Continuing Professional Development for prescribing Karen Ford, February 2010

Why do we need specific CPD for prescribers? Trust assurance and safety (DOH 2007) Public Confidence Professional Credibility Patient Safety NMC competency Confidence to Prescribe Clinical Governance and Audit Karen Ford, February 2010

What is competency? What qualities delineate being a competent prescriber for you? Karen Ford, February 2010

NPC 2006 definition A competency is a quality or characteristic of a person which is related to effective or superior performance. Competencies can be described as a combination of knowledge, skills, motives and personal traits. Competencies help individuals (and their managers) look at how they do their jobs. Karen Ford, February 2010

What the non-medical prescribers say they want Latter et al’s (2006)Survey: 66% receiving support/supervision 95% undertaking self-directed activity 50% have formal professional development opportunities But 50% said they need CPD that is ongoing 84% identified Pharmacology as their main concern 40% identified skill areas in practice not provided by undertakig the prescribing course alone e.g. advanced clinical skills; pharmacology & physical assessment skills Karen Ford, February 2010

Oxford experience Waite & Keenan 2010 prescribers bring in case studies and a pharmacist is invited to group covers: Pharmacology Updates on anything new/changed Also group discuss updating NMC portfolio for prescribing Competency maintained by peer review Karen Ford, February 2010

Whose responsibility is it? Individual - NMC PREP Trust/employer (DOH 2004) Employers responsibility – access to CPD through staff appraisal (NMC 2006) Organisations must provide CPD for non-medical prescribers (DOH 2006) Karen Ford, February 2010

What form should this CPD take? Compulsory or voluntary? Frequency? Location? Formal or informal? Rolling agenda? Annual numeracy test? Portfolio that manger reviews? Write a certain amount of prescriptions per year? On line resources – Waite & Keenan 2010 Karen Ford, February 2010

Resources available NPC competency workshops NPC website Connecting prescribers newsletter alerts Short updates Support groups for nurse, AHP and pharmacist prescribers Reflection Audit/PACT data Blogs MDT meetings Medics BNF,NICE,CKS, SIGN, NSF’s Courses & conferences Critical incident analysis Self Assessment via a diary Karen Ford, February 2010

Resources available Specialist groups e.g. dermatology Clinic visits Appraisal CD roms ANP & journal DOH – non-medical prescribers section Being Observed Practice Review In-house training Mentoring Protected time Journals e.g. Nurse Prescribing NMC 2008 Guidance for CPD for Nurse and Midwife prescribers 360 O Appraisal (Hobden 2007) Karen Ford, February 2010

Key Documents Available from National Prescribing Centre For Nurses NPC (2001) Maintaining competency in prescribing. An outline framework to help nurse prescribers 1 st edition November NPC For Pharmacists NPC (2006) Maintaining Competency in Prescribing An outline framework to help pharmacist prescribers 2nd edition October. For Allied Health Professionals NPC (2004) Maintaining Competence in Prescribing. An outline framework to help Allied Health Professional Supplementary Prescribers 1st edition July Karen Ford, February 2010

Conflicts as a prescriber Inter-professional Lack of support Showing you are credible Limited CPD budgets Lack of own confidence Poor access to resources e.g. Athens account/Library resources Poor quality data Access to a computer Communication barriers between primary and secondary care Systems not in place e.g. electronic prescriptions Karen Ford, February 2010

References DOH (2007) DOH (2006) DOH (2004) Hobden (2007) Latter et al (2006) NMC (2006) Waite & Keenan (2010) Karen Ford, February 2010

Further reading Bramley I (2006) Continuing Professional Development: what is it and how do I get it? Nurse Prescribing 4 (3) pp Hobden A (2007) Continuing Professional Development for nurse prescribers Nurse Prescribing 5 (4) pp Ford K & Otway C (2008) Health visitor prescribing: the need for CPD Nurse Prescribing 6 (9) pp Karen Ford, February 2010

Additional Reading Latter S. MabenJ. Myall M & Young A.(2007) Evaluating Nurse Prescribers’ education and continuing professional development for independent prescribing practice: Findings from a national survey in England Nurse Education Today 27 pp Waite M & Keenan J (2010) CPD for Non- Medical Prescribers A Practical Guide Wiley Radcliffe: West Sussex Karen Ford, February 2010

This work was produced as part of the TIGER project and funded by JISC and the HEA in For further information see: This work by TIGER Project is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. Based on a work at tiger.library.dmu.ac.uk.tiger.library.dmu.ac.uk The TIGER project has sought to ensure content of the materials comply with a CC BY NC SA licence. Some material links to third party sites and may use a different licence, please check before using. The TIGER project nor any of its partners endorse these sites and cannot be held responsible for their content. Any logos or trademarks in the resource are exclusive property of their owners and their appearance is not an endorsement by the TIGER project. Karen Ford, February 2010