Are we competent medicines procurement professionals?

Dr Catherine Duggan

Drivers for change

• Social • Political• Economic

Patient safetyAccess to medicinesQuality and Self-careCost effectivenessCommissioning based on evidenceQIPP

Changing demographyChronic diseases, complexity of therapyLong term disease managementNew technologies & models of delivery Transferability of services and treatment options

Flexible workforceMEE (MPC)Transferability of knowledge and skillsLevels of service related to skill mixConsistent between sectors

Implications?

1. Biggest changes to NHS since inception

2. Dissolution of PCTs and SHAs, all NHS Trusts => Foundation Trusts

3. Commissioning, Commissioning, Commissioning

4. Education and Health

5. Forging links between Health, Social care, Local authorities

6. MEE and PABs

7. Any willing provider

Implications?

1. Commissioning, Commissioning, Commissioning

2. Public Health England

3. Commissioning Board

4. Local authorities responsible for local health improvements (PCT clusters)

5. MEE => HEE- statutory body

6. Formal partnerships between HEIs and employers: accountable for sign off at end of 5 year degree

7. Local skills networks

Three arguments for “developing practice” across all sectors

1. Adaptability: Changing healthcare environment

2. Flexibility: Recognition that enables the development of a flexible and adaptable workforce

3. Demonstrability: Demonstration of the benefit of pharmacy to health

…the benefit of patients, the public and pharmacy

What do other Royal Colleges provide?

Professional Support

Professional Development & advancement

Leadership and advocacy

Science and Research

Professional Recognition

Moving from services to support towards developmental systems

Map of Best practice- access to evaluations / audits / research across GB (UK?)

Research support: tools, networks, data management

Standards setting and guidance provision

Building flexible Knowledge networks

Developing Expert Panels- Harness expertise from all sectors

Harnessing expertise from the profession?

Networks and professional links Professional Forums Expert Advisory Panel for Science Expert Advisory Panel for Education Education Reference Group

PARTNERS!!

Our projects over the last year

1. Virtual networks & networking2. Communications & Consultations 3. Media working4. Developmental & educational support for practitioners5. Curricula for advanced practice6. Credentialing

Lets start with RPS Membership….

What is professional recognition?

1. Professional

• Media

• Influence, leadership, advocacy

• External invitations

• Standards and guidance

• Sharing best practice

2. Personal

• Career pathways & opportunities

• Support

• Development

• Recognition

What is professional recognition?

1. Professional

• Media

• Influence, leadership, advocacy

• External invitations

• Standards and guidance

• Sharing best practice

2. Personal

• Career pathways & opportunities

• Support

• Development

• Recognition

Regulatory leader

Regulatory leader

UG PreReg Advanced practice

Post-RegConsolidating

foundation practice

Higher levels of practice

Clinical LeaderClinical Leader

DirectorDirector

ManagerManager

Lead educatorLead educator

Lead researcher

Lead researcher

Specialist services

Specialist services

What knowledge and skills and experiences do I need to advance? (professional curricula)

What education, training and development can help me gain this (signposting & accreditation)

How can I demonstrate a recognised level of practice? (professional credentials)

What support will help me navigate my way (frameworks and tools)

What knowledge and skills and experiences do I need to advance? (curricula)

What education, training and development can help me gain this (signposting & accreditation)

How can I demonstrate a recognised level of practice? (credentials)

What professional development frameworks exist in practice?

Expert Group identifies need for

Professional Curriculum

Expert Group identifies need for

Professional Curriculum

Contact RPS (Royal

Pharmaceutical Society)

Contact RPS (Royal

Pharmaceutical Society)

Attend a CSG (Curricula Support Group)

meeting

Attend a CSG (Curricula Support Group)

meeting

Expert Group develops

Professional Curriculum

Expert Group develops

Professional Curriculum

PCG (Professional

Curricula Group) for validation

PCG (Professional

Curricula Group) for validation

If validatedIf validated

If not validatedIf not validated

Peer Review process

(by external organisations: ie. medical groups,

specialist nursing)

Peer Review process

(by external organisations: ie. medical groups,

specialist nursing)

Back to the CSG for revision

Back to the CSG for revision

Professional Curriculum

ready

Professional Curriculum

ready

Professional Curricula Development Process

Agreed visions for professional recognition• To have an accessible and comprehensive “library” of professional education

available to all practitioners.….to include formal (eg HEI) and informal (eg specialist group) education and training•

To have an accessible and comprehensive “library” of curricula for advanced practice available to all practitioners- specialist, generalists, all sectors all levels

• “We will recognise, promote and support best practice by members AND the RPS will unify the process by drawing on existing and developing

expertise in our profession”

Section Title

Imperatives across all sectorsSome challenges

1. Adaptability: Changing healthcare environment

2. Flexibility: Recognition that enables the development of a flexible and adaptable workforce

3. Demonstrability: Demonstration of the benefit of pharmacy to health

…the benefit of patients, the public and pharmacy

Some solutions

• Flexible career paths that facilitate transfer of knowledge, skills and expertise

• Robust, simple professional recognition programme

• Robust, supportive evidence base for agile, responsive, service development

Professional Recognition

I. Professional voice at the Top Tables

II. Innovative partnerships: research, education, industry, employers, health

III. Relevant, accessible, supportive networks

IV. Specialist, clinical, science expertise: Federation / faculty / academy

V. Professional leadership and professional advocacy- based on evidence

Professional Leadership, Professional Recognition, Professional Transformation

Are we competent medicines procurement professionals?

Dr Catherine Duggan