1. NHS General Practice Pharmacist Training Pathway (GPPTP)
Professor Christopher Cutts, CPPE

2. Focus of this presentation
Background
Principles and assumptions
Describe the GPPTP
Describe the details about delivery and next steps

3. Background Principles Assumptions
HEE asked CPPE to devise a pathway for training a new wave of GP based Pharmacists, in consultation with a range of stakeholders
Principles
Assumptions

4. Role assumptions offer patient facing and person centred consultations
CPPE considered the following assumptions developing the pathway:
focus on roles with clinical responsibilities not medicines management responsibilities
offer patient facing and person centred consultations
primary focus on clinical decision makers and prescribers working face to face with patients across a range of 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.
sufficient flexibility to allow recruitment from a range of roles, grades and sectors

5. Principles for the pathway
Learning needs will be:
assessed at the start of the programme
met flexibly, taking into account prior experience and learning
delivered through a combination of work-place learning and assessment, distance learning, national and local study days
supported locally with education supervisors with mentoring, peer learning and clinical supervisors.

6. Process for development
HEE/CPPE completed the following scoping work to inform proposals:
Detailed discussions with NHSE and HEE via their partner group and stakeholders about the role
national survey of pharmacists already working in general practice to identify roles, responsibilities and learning and development undertaken
focus group with a sample of pharmacists to understand the learning and development needs of a cohort of new recruits filling GP pharmacist posts
Pathway with delivery plan

7. Pathway themes Fundamentals of general practice Prescribing
Clinical assessment, examination and monitoring
Communication
Long term condition management specialties
Common ailments management
Medicines optimisation, multimorbidity and polypharmacy
Evidence based medicine and safety
Leadership and management

8. GP Pharmacist Training Pathway
New to GP practice
Assess
Assess
Assess
Boot camp
NMP
Learn
Learn
Learn
Learn
Learn
Work in GP practice
Local support
Mentoring Portfolio
Learning sets Site visits
Shadowing E-Support

9. Assessment and evaluation stage 1
Proposed:
MBTI® questionnaire
CPPE assessment - consultation skills for pharmacy
CPPE assessment - safeguarding
Leadership questionnaire
Clinical pharmacy
Purpose: benchmarking and informing pathway learning

10. Boot camp Day Daytime Evening Day 1
1pm Welcome, overview, MBTi feedback
PDP development
Day 2
Leadership
Medical examination techniques
Day 3
Therapeutics, EBM, Polypharmacy
IT skills
Day 4
Consultation and communication skills
Next steps
Finish at 4pm

11. Local support Education supervisors - CPPE tutors Clinical supervisors
Pathway tracking
Feedback, support and mentoring
Delivering boot camps, study days, assessment
Small group learning
Clinical supervisors
Clinical supervision from practising pharmacists
GP line manager
Role development & integration in the workplace, feedback incl 360

12. CPPE education supervisor
Trainee
CPPE education supervisor
Clinical supervisor
GP line manager
Trainee Support

13. Local study groups
Webinar or face-to-face depending on geographically initially
Use / primary care CPPE materials / self generated materials / share best practice
Develop new materials

14. Study days - Possible topics – Not confirmed
Diabetes
Cardiovascular
Respiratory
Advanced clinical assessment
Other clinical topics such as antibiotics/renal
Care homes and older people
Complex long term conditions, working with the MDT team and care pathways
Mental health
Resilience and leadership
Education skills and mentoring
Medicines safety (UKMi)
Governance, safeguarding,
Professionalism
Francis
NHS values
Change
Showcase sharing

15. Assessment stages – links to RPS Faculty
Assessment stage ° colleague feedback and other feedback from work colleagues (baseline), feedback from education supervisor Assessment stage 3 (multiple parts) – Use RPS Faculty assessments, repeat 360 feedback, clinical assessment/OSCE Assessment stage 4 – RPS Faculty application mapped to advanced stage 2

16. Next steps Agree pathway, processes and learning – with HEE
Reference Group to meet
Work with stakeholders on multiple work streams
Pilot boot camp in November
Train the team !
Make some strategic appointments and secondments

17. Learning sets Site visits
Summary
New to GP practice
Assess
Assess
Assess
Boot camp
NMP
Learn
Learn
Learn
Learn
Learn
Work in GP practice
Local support
Mentoring Portfolio
Learning sets Site visits
Shadowing E-Support