Health and Justice pharmacy (prisons and secure environments)

This e-learning aims to enable pharmacists and technicians to offer a safe and effective pharmacy service for people in secure environments.

Learning Outcomes:

• list the different categories of prison and secure environment and explain the differences (include differences between public and private)
• discuss the roles and responsibilities of different prison staff, including healthcare staff
• describe the offender health pathway in relation to secure environments
• contrast the health and social care needs in a secure environment with those in the general population
• describe how prison health is regulated and how the prison regime impacts on healthcare delivery
• describe the secure environment healthcare service and the role that pharmacy has to play
• explain the risks associated with the storage, supply, administration and disposal of OTC medicines (including homely remedies), PGD medicines, POM medicines and controlled drugs in secure environments
• describe the minimum qualifications of the healthcare staff who request, prescribe, supply and administer medicines in a secure environment.

The aim of this programme is to develop the pharmacy team’s knowledge on what is meant by a just culture and the differences between a no-blame culture and just culture. The programme aims to introduce the NHS England A just culture guide and apply it to a pharmacy setting.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• explain what is meant by a just culture
• describe the differences between a no-blame culture and just culture
• use the NHS England A just culture guide when a patient safety incident occurs.

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.

The Safeguarding Children Level 1 e-learning programme and assessment covers the statutory and mandatory training to meet the learning outcomes in the UK Core Skills Training Framework.

To meet Level 1 safeguarding requirements, you should also complete the Safeguarding Adults Level 1 e-learning and assessment.

If you are required to meet Level 2 safeguarding training and competency, in addition to this Safeguarding Children Level 1 programme, you should also complete the following e-learning and assessments:

• Safeguarding Children Level 2
• Safeguarding Adults Level 1
• Safeguarding Adults Level 2

Please note: The Safeguarding children Level 1 e-learning and assessment programme provided by NHS England’s elearning for healthcare (elfh) hub is accessed by clicking on the Access button above. When you reach the elfh webpage, you will need to create an elfh account if you have not already done so. Please be aware that CPPE does not maintain control over the accuracy and currency of this programme.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• describe the different forms of child maltreatment (physical, emotional, sexual abuse and neglect)
• describe how common child maltreatment is and the impact it can have on a child or young person
• indicate what you should do if you do have concerns about child maltreatment; including local policies and procedures, who to contact and where to obtain further advice and support
• identify the importance of sharing information and the consequences of failing to do so
• identify what to do if you feel that your concerns are not being taken seriously or you experience any other barriers when referring a child/family
• describe the risks associated with the internet and online social networking
• identify what the term 'looked-after child' means
• recognise possible signs of child maltreatment that you might come across in your work
• identify how to seek appropriate advice, report concerns and feel confident that you have been listened to
• indicate a willingness to listen to children and young people and to act on their issues and concerns
• show an awareness of the impact of female genital mutilation (FGM), domestic violence and a carer's mental/physical health on a child
• show an awareness that vulnerable children and young people may be susceptible to radicalisation (PREVENT programme).

The Safeguarding Children Level 2 e-learning programme and assessment covers the statutory and mandatory training to meet the learning outcomes in the UK Core Skills Training Framework.

To meet Level 2 safeguarding training and competency, in addition to this Safeguarding Children Level 2 programme, you should also complete the following e-learning and assessments:

• Safeguarding Children Level 1
• Safeguarding Adults Level 1
• Safeguarding Adults Level 2

Please note: The Safeguarding Children Level 2 e-learning and assessment programme provided by NHS England’s elearning for healthcare (elfh) hub is accessed by clicking on the Access button above. When you reach the elfh webpage, you will need to create an elfh account if you have not already done so. Please be aware that CPPE does not maintain control over the accuracy and currency of this programme.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• describe what constitutes child maltreatment and be able to identify any signs of child abuse or neglect
• be able to act as an effective advocate for a child or young person
• describe the potential impact of the physical and mental health of a parent/carer on the well-being of a child or young person in order to be able to identify a child or young person at risk
• be able to identify the professional role, responsibilities and professional boundaries and those of colleagues in a multi-disciplinary team and in a multi-agency setting
• explain how and when to refer to social care if safeguarding/child protection is identified as a concern
• be able to document safeguarding/child protection concerns in a format that informs the relevant staff and agencies appropriately
• explain how to maintain appropriate records including being able to differentiate between fact and opinion
• be able to identify the appropriate and relevant information and how to share it with other teams
• list key statutory and non-statutory guidance and legislation including the UN Convention on the Rights of the Child and Human Rights Act
• describe the risk of female genital mutilation (FGM) in certain communities, be willing to ask about FGM in the course of taking a routine history, know whom to contact if a child makes a disclosure of impending or completed mutilation, be aware of the signs and symptoms and be able to refer appropriately for further care and support
• list the risk factors for radicalisation and know whom to contact regarding preventive action and support for those vulnerable young persons who may be at risk of, or are being drawn into, terrorist-related activity
• be able to identify and refer a child suspected of being a victim of trafficking and/or sexual exploitation.

The Safeguarding Adults Level 1 e-learning programme and assessment covers the statutory and mandatory training to meet the learning outcomes in the UK Core Skills Training Framework.

To meet Level 1 safeguarding requirements, you should also complete the Safeguarding Children Level 1 e-learning and assessment

If you are required to meet Level 2 safeguarding training and competency, in addition to this Safeguarding Adults Level 1 programme, you should also complete the following e-learning and assessments:

• Safeguarding Adults Level 2
• Safeguarding Children Level 1
• Safeguarding Children Level 2

Please note: The Safeguarding Adults Level 1 e-learning and assessment programme provided by NHS England's elearning for healthcare (elfh) hub is accessed by clicking on the Access button above. When you reach the elfh webpage, you will need to create an elfh account if you have not already done so. Please be aware that CPPE does not maintain control over the accuracy and currency of this programme.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• describe the process whereby someone is first alerted to a concern or incident that suggests an adult with care and support needs:
  • is experiencing or is at risk of abuse or neglect, and as a result of their care and support needs,
  • is unable to protect themselves against abuse or neglect, or the risk of it
• describe how to respond to, and report, a concern
• define the term ‘adult safeguarding' and underlying statutory principles that underpin adult safeguarding work
• define abuse and neglect, patterns, types and list possible indicators
• identify why some adults are more at risk from abusive behaviour
• explain the role you must play in recognising and reporting and whom you need to speak to if you have a safeguarding concern.

The Safeguarding Adults Level 2 e-learning programme and assessment covers the statutory and mandatory training to meet the learning outcomes in the UK Core Skills Training Framework.

To meet Level 2 safeguarding training and competency, in addition to this Safeguarding Adults Level 2 programme, you should also complete the following e-learning and assessments:

• Safeguarding Adults Level 1
• Safeguarding Children Level 1
• Safeguarding Children Level 2

Please note: The Safeguarding Adults Level 2 e-learning and assessment programme provided by NHS England’s elearning for healthcare (elfh) hub is accessed by clicking on the Access button above. When you reach the elfh webpage, you will need to create an elfh account if you have not already done so. Please be aware that CPPE does not maintain control over the accuracy and currency of this programme.

Learning Outcomes:

On completion of all aspects of this learning programme you should be able to:

• list the principles of the Care Act (2014) which has changed the way people who have care and support needs, including those who are having difficulty understanding what is happening to them and should be assessed and involved in their care and support pathway
• describe the importance of the safety and well-being of people with care and support needs, including making safeguarding personal and the identification of abuse and principles underlying the Care Act 2014 and Mental Capacity Act 2005 and subsequent MCA amendment ACT 2019
• use your local multi-agency policies and procedures to identify the stages under the adult safeguarding process for the protection of adults with care and support needs
• describe your local statutory adult safeguarding board's policy and procedures regarding escalation and challenge if you think that your concerns are not being taken seriously.

The aim of this programme is to support you to apply underpinning safeguarding knowledge and develop the confidence and skills to identify and report safeguarding concerns you encounter in practice. It will enable you to consider how you can take a person-centred approach to safeguarding and understand how you can meet your safeguarding responsibilities in whichever sector(s) of practice you work.

Please note: completion of this programme is not sufficient on its own to meet the core Level 2 safeguarding training requirements. Pharmacy professionals must also complete the elearning for healthcare (elfh) Level 1 & 2 learning and assessments (or equivalent). You can access the elfh safeguarding programmes here:

Safeguarding adults Level 1

Safeguarding adults Level 2

Safeguarding children Level 1

Safeguarding children Level 2

Learning Outcomes:

• explain your role and responsibilities in safeguarding adults, children and young people
• recognise potential signs of neglect and abuse that you may encounter in pharmacy practice across integrated care systems
• use your knowledge of guidance and legislation to identify safeguarding concerns where a person lacks the mental capacity to consent and make decisions for themselves
• take appropriate action when you identify a safeguarding concern, including seeking advice, reporting, appropriately sharing information and recording your concerns
• apply your learning to take a person-centred approach to safeguarding concerns
• build a toolkit of resources to support you and your pharmacy team when dealing with safeguarding concerns.

This e-assessment is linked with the CPPE Providing pharmacy services for secure environments e-learning programme and assesses you on the learning outcomes within that programme.

Why should I do this assessment?

This e-assessment is linked with the CPPE Just culture e-learning, which can be found on the CPPE Patient safety gateway page.

Why should I do this assessment?