Quality Education for a Healthier Scotland

Clinical skills training for Pharmacists

- a Collaborative approach -

NHS Education for Scotland

Pharmacy Team

Quality Education for a Healthier Scotland

Background…

Pharmacists in GP practice

Out of hours review

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Quality Education for a Healthier Scotland

Transformation in Pharmacy

• Supplementary & Independent prescribers

• `Experts in medicines`

• Limited experiential training

• Limited clinical `hands on` experience

Quality Education for a Healthier Scotland

Pharmacist Prescribing and

Clinical Skills

• Both Schools of Pharmacy

• Limited consultation and clinical assessment skills affecting implementation of prescribing

• Short term - Externally supported supplementary training– Consultation skills

– CORE Clinical assessment skills

– ADVANCED Clinical assessment skills

• Long term – Commission into IP courses

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Quality Education for a Healthier Scotland

Collaborative bids

• Links with Dundee

• Required delivery across Scotland and increased numbers

• ITT with Collaborative bid to NES :– Universities of Dundee, Aberdeen, Edinburgh and

Glasgow (Medical)

– Universities of Strathclyde, Robert Gordon ( Pharmacy)

– Caledonian University (Nursing)

Quality Education for a Healthier Scotland

Collaborative

Consultation skills

Based on NES GP Person Centred Consultation Skills

1 day training course (Schools of Pharmacy)

Recording of consultations on encrypted tablets

Trained Consultation Peer Reviewers -PharmaCAT

Quality Education for a Healthier Scotland

Governance and assessment

processes

Quality Education for a Healthier Scotland

Collaborative

CORE Clinical assessment skills

Based on requirements PfE

2 day course with 6/52 apart

Medical & Nursing schoolsAberdeen, Dundee, Edinburgh, Glasgow

Formative OSCE on day 2

Quality Education for a Healthier Scotland

Collaborative

CORE Clinical assessment skills

General exam - face, hands, eyes, mouth

BP, Pulse, Temp, RR,

PEFR

Chest auscultation

Ear exam - otoscope

Quality Education for a Healthier Scotland

Collaborative ADVANCED

Clinical assessment skills

Clinical specialties where PIPs practising

Cardiovascular / Respiratory

Musculoskeletal

Diabetes

2 day courses-6/52 apart ++

Quality Education for a Healthier Scotland

Collaborative

Common Clinical Conditions

Response to PfE /OOH review

E-learning 30 hours +

1 day course

History taking, assessment & management of infection

- UTI, cellulitis, chest infection, eye infection

Quality Education for a Healthier Scotland

Course uptake by PIPs

(August 2015 – Dec 2016)

Course Number of Pharmacists completed

Core Clinical Assessment Skills 211

*Person Centred Consultation Skills 122 *(18)

Advanced Cardiovascular / Respiratory 18

Advanced Musculoskeletal 22

Advanced Diabetes 12

Common Clinical Conditions 38

Quality Education for a Healthier Scotland

Exemplar – secondary care

• Post MI / LVSD

• 1 GG&C site → all sites

• Teach & Treat model

utilising advanced clinical

skills

• 17 Pharmacists trained in

GG&C in GP practices

• Expanded to Highland

and Tayside

– supported by SG NAC for

heart disease

Quality Education for a Healthier Scotland

Exemplar – primary care

• Pharmacy First

• Developed extended CCC service – Stirling University campus

• Funded pilot

• Supported service developments Lothian and Fife

Quality Education for a Healthier Scotland

‘Pharmacists don’t touch’

Quality Education for a Healthier Scotland

Royal Pharmaceutical

Society Award

Quality Education for a Healthier Scotland

Acknowledgements

Clinical Skill Units, Medical Schools

Aberdeen, Dundee, Edinburgh, Glasgow

Pharmacy Schools

Robert Gordon & Strathclyde

Clinical Skills Unit, Nursing School

Glasgow Caledonian University