1. Practice Based Assessments in Primary Care
Sneha Varia and Helen Middleton

2. Aim
To illustrate the use of Case based Discussions (CbD) for the assessment of clinical advanced practice of pharmacists in primary care or in a patient facing role
Reminder of the overall aim of the session

3. Sharing Our Experience
We are from CPPE and are responsible for delivering GPPTP
Practice based assessments are part of the pathway including CbD
We have experience of using CbD with 490 pharmacists on the pathway
CbD is also part of RPS Faculty assessment

4. Learning Objectives Define the meaning of a CbD
Explain the role of CbDs in RPS Faculty credentialing of advanced practice
Summarise the structure and process for a CbD
Describe the CbD advanced practice assessment criteria
List questions that could be asked during a CbD
State how to give developmental feedback to a peer to support their professional development

5. What is a CbD?
Discussion of an individual’s practice with a peer, colleague or tutor
Complex case, intervention, project or initiative
Can be used for many different situations e.g.
designing a study day, organising and delivering a study day
being an expert speaker at a conference or event
poster or presentation at a conference
delivery of a complex project or service improvement etc.
Practice based assessment – extending beyond what they know
Individual to explain why they acted as they did and demonstrate what they have been able to do in practice

6. PBA Assessment
Assess practice against criteria and competencies
Provide feedback
Encourage reflection to support the individual in identifying strengths and areas for development
Support the individual with a PDP to develop their practice further

7. CbD Advanced Practice Assessment Criteria
Expert Professional Practice – EPP Cluster 1
Collaborative Working Relationships – CWR Cluster 2
Royal Pharmaceutical Society Advanced Pharmacy Framework:

9. Structure of a CbD Pharmacist presents their case
Peer or tutor [Assessor]:
asks questions for clarification and probes for further details
provides developmental feedback
completes the CbD form
informs pharmacist of assessment outcome

10. CbD in General Practice Pilot
The case presented must be clinical because the NHSE pilot is about developing the clinical patient facing role
CbDs are conducted within learning sets
Pharmacists present their case in turn to their peers and an Assessor – the clinical mentor – who facilitates the learning sets
Clinical Mentors undertake CbD Assessor training, developed by CPPE

11. Activity 1 (7mins) Read CbD Case - PowerPoint slides Handout
In your groups, discuss what questions you need to ask to
clarify any details
probe for additional information

12. Activity 2 (18mins) Refer to CbD case – Questions asked handout
Watch Video 1
Compare your list of questions with those asked by the Assessor
Share any differences during group discussion

13. Developmental Feedback
2. What could
you do better
or differently?
1. What did you do well?
3. What will you add to your PDP?

14. Activity 3 (5mins) Read Sample Completed CbD Assessment form
Write down the feedback you would provide for this pharmacist using the Developmental Feedback model to structure your feedback

15. Feedback - How are we doing?
Pharmacist
Clinical Mentor
“[I] dealt with a patient differently the next day as a direct result of listening to someone else's case.”
“…able to share resources which were found useful or certain phrases to explain to patients.”
“It was actually a really good relationship building session doing the feedback session.” “I had been concerned if my own clinical skills would be up to scratch. But I found this was not the case.”

16. Resources
RPS Faculty CbD form CbD feedback video - watch this after the workshop

17. Contact Us Sneha Varia Helen Middleton
Education Supervisor, North London and Essex Tel:
Deputy Lead, London and South East
Tel:

18. www.cppe.ac.uk info@cppe.ac.uk 0161 778 4000
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