General practice pharmacist training pathway Prof Chris Cutts, Director, CPPE

Principles Approaches HEE asked CPPE to devise a pathway for training the new wave of GP based Pharmacists, in consultation with a range of stakeholders Principles Approaches Sets that HEE requested CPPE to lead the education

GPPTP is an ‘elephant’ Quality New Team Funding Leadership Learning not teaching, new programmes, new methods and new topics Personal responsibility Challenge learners of mixed ability Site variability and contact Complex delivery Personalisation Quality New Team Funding Leadership

Principles The learning outcomes will prepare pharmacists to: offer patient facing and person centred consultations work within a multidisciplinary general practice team, offering medication review for people with multimorbidities taking multiple medications focus on high priority, common and 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. The clear principles CPPE has worked with to support these NEW roles in GP practice

Outcomes - national priorities HEE will ensure that the pathway covers national priorities: antimicrobial resistance (AMR) mental health medicines use in people with learning disability improved consultation skills by pharmacists long term conditions management improved patient access to general practice develop and strengthen links with community pharmacy. These are key priorities for posts and learning http://www.england.nhs.uk/ourwork/patientsafety/amr/ http://www.england.nhs.uk/ourwork/qual-clin-lead/ld/ transforming care, improving outcomes https://www.england.nhs.uk/2015/07/14/urgent-pledge/ urgent action over over-medication, review communication improvement needed

GP clinical pharmacist pathway themes Fundamentals of general practice Prescribing Clinical assessment, examination and monitoring Consultation and communication skills Long term condition management specialties Common ailments management Medicines optimisation, multimorbidity and polypharmacy Evidence based medicine and safety Leadership and management This is a summary list of the contents of the pathway – this was generated by a focus group and wide consultation.

GP pharmacist training pathway New to GP practice Assess Assess Assess residential Intro NMP Learn Learn Learn Learn Learn Work in GP practice Local support See www.cppe.ac.uk/gpptp Mentoring Portfolio Learning sets Site visits Shadowing E-Support

Induction Residential Day 1 Day 2 Day 3 Day 4 Arrival and networking HEE/NHSE welcome Personal focus – Myers Briggs & resilience PDP Speaker – GP pharmacist Core skills in practice Consultation skills Consultation skills role play History taking Clinical assessment skills GP clinical tutor support Speaker Core skills Personal Develop Planning Summary and next steps

Trainee Support CPPE education supervisor Clinical GP Clinical supervisor Clinical Mentor Trainee Support Education supervisors – (CPPE tutors) Pathway tracking Feedback, support and mentoring Delivering residential study, study days, assessment Small group learning Clinical mentors Clinical supervision from local practising pharmacists GP Clinical supervisors Role development & integration in the workplace, feedback incl 360

The Team

GPPTP management team National lead - Ceinwen Mannall Deputy leads Helen Middleton (London & South East) Emma Wright (South) Sharon Steel (Midlands) Jane Brown (North)

Education supervisors - North Cath McClelland, North East Shannon Nickson, Yorkshire & Humber Deborah Howard, Greater Manchester (South) Sarah Gough, Greater Manchester (North) Alison Butt, Cheshire & Mersey

Education supervisors - Midlands Clare Daly, East of England Afshan Ghaffar, West midlands Nuala Hampson, North Midlands Nick Butler, West Midlands (Droitwich Spa)

Education supervisors – London & South East Sneha Varia, North London Khateja Malik, South London Yinka Kuye, North London Neelam Sharma, South East: Kent Surrey & Sussex

Education supervisors - South Cate Dawes, South West Claire Hough, Wessex Jacqueline Criper, Bristol & Wiltshire Nick Butler, Bristol & Gloucestershire

Study days - principles Mixture of approaches: face to face, webinar, national and regional Delivered in collaboration with other providers Learning will be directed by personal development planning and will be flexible Local links to GP programme directors, local HEIs and Local Education and Training Boards Senior clinical pharmacist study days

Study days – Autumn 2016 NICE MPC study days Clinical assessment skills – 2 day course (non residential) Keele University - Evidence based medicines PCPA/UKPCA - Type 2 diabetes Care homes Senior clinical pharmacist study day Cardiovascular

Assessment Assessment and evaluation stage 1 Safeguarding children and vulnerable adults e-assessment Myers Briggs MBTI®, clinical pharmacy self assessment, Personal development planning & consultation skills Assessment stage 2 – consultation skills E-assessment, case based discussion, mini-cex, GP and patient reflection Assessment stage 3 –360 feedback, direct observation of practice: consultation skills & clinical skills, clinical MCQ/short answer Assessment stage 4 – RPS Faculty application Assessment and evaluation stage 1 Purpose benchmark and inform pathway learning:

What CPPE will promise Support you along the way Provide you a named education supervisor Create an environment of collegiality to allow you to make lasting working relationships Provide an stimulating 18 month programme of personal, local, regional and national learning Communicate about 'what's coming up' with you at least once per month Answer routine emails within 3 working days Enable you to speak to a senior CPPE colleague about emergencies within 24 hours (via CPPE Head Office) Check and challenge you  That we won’t spoon feed you

We can’t promise To have every answer Be experts in every area That we won’t change things (except the promises)

Summary Full steam ahead Visit www.cppe.ac.uk/gpptp Open access to resources Update your profile on CPPE website to gain the communications Questions to info@cppe.ac.uk