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Higher Level Practitioner Development: A Way Forward in the South East. BOPA Symposium 2007 Michael Powell Lead Pharmacist Mount Vernon Cancer Network. Aims. To outline the function of the Joint Programme Board

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Higher level practitioner development a way forward in the south east

Higher Level Practitioner Development: A Way Forward in the South East

BOPA Symposium 2007

Michael Powell

Lead Pharmacist

Mount Vernon Cancer Network


Higher level practitioner development a way forward in the south east
Aims South East

  • To outline the function of the Joint Programme Board

  • To describe the pharmacy practitioner development strategy as it relates to higher level practice

  • To describe current and likely future developments in higher level practice in the South East. How might these be relevant to oncology pharmacy practice?


Why reform post registration education
Why reform post-registration education? South East

  • No systematic provision of post grad education for pharmacy practitioners.

  • Level of current provision evolved in somewhat haphazard way from the need for a level of clinical pharmacist skills and knowledge not catered for by undergrad/pre-reg curricula


Why reform post registration education1
Why reform post-registration education? South East

  • Foster Report (July 2006):

    • Re-emphasises the need for competence linked with performance assessment

    • Emphasises the need for re-validation:

      • Ongoing evaluation of an individual’s fitness to practice

      • Must be both formative and summative

        Department of Health. The regulation of the non-medical healthcare professions. A review by the Department of Health. July 2006.


The joint programme board jpb

The Joint Programme Board (JPB): South East

Membership and Function


What is the jpb
What is the JPB? South East

Collaboration

NHS

Specialist Services

Specialist groups

Senior Managers

Service Perspective

Educational Quality

Academia (SOPs)

Brighton

KCL

Medway

Portsmouth

London

UEA


Key jpb responsibilities
Key JPB Responsibilities South East

  • Develop uniform & coherent curricula for general and advanced practice

  • Develop tutor training courses to support work-based learning

  • Design reliable, fair & appropriate assessments

  • Undertake the accreditation of training centres

  • Build systems for on-going QA of E&T systems

  • Assign academic credits to programmes as appropriate

  • Issue statements of completion of training at general & advanced levels.


To date generalist training band 6 3 years
To Date – Generalist Training Band 6 (3 years) South East

  • PG Diploma in General Pharmacy Practice (MI, Technical, Patient & Clinical Services plus “tasters” of specialist areas)

  • Validated by 5 of the JPB HEI’s

  • Statement of completion of general training

  • Currently 200 practitioners/students across the south-east


Jpb as a supportive infrastructure
JPB as a supportive infrastructure South East

The NHS

SPMs,

Training Centres,

Specialist Pharmacy

Services

HEIs

Post-Registration

Pharmacy

Joint Programmes Board

Training

Centres

(Gen + Specialist)

Directors Pharmacy

Education

(Trust/Pan-Trust

Roles)

The NHS

Pharmacy

SIGs

?


Developing the infrastructure key principles
Developing the infrastructure – key principles South East

  • Work-based learning

  • Resources practice tutors

  • Assesses competence and performance

  • Systems for dealing with poor performance

  • Standardises approaches across specialties


Higher level practitioner development a way forward in the south east

Training infrastructure support South East

Higher Level Practice System

PG enabling programmes

Research Degree

General Diploma

Masters Adv Practice

Higher Level Development Phase 2

Higher Level Development Phase 1

General Level Development Phase

Consultant Practitioner

Undergraduate & Pre-registration Phases

Advanced Practitioner

General Level Practitioner

General Level Framework

Higher Level Framework: Advanced & Consultant


Higher level practitioner development a way forward in the south east

JPB South East

(Regional e.g. South East England)

Training Centres

•Single Trusts or collaboratives – across health sectors

•Accredited to deliver training at Generalist, Higher Level or both

•Internal QA systems

•Manage tutee experiences


Higher level practice

Higher Level Practice South East

The Career Pathway


Practitioner development strategy
Practitioner Development Strategy South East

  • Imperative to recognise formally that there are different levels of practice:

    • complex & diverse nature of pharmacist roles

    • Clinical governance

    • Impact of AfC

      D Webb et al. Hosp Pharm Mar 2004; 11: 104-109


Practitioner development strategy1
Practitioner Development Strategy South East

  • Different levels of practice must capture:

    • Clinical pharmacy specialisation (e.g. oncology)

    • Expertise in other disciplines (e.g. MI, tech services)

  • Should be sector independent:

    • Should encompass pharmacy practitioners within 1°/2° care and community pharmacy

      D Webb et al. Hosp Pharm Mar 2004; 11: 104-109


Jpb higher level practice
JPB & Higher Level Practice South East

  • Focus now on developing strategy for higher level practitioner development

  • Scoping meetings held in London in January and May 2007

  • Key themes:

    • Consistency

    • Overcoming silo mentality

    • Identifying barriers

    • Overcoming barriers

    • System of representation

    • Collaborations with HEIs

    • Time frames

    • Duality of award

    • Titles


Higher level practitioner development a way forward in the south east

Practitioner development strategy: Alignment with AfC South East

Band 8 b-d

(3 yrs)

Band 7 – 8a

(3-5yrs)

Higher Level Development Phase 2

Band 6

(3yrs)

Higher Level Development Phase 1

General Level Development Phase

Consultant Practitioner

Undergraduate & Pre-registration Phases

Advanced Practitioner

General Level Practitioner

General Level Framework

Higher Level Framework: Advanced & Consultant


Higher level practice1

Higher Level Practice South East

Using the ACLF as the backbone


Advanced consultant level framework aclf
Advanced & Consultant Level Framework (ACLF) South East

  • 34 competencies in 6 clusters:

    • Expert professional practice (EPP)

    • Building working relationships (BR)

    • Leadership (L)

    • Management (M)

    • Education, training & development (ETD)

    • Research & evaluation (RE)

  • Each competency has 3 levels of attainment: Foundation, excellence & mastery

  • In England, describes the competency profiles expected of applicants for consultant pharmacist posts


Competency profiles

Consultant profile South East

EPP, BR and L at Mastery

M, ETD and RE at Excellence

Advanced profile

5 clusters at Excellence

RE at Foundation

PhwSI profile

4 clusters at Excellence

2 clusters ETD, RE optional

Competency Profiles


Jpb some key facts
JPB – some key facts South East

  • JPB does not influence Specialist Group alliances or relationships

  • JPB is a system for discharging the curriculum – which belongs to the specialist group

  • JPB is an inclusive system – engages all SGs and all HEIs – promotes local relationships rather than aligning with one HEI.

  • Research commitment to final aspect (8b-d) requires local HEI engagement

  • Encourages all SGs to collaborate to standardise the output across specialities

  • JPBs must maintain a geographical relationship which builds on existing and historical networks.


Accreditation
Accreditation South East

  • Clear recognition that JPB should work with specialist groups such as BOPA to:

    • Design the curricula for general & advanced level practice

    • Design appropriate assessment methods to meet the learning outcomes associated with general & advanced practice

      • Assessment of portfolio of evidence

      • Viva


Latest developments with the jpb

Latest Developments with the JPB South East

Dr Catherine Duggan

Associate Director of Clinical Pharmacy for Evaluation and Development &Senior Clinical LecturerLondon, Eastern and South East NHS and School of Pharmacy,University of London


Further reading
Further reading South East

  • Key literature on practitioner development:

    • Davies et al. Hosp Pharm Jan 04; 11: 2

    • Webb et al. Hosp Pharm Mar 04; 11: 104-109

    • Bates et al. Pharm J Mar 04; 272: 283

  • Websites for further info:

    • JPB: www.postgraduatepharmacy.org

    • CoDEG: www.codeg.org