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Developing Practice

RPSGB Scottish Stakeholder Event 1 July 2010. Developing Practice. INTRODUCTION by John A Cromarty Member of the Scottish Pharmacy Board Director of Pharmacy, NHS Highland. Objectives. Engage Scottish stakeholders in developing practice

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Developing Practice

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  1. RPSGBScottish Stakeholder Event1 July 2010 Developing Practice INTRODUCTION by John A Cromarty Member of the Scottish Pharmacy Board Director of Pharmacy, NHS Highland

  2. Objectives • Engage Scottish stakeholders in developing practice • Consider specific needs in Scotland around developing and advancing pharmacy practice in all sectors • Consider means of consistent assessment and credentialing

  3. Why develop practice? • Society and patients need better, safer care; more cost-effective drug therapy • Other HCPs are developing their practice and competing for therapeutic territory • There is no consistency within, or cross-accreditation of PG pharmacy courses • Pharmacists in Scotland must not be disadvantaged by career credential developments in the rest of the UK • Enable a limited pharmacy workforce to work better across specialties and sectors • Enhance staff recruitment and retention • Maintain pace within a period of rapid change

  4. “What has and is changing?” • New medicines • New technologies • New regulations • New contracts/services • New roles • New opportunities • New UK Government • New Regulator (GPhC) • New Professional Body

  5. What impedes developing, sharing and adoption of good practice? “The march of the human mind is slow” (Edmund Burke) Vested interests Complacency Lack of shared vision Lack of leadership Conservativism Lack of an enabling structure/framework Fear Jealousy Lack of commitment

  6. “What can we do about this?” • Create an enabling framework to advance practice • Introduce some measure of consistency of approach and uniform standards of competency for advanced practice across branches of the profession and across healthcare sectors • What has been done to date?

  7. Background (>5 years) 2006 • Advanced & Consultant Level Competency Framework, 3rd edition (CoDEG*, 2005) • Framework for Pharmacist Development in General Pharmacy Practice, 2nd edition (*CoDEG, 2007) • National Framework for Pharmacists with Special Interests (DoH, 2006) • Regulation of Advanced Practice in Pharmacy Report by Advanced & Specialist Practice Task & Finish Group (DoH/RPSGB, 2009) • Advanced & Specialist Practice Project, renamed“Developing Practice” (RPSGB, 2009-2010) *(CoDEG = Competency Development & Evaluation Group)

  8. Advancing Practice through Scotland’s Community Pharmacy Contract The NewPharmaceutical Care Services Contract (2006) The 4 Core Services MAS / PHS / AMS / CMS This is a contractual framework for endorsing and advancing pharmacy practice and patient care in the community. It evolved logically from CRAG guidance on pharmaceutical care in the community and relevant associated R & D in Scotland in the 1990s, and then the model schemes.

  9. Advancing Practice in Scotland’s OncologyPharmacy Services • Aseptic dispensing external audits • Pharmaceutical care planning • Capacity planning exercise • Adoption of new technologies • Electronic & pharmacist prescribing • Horizon scanning & (IPTRs) • BOPA / SOPPG/ Regional Networks

  10. What do we want from you today? • We will give you some background and some thoughts from the front on developing practice and a possible structure for RPS credentialing • We want your thoughts, suggestions, concerns, and aspirations (professional and personal) – anything goes! --------------------------------------------------------- Nothing is in tablets of stone at this stage! ---------------------------------------------------------

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