Demonstrating competence and using the framework in …

1 Demonstrating competence and using the framework in practiceClaire Callaghan, Programme Lead, Non-Medical PrescribingUniversity of CumbriaSession , :accessingeducation,trainingandresources Purpose of the framework (RPS, 2016)Atoolto: facilitategoodprescribingpracticebyallhe althcareprofessionalswhocanprescribe tohelpensurethatpatientsreceivethesamehi ghqualityofcareirrespectiveoftheprofessi onalbackgroundoftheprescriberPatient-cen tred prescribing (RPS, 2016) governanceTen competency dimensionsThe ConsultationPrescribing Governance1.

2 Assess the patient7. Prescribe safely2. Consider the options8. Prescribe professionally3. Reach a shared decision9. Improve prescribing4. Prescribe10. Prescribe as part of a team and system5. Provide information6. Monitor and reviewScope of the framework (RPS, 2016) agenericframeworkforanyprescriber(indepe ndentorsupplementary)regardlessoftheirpr ofessionalbackground mustbecontextualisedtoreflectdifferentar easofpracticeandlevelsofexpertise appliesequallytoindependentprescribersan dtosupplementaryprescribersbutthelatters houldcontextualisetheframeworktoreflectt hestructuresimposedbyenteringintoasupple mentaryprescribingrelationshipUses of the framework (RPS, 2016)

3 , providestheopportunitytobringprofessions togetherandharmoniseeducationforprescrib ers usedbyanyprescriberatanypointintheircare ertounderpinprofessionalresponsibilityfo rprescribing usedbyregulators,educationproviders,prof essionalorganisationsandspecialistgroups toinformstandards,thedevelopmentofeducat ion,andtoinformguidanceandadviceUses of the framework (RPS, 2016) preparation to prescribe: curriculum development , outcomes and assessmentosupportcontinuingprofessional development (CPD) of the framework -statutory regulatory.

4 Standards approvednewStandardsforprescribingprogra mmes approvedadoptionoftheRoyalPharmaceutical Society sCompetencyFrameworkforallPrescribersass tandardsofcompetencyforprescribingpracti ce effectivefrom28 January2019 atthatpointtheprescribingpracticestandar dsandguidancecontainedwithin,andanycircu larsunderpinningthemwerewithdrawn fromthatdate,theRPScompetencyframeworkto beusedasNMCcoreguidanceonprescribingprac tice Intentiontoworkalongsidekeystakeholderpa rtnerorganisationstodevelopinter-profess ionalguidanceonkeyareasofprescribingprac ticerelevanttoallprescribingprofessional s( )NMC: standards for prescribing programmes (1) commitmenttointer-professionallearning emphasisonadoptinginterdisciplinaryappro achestoprescribingproficiency forallcategoriesofprescriberNMC.

5 Standards for prescribing programmes (2) prescribingprogrammesmustdeliveroutcomes whichmeetthecompetencyframework prescribingprogrammestobedesignedtofully deliverthecompetenciessetoutintheRPSAC ompetencyFrameworkforallPrescribers,asne cessaryforsafeandeffectiveprescribingpra ctice statethelearningandteachingstrategiestha twillbeusedtosupportachievementofthoseco mpetencies competenciesmaintainedthereafterthrougho utsubsequentprescribingpracticeNMC (2018): The Code 'shealthandaresatisfiedthatthemedicineso rtreatmentservethatperson shealthneeds makesurethatthecareortreatmentyouadviseo n, (wherepossible)

6 Over-the-countermedicines whereverpossible,avoidprescribingforyour selforforanyonewithwhomyouhaveaclosepers onalrelationship nursesandmidwiveswhohavesuccessfullycomp letedafurtherqualificationinprescribinga ndrecordeditonourregisteraretheonlypeopl eonourregisterthatcanprescribeHCPC Standards -practice theHCPC hasadopted ACompetencyFrameworkforallPrescribers (theFramework)asitsstandardsforallprescr ibers wheretheFrameworkusestheterm patient ,theHCPC willusetheterm serviceuser tocarryoutourprocessesandfunctions thecompetenciesdetailedintheFrameworkset outtheknowledge,understandingandskillsth ataregistrantmusthavewhentheycompletethe irprescribingtrainingandwhichtheymustcon tinuetomeetonceinpracticeHCPC Standards -education learningoutcomesmustensurethatlearnersme etthestandardssetoutintheCompetencyFrame workforallPrescribers,asappropriatetothe prescribingmechanism(s)

7 Deliveredbytheprogramme structure,durationandrangeofpractice-bas edlearningmustsupporttheachievementofthe learningoutcomesandthestandardssetoutint heSingleCompetencyFrameworkforallPrescri bers,asappropriatetotheprescribingmechan ismdelivered assessmentstrategyanddesignmustensuretha tthosewhosuccessfullycompletetheprogramm emeetthestandardssetoutintheCompetencyFr ameworkforallPrescribers,asappropriateto theprescribingmechanismdeliveredUses of the framework -education of ,forexamplethroughvalidationofeducationa lsessions(includingrationaleforneed).

8 In education asindividualprogrammeleadsandasacollabor ativegroup,wehaveusedtheframeworktoinfor mNMPstudentsintheirprofessionaldevelopme ntplanningduringthecourseandbeyond weadoptaconsistentapproachacrossprogramm esandtheframeworkhasformedthebasisofourp racticeassessmentdocumentation nurses,pharmacistsandAHPsundertakingNMPp rogrammesarefamiliarwiththeframeworkprio rtoqualification theframeworkisalsousedtoinformarangeofse ssionswithinprogrammesandtounderpinprogr ammedevelopment(North West Non Medical Prescribing Education Group)Uses of the framework -individual , ,appraisalandasawayofstructuringfeedback fromcolleaguesExamples.

9 Individual prescribers personally,Iintendtousetheframeworktoevi dencehowIhavestayeduptodateasaprescriber aspartoftheNursingandMidwiferyCouncilrev alidationprocess(NMP Lead) (Health Visitor)Uses of the framework -organisational ,forexample, ,forexample,localclinicalgovernanceframe worksExamples: organisations usedtounderpintheoutlinecurriculumframew orksforsupplementaryandindependentprescr ibingtobeusedbyradiographers(The Society and College of Radiographers) includedwithintheorganisation' sappraisalsandsupervision(Northumberland Tyne and Wear NHS Foundation Trust) tosupportNMPswhentheyhavebeenputunderpre ssuretoprescribemedicinesorforconditions theyaren' (NMP Prescribing Lead) using the framework to identify strengths and development (1)

10 Reflect on a recent prescribing consultationConsider each of the framework competencies one at a timeWhat are the key areas to develop and enhance to improve your prescribing? using the framework to identify strengths and development (2)Select a competency dimension or statements Reflect on recent prescribing consultationsWhat are the key areas to develop and enhance to improve your prescribing? History-taking, clinical assessment and diagnosis skills to prescribe appropriately and effectivelyAssessment of the patient: Competencies on recent prescribing or consider the patient presentations for which new skills are the key areas to develop and enhance to improve your prescribing?