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

2. 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

3. 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

4. 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

5. 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
transforming care, improving outcomes
urgent action over over-medication, review communication improvement needed

6. 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.

7. 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
Mentoring Portfolio
Learning sets Site visits
Shadowing E-Support

8. 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

9. 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

10. The Team

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

12. 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

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

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

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

16. 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

17. 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

18. 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:

19. 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 s 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

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

21. 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