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Evaluation of Assistant Practitioners' Role in Medication Administration in the North West: A Scoping Exercise

An evaluation study conducted by Firefly Research Consultancy and York University to identify organizations allowing Assistant Practitioners to administer medicines, exploring service needs, drivers, and barriers. The study includes a survey, follow-up interviews, and case studies.

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Evaluation of Assistant Practitioners' Role in Medication Administration in the North West: A Scoping Exercise

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  1. Scoping Exercise: Assistant Practitioners’ role in the Administration of Medicines across the North West. in conjunction with York University

  2. Background to the issue • ‘Hot topic’ at workforce modernisation network meetings. • In 2011 a NW wide task and finish group established to review 2007 guidance document. • Task and finish group identified little research in this area. • Scoping exercise/evaluation needed.

  3. Background to the issue • Task and finish group approached NHS North West to commission an external evaluation • Firefly Research Consultancy/York University commissioned following a competitive tendering process. • Results used to inform new guidance document due summer 2012 as well as to produce a report in its own right.

  4. Report finalised April 2012 • Six chapters, 45 pages long • Executive Summary • Introduction & background • Summary research & policy literature • Current practice • Drivers, benefits and barriers • Making it happen • Conclusion & recommendations.

  5. Aims of the study • Identify organisations that allow APs to administer • Explore service needs and drivers, who APs have substituted, what medicines they administer, policies, training. • Survey • Follow up interviews • Case Studies

  6. Current Practice • 19 Organisations allow administration • Others considering doing so • Those that did said it worked well or very well • Wide range of medicines

  7. Drivers, benefits & barriers • Benefits to patient care • Benefits for registered staff and service delivery • Benefits for APs • Lack of registration • Governance • Resistance from others

  8. Making it Happen • Training and assessing competence • Supervision • Governance • Protocols/procedures

  9. Success Factors • Service needs • High level support and leadership • Organisational culture • Training assessment and support • Communication • Taking time

  10. Conclusions and Recommendations • Previous studies focussed on acute wards. Lot to be learned from community and mental health settings. • Understand the AP role • 10 Building blocks • Do not ‘reinvent the wheel’ learn from others

  11. Dissemination of Report • Workforce Planning/Modernisation Networks • WBEF Network • Education Partnership Group • Directors of Nursing/ Human Resources • Chief Pharmacists Group • Hub Management Board • National AP Co-ordinator Group • Question time ‘experts’ event – July – new policy • www.eWIN.northwest.nhs.uk

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