NHS priorities

Whether it’s to prepare for the next Quality Payments Scheme deadline, or to increase your confidence in helping people with a learning disability, this section provides topic-specific pages that link to current NHS priorities. This section will support you in keeping your knowledge and skills up to date in order to provide high-quality pharmacy services and be service-ready.

Clinical pharmacy

Our clinical portfolio is expanding on a frequent basis, helping you to advance your knowledge and skills and deliver medicines optimisation in practice for all sectors of pharmacy. From two new focal points a year to our small group learning for hospital pharmacists – Optimise – this section focuses on clinical pharmacy, diseases and therapeutics.

Public health

The public health agenda is embedded in pharmacy, yet topics such as emergency contraception or stop smoking support are as prevalent as ever. As well as our public health workshops, use this section to access a wide range of resources to assure and maintain your competence, all underpinned by the Declaration of Competence system.



The purpose of this programme is to provide you with a better understanding of how liver disease affects patients. It looks at the factors you need to consider when advising on medicines for patients with impaired liver function and the management of complications.

4h:00m (for events this includes pre and post event learning)

Learning Objectives:

On completion of all aspects of this learning programme you should be able to:
  • recognise the signs and symptoms of liver disease
  • understand how to interpret liver function tests and other indicators of liver damage
  • demonstrate an understanding of the complications associated with liver disease
  • discuss the management of the complications associated with liver disease
  • understand how the pharmacy team can contribute to medicines use in patients with liver disease
  • describe how medicines handling is altered in patients with liver dysfunction.

The aim of this e-learning programme is to provide learners with a basic awareness of important blood tests and how to interpret them in order to support the diagnosis and management of patients. Section 1 covers full blood count, inflammatory markers and coagulation.

There are three sections which make up this learning programme. To access the other sections, select the links below:

Section 2 covers chronic disease markers, urea and electrolytes and liver function tests.

Section 3 covers thyroid function tests, bone function tests and therapeutic drug monitoring.

Please note: this e-learning programme has been developed and provided by the Welsh Centre for Pharmacy Professional Education (WCPPE). Users should recognise that this programme may refer to Welsh policies and organisations.

3h:00m (for events this includes pre and post event learning)

Learning Objectives:

On completion of all three sections of this learning programme you should be able to:
  • explain the importance of laboratory testing in diagnostics and patient monitoring
  • demonstrate understanding of the theoretical basis of and varied approach to investigation and monitoring of interventions
  • advise on the appropriate treatment of patients with abnormal test results
  • recognise the drugs that require therapeutic drug monitoring.
external resource

BMJ learning: decompensated alcohol related liver disease: acute management

external resource

Medscape MELD score for end-stage liver disease (not suitable for patients under the age of 12)


This e-assessment is linked with the CPPE Liver disease e-learning programme and assesses you on the learning objectives within that programme.

Why should I do this assessment?

This e-assessment completes the learning you began with the CPPE Liver disease e-learning programme. Access and successful completion will contribute to your own personal development plan, be recorded in your My CPPE record and will enable you to complete a CPD entry on the learning. It may also provide evidence for achieving competencies in the RPS Foundation or Advanced Pharmacy Frameworks. If you are working towards completing a Declaration of Competence for a pharmacy service, successful completion of this assessment will provide evidence of your learning.
external resource

NICE NG49 Non-alcoholic fatty liver disease (NAFLD): assessment and management

external resource

NICE CG100 Alcohol-use disorders: diagnosis and management of physical complications

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