Advanced practice and specialisation – the uk perspective Kate Fletcher BPharm(Hons) PGDipPharmPrac MRPharmS RPh(UK) AMMPS FHEA Lecturer in Pharmacy, University of Reading Malaysia

Introduction UK pharmacist education and regulation hospital pharmacist career progression advanced practice and specialisation

education leave school at 18 with university-entry level qualifications (A-levels) chemistry + biology/mathematics/physics/other undergraduate MPharm, 4 years 1 year pre-registration training competencies + registration assessment (see www.pharmacyregulation.org register as a pharmacist

regulation General Pharmaceutical Council (GPhC) regulates the profession – educational standards and accreditation controls the registers Royal Pharmaceutical Society (RPS) is professional and representative body – support training encourages collaboration

hospital career progression start as Band 6 rotational pharmacist (training post, foundation years) rotations e.g. dispensary, clinical, medicines information, aseptic production progress monitored against the Foundation Pharmacy Framework (FPF) http://www.rpharms.com/development/foundation-practice.asp start post-graduate diploma (2-3 years, part-time, experiential and formal learning, general clinical pharmacy)

the next steps… complete diploma ?progress to Master’s? Band 7 – training post but more responsibility, independence, beginning of specialisation experiential learning CPD!

and then… ~ 5 years qualified – Band 8a specialised – clinical, medicines information, production, management manage team budget reporting formulary reviews training progress to 8b, 8c etc. CPD!

advanced practice defined by: (NHS London Pharmacy Education & Training) managing complex situations and patients more experienced more knowledgeable more skilled (e.g. analysis & evaluation, judgement, decision making) higher levels of responsibility and accountability challenge effectively independent additional responsibilities e.g. pharmacist prescriber specialisation and narrowing of scope e.g. Specialist Renal Pharmacist

advanced practice framework 2013 - RPS developed the Advanced Practice Framework (APF) http://www.rpharms.com/faculty-resources/advanced-pharmacy-framework.asp follows on from FPF identify and recognise stage of practice of individual applicable to experienced pharmacists in all sectors supportive framework to facilitate development

the apf clusters expert professional practice (EPP) collaborative working relationships (CWR) leadership (L) management (M) education, training and development (ET&D) research and evaluation (R&E) 34 competencies across these clusters with 3 stages: Advanced Stage I – beyond foundation years, starting to specialise Advanced Stage II – expert in area of practice, leader Mastery – Consultant (NHS); national/international leader

summary emphasis on experiential learning - learning by doing led by the individual – CPD cycle supported by department flexible

Thank you for listening.