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

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

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 This slide provides an overview of the challenges facing healthcare delivery in the UK at the present time More important, the political agenda in health care is now about patient safety, and therefore….competency The wider application is that of sustained competence- to ensure consistent performance 3 3

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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

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 Novice /early career → foundation years Mid-career → Generalist, PhwSI, Advanced or Consultant or Manager, director, superintendent → revalidation “sector” independent The Practitioner Recognition of different levels of practice, ensuring the support and frameworks for professional development are all roles for the new PLB for pharmacy. We need to ensure that the frameworks and programmes and assessments and support is available to all practitioners across the entire country- supported by the PLB. What we mean by “curriculum” are the professional development curricula is detailed in slides below. 6 6

Advanced practice Post-Reg UG PreReg Consultant Pharmacist Director Higher levels of practice Director UG PreReg Post-Reg Consolidating foundation practice Advanced 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)

Do we know what we need to know / do / apply during our early years? Post registration “foundation” years Delivery of Patient Care Personal & transferable Problem Solving Organisation and Management Do we know what we need to know / do / apply during our early years? 8

to know / do / apply at “advanced” levels of practice? Attributes of a higher level practitioner? Expert Professional Practice Building working relationships Management Leadership Do we know what we need to know / do / apply at “advanced” levels of practice? Education and Development Research and Evaluation 9

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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

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)

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).  13

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. 14

Professional Leadership Body Inform & represent Specialist Curriculum curricula UG / PR Foundation Advanced Higher Professional Leadership Body Specialist group In partnership with the PLB Curriculum Development Group LPF function LPF function Novice /early career→ General Level Mid-career PhwSI, Advanced/ Cons Generalist revalidation All sectors The Practitioner Access to a Community of Practice This slide shows clearly that in this structure, SIGs can have, simultaneously, an autonomous existence as well as being affiliated (or in some cases hosted) by the NPB. Any SIG that can show specialist knowledge, a community of practice, and can provide accredited career development opportunities for practitioners ought to have an affiliated place with the NPB. 15

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

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 ? 17

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

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 Science Practice Evidence Policy 19

Experiences and “evidences” 3.0 Expert Practice Working relationships Leadership 2.5 Management E&T and Development 2.0 Research & Evaluation 1.5 Experiences and “evidences” Knowledge and skills Mean cluster score 1.0 0.5 0.0 Specialists in training Experienced practitioners Leading-edge practitioners Level 1- Level 2- Level 3- Current level of practice 20

Mean cluster score Expert Practice Working relationships Leadership 3.0 Expert Practice 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 Specialists in training Experienced practitioners Leading-edge practitioners Level 1- Level 2- Level 3- 21

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

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 of pharmacists contribute to the research agenda Evidence based Leadership ! 23

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

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