NHS General Practice Pharmacist Training Pathway(GPPTP)

Professor Christopher Cutts, CPPE

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Focus of this presentation

• Background• Principles and assumptions• Describe the GPPTP• Describe the details about delivery and next

steps

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Background

HEE asked CPPE to devise a pathway for training a new wave of GP based Pharmacists, in consultation with a range of stakeholders

PrinciplesAssumptions

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Role assumptions

CPPE considered the following assumptions developing the pathway:

• focus on roles with clinical responsibilities not medicines management responsibilities

• offer patient facing and person centred consultations• primary focus on clinical decision makers and prescribers working

face to face with patients across a range of long term conditions

• improve access to primary care, support people to manage their own health, medicines and long terms conditions

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

• sufficient flexibility to allow recruitment from a range of roles, grades and sectors

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Principles for the pathway

Learning needs will be:• assessed at the start of the programme • met flexibly, taking into account prior experience

and learning• delivered through a combination of work-place

learning and assessment, distance learning, national and local study days

• supported locally with education supervisors with mentoring, peer learning and clinical supervisors.

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Process for developmentHEE/CPPE completed the following scoping work to inform proposals:• Detailed discussions with NHSE and HEE via their partner group

and stakeholders about the role• national survey of pharmacists already working in general practice

to identify roles, responsibilities and learning and development undertaken

• focus group with a sample of pharmacists to understand the learning and development needs of a cohort of new recruits filling GP pharmacist posts Pathway with

delivery plan

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Pathway themes

1. Fundamentals of general practice

2. Prescribing

3. Clinical assessment, examination and monitoring

4. Communication

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

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GP Pharmacist Training PathwayNew to

GP practice

Work in GP

practice

Learn

Local support

Mentoring PortfolioLearning sets Site visitsShadowing E-Support

Assess

Boot camp

Learn

Learn

Learn

Learn

NMP

Assess

Assess

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Assessment and evaluation stage 1

Proposed:• MBTI® questionnaire • CPPE assessment - consultation

skills for pharmacy• CPPE assessment - safeguarding• Leadership questionnaire• Clinical pharmacy

Purpose: benchmarking and informing pathway learning

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Boot campDay Daytime Evening

Day 1 1pm Welcome, overview, MBTi feedback

PDP development

Day 2 Leadership Medical examination techniques

Day 3 Therapeutics, EBM, Polypharmacy

IT skills

Day 4 Consultation and communication skills

Next stepsFinish at 4pm

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Local support

• Education supervisors - CPPE tutors• Pathway tracking

• Feedback, support and mentoring

• Delivering boot camps, study days, assessment

• Small group learning

• Clinical supervisors• Clinical supervision from practising pharmacists

• GP line manager• Role development & integration in the workplace, feedback incl 360

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Trainee Support

Trainee

CPPE education supervisor

Clinical supervisor

GP line manager

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Local study groups

• Webinar or face-to-face depending on geographically initially

• Use learning@lunch / primary care CPPE materials / self generated materials / share best practice

• Develop new materials

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Study days - Possible topics – Not confirmed

• Diabetes• Cardiovascular• Respiratory• Advanced clinical assessment• Other clinical topics such as

antibiotics/renal• Care homes and older people• Complex long term conditions,

working with the MDT team and care pathways

• Mental health• Resilience and leadership• Education skills and

mentoring • Medicines safety (UKMi)• Governance, safeguarding, • Professionalism• Francis• NHS values• Change• Showcase sharing

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Assessment stages – links to RPS Faculty

Assessment stage 2 - 360° colleague feedback and other feedback from work colleagues (baseline), feedback from education supervisor

Assessment stage 3 (multiple parts) – Use RPS Faculty assessments, repeat 360 feedback, clinical assessment/OSCE

Assessment stage 4 – RPS Faculty application mapped to advanced stage 2

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Next steps

• Agree pathway, processes and learning – with HEE

• Reference Group to meet

• Work with stakeholders on multiple work streams

• Pilot boot camp in November

• Train the team !

• Make some strategic appointments and secondments

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SummaryNew to

GP practice

Work in GP

practice

Learn

Local support

Mentoring PortfolioLearning sets Site visitsShadowing E-Support

Assess

Boot camp

Learn

Learn

Learn

Learn

NMP

Assess

Assess