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The new Professional Leadership Body: supporting advanced and specialist practice

This article explores the importance of developing practice across all sectors, focusing on adaptability, flexibility, and demonstrability of pharmacy's benefit to patients, the public, and the profession. It discusses professional challenges such as patient safety, access to medicines, and cost-effectiveness, and highlights the need for recognized frameworks, education, and credentials to support professional development at all levels of practice.

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The new Professional Leadership Body: supporting advanced and specialist practice

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  1. The new Professional Leadership Body: supporting advanced and specialist practice Dr Catherine Duggan

  2. Three arguments for “developing practice” across all sectors (1) Adaptability: Changing healthcare environment Flexibility: Recognition that enables the development of a flexible and adaptable workforce Demonstrability: Demonstration of the benefit of pharmacy to health…the benefit of patients, the public and pharmacy

  3. Professional challenges? Patient safety Access to medicines Quality and Self-care Cost effectiveness Commissioning and delivery Outcomes rather than targets Changing demography Chronic diseases, complexity of therapy Long term disease management New technologies & models of delivery Transferability of services and treatment options Flexible workforce Fitness for purpose Transferability of knowledge and skills Levels of practice related to complexity of patient Consistent between sectors

  4. What do other Royal Colleges do? Professionals embark on Continuous Development of themselves professionally- aspirational, supportive and enabling Career paths (often as a single discipline- easier?) Clear signposted K&S (curricula) Clear signposted education and development (accredited) Clear processes of recognition (credentials) Science as foundation Science as enabler Science as future Leadership and advocacy

  5. Let’s start with the practitioner... Who wants to move on...towards specialism & expertise (or revalidation)… Who needs access to a practitioner development “programme”… Who wants “credentialing” as proof of competence (for self, patients, employers, commissioners)… Who wants rewards (£, career, satisfaction, Awards)… Who will be revalidated at some point… Recognised frameworks and support for professional development for all practitioners at all levels of practice The Practitioner Novice /early career → foundation years Mid-career → Generalist, PhwSI, Advanced or Consultant or Manager, director, superintendent →revalidation “sector” independent

  6. Consultant Pharmacist Director UG PreReg Post-Reg Consolidating foundation practice Advanced practice Higher levels of practice Manager Lead academic 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)

  7. Post registration “foundation” years Personal & transferable Delivery of Patient Care Problem Solving Organisation and Management Do we know what we need to know / do / apply during our early years?

  8. Attributes of a higher level practitioner? Building working relationships Expert Professional Practice Management Leadership Do we know what we need to know / do / apply at “advanced” levels of practice? Education and Development Research and Evaluation

  9. Three arguments for “developing practice” across all sectors (2- again!) Adaptability: Changing healthcare environment Flexibility: Recognition that enables the development of a flexible and adaptable workforce Demonstrability: Demonstration of the benefit of pharmacy to health…the benefit of patients, the public and pharmacy

  10. What professional development frameworks exist in practice? 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)

  11. Purpose of credentialing? A good system • Provides evidence that patient safety – in the context of pharmaceutical care - is being addressed.  2. Enhances the quality of pharmaceutical care: core competencies or key performance indicators, expected of a practitioner at a defined level of practice.  3. Will provide evidence of the performance characteristics for any practitioner at a defined level of practice (in any speciality within a profession). 

  12. Purpose of credentialing? A good system • will incentivise professional development (CPD) for practitioners for reasons of professional altruism rather than direct regulation. 5. will provide opportunities for continued advancement of practice and open up new practice and scientific development opportunities for professionals.  6. will encourage the formation of useful Communities of Practice and opportunities for enhanced and effective networking between peers.

  13. Professional Leadership Body Curriculum Development Group In partnership with the PLB Specialist Curriculum Specialist group curricula Specialist group LPF function curricula UG / PR Foundation Advanced Higher curricula curricula Inform & represent LPF function Specialist group The Practitioner Access to a Community of Practice Specialist group Novice /early career→ General Level Mid-career PhwSI, Advanced/ Cons Generalist revalidation All sectors

  14. Foundation Frameworks ACLF Consultant Pharmacist Director UG PreReg Post-Reg Consolidating foundation practice Advanced practice Higher levels of practice Manager Lead academic 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)

  15. Regulating advanced practice? Credentialing is not the same as professional regulation Credentialing is aspirational- Regulation is about minimum standards Who will decide on the “real life” and credible standards of practice ?

  16. Three arguments for “developing practice” across all sectors (3- once again!) Adaptability: Changing healthcare environment Flexibility: Recognition that enables the development of a flexible and adaptable workforce Demonstrability: Demonstration of the benefit of pharmacy to health…the benefit of patients, the public and pharmacy

  17. Science Evidence Practice • To develop a robust evidence base for the profession, its imperative: • we understand research principles • we undertake research from an early stage in career development to incorporate research into the day job • practitioners are involved in research to bridge the gap between research and practice • The RPS needs to ensure R&E is integral to CPE to ensure a core number of pharmacists contribute to the research agenda Policy

  18. Expert Practice 3.0 Working relationships Leadership 2.5 Management E&T and Development 2.0 Research & Evaluation 1.5 Knowledge and skills Experiences and “evidences” Mean cluster score 1.0 0.5 0.0 Experienced practitioners Leading-edge practitioners Specialists in training Level 1- Level 2- Level 3- Current level of practice

  19. Expert Practice 3.0 Working relationships Leadership 2.5 Management E&T and Development 2.0 Research & Evaluation 1.5 Mean cluster score 1.0 0.5 0.0 Experienced practitioners Leading-edge practitioners Specialists in training Level 1- Level 2- Level 3-

  20. Imperatives across all sectors Some challenges • Adaptability: Changing healthcare environment • Flexibility: Recognition that enables the development of a flexible and adaptable workforce • 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

  21. Summary Its imperative: • we understand research principles • we undertake research from an early stage in career development to incorporate research into the day job • practitioners are involved in research to bridge the gap between research and practice Make R&E part of CPD to ensure a core number ofpharmacists contribute to the research agenda Evidence based Leadership !

  22. What will the RPS do? Professionals embark on Continuous Professional Development- aspirational, supportive and enabling Career paths (often as a single discipline- easier?) Clear signposted K&S (curricula) Clear signposted education and development (accredited) Clear processes of recognition (credentials) Science as foundation Science as enabler Science as future Leadership and advocacy These are our plans….help us deliver

  23. The new Professional Leadership Body: supporting advanced and specialist practice Dr Catherine Duggan

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