General practice

Transcript

Welcome to the CPPE general practice webpage. Pharmacy professionals have been working in general practices for many years in a variety of roles. There will be an expansion of clinical pharmacists working in general practice following the publication of the GP Forward View. Clinical pharmacists will help address some of the workload issues faced in general practice. Clinical pharmacists will be working towards running long-term condition and medication review clinics as independent prescribers. They will also support better management of repeat prescribing systems and promote the use of repeat dispensing. Pharmacy professionals working in general practice can build networks across interfaces with community pharmacists and hospital pharmacies to support transfer of care. CPPE has a wide range of resources which will support you when working in general practice. Some of these will be appropriate if you are thinking about moving into general practice. Those of you who are already experienced in general practice will find resources to help you to develop your role. Community pharmacy professionals will also find the resources useful to help them to engage better with general practices.

This e-assessment is linked with the CPPE Primary care essentials e-course and assesses you on the learning outcomes within that programme.

Why should I do this assessment?

The aim of this learning programme is to update your knowledge about working with care homes, the roles and responsibilities of the teams involved and the legal issues, guidance and regulations surrounding medicines in care homes. Through practice-based activities the programme supports you to use that knowledge in care homes and help residents make the most out of their medicines.

Learning Outcomes:

• present an overview of social and healthcare teams involved in care homes, including specific details for your local area
• recognise the responsibilities of the pharmacy team within care homes
• demonstrate an understanding of the policies, processes and legislation relating to care homes by creating a plan to apply in your practice
• describe safe and effective processes for the management of medicines in care homes and understand how these processes link to community pharmacies and general practices
• identify the steps and people involved in the medicines review process in care homes, and how this supports medicines optimisation
• explain the roles of the people involved in the care of residents and the management of their medicines in a care home and describe how the pharmacy team can communicate effectively with them to reduce medicines-related problems.

In this video-based e-learning programme, we consider the key skills you can use to take an effective clinical history. The program uses the Calgary-Cambridge guide to take you through the clinical history-taking process and introduces you to tools and resources to help you demonstrate a patient-centred approach to the consultation.

Learning Outcomes:

• describe the clinical history-taking process
• explain the structure of the clinical history consultation
• apply key tools and techniques to the clinical history-taking consultation
• identify how to apply a patient-centred approach to taking a clinical history in practice through video observation
• develop a questioning sheet to use in practice.

If you are currently, or have been, enrolled on the NHS England funded Clinical Pharmacists in General Practice, Medicines Optimisation in Care Homes or Primary Care Pharmacy Education Pathways you should not enrol on this SMR e-course. The reason for this is that the learning on these pathways will already have given you the skills and knowledge you need to provide SMRs under the specification of the Network DES.

Please note, to provide Structured Medication Reviews under the terms of the Network Contract Directed Enhanced Service (DES) "pharmacists must have completed – or at least be enrolled on – the Primary Care Pharmacy Educational Pathway (PCPEP) or a similar training programme that includes independent prescribing" and so participating in this e-course alone will not enable you to comply with this requirement.

The aim of this course is to equip you with the knowledge, skills and behaviours that you need to begin undertaking person-centred structured medication reviews.

This e-course will begin on the following dates:

• 16th January 2023

This Structured medication review e-course is no longer associated with an e-assessment. The original e-assessment has been withdrawn and we are currently undertaking a review process in order to determine the most suitable approach to support you to evaluate your learning as a result of undertaking the e-course. Please refer back to this page for updates.

Learning Outcomes:

• describe the importance of shared decision making and recognise its value in the structured medication review process
• identify gaps in the information needed to undertake structured medication review
• use evidence-based reference sources appropriately to support clinical decision making
• demonstrate clinical knowledge of the most commonly used medicines in the treatment of long-term conditions
• develop an appropriate level of clinical judgement and skills to provide prioritised recommendations to a prescriber resulting from a structured medication review.

This Primary care essentials e-course is a standalone module. However, it also forms part of the Primary care pharmacy education pathway which is the training for pharmacy professionals with roles in primary care networks (PCN). You can access the pathway here.

The aim of this e-course is to introduce the fundamentals of new roles in primary care for those who are not eligible for the Primary care pharmacy education pathway.

This e-course will cover NHS structure and primary care, introduction to local general practice and care homes, medicines optimisation, medication review, prescribing and repeat prescribing, prescribing data, clinical information technology systems, audits, evidence-based use of medicines, working with the multidisciplinary team and person-centred professionalism.

By working through the activities in each unit and focusing on the tasks relating to your role, you will develop knowledge, skills, experience, and behaviours to support you in a role in primary care.

We have structured the programme into ten learning units and we estimate that you will probably need to commit between eight to ten hours of learning per unit to gain maximum benefit from the programme.

Learning Outcomes:

• explain NHS structure and the commissioning landscape in primary care
• understand the role general practice and care homes play in delivering the public health agenda and signposting to other healthcare providers such as community pharmacy
• define your PCN patient population and the roles and responsibilities of the wider healthcare team
• define how pharmacy professionals work in patient-facing roles as part of the PCN
• identify the features of good-quality prescribing, repeat prescribing and repeat dispensing
• use prescribing data to identify priorities to improve prescribing and patient care
• access clinical IT systems to document activities and run searches
• measure prescribing practice using audits
• promote medicines optimisation to improve patient outcomes relating to medicines and to reduce waste
• identify trusted sources of evidence-based information and communicate effectively with the multidisciplinary team
• identify patients for medication review and support the multidisciplinary team to improve medication reviews
• develop relationships with the wider multidisciplinary team and promote networking
• demonstrate person-centred professionalism
• explain the importance of good quality pharmacy practice research to effective primary care practice.

Pharmacy professionals, as an integral part of the NHS Long Term Plan, are now routinely working in GP practices, care homes, secondary care, community and commissioning within a multi-disciplinary team. This growing infrastructure demands the need for effective communication between healthcare professionals working in different sectors. This programme will support you with documenting in patient clinical records to enable continuity of patient care in integrated local services.

Learning Outcomes:

• summarise the legal and regulatory requirements for patient clinical records
• describe the information required for clear, concise and appropriate patient clinical records
• recognise the required structure expected when writing in patient clinical records
• document details of patient consultations and clinical interventions concisely and accurately in patient clinical records.

The aim of this programme is to enable pharmacy teams from all sectors to facilitate safe and effective transfer of care for patients when they move care setting.

The programme aims to provide you with the tools and resources available to help you get the right processes in place to support patients effectively, particularly after discharge back into the community.

Learning Outcomes:

• describe three reasons why transfer of care needs to improve and how pharmacy as a profession can help
• outline the roles of pharmacy professionals in different settings with respect to transfer of care
• describe what the pathway should look like for good transfer of care
• identify processes and standard operating procedures (SOPs) required to implement a good transfer-of-care pathway
• identify people, processes and services to support transfer of care in your locality
• interpret hospital discharge summaries and use the information to optimise patients' benefit from medicines and minimise risk when they transfer back into the community
• identify tools and resources to help you support transfer of care and patient outcomes
• signpost patients to support services offered by pharmacies after discharge from hospital.

This learning will support you to adopt a person-centred approach to involving people with dementia in consultations and decisions about their treatment and health.

Learning Outcomes:

• discuss the importance and benefits of involving people with dementia in consultations and decisions about their treatment and health
• describe the skills and techniques needed to engage and communicate effectively with people with dementia
• identify some key national practice standards most applicable to pharmacy consultations with people with dementia
• recognise and address the challenges of a three-way consultation
• apply the knowledge, behaviours and person-centred skills needed to maximise the effectiveness of your consultations with people with dementia.

In this e-learning programme we consider what a good consultation looks like when discussing anticoagulant medicines with patients. The programme supports you in developing the therapeutic knowledge you need when optimising anticoagulant medicines. It also demonstrates how you can apply this to ensure you are demonstrating a patient-centred approach.

Learning Outcomes:

• explain why it is important to consult with patients about their anticoagulant medicines
• apply the key therapeutic knowledge specific to anticoagulant medicines to the consultation
• describe the advantages and disadvantages of anticoagulant medicines and determine the differences between them
• identify patient-centred behaviours in the anticoagulant consultation
• demonstrate a patient-centred approach to consultations on anticoagulants.

In this programme you will consider what is different about consulting with people with mental health problems. You will also recognise the impact of stigma and discrimination experienced by those with mental health problems and how to adapt your consultation style to address their needs and concerns.

Learning Outcomes:

• describe the mental health treatment gap and the importance of parity of esteem (valuing mental health equally with physical health)
• recognise the impact of stigma and discrimination experienced by those with mental health problems
• select the key national practice standards most applicable to pharmacy consultations with people with mental health problems
• reflect on your consultations with people experiencing mental health problems
• maximise the effectiveness of your consultations in this field by applying person-centred skills and behaviours
• identify possible risks in your consultations with people with mental health problems.

Delegation is one of the essential skills of management and when carried out effectively can help you to manage your time more efficiently and develop the capabilities of your team members. This guide offers practical guidance on how to delegate effectively so that you achieve the benefits and avoid the pitfalls.

Please note: after ordering this programme, you will be redirected to an external website where the resource is hosted. Please be aware that CPPE does not maintain control over the accuracy and currency of this programme.

Learning Outcomes:

• describe the meaning of delegation
• carry out an assessment of how much you delegate now
• see the benefits of delegation, as well as the potential barriers
• make decisions around the right tasks to delegate
• put your learning into practice by delegating more effectively.

This guide has been developed as an effective change checklist and will help anyone who is about to be involved in a change programme. The checklist covers the seven phases of effective change from conception of the idea through to closing the change programme and will challenge you with questions and provide supporting information to make sure your change programme happens successfully.

Please note: after ordering this programme, you will be redirected to an external website where the resource is hosted. Please be aware that CPPE does not maintain control over the accuracy and currency of this programme.

Learning Outcomes:

• be aware of the seven phases of the change programme and identify which phases are relevant to you
• answer the questions within the relevant phases of the checklist to challenge your own approach and ensure you have considered every element of the process
• use the information notes within the checklist framework to support your actions as you work your way towards a successful outcome.

Do you ever feel as though there aren't enough hours in the day to do all the things you would like to do? Poor use of time creates problems not only for you, but for those you work and live with. It can lead to work overload and increased stress. By reading this guide and working through the exercises and activities you will develop skills and techniques to make sure you use your time effectively.

Please note: after ordering this programme, you will be redirected to an external website where the resource is hosted. Please be aware that CPPE does not maintain control over the accuracy and currency of this programme.

Learning Outcomes:

• reflect on your own use of time and identify any problem areas which lead to inappropriate use of your time
• be aware of the different time management principles, tools and planning aids available and how to make use of them to improve your time management
• be more confident in delegating tasks to others
• manage situations which take up unecessary time.