General Pharmaceutical Council , (Rapporteur)

Declaration of potential conflicts of interest Mr Peter Curphey declared that he worked for Boots UK Ltd as a training manager but left the organisation in 1984.


The accreditation criteria

Accreditation team’s commentary

1. The Training Programme

All of the seven criteria relating to the training programme are met. Based on a review of the documentation submitted for this accreditation event, the team agreed that the Pharmacy Advisor programme is equivalent to 11 units of the S/NVQ level 2 (QCF). The provider had mapped the programme to the relevant units as shown in Appendix 2 below and the team agreed that the mapping was correct and that the course content covers all the required content of the specified units. The team pointed out that there were some errors and typographical errors in the material and advised that a careful proofread is required prior to publication. Assessment includes inter-text activities, multiple choice eTest assessments at the end of each module workbook, and direct observation by an assigned experienced tutor on set performance standards. Course content has been drawn from the current GPhC accredited Boots UK Ltd HAP and DAP programme and assessment questions have been developed, written and reviewed by a panel of pharmacists including an NVQ Level 2 Assessor. Trainees gain knowledge in a practical setting through simulated activities, discussion with tutors and reflection on workplace tasks and demonstrate application of knowledge through eTest assessments and assessment of practical competence.

2. Academic Management Structures

All of the four criteria relating to Academic and Management Structures are met. The team was satisfied that the process for regular monitoring and updating of course content appeared sufficient to flag required updates and to in turn alert trainees to changes. Trainees can request to resit an assessment and there is an appeals escalation procedure which the team agreed was appropriate. Any suspicion of malpractice will be followed up using the company disciplinary procedures. Trainees may take the eTest assessments up to three times and the provider reassured the team that trainees are only allowed a third and final attempt when it is agreed by the tutor and the Learning and Development team that they are ready. The implications of failing the third attempt are made clear to the trainees and should this occur, the provider would seek to redeploy the trainee in another role within the organisation. Adequate time must be spent in the dispensary and healthcare area before trainees are assessed for competence against the performance standards and the course requires a minimum time of 6 hours per week over a minimum of 18 weeks to be spent in the workplace setting. The current programme requires demonstration of competence in both the dispensary and on the counter and the team enquired how the provider assured themselves that trainees gained sufficient experience in each area. The provider explained


that the requirement to demonstrate competence against the performance standards would dictate how much time was spent in each area and the provider did not wish to be too prescriptive so as to allow flexibility to meet the needs of individual trainees. The team was also told that the minimum number of hours had been kept the same as other Boots training programmes for consistency across the portfolio but that the trainees would have up to 12 months (or three years in exceptional cases) to complete the programme. The team accepted that the need to display competence against the performance standards should ensure trainees receive adequate experience in both areas of the pharmacy. However, the team still expressed some concern about the formal mechanisms for ensuring this takes place and it will therefore be a recommendation of this accreditation that Boots should provide guidance to tutors regarding the balance of experiential learning and measurement using competency frameworks. This is to reflect the fact that trainees on the Pharmacy Advisor Programme require experience in two separate parts of the healthcare area.

3. Resources

All of the eight criteria relating to Resources are met. The programme will be supported by the Learning & Development support team in Nottingham (Support Office) which includes a Pharmacist, an eLearning Manager and a team of experienced administrators and training co-ordinators, all employed by Boots UK Ltd. The Learning and Management System (LMS) is supported by a large IT function and can generate data on starters and completers including disability data if shared by the trainee. The LMS also allows the provider to monitor progress and target support for any trainees who fall behind. Certificates in the required format are automatically generated once the trainee has satisfied all the requirements of the programme. The team agreed that the programme has an appropriate mix of tutors, mentors and assessors. All trainees have an assigned tutor who is a pharmacist or pharmacy technician. Tutors have access to a tutor guide and can also contact the Learning & Development support team. Other members of the pharmacy team act as mentors to support the trainees. Trainees work alongside their tutor and a pharmacist is always available for face-to-face support. Academic support and pastoral care is also available through Human Resources and the Learning and Development team. Tailored support is available to trainees with a disability or specific learning needs and all staff receive equality and diversity training. Completion time for the programme is 24 weeks, the same time allowed for the dispensing assistant programme or the healthcare assistant programme. The team expressed concern about the increased pressureon trainees to complete the additional modules within the same timeframe and enquired whether there was specific support in place due to the additional learning requirements of the combined programme. The provider explained that support for trainees is consistent across all the programmes they offer, but advised that as they would be piloting the course and seeking feedback, should programme length be identified as a problem, they would change this for future trainees. The team welcomed the pilot and was reassured that the course length would be based on the evidence gathered.

Trainees are provided with a trainee guide, one hour’s protected study time per week, portable and flexible training resources and


access to telephone/email support during business hours. The team explored the issue of study time as the amalgamation of the existing courses has resulted in additional learning per module. The provider confirmed that there was a lot of duplication between the two original courses and confirmed that the learning had been integrated and each module had been reassessed to calculate the learning time required. Trainees and tutors are provided with guidance on the number of hours study time required per module and trainees are encouraged to raise concerns if they are struggling to get through the activities. The provider also described the mechanisms for progression monitoring in which a tutor would not allow a trainee to take an eTest until all the module activities had been completed. The team commented that one hour protected study time was low given the learning hours associated with the activities but were again reassured that the pilot would raise any significant issues regarding this.

Feedback is collected from all trainees as part of the final declaration of competence and that this must be completed before the certificate can be issued. The team was satisfied that the provider collates, evaluates and acts upon this feedback.

Summary and conclusions The accreditation team agreed to recommend to the Registrar of the General Pharmaceutical Council that Boots UK Ltd should be accredited as a Dispensing Assistant (Pharmacy Advisor Programme) course provider for a period of three years. No conditions were set during the event. The accreditation team made the following recommendation: 1. You should provide guidance to tutors regarding the balance of experiential learning and measurement using competency frameworks. This is to reflect the fact that

trainees on the Pharmacy Advisor Programme require experience in two separate parts of the healthcare area. Subsequent to the event, the provider advised that it would now be piloting the pharmacy advisor ‘role’ and not the training programme as had been described and understood by the team during the event. The team considered that the piloting of the training programme was a sensible course of action and therefore the decision made by the team was predicated by this information. The team now understand that this is not the case and so the programme is now subject to one condition. This condition is: 1. The provider must articulate their strategy for reviewing and evaluating the new training programme and provide evidence of how they will effect any required

changes to their provision. The team agreed that in the absence of a pilot, it was essential that the new training programme undergo a rigorous review process to ensure it is fit for purpose. This is to meet criterion 3h.


Standing conditions of accreditation: 1. The full record and report include other comments from the team and the Registrar regards the record and report in its entirety as its formal view on provision.

Providers are required to take all comments into account as part of the accreditation process. 2. Any required amendments to be made to documents for accuracy or completeness have been identified and are detailed in the record. The provider must confirm

the changes have been made but the GPhC does not require documents to be submitted for its approval. 3. The provider must respond to the definitive version of the record and report within three months of receipt. The summary report, along with the provider’s

response, will be published on the GPhC’s website and remain for the duration of the accreditation period. The record remains confidential to the provider and the GPhC.

4. On an annual basis, all institutions and other providers approved by the GPhC must give such information and assistance as the GPhC may reasonably require including changes to the curriculum and/or resources.

The provider was asked to note the following: 1. The programme is not accredited until approval has been given by the Registrar and all conditions have been met satisfactorily. 2. The team’s recommendations are not binding on the Registrar, who may accept, modify or reject them. 3. The accreditation team’s feedback is confidential until it has been ratified by the Registrar of the GPhC but may be shared with staff and trainees internally. The Pharmacy Order 2010 states: Schedule 1 The Council’s duties in respect of publications 1. (2) The Council may from time to time publish or provide in such manner as it sees fit guidance to registrants, employers and such other persons as it considers

appropriate in respect of the standards for the education, training, supervision and performance of persons who are not registrants but who provide services in connection with those provided by registrants.

Reference: http://www.legislation.gov.uk/uksi/2010/231/contents/made

Following the above event a satisfactory response was received to meet the condition of accreditation. The Registrar of the General Pharmaceutical Council agreed with the accreditation team’s recommendations and approved the course for accreditation for a period of three years, until the end of May 2018.

http://www.legislation.gov.uk/uksi/2010/231/contents/made


Appendix 1 - Accreditation Criteria 1. The training programme

a. The programme is equivalent to one or more units of the S/NVQ level 2 (QCF)

b. The unit(s) the course is designed to cover are specified.

c. The course content covers the relevant units of the ‘GPhC underpinning knowledge template’ (see mapping of the course to the programme requirements).

d. For each unit, the transfer of underpinning knowledge into the workplace is demonstrated through the use of a variety of methods

e. The programme is taught at Qualifications Credit framework level 2.

f. The programme is planned with reference to the S/NVQ (QCF) level 2 underpinning knowledge template.

g. Assessments have been developed by subject experts from the Pharmacy sector and directly relate to the relevant units of the S/NVQ (QCF) level 2 underpinning knowledge template.

2. Academic and Management Structures a. Assessment process and strategies assure appropriate standards in assessment and that students are able to demonstrate fitness for purpose.

b. In the processes of programme review and development, the training provider has taken account of advances in pharmacy practice, for instance recent POM to P reclassifications, and developments potentially impacting on pharmacy.

c. Course regulations include procedures for appeals against assessment decisions

d. Course regulations include procedures for dealing with suspected plagiarism and/or malpractice

3. Resources a. Buildings, human, equipment, and other resources available to the training provider are sufficient for the effective delivery of the course to the numbers of

students on the course, and overall.

b. Record keeping systems are able to generate data on candidates completing, completion rates, student sector of practice and disability.

c. Systems are in place for issuing certificates of completion to successful students in the GPhC’s approved format

d. There is an appropriate mix of tutors, mentors and assessors.

e. The student has access to a personal tutor or tutors for academic guidance and pastoral care.

f. The student is instructed in the use of information resources.

g. There are adequate student feedback mechanisms in place.

h. The training provider seeks to provide the student with a positive learning experience.


Appendix 1 - Mapping to the programmes requirements Mapping of this training programme to units of the NVQ level 2 (QCF) Pharmacy Services

Note: Any units that are shaded grey are not covered by this training programme

Unit 1 - Assist with the provision of a pharmacy service to meet individual needs

To demonstrate knowledge and understanding in this NOS, assistants should be able to apply:

Name of document and unit/module number Page

Legislation, policy and good practice

1.1 A working knowledge of SOPs and the importance of adhering to them at all times Module 1 – 7 Module 1

5 34-41

1.2 A working knowledge of the importance of maintaining individual satisfaction, loyalty and confidence to the organisation and how you contribute towards it

Module 1

16-23 116-120

1.3 A working knowledge of the organisation’s policy on individual service and individual relationships and how this applies to your role

Module 1

16-23 116-120

1.4 A working knowledge of the organisations procedure for handling complaints Module 1

22 140-141

1.5 A working knowledge of the importance of working within the limits of your competence and authority

Module 1-7 Module 1

4 23 141

1.6 A working knowledge of the importance of establishing the requirements of individuals clearly and accurately

Module 1 126-123

1.7 A working knowledge of the importance of verbal and non verbal communication when communicating with individuals

Module 1 123-134

Provide information

1.8 A working knowledge of how to give clear and accurate information and check the individual’s understanding

Module 1 123-134

1.9 A working knowledge of relevant products and services or advice for which information and/or advice is required

Module 1 27-30 49-77


1.10 A working knowledge of where to get assistance if you can’t provide information and advice yourself

Module 1 15,18,105-109

1.11 A working knowledge of what source of information to use, what information can be given to the individual

Module 1 8, 105-109

1.12 A working knowledge of the source(s) of information that can be accessed and the information that can be given to individuals by the pharmacist

Module 1 – 7 Module 1

4 100-104

Resolve queries and complaints

1.13 A working knowledge of how to manage conflict and/or individuals who are angry Module 1

21-22 124 140-142

1.14 A working knowledge of how to assess complaints and what action to take Module 1

21-22 124 140-142

1.15 A working knowledge of when you should refer complaints to a higher authority Module 1

21-22 124 140-142

Unit 2 - Make sure your own actions reduce risks to health and safety

To demonstrate knowledge and understanding in this NOS, assistants should be able to apply knowledge of:


2.1 What ‘hazards’ and ‘risks’ are Module 2 13-15

2.2 Their responsibilities and legal duties for health and safety in the workplace Module 2 12-13

2.3 Their responsibilities for health and safety as required by the law covering their job role Module 2 12-29

2.4 The hazards which exist in their workplace and the safe working practices which they must follow

Module 2 13 -15

2.5 The particular health and safety hazards which may be present in their own job and the precautions they must take

Module 2 13 -15


2.6 The importance of remaining alert to the presence of hazards in the whole workplace Module 2 13 -15

2.7 The importance of dealing with, or promptly reporting risks Module 2 13 -15

2.8 The responsibilities of health and safety in their job description Module 2 12-29

2.9 The safe working practices for their own job role Module 2 12-29

2.10 The responsible people they should report health and safety matters to Module 2 12-29

2.11 Where and when to get additional health and safety assistance Module 2 12-29

2.12 Their scope and responsibility for controlling risks Module 2 12-29

2.13 Workplace instructions for managing risks which they are unable to deal with Module 2 12-29

2.14 Suppliers’ and manufacturers’ instructions for the safe use of equipment, materials and products which they must follow

Module 2 12-29

2.15 The importance of personal presentation in maintaining health and safety in their workplace Module 2 27-28

2.16 The importance of personal behaviour in maintaining the health and safety of themselves and others

Module 2 19, 27-28

2.17 The risks to the environment which may be present in their workplace and/or in their own job Module 2 17

Unit 3 - Contribute to the effectiveness of teams



Values

3.1 A working knowledge of legal and organisational requirements on equality, diversity, discrimination and rights when working in teams

Module 1 11

Legislation and organisational policy and procedures

3.2 A working knowledge of codes of practice and conduct, and standards and guidance relevant to their own roles, responsibilities, accountability and duties of others when working in teams

Module 1

16-23 37-40


to support individuals Module 2

47-49 69-72 36-42

3.3 A working knowledge of current local, UK and European legislation, and organisational requirements, procedures and practices for: a) Accessing records b) Recording, reporting, confidentiality and sharing information, including data protection c) Team working

Module 1 Module 3

12-21 25 100-108 27-28

3.4 A working knowledge of how to access up-to-date copies of the organisation’s workplace policies, procedures and systems, and practice and service standards related to team working

Module 1 16-23

Theory and practice

3.5 A working knowledge of the principles that underpin effective team working Module 1 16-23

3.6 A working knowledge of individuals’ styles of interaction and how these can affect team working

Module 1 16-23

3.7 A working knowledge of barriers to developing relationships within the team and how these can be overcome

Module 1 16-23

3.8 A working knowledge of problems which may be encountered when relating to and interacting with other team members and how these can be best handled

Module 1 16-23

3.9 A working knowledge of their own strengths and weaknesses as an individual worker and as a team member

Module 1 23

3.10 A working knowledge of development and learning opportunities available to support them in team working and activities

Module 1 23

Unit 4 - Assist in the sale of medicines and products




4.1. A working knowledge of the pharmacy protocol on the sale of medicines and SOPs including: a) What is listed in them b) How to use them

Module 1 37-39 72


c) Why it is important that SOPs should be followed at all times

4.2. A factual knowledge of the legal responsibility and authority of the pharmacist and others in the organisation

Module 1 13-15

4.3. A working knowledge of legal and ethical requirements for confidentiality Module 1 99-108

Specific health related knowledge and skills

4.4. A working knowledge of the main actions and side effects of the active ingredients within commonly used non-prescription medicines

Module 1 Module 2 Module 3 Module 4 Module 5 Module 6 Module 7

56-68 102-130 57-118 33-102 34-124 31- 128 25- 124

4.5. A working knowledge of the differences between: a) General Sales List (GSL) medicines b) Pharmacy (P) c) Prescription Only Medicines (POM) items

Module 1 47-55

Procedures and techniques

4.6. A working knowledge of the use of questioning techniques such as 2WHAM Module 1 72

76-91

4.7. A working knowledge of the needs of different types of individuals Module 1 76-91

120-122 133-139

4.8. A working knowledge of the sources of information to access Module 1-7 Module 1

8 105-108

4.9. A working knowledge of the information that is suitable to give individuals

Module 1 Module 5

69-90 105-108 16

4.10. A working knowledge of the type of information/advice that needs to be referred to a pharmacist or a pharmacy technician

Module 1 69-90 75


Unit 5 - Receive prescriptions from individuals




5.1 A working knowledge of the importance of working within the limits of their own role and recognising when to refer to an appropriate person

Module 1-7 Module 1

4 141

5.2 A working knowledge of Standard Operating Procedures regarding the receiving of prescriptions and the importance of adhering to them at all times

Module 1-7 Module 1

5 141

5.3 A working knowledge of current legislation relating to prescription charges and exemptions and differences in practice across the UK

Module 2 80-81 93-96

5.4 A working knowledge of regulations and procedures relating to prescriptions for clinical trials Module 2 82

5.5 A working knowledge of the relevant national and local guidelines, policies and procedures that are available and how and when they should be accessed

Module 2 We have taken this to men prescription charges

92-98

5.6 A working knowledge of the different types of prescribers Module 2 70-81


5.7 A working knowledge of the different types of prescriptions and when they are used Module 2 70-82

5.8 A working knowledge of the details required on a prescription and why they are necessary Module 3 13-20

5.9 A working knowledge of exemptions and how individuals can claim refunds, including the use of official forms and prepayment certificates

Module 2

92-96


5.10 A working knowledge of how to deal with individuals with special needs Module 1 120-123

5.11 A working knowledge of the transactional and administration procedures as required by governmental regulations and those that apply to the workplace

Module 2 91-98

Records and documentation

5.12 A working knowledge of the importance of maintaining dispensary records Module 3 Module 4 Module 1

27-28 19-28 97-100


Unit 6 - Assemble prescribed items




6.1 A working knowledge of the importance of working within the limits of their own role and recognising when to refer to an appropriate person

Module 1-7 Module 1

4 141

6.2 A working knowledge of current ethical and legal requirements that govern the dispensing and issuing of a prescription

Module 1 Module 2

100-104 35-55

6.3 A working knowledge of SOPs and the importance of adhering to them at all times Module 1

34-41

6.4 A working knowledge of relevant national and local guidelines, policies and procedures that are available including when they should be used and how to use them

Module 2 35-63

6.5 A working knowledge of the importance of personal hygiene and correct use of protective clothing

Module 2 Module 3

27-28 3-52

6.6 A working knowledge of basic hygiene and the importance of maintaining a clean working environment and equipment

Module 2 Module 3 Module 6

1-21 3-52 22-24


6.7 A factual knowledge of the principles underlying the dispensing of sterile products Module 3 50-51

6.8 A factual knowledge of factors which cause deterioration of stock including:

Environmental conditions

Storage conditions

Microbial contamination

Module 2 Module 3

49 45 50-53

6.9 A factual knowledge of sources of contamination and appropriate corrective action including:

Microbial

Cross-chemical

Physical, environmental and storage conditions

Module 2 Module 3

2 51-53


6.10 A factual knowledge of prescribing conventions and abbreviations Module 3

29-38

6.11 A factual knowledge of the common proprietary and generic names Module 2

62-63

6.12 A working knowledge of dosage forms and their properties and use Module 1 Module 2

134 56-61

6.13 A working knowledge of different strengths, doses and quantities of medicines, and why they are used and how to calculate them

Module 2

56-61

Unit 7 - Order pharmaceutical stock

To demonstrate knowledge and understanding in this NOS, assistants should be able to apply :



7.1 A working knowledge of working within the limits of their own authority and when to refer to an appropriate person

Module 1-7 Module 1

4 141

7.2 A factual awareness of current legislation that applies to the ordering of pharmaceutical stock Module 2 Module 5

35-55 25-30

7.3 A working knowledge of their responsibilities under current legislation when ordering pharmaceutical stock

Module 2 Module 5

35-55 25-30

7.4 A working knowledge of the importance of following ordering SOPs Module 1 Module 5

34-41 24

7.5 A working knowledge of the health and safety requirements related to ordering of pharmaceutical stock

Module 2 16-22

7.6 A working knowledge of local or regional pharmaceutical contracts Module 2 Module 5

43-44 28-30


7.7 A working knowledge of the different formulation of drugs and why it is important to order sufficient quantities of the correct formulation and strength

Module 2 Module 5

56-63 26-30

7.8 A working knowledge of the difference between branded and generic drugs Module 2 62-63


7.9 A working knowledge of the importance of referring to current drug alerts and company recalls when ordering pharmaceutical stock

Module 6 24-27

Ordering stock

7.10 A working knowledge of the sources and suppliers of stock Module 5 25-30

7.11 A working knowledge of the procedures for responding to urgent requests. Module 2 97-98

7.12 A working knowledge of the importance of taking account of seasonal variations when ordering pharmaceutical stock

Module 5 25-27

7.13 A working knowledge of the action to be taken if stock is unavailable Module 2 Module 5

97 25-30


7.14 A working knowledge of the input and retrieval of stock data Module 5 25-30

7.15 A working knowledge of the parameters set for the computer ordering system Module 5 25-30

7.16 A working knowledge of the importance of maintaining correct, accurate documentation, including backup systems to IT failure where appropriate.

Module 1 Module 5

99-104 28

Unit 8 - Receive pharmaceutical stock





Module 1-7 Module 1

4 141

8.2 A factual knowledge of current legislation and their responsibilities that apply to the receipt of pharmaceutical stock

Module 2 Module 6

36-39 11-14

8.3 A working knowledge of the importance of following SOPs related to receiving pharmaceutical stock

Module 6 Module 1

11 34-41


8.4 A working knowledge of the COSHH and health and safety requirements related to receipt of pharmaceutical stock

Module 6 13-14

8.5 A working knowledge of local or regional pharmaceutical contracts Module 2 43-44


8.6 A working knowledge of the different formulation of drugs and why it is important to stock sufficient quantities of the correct formulation and strength

Module 5 Module 6

26-30 12-14


8.8 A working knowledge of the importance of referring to current drug alerts and company recalls when receiving pharmaceutical stock

Module 6 24-27

Receiving stock

8.9 A working knowledge of the sources and suppliers of stock Module 5 25-30

8.10 A working knowledge of the procedures that apply to receiving pharmaceutical stock, including: a) only receiving stock identified on the original order b) expiry dates and batch numbers c) identifying damaged, contaminated or deteriorated stock

Module 6 12-14

8.11 A working knowledge of the action to be taken if stock is unavailable Module 6 12-14

8.12 A working knowledge of the action to be taken if received stock: a) not on original order b) is not the complete order c) beyond expiry date d) has inconsistent batch number or batch number for which drug alerts/recalls have been issued damaged or contaminated

Module 6 12-14

8.13 A working knowledge of promptly informing the appropriate person of the availability of the stock where the goods received are for a special or outstanding order

Module 6 12-14

Incorporating received stock into storage

8.14 A working knowledge of the storage requirements of different types of products and why they are important

Module 6 22-26

8.15 A working knowledge of the importance placing received stock in a manner that allows stock rotation

Module 6 22


8.16 A working knowledge of the importance placing received stock in a safe storage environment Module 6 22-26

Resolve queries and complaints


8.18 A working knowledge of the parameters set for the computer ordering system where appropriate

Module 6 11-14

8.19 A working knowledge of the importance of maintaining correct, accurate documentation, including back up systems to IT failure where appropriate

Module 1 99-104

Unit 9 - Maintain pharmaceutical stock


Name of document and unit/module Page



Module 1-7 Module 1

4 141

9.2 A working knowledge of your responsibilities and current legislation that applies to maintaining pharmaceutical stock

Module 2 35-55

9.3 A working knowledge of the importance of following SOPs related to maintaining pharmaceutical stock

Module 1 Module 6

34-41 20

9.4 A working knowledge of the health and safety requirements related to: a) maintaining pharmaceutical stock b) disposing of outdated, damaged or decontaminated stock

Module 6 22-27


9.5 A working knowledge of the different formulation of drugs and why it is important to stock sufficient quantities of the correct formulation and strength

Module 2 Module 5

56-63 26-30


9.7 A working knowledge of the of the action to take immediately when drug alerts and company recalls are received

Module 6 24-27

Maintaining stock


9.8 A working knowledge of the importance of maintaining a safe storage environment Module 6 20-26

9.9 A working knowledge of the storage requirements of different types of products and why they are important

Module 6 20-26

9.10 A working knowledge of the importance of storing stock into the correct: a) storage area b) location

Module 6 20-26

9.11 A working knowledge of the importance of taking any special storage requirements into consideration

Module 6 20-26

9.12 A working knowledge of the importance of good stock management, including: a) the rotation of stock b) checking expiry dates of stock c) the quantity of stock - taking account of seasonal variations d) identifying damaged, contaminated or deteriorated stock

Module 6 20-26

9.13 A working knowledge of the action to be taken if stock is unavailable Module 6 20-26

9.14 A working knowledge of the action to be taken if stock: a) is beyond expiry date b) is damaged or contaminated c) has inconsistent batch number or batch number for which drug alerts/recalls have been

issued

Module 6 20-26



20-26

9.16 A working knowledge of the parameters set for the computer ordering system Module 6 11-14

9.17 A working knowledge of the importance of maintaining correct, accurate documentation, including back up systems to IT failure where appropriate.

Module 1 99-104

Unit 10 - Issue pharmaceutical Stock

To demonstrate knowledge and understanding in this NOS , assistants should be able to Name of document and unit/module number Page


apply : Legislation, policy and good practice

10.1 A working knowledge of working within the limits of your their authority and when to refer to an appropriate person

10.2 A factual knowledge of current legislation that applies to issuing pharmaceutical stock

10.3 A working knowledge of your responsibilities under current legislation when issuing pharmaceutical stock

10.4 A working knowledge of the importance of following SOPs related to issuing pharmaceutical stock

10.5 A working knowledge of the health and safety requirements related to issuing pharmaceutical stock


10.6 A working knowledge of the different formulation of drugs and why it is important to issue sufficient quantities of the correct formulation and strength

10.7 A working knowledge of the difference between branded and generic drugs

Issuing stock

10.8 A working knowledge of the action to be taken if stock is not fit for purpose

10.9 A working knowledge of the importance of checking stock for issue against current drug alerts/recalls

10.10 A working knowledge of the procedures for responding to urgent requests

10.11 A working knowledge of which products need special packaging and transportation and why it is important to adhere to these special requirements.

10.12 A working knowledge of the importance of labelling containers correctly

10.13 A working knowledge of issuing stock to the correct destination using the correct delivery method


10.14 A working knowledge of the input and retrieval of stock data

10.15 A working knowledge of the importance of maintaining correct, accurate documentation, including back up systems to IT failure where appropriate


Unit 11 - Assist in the manufacturer and assembly of medicinal products

To demonstrate knowledge and understanding in this NOS , assistants should be able to apply :



11.1 A working knowledge of the basic principles of quality assurance relating to manufacture of medicinal products

11.2 A working knowledge of the principles of current good manufacturing practice (cGMP)

11.3 A working knowledge of the difference between preparation for individuals and preparation for stock and how this is generally implemented in the workplace

11.4 A factual knowledge of current health and safety legislation and how it applies to the working environment, including COSHH

11.5 A working knowledge of the principles of SOPs and why it is important to work within these procedures

11.6 A working knowledge of the limits of their own role and the referral procedures


11.7 A working knowledge of basic hygiene and the importance of maintaining a clean working environment

11.8 A working knowledge of personal hygiene and the use of protective / clean room clothing

11.9 A working knowledge of the possible sources of contamination

11.10 A working knowledge of environmental parameters, their importance and how to carry out their monitoring

11.11 A working knowledge of the principles of weights and measures

Materials and Equipment

11.12 A working knowledge of the preparation, assembly and maintenance of equipment



11.13 A working knowledge of principles and procedure of different processes in manufacturing medicinal products and when to use them

11.14 A working knowledge of labelling and packaging requirements

11.15 A working knowledge of the reasons for and importance of carrying out in-process checks, end product quality checks and quarantine requirements

11.16 A working knowledge of the disposal of waste materials and cleaning material

11.17 A working knowledge of dismantling, cleaning, decontaminating and storing equipment

11.18 A working knowledge of cleaning and decontamination of preparation area


11.19 A working knowledge of the importance of recording information clearly, accurately and in a systematic, timely manner and of the storing of this information

Unit 12 - Assist in the preparation of documentation, material and other items for manufacture and assembly of medicinal products




12.1 A working knowledge of the basic principles of quality assurance including current good manufacturing practice (cGMP)

12.2 An understanding of the difference between preparation for individual patients and preparation for stock and how this is generally implemented in the workplace

12.3 A factual knowledge of their responsibilities under COSHH and current health and safety legislation and how it applies to the working environment

12.4 A working knowledge of the importance of SOPs and why they must always work within these procedures

12.5 A working knowledge of the importance of working within the limits of their role



12.6 A working knowledge of basic hygiene and the importance of maintaining a clean working environment including conducting a weekly and monthly clean

12.7 A working knowledge of the importance of personal hygiene and the correct use of protective / clean room clothing

12.8 A working knowledge of the different types of environmental areas and when they should be used


Materials health related knowledge and skills

12.10 A working knowledge of the materials, consumables and equipment necessary for the preparation of medicinal products

12.11 A working knowledge of the principles of formulae calculations, weights and measures


12.12 A working knowledge of the procedures for cleaning, decontamination, and preparing the environment and equipment

12.13 A working knowledge of labelling and packaging requirements and conventions



Unit 13 - Prepare aseptic products




13.1 A working knowledge of the basic principles of quality assurance including (cGMP) current good manufacturing practice

13.2 An working knowledge of the difference between preparation for individual patients and preparation for stock and how this is generally implemented in the workplace


13.3 A working knowledge and understanding of the recognised guidelines relating to aseptic preparation

13.4 A factual knowledge of current health and safety legislation and how it applies to the working environment, including COSHH


13.6 A working knowledge of the limits of their own role and the referral procedures to an appropriate person





13.10 A working knowledge of the possible sources of contamination and the appropriate methods of prevention

13.11 A working knowledge of the importance of storing products correctly (including any quarantine requirements) especially in relation to maintaining the cold chain from both chemical and microbiological aspects

13.12 A working knowledge (including action and uses) of the various types of products

Materials and equipment

13.13 A working knowledge of the different types of equipment and consumables and which products they must be used for

13.14 A working knowledge of the procedures for preparing, cleaning and decontaminating equipment and environmental areas

13.15 A working knowledge of the importance of storing equipment safely and in a condition ready for use



13.17 A working knowledge of the environmental parameters that govern the working area, their importance, and how to carry out their monitoring


13.18 A working knowledge of the correct handling of cytotoxic drugs and how to minimise the risks

13.19 A working knowledge of the importance of carrying out accuracy and quality checks

13.20 A working knowledge of the importance of label and product reconciliation

13.21 A working knowledge of the methods and materials used for packaging

13.22 A working knowledge of the procedures for the safe handling and disposal of waste materials


13.23 A working knowledge of the importance of recording information clearly, accurately and in a systematic, timely manner and of the storing information that includes:

a) paper based b) electronic

13.24 A working knowledge and understanding of the importance of using validated documentation

13.25 A working knowledge of local error reporting procedures and communication channels

13.26 A working knowledge of national error reduction policies/strategies

Unit 14 - Prepare documentation, material and other items for the preparation of aseptic products




14.1 A working knowledge of the basic principles of quality assurance including current good manufacturing practice (cGMP)

14.2 A working knowledge of the difference between preparation for individual patients and preparation for stock and how this is generally implemented in the workplace

14.3 A working knowledge and understanding of the recognised guidelines relating to aseptic preparation


14.4 A factual knowledge of their responsibilities under COSHH and current health and safety legislation and how it applies to the working environment


14.6 A working knowledge of the importance of working within the limits of their own role






14.11 A working knowledge of the various types of products


14.12 A working knowledge of the materials and equipment necessary for the preparation of aseptic products


14.14 A working knowledge for the safe handling of cytotoxic drugs


14.15 A working knowledge of the procedures for cleaning, decontamination, and preparing the environment and components




Unit 15 - Assist in the issuing of prescribed items




15.1 A working knowledge of the limits of their own role and when to refer to an appropriate person

Module 1-7 Module 1

4 141

15.2 A working knowledge of principles for issuing dispensed medicines and products and the local Standard Operating Procedures that relate to this

Module 5 11

15.3 A working knowledge of the current ethical and legal requirements that govern the issuing of a prescription

Module 5 Module 1

11-18 100-104


15.4 A working knowledge of how to deal with individuals with special needs Module 1 Module 2

120 97

15.5 A working knowledge of the importance of confirming the individual’s identity before issuing dispensed items

Module 5 14-16

15.6 A working knowledge of the importance of providing information on: a) the storage and maintenance of prescribed items b) possible side effects

Module 5 14-16


15.7 A factual knowledge of the importance of maintaining dispensary records including the use of the dispensary computer

Module 3 26-38

15.8 A factual knowledge of how medicines are administered Module 2 Module 1

56-63 134


15.9 A working knowledge of the importance of selecting the correct equipment for use Module 3 47-49

15.10 A working knowledge of the properties of different types of container types and when to use each

Module 3 47-52


Unit 16 - Undertake an in-process accuracy check of assembled prescribed items prior to the final accuracy check




16.1 an in-depth understanding of the limits of their own role and recognising when to refer to an appropriate person

Module 1-7 Module 1 Module 4

4 141 12

16.2 an in-depth understanding of Standard Operating Procedures and the importance of adhering to them at all times

Module 1 Module 4

34-41 10

16.3 a working knowledge of current ethical and legal and professional requirements that govern the dispensing of a prescription

Module 2 35-55

16.4 a working knowledge of the different types of check on a prescription Module 4 11-13

16.5 a working knowledge of different types of prescribers Module 2

71

16.6 a working knowledge of the types of medicines supply Module 1 Module 2

47-49 69-82

16.7 a working knowledge of how to identify near misses and dispensing errors Module 4 Module 4 Module 1

11-13 27-28 141-142

16.8 a basic awareness of the causes and consequences of near misses and dispensing errors Module 4 Module 1

27-28 141-142

16.9 a basic awareness of error recording Module 4 Module 1

27-28 141-142


16.10 a working knowledge of the details required on a prescription and why these are necessary Module 2 77

16.11 a working knowledge of the prescribing conventions and abbreviations Module 3 28-31

16.12 a working knowledge of the common proprietary and generic names Module 2 62-63

16.13 a factual knowledge of how medicines are administered Module 1 Module 2

134 56-61


16.14 a working knowledge of different strengths, doses and quantities of medicines Module 2 56-61

16.15 a working knowledge of different relevant national and local guidelines, policies, procedures that are available including:

a) when they should be used b) how to use them

Module 1 Module 2

36-40 35-55


16.16 a working knowledge of when and why Patient Medication Records (PMRs) are used Module 3 Module 1

27-28 99-104

16.17 a working knowledge of the importance of maintaining dispensary records. Module 4 Module 6

19-27 13

accreditation of a dispensing / pharmacy assistant (pharmacy

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