general practice pharmacist training pathway

CENTRE FOR PHARMACYPOSTGRADUATE EDUCATION

General practice pharmacist training pathway

Clinical supervisor handbook

W/GPPTPCLINSH/HOApril 2016


2

Acknowledgements

Authors Helen Middleton, deputy lead, General practice pharmacist training pathway (London and South East), CPPEDeborah Howard, education supervisor, General practice pharmacist training pathway and tutor (North West), CPPE

ReviewerCeinwen Mannall, national lead, General practice pharmacist training pathway and lead pharmacist, learning development, CPPE

EditorPaddy McLaughlin, assistant editor, CPPE

Published in April 2016 by the Centre for Pharmacy Postgraduate Education, Manchester Pharmacy School, The University of Manchester, Oxford Road, Manchester, M13 9PT. www.cppe.ac.uk


3

Welcome and contentsCongratulations on being selected to take part in the NHS England pilot for clinical pharmacists working in GP practices. Health Education England (HEE), through CPPE, is leading the provision of the training pathway for all pharmacists employed in the NHS England bid sites. This handbook will provide information on the training pathway, support for the GP clinical pharmacists and your role as a GP clinical supervisor.

About CPPE 4

General practice pharmacist training pathway 4

The role of the GP clinical supervisor 9

Appendix 1: The GPPTP team 11


4

About CPPEThe Centre for Pharmacy Postgraduate Education (CPPE) offers a wide range of learning opportunities in a variety of formats for pharmacy professionals from all sectors of practice. We are funded by Health Education England to offer continuing professional development for all pharmacists and pharmacy technicians providing NHS services in England. For further information about our learning portfolio, visit: www.cppe.ac.uk.

General practice pharmacist training pathwayThe General practice pharmacist training pathway (GPPTP) will equip clinical pharmacists to deliver patient-facing services integrated within the multidisciplinary general practice team. The comprehensive training pathway will focus on person-centred consultations, implementing the four principles of medicines optimisation1, medication review, communication and leadership. The pathway learning will support demonstration of new roles in general practice to benefit patient care.

Health Education England (HEE), through CPPE, is leading the provision of the training pathway for all pharmacists employed in the NHS England bid sites. The programme will be flexible to meet the needs of all the pharmacists recruited into these key primary care team roles.

HEE is making a substantial investment in this learning, recognising NHS England’s unprecedented investment in developing clinical pharmacy in general practice that will create posts for more than 400 pharmacists2. The training will pilot changing the available support and post-qualification learning experience for a significant number of GP clinical pharmacists.

The national learning pathway Developing clinical pharmacists in general practice describes the vision, core principles and themes of the training pathway. The current edition can be accessed here: https://www.cppe.ac.uk/wizard/files/developing_career/cppe-hee-general-practice-pharmacist-learning-pathway-current-edition.pdf

Vision

The GPPTP pathway will train clinical pharmacists to work in general practice who will:

n offer patient-facing and person-centred consultations

n work within a multidisciplinary general practice team, offering outcome-focused medication review for people with multimorbidities taking multiple medicines

n focus on high priority, common and long term conditions or a broad range of medical conditions dependent on local need

n improve access to primary care, which supports people to manage their own health, medicines and long terms conditions

n deliver medicines optimisation and offer high-quality, safe and cost-effective prescribing expertise

n deliver clinics via patient appointments or as drop-in services

n support enhanced liaison and closer working with local community pharmacy

n deliver NHS England priorities and plans for medicines optimisation, health and wellbeing.

Core principles

The core principles supporting this framework will ensure the GP clinical pharmacists will:

n be trained in a supervised setting supported by education providers and supervisors

n be given protected learning time (up to 28 days over the 18 month pathway) including study days and self-study

n identify their learning needs in relation to the pathway themes and develop a personal development plan (PDP) to prioritise their learning throughout the 18 month pathway

n be supported via local personal support (eg, mentoring, shadowing, learning sets, peer support)

n work towards an independent prescribing qualification, if not held


5

n build on existing models of pharmacist work in GP practice

n develop an advanced practice portfolio and submit the portfolio to the Royal Pharmaceutical Society (RPS) Faculty at the end of the 18 month pathway

n use established competency frameworks alongside this pathway:

n NHS Healthcare Leadership Model (and associated RPS Leadership development framework 2015)

n RPS Advanced pharmacy framework (APF)

n A competency framework for all prescribers

n Consultation skills for pharmacy practice: practice standards for England

n Any relevant clinical pharmacy specialist group framework.

Pathway themes

The pathway themes are as follows:

1. Fundamentals of general practice

2. Prescribing (a) person-centred, safe and quality prescribing, and (b) formal accredited prescriber qualification (via higher education institutions (HEIs) as defined by the GPhC)

3. Clinical assessment, examination and monitoring

4. Consultation and communication skills

5. Long term condition management specialties

6. Common ailments management

7. Medicines optimisation, multimorbidity and polypharmacy

8. Evidence-based medicine and safety

9. Leadership and management

GP clinical pharmacists will need to demonstrate that they have developed knowledge, skills, experience and behaviours for the nine core GPPTP themes. Each pharmacist will have different knowledge, skills and experience on entering the pathway which will have an impact on their individual learning needs and their personal development plan (PDP). The pathway is designed to be used flexibly to take into account differences in prior experience and the different roles of clinical pharmacists and senior clinical pharmacists.

FAQs

Frequently asked questions about the General practice pharmacist training pathway can be found here: https://www.cppe.ac.uk/wizard/files/developing_career/gpptp-faq.pdf

References

1. Royal Pharmaceutical Society. Medicines optimisation: helping patients to make the most of medicines. May 2013 https://www.rpharms.com/promoting-pharmacy-pdfs/helping-patients-make-the-mostof- their-medicines.pdf

2. NHS England. More than 400 pharmacists to be recruited to GP surgeries by next year. November 2015 https://www.england.nhs.uk/2015/11/16/pharmacists-recruited/


6

New toGP

practice

Work inGP

practice

Assess

Assess

Assess

Indu

ctio

nre

side

ntia

l

NMP

Learn

Learn

Learn

Learn

Learn

Local Support

MentoringLearning setsShadowing

PortfolioSite visitsE-Support

Delivery of the Pathway

The education pathway will equip pharmacists with the necessary knowledge, skills, behaviours and experience for their general practice role. The pathway offers a comprehensive programme of residential study courses, study days, small group learning sets, resources for self-directed study, assessment and support.

The pathway will be flexible to meet the needs of all clinical pharmacists and senior clinical pharmacists recruited into the new primary care team roles. HEE is making a substantial investment in this learning, recognising NHS England’s unprecedented investment in developing clinical pharmacy in general practice.

Key points for bid sites:

n Pharmacists will all have comprehensive support and training on the 18 month GP pharmacist training pathway.

n Time away from the workplace to complete the learning is 28 days over 18 months.

n When pharmacists are appointed they should enrol on induction residential straight away. Evidence of employment in a successful bid site will be required.

n Induction residential courses are available from 29 February 2016 to May 2016 at venues across England. Further dates will be booked if required.

n Study days during the 18 month pathway will include a mixture of approaches including regional and national events, small group learning sets and online programmes.

n We are working with local providers including HEE local postgraduate GP medical education.

n Qualification as an independent prescriber (if qualification is not already held) will be provided by local higher education institution providers with funding from HEE’s Local Education and Training Boards. The time and support required to complete this qualification is in addition to the CPPE training pathway.

Find out more about the GP pharmacist training pathway: www.cppe.ac.uk/gpptp


7

Every GP clinical pharmacist will have a named CPPE education supervisor who will ensure that he/she has an effective learning experience throughout the pathway. The education supervisor will achieve this by working with the GP clinical pharmacist to identify learning and development needs and support him/her to produce a personal development plan (PDP). The education supervisor will mentor the GP clinical pharmacist, provide feedback on progress in relation to goals within the PDP, track assessments, and conduct progress reviews to enable progression through the 18 month pathway. The education supervisor will agree and sign a learning contract with the GP clinical pharmacist (a copy of the learning contract is available in the Pathway handbook).

Independent prescribing

Independent prescribing is a key part of the general practice pharmacist role. Qualification as a non-medical prescriber will be provided by HEI providers with funding from local HEE Education and Training Boards. More information about independent prescriber courses and accredited programmes can be found on the GPhC website: http://www.pharmacyregulation.org/education/pharmacist-independent-prescriber.

Clinical pharmacists completing the independent prescriber qualification will require supervision from a designated medical practitioner (DMP). This is a separate role from the GP clinical supervisor described below. Further details about the role and responsibilities of a DMP are available from the chosen HEI providing the independent prescribing course.

For pharmacists who are qualified prescribers but not currently prescribing, CPPE will offer Return to Prescribing (GPPTP) study days.

Support

A strong support structure underpins the learning pathway. Support will be delivered by a CPPE education supervisor, clinical mentor and workplace-based GP clinical supervisor.

CPPEeducationsupervisor

Clinicalpharmacist

Clinicalmentor

GP clinicalsupervisor


8

The clinical mentor is a senior pharmacist who will either have experience in general practice clinical work or relevant clinical responsibilities in a primary care position. They will act as a role model for the GP clinical pharmacists and provide group mentoring via the learning sets.

Each GP clinical pharmacist will have a named GP clinical supervisor who will supervise him or her in the workplace, providing a rapid response to issues as they arise. The GP clinical supervisor will support role development and integration into the practice, and work with the GP clinical pharmacist to ensure safe management of workload. They will offer feedback to the GP clinical pharmacist and may offer supervision such as developmental conversations and debrief after clinical sessions. They will also provide feedback on the progress of the GP clinical pharmacist to the education supervisor.

There is potential for close working between clinical pharmacists and GP tutors and trainees in terms of local joint learning, end-of-clinic debriefing and shared learning resources. Learning together will enhance concordance of practice and a team-based approach. CPPE is working with GP Deans and Directors across England to explore models for joint learning. Clinical pharmacists recruited as part of the NHS England pilot are working in GP training and GP training-accredited practices. Clinical pharmacists are also recruited into practices without prior experience of GP trainee placements. As learners from more disciplines, at varying levels of experience, are placed in primary care, educators and learners will wish to develop inter-professional clinical education opportunities. CPPE will work with local GP Deans and Directors to support access to training accreditation for GPs wishing to develop their skills.


9

The role of the GP clinical supervisor Each GP clinical pharmacist will have a named GP clinical supervisor who will supervise him or her in the workplace, providing a rapid response to issues as they arise. The role of the work-based clinical supervisor is to:

n support role development and integration of the GP clinical pharmacist into the GP practice

n provide urgent clinical supervision where necessary and help safe management of workload

n deliver a safe environment for the GP clinical pharmacists’ practice

n offer feedback.

Each bid site can appoint one or more GP clinical supervisors. CPPE will need to know the names and contact details of GP clinical supervisors for each GP clinical pharmacist and senior clinical pharmacist.

Responsibilities of the GP clinical supervisor

Ensuring safe and effective patient care through training

The GP clinical supervisor will:

n act to ensure the health, wellbeing and safety of patients at all times

n ensure that GP clinical pharmacists have undertaken appropriate induction

n allow GP clinical pharmacists, when suitably competent, to take responsibility for care, appropriate to the needs of the patient.

Establishing and maintaining an environment for learning


n ensure that GP clinical pharmacists receive the necessary instruction and protection in situations that might expose them to risk

n be open, approachable and available

n maintain good interpersonal relationships with GP clinical pharmacists and colleagues

n work toward offering protected time for supporting GP clinical pharmacists’ learning. This does not need to be onerous and may involve debrief after selected clinical sessions.

Facilitating learning


n have up-to-date subject knowledge and/or skills

n provide direct guidance on clinical work where appropriate

n have effective supervisory conversational skills

n support the GP clinical pharmacist to develop an ability for self-directed learning

n allow the GP clinical pharmacist to make contributions to clinical practice of graduated value and importance commensurate with their competence

n encourage access to formal learning opportunities, eg, study days.

Enhancing learning through assessment


n observe the GP clinical pharmacist’s performance and offer feedback

n participate in 360° appraisal of the GP clinical pharmacist.


10

Continuing professional development as an educator


n evaluate own supervisory practice. eg, through GP clinical pharmacists feedback, peer observation

n take action to improve own practice on the basis of feedback received, eg, appraisal, informal feedback

n maintain good medical practice in line with specialty and GMC requirements.

Additional responsibilities as an NHS England pilot site for GP practice pharmacists


n ensure the GP clinical pharmacist is clear about their role within the practice as described in the bid submitted to NHS England

n ensure the GP clinical pharmacist understands the KPIs agreed with NHS England and their role in achieving them

n engage with the organisation development offered by the NHS Leadership academy, supported by Primary Care Commissioning, as part of the NHS England pilot scheme

n ensure that the GP clinical pharmacist is released to attend study days within the GPPTP learning pathway (28 days over 18 months). The GP clinical pharmacist is responsible for giving adequate notice when requesting study leave

n communicate information about the GP clinical pharmacist’s progress to the CPPE education supervisor.


11

Appendix 1GPPTP TeamThe management team for the General practice pharmacist training pathway is Chris Cutts, director, CPPE, Ceinwen Mannall, national lead, GPPTP and four deputy leads. The diagram below describes the GPPTP team structure and contact details for the GPPTP team are listed below.

Contact detailsNational lead

Ceinwen Mannall National lead 07881668908 [email protected]

North team

Jane Brown Deputy lead (North) 07795223262 [email protected]

Deborah Howard Education supervisor 07795223260 [email protected]

Sarah Gough Education supervisor 07342067591 [email protected]

Cath McClelland Education supervisor 07795223254 [email protected]

Shannon Nickson Education supervisor 07795223256 [email protected]

Alison Butt Education supervisor 07721244332 [email protected]

Caroline Austin Education supervisor 07721244329 [email protected]

Midlands and East team

Sharon Steel Deputy lead (Midlands and East) 07795223265 [email protected]

Clare Daly Education supervisor 07342067593 [email protected]

Nuala Hampson Education supervisor 07795223263 [email protected]

Afshan Ghaffar Education supervisor 07795223270 [email protected]

GPPTP national lead

GPPTP deputy leads

GPPTP education supervisors

Ceinwen Mannall

Jane Brown(North)

Helen Middleton

(London andSouth East)

Sharon Steel(Midlandsand East)

Emma Wright(South)

Cath McClellandSarah Gough

Deborah HowardShannon Nickson

Alison Butt Caroline Austin

Yinka KuyeKhateja MalikSneha Varia

Neelam Sharma

Clare DalyNuala HampsonAfshan Ghaffar

Nick ButlerDeborah Howard Caroline Austin

Cate DawesClaire Hough

Nick ButlerJaqueline Criper


12

Midlands and East team con’t

Nick Butler Education supervisor 07342067594 [email protected]

Deborah Howard Education supervisor 07795223260 [email protected]

Caroline Austin Education supervisor 07721244329 [email protected]

South team

Emma Wright Deputy lead (South) 07795223255 [email protected]

Cate Dawes Education supervisor 07342067595 [email protected]

Claire Hough Education supervisor 07342067596 [email protected]

Nick Butler Education supervisor 07342067594 [email protected]

Jacqueline Criper Education supervisor 07721244330 [email protected]

London and South East team

Helen Middleton Deputy lead 07795223264 (London and South East) [email protected]

Sneha Varia Education supervisor 07342067597 [email protected]

Khateja Malik Education supervisor 07342067598 [email protected]

Yinka Kuye Education supervisor 07342067599 [email protected]

Neelam Sharma Education supervisor 07721244333 [email protected]


13

Notes


14

Notes


15

Notes

Contacting CPPEFor information on your orders or bookings, or any general enquiries, please contact us by email, telephone or post. A member of our customer services team will be happy to help you with your enquiry.

Email [email protected]

Telephone 0161 778 4000

By post Centre for Pharmacy Postgraduate Education (CPPE)Manchester Pharmacy School1st Floor, Stopford BuildingThe University of ManchesterOxford RoadManchester M13 9PT

For information on all our programmes and events: visit our website www.cppe.ac.uk

Share your learning experience with us:email us at [email protected]

Developed by:Funded by:

Supported by:

Developed by:Funded by:

general practice pharmacist training pathway

Documents