educational solutions for the nhs pharmacy workforce consultation skills for pharmacy practice ...

Educational solutions for the NHS pharmacy workforce

Consultation skills for pharmacy practice

Where did it start ?Why’s it important ?


@CSfPP


Consultation skills in pharmacy practice working group

Selection of professionals from across the pharmacy sectors

Mix of roles, experiences and seniority

General practitioner as part of the group

Met few times since June 2013

Remain a virtual group


Why, context and policy

The future is ‘patient facing’

The focus is on patient centred care

Policy: Part of the care pathway, accountable, decision making and accepts follow up

Many pharmacy professionals haven't been trained at any stage of their career development

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MPC proposals for developing post-registration career development

In 2012, HEE issued MPC proposals to help strengthen and develop the careers of post-registration pharmacists and pharmacy technicians

The proposals identified the need for a programme of work in several areas including:

Developing the workforce to deliver medicines optimisation and enhancing the skills of the pharmacy team in the delivery of public health interventions


Key principles / assumptions

Applies to all patient facing pharmacy professionals in practice and will be expected from everyone (but recognise that for some additional competence will need developing)

Focuses on post-registration career development - assumption that undergraduate/initial pharmacist training will also change

Expectation that future changes to practice will enable pharmacy professionals the time required to effectively carry out consultations


Challenges with supporting pharmacy

62,000 pharmacy professionals

Money and time are limited

There was no consensus position to what is ‘good’

Different sectors have different practice

Different skills sets (and mind sets)

Perceptions of ‘I’m good at this, so why change….!’

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Cross organisation project

Wide range of skill set throughout the profession

Phase 1 launched 18th March 2014


Pathway to excellence


The challenge to the profession…..

You can improve !!!!

Confront your perceptions

Help others

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What is a consultation?

‘A meeting to discuss something or get advice with the goal of discovering the best course of action to take’

Medicines reconciliation/medicines optimisation

Handing out discharge medicines/prescriptions

OTC requests

Public health discussions (weight management, smoking cessation)

Every time you speak with a patient you have the opportunity to make a difference

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Some perceptions…..

I’m naturally good at this, I talk to patients every day

This isn’t something I can learn, the patient has to live with my personality

Once I’ve been trained, that’s it. I can’t get any better…I am what I am!

A ‘good’ consultation is about being nice, professional, structured and making sure the patient knows what to do & more educated at the end

OTC encounters are not consultations

My team and colleagues performance is up to them, I’ll help if I can

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Challenge …..what is your current practice?

Your current practice??? ‘My role is to give advice…….I

sometimes don’t have enough time to tell them everything I know about their medicine’

‘I like to give advice, after all I am the expert’

‘My priority is getting this patient to take their medicine’

‘What do I want to achieve from this consultation?’

Patient-centred

What does the patient already know or would like to know?

Pharmacy professional and patient are equal experts

Holistic view of patient- social psychological + co-morbidities

Negotiate a shared agenda with the patient 12


Challenge …..what is your current practice?

Your current practice??? ‘I do most of the talking

….that’s how it should be!’

‘I make the decisions and recommendations in the consultations so the patient knows they will get the best outcome if they follow them’

Patient-centred

Listen to the patient to get their perspective…..what are their beliefs, concerns and expectations?

Shared decision making and offering options to encourage ownership and responsibility

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Achieving the patient-centred approach

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Achieving the patient-centred approach

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We need a step change for the

pharmacy professions !!

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www.consultationskillsforpharmacy.com

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Six step model developed..launched



What’s it all about ?




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Six step model developed


Much more than six steps: a range of learning, tools, resources and signposting

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Online learning, forms, videos, hints and tips, employers information, trainers support, social media

This will evolve and be added too


Six step model to improvement

Why?

What standard?

Where am I?

How do I improve?

Check my learning?

Ongoing improvement?

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1. Why are consultation skills important?

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Pharmacy profession is integrated into the NHS and committed to patient-centred care


2. How do I know what standard is expected of me?

The national practice standards for pharmacy professionals

Provide a framework of standards expected of you as a pharmacy professional

Outline the key knowledge, skills and behaviours in detail

How will you work towards the standards?

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3. How do I know how effective my consultation skills are now?

We’ve developed or used tools to help you…..

Reflective tool (MRCF)

Patient feedback questionnaires

Peer review

Video critique

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4. How do I improve my performance?

Learning resources suggested…

CPPE Distance learning programme

CPPE E-learning programme

CPPE Video wall of consultations

CPPE Face-to-face learning option

….…signpost to lots of other providers

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5. How can I check my learning and development?

Assessment hosted on CPPE website

Aim: to assess your identification of key skills and behaviours and identify good practice versus practice which could be improved. Four sections:

1.Multiple choice questions

2.Identify the key skills demonstrated

3.Rate the practice demonstrated

4.Identify the key skills demonstrated and rate those present

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Front page of the assessment

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Section 1 of the assessment

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Section 2 of the assessment

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How do I continue to develop my performance?

At this stage of the learning pathway we suggest options for you to regularly reassess your performance and identify opportunities to further improve your approach to consultations

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Why?

What standard?

Where am I?

How do I improve?

Check my learning?


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Questions or comments?

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Call to action to improve

All pharmacy professionals need to reflect and consider their performance

If you are patient facing, then work through the Six Steps

Revisit the Medication-related consultation framework in consultations

Work through the learning and look for others

Try observing colleagues and other healthcare professionals in practice

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Tell everyone……

Commence the marketing to both professions

Employers, educators and providers

Local and national level for organisations and overseas (!)

We need to ‘link, link link’….NHS England, Public health, GPhC, RPS, APTUK, HEIs, BPSA, etc

‘Consultation skills champions’

Keep on the agenda for next few years…till ‘normal’

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Why?

What standard?

Where am I?

How do I improve?

Check my learning?


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Thank you !