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Educational solutions for the NHS pharmacy workforce
Consultation skills for pharmacy practice
Where did it start ?Why’s it important ?
Educational solutions for the NHS pharmacy workforce
@CSfPP
Educational solutions for the NHS pharmacy workforce
Consultation skills in pharmacy practice working group
Selection of professionals from across the pharmacy sectors
Mix of roles, experiences and seniority
General practitioner as part of the group
Met few times since June 2013
Remain a virtual group
Educational solutions for the NHS pharmacy workforce
Why, context and policy
The future is ‘patient facing’
The focus is on patient centred care
Policy: Part of the care pathway, accountable, decision making and accepts follow up
Many pharmacy professionals haven't been trained at any stage of their career development
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Educational solutions for the NHS pharmacy workforce
MPC proposals for developing post-registration career development
In 2012, HEE issued MPC proposals to help strengthen and develop the careers of post-registration pharmacists and pharmacy technicians
The proposals identified the need for a programme of work in several areas including:
Developing the workforce to deliver medicines optimisation and enhancing the skills of the pharmacy team in the delivery of public health interventions
Educational solutions for the NHS pharmacy workforce
Key principles / assumptions
Applies to all patient facing pharmacy professionals in practice and will be expected from everyone (but recognise that for some additional competence will need developing)
Focuses on post-registration career development - assumption that undergraduate/initial pharmacist training will also change
Expectation that future changes to practice will enable pharmacy professionals the time required to effectively carry out consultations
Educational solutions for the NHS pharmacy workforce
Challenges with supporting pharmacy
62,000 pharmacy professionals
Money and time are limited
There was no consensus position to what is ‘good’
Different sectors have different practice
Different skills sets (and mind sets)
Perceptions of ‘I’m good at this, so why change….!’
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Educational solutions for the NHS pharmacy workforce
Consultation skills for pharmacy practice
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Cross organisation project
Wide range of skill set throughout the profession
Phase 1 launched 18th March 2014
Educational solutions for the NHS pharmacy workforce
Pathway to excellence
Educational solutions for the NHS pharmacy workforce
The challenge to the profession…..
You can improve !!!!
Confront your perceptions
Help others
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Educational solutions for the NHS pharmacy workforce
What is a consultation?
‘A meeting to discuss something or get advice with the goal of discovering the best course of action to take’
Medicines reconciliation/medicines optimisation
Handing out discharge medicines/prescriptions
OTC requests
Public health discussions (weight management, smoking cessation)
Every time you speak with a patient you have the opportunity to make a difference
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Educational solutions for the NHS pharmacy workforce
Some perceptions…..
I’m naturally good at this, I talk to patients every day
This isn’t something I can learn, the patient has to live with my personality
Once I’ve been trained, that’s it. I can’t get any better…I am what I am!
A ‘good’ consultation is about being nice, professional, structured and making sure the patient knows what to do & more educated at the end
OTC encounters are not consultations
My team and colleagues performance is up to them, I’ll help if I can
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Educational solutions for the NHS pharmacy workforce
Challenge …..what is your current practice?
Your current practice??? ‘My role is to give advice…….I
sometimes don’t have enough time to tell them everything I know about their medicine’
‘I like to give advice, after all I am the expert’
‘My priority is getting this patient to take their medicine’
‘What do I want to achieve from this consultation?’
Patient-centred
What does the patient already know or would like to know?
Pharmacy professional and patient are equal experts
Holistic view of patient- social psychological + co-morbidities
Negotiate a shared agenda with the patient 12
Educational solutions for the NHS pharmacy workforce
Challenge …..what is your current practice?
Your current practice??? ‘I do most of the talking
….that’s how it should be!’
‘I make the decisions and recommendations in the consultations so the patient knows they will get the best outcome if they follow them’
Patient-centred
Listen to the patient to get their perspective…..what are their beliefs, concerns and expectations?
Shared decision making and offering options to encourage ownership and responsibility
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Educational solutions for the NHS pharmacy workforce
Achieving the patient-centred approach
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Educational solutions for the NHS pharmacy workforce
Achieving the patient-centred approach
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Educational solutions for the NHS pharmacy workforce
We need a step change for the
pharmacy professions !!
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Educational solutions for the NHS pharmacy workforce
www.consultationskillsforpharmacy.com
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Six step model developed..launched
Educational solutions for the NHS pharmacy workforce
Consultation skills for pharmacy practice
What’s it all about ?
Educational solutions for the NHS pharmacy workforce
Educational solutions for the NHS pharmacy workforce
www.consultationskillsforpharmacy.com
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Six step model developed
Educational solutions for the NHS pharmacy workforce
Much more than six steps: a range of learning, tools, resources and signposting
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Online learning, forms, videos, hints and tips, employers information, trainers support, social media
This will evolve and be added too
Educational solutions for the NHS pharmacy workforce
Six step model to improvement
Why?
What standard?
Where am I?
How do I improve?
Check my learning?
Ongoing improvement?
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Educational solutions for the NHS pharmacy workforce
1. Why are consultation skills important?
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Pharmacy profession is integrated into the NHS and committed to patient-centred care
Educational solutions for the NHS pharmacy workforce
2. How do I know what standard is expected of me?
The national practice standards for pharmacy professionals
Provide a framework of standards expected of you as a pharmacy professional
Outline the key knowledge, skills and behaviours in detail
How will you work towards the standards?
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Educational solutions for the NHS pharmacy workforce
3. How do I know how effective my consultation skills are now?
We’ve developed or used tools to help you…..
Reflective tool (MRCF)
Patient feedback questionnaires
Peer review
Video critique
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Educational solutions for the NHS pharmacy workforce
4. How do I improve my performance?
Learning resources suggested…
CPPE Distance learning programme
CPPE E-learning programme
CPPE Video wall of consultations
CPPE Face-to-face learning option
….…signpost to lots of other providers
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Educational solutions for the NHS pharmacy workforce
5. How can I check my learning and development?
Assessment hosted on CPPE website
Aim: to assess your identification of key skills and behaviours and identify good practice versus practice which could be improved. Four sections:
1.Multiple choice questions
2.Identify the key skills demonstrated
3.Rate the practice demonstrated
4.Identify the key skills demonstrated and rate those present
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Educational solutions for the NHS pharmacy workforce
Front page of the assessment
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Educational solutions for the NHS pharmacy workforce
Section 1 of the assessment
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Educational solutions for the NHS pharmacy workforce
Section 2 of the assessment
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Educational solutions for the NHS pharmacy workforce
How do I continue to develop my performance?
At this stage of the learning pathway we suggest options for you to regularly reassess your performance and identify opportunities to further improve your approach to consultations
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Educational solutions for the NHS pharmacy workforce
Six step model to improvement
Why?
What standard?
Where am I?
How do I improve?
Check my learning?
Ongoing improvement?
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Educational solutions for the NHS pharmacy workforce
Questions or comments?
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Educational solutions for the NHS pharmacy workforce
Call to action to improve
All pharmacy professionals need to reflect and consider their performance
If you are patient facing, then work through the Six Steps
Revisit the Medication-related consultation framework in consultations
Work through the learning and look for others
Try observing colleagues and other healthcare professionals in practice
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Educational solutions for the NHS pharmacy workforce
Tell everyone……
Commence the marketing to both professions
Employers, educators and providers
Local and national level for organisations and overseas (!)
We need to ‘link, link link’….NHS England, Public health, GPhC, RPS, APTUK, HEIs, BPSA, etc
‘Consultation skills champions’
Keep on the agenda for next few years…till ‘normal’
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Educational solutions for the NHS pharmacy workforce
Six step model to improvement
Why?
What standard?
Where am I?
How do I improve?
Check my learning?
Ongoing improvement?
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Educational solutions for the NHS pharmacy workforce
www.consultationskillsforpharmacy.com
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Thank you !
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