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.

NHS Community Pharmacy Oral Contraception Management Service - Tier 1 pilot

Community pharmacy is well established in the provision of locally commissioned contraception and sexual health services.

The NHS Long Term Plan (LTP) highlights the importance of NHS services complementing the action taken by local government to support the commissioning of sexual health services and exploring future commissioning arrangements to widen access and create capacity where it is needed.  Public Health England resource for commissioners (2019) highlighted the role community pharmacy can play in supporting ongoing contraception. In areas that do not already offer commissioned contraceptive services, appropriately trained and skilled community pharmacists could provide access to oral contraception and potentially the timely provision of long-acting reversible contraceptives (LARCs). This would relieve the burden on General Practice and allow GPs to concentrate on more specialist services.

As part of the Community Pharmacy Contractual Framework (CPCF) 2019-2024 there is the commitment to, “…...test a range of prevention services, which if found to be effective and best delivered by community pharmacy, could be mainstreamed within the CPCF over the course of the settlement period”.

The routine monitoring of patients taking oral contraception was flagged as a prevention service as part of a repeat prescription process linked with General Practice. This pilot (Tier 1) will establish the first step of a fully integrated care model for community pharmacy to provide greater access to ongoing contraception. By creating an environment with the right support in place, service users can feel confident in choosing community pharmacy for their regular oral contraception. This service will also support the important role community pharmacy teams can play to refer on to GPs for more complex contraception needs. It will signpost service users into local sexual health services in line with NICE guideline [NG102] for community pharmacies promoting health and wellbeing. Depending on the outcome of the evaluation of this Tier 1 service, the pilot service will then be developed to test a model for community pharmacy to initiate access to oral contraception (Tier 2).

Aims and objectives 

The aim of the pilot is to create additional capacity in primary care for ongoing oral contraception access to be available through a community pharmacy to relieve the burden on wider primary care and sexual health clinics and provide improved access for patients.

Objectives:

  • To test a model for community pharmacy teams to continue the provision of contraception supplies initiated in primary care or sexual health clinics using a Patient Group Direction to undertake the review and supply process.
  • To test an integrated pathway between existing services and community pharmacies to allow people greater choice and access when considering continuing their current form of contraception.
  • To identify a consistent agreed data set that should be shared with the community pharmacy independent via any specific IT system to support the referral process and feedback loop to the GP held patient record where appropriate.
  • To evaluate the Tier 1 service model encompassing quantitative and qualitative measures including service user experience, the experience of pharmacy staff and primary care and sexual health professionals and the safety of the service within community pharmacy.
  • To inform the scope and service model design for a Tier 2 service that would enable a community pharmacy initiated oral contraception service pilot.

On this page you will find a collection of resources to support you in your preparation for delivering this service. We recommend that you start by familiarising yourself with the service specification before working through the core mandatory learning. This can be found under the first tab below. If you feel that you would benefit from further reading, then we recommend that you access the further reading resources. 

 

NHS Community Pharmacy Oral Contraception Management Service - service specification

The first step in becoming ready to deliver this service is accessing and working through the service specification. The service specification provides further background information, the aims and intended outcomes of the service and the details around service provision.

Click on the button below to download the service specification.

Oral Contraception Management - service specification
 

Core mandatory learning

To support clinical skills and knowledge the following modules are required as a minimum to deliver this service (and should be updated every two years): 

CPPE Safeguarding children and vulnerable adults e-learning and Level 2 e-assessment

The CPPE Safeguarding children and vulnerable adults e-learning aims to give you the skills, knowledge and confidence to deal professionally with any safeguarding issues that may arise in the course of your practice. Completion of the programme and the associated Level 2 assessment will fulfil the safeguarding requirements at Level 2 as specified in the intercollegiate documents Safeguarding children and young people and Adult safeguarding.

This learning takes an estimated 3 hours to complete.

Consultation skills for pharmacy practice e-assessment

The CPPE Consultation skills for pharmacy practice assessment is linked with the practice standards for consultations skills and the CPPE consultation skills learning programmes. Completing this assessment will help you to check your progress and your ability to meet the competencies set out in the practice standards for consultation skills, enabling you to deliver person-centred care. Passing the assessment will provide assurance to you, your colleagues and other healthcare professionals and patients that you are able to recognise good practice, as well as practice that needs development.

The assessment has a 45-minute time limit. Depending on your previous experience and learning, you may need to look at the range of CPPE consultations skills resources accessible via the Consultation skills gateway page to supplement your learning in this area.

CPPE Emergency Contraception e-learning and e-assessment

The CPPE Emergency Contraception e-learning and associated assessment will help you to identify who may need advice and support, how you can give that support and what is the best course of action. It includes information on emergency hormonal contraception and the copper intrauterine device.

This learning takes an estimated 3 hours to complete.

In relation to contraception there are two options to show competence in this area. You can either complete the CPPE Contraception e-learning and assessment or the specified Faculty of Sexual and Reproductive Health modules:

CPPE Contraception e-learning and assessment

The CPPE Contraception e-learning and associated assessment will equip you with the up-to-date skills and knowledge that you need to confidently support and advise patients who use or might use contraception. This learning takes an estimated 6 hours to complete.

FSRH Sexual and Reproductive Health (e-SRH) - section 3: Contraceptive choices, and associated unit assessments

Complete the following four sub-sections of the FSRH Sexual and Reproductive Health (e-SRH) module Contraceptive choices, and the associated unit assessments:

  • Mechanisms of action, effectiveness and UKMEC: This unit will give an overview of the contraceptive choices that are currently available and explore their effectiveness. It will outline the principles of assessment so that safe contraceptive choices can be offered using evidence-based guidance. The session will also discuss the mechanisms for initiating and switching methods.
  • Choosing contraceptive methods: This unit will discuss the principles, practical application and various ways of exploring an individual’s preference when wanting to start or change their method of contraception.
  • Combined hormonal contraception (CHC) methods: This unit looks at the use of combined hormonal contraception methods containing oestrogen and progestogen. It gives an overview of the advantages, disadvantages and possible side-effects, as well as how to counsel individuals wishing to commence or continue using CHC.
  • Progestogen-only methods (oral and injectable): This unit details the oral and injectable progestogen-only (PO) contraceptive methods, their advantages and disadvantages, including side-effects and contraindications. Safe prescribing and administration will also be discussed.

You can access these modules via the e-LfH link on the CPPE website.

Depending on prior experience, it is estimated that this will take you approximately 3 hours to complete.

 

In relation to sexual health there are two options to show competence in this area. You can either complete the CPPE Sexual health in pharmacies e-learning and assessment or the specified Faculty of Sexual and Reproductive Health modules:

CPPE Sexual health in pharmacies e-learning and assessment

The CPPE Sexual Health in Pharmacies e-learning and associated assessment aims to support the community pharmacy team in developing and providing a sexual health service. This programme focuses on sexually transmitted infections (STIs).

This learning takes an estimated 6 hours to complete.

FSRH Sexual and Reproductive Health (e-SRH) - section 9: STIs, and associated unit assessments

Complete the following four sub-sections of the FSRH Sexual and Reproductive Health (e-SRH) module STIs, and the associated unit assessments:

  • Epidemiology and transmission of STIs: This session describes the epidemiology, risk factors, signs, symptoms and complications of common sexually transmitted infections (STIs) in the UK.
  • STI testing: This session will cover testing for common sexually transmitted infections (STIs) and blood-borne viruses (BBVs). It will explore current testing options for these in the community and home testing and when to refer to specialist services. This session looks at the diagnostic methods used for vaginal discharge. It describes asymptomatic screening for STIs in men and women.
  • STI management: This session gives an overview of the current management of commonly encountered sexually transmitted infections (STIs).
  • Partner notification: The session will explore the principles, practical application and various ways of carrying out partner notification (PN) when dealing with sexually transmitted infections (STIs).

You can access these modules via the e-LfH link on the CPPE website.

Depending on prior experience, it is estimated that this will take you approximately 3 hours to complete.

 

FSRH contraceptive counselling online course

This Contraceptive Counselling online course is available from the FSRH website and is aimed to support you to deliver effective contraceptive care; it features a range of case studies, video content and additional reading resources to support your learning.

This learning takes an estimated 2 hours to complete.

Further learning resources

If you have identified further learning needs, or would like to learn more about this topic to support your service delivery, then you may benefit from accessing the following learning resources.

CPPE Remote consultations e-learning

The CPPE Remote consultations e-learning is for all pharmacy professionals undertaking virtual consultations. It has been developed to support you in applying your existing consultation skills when undertaking consultations via video and over the phone.

Shared decision making (SDM)

Shared decision making e-learning from the Personalised Care Institute. This e-learning module will help you to understand why SDM is an important part of clinical practice, build your knowledge of the regulatory and moral principles underlying SDM and be able to start the process of implementing SDM in your day-to-day practice.

The CPPE Shared decision making programme is now available to all pharmacy professionals working in a patient facing role in England and will support you to embed shared decision making into all consultations. The programme consists of an online e-course and two online study days.

CPPE Patient group directions e-learning and e-assessment

Patient group directions e-learning and assessment will support people and organisations who are considering, developing, authorising and using patient group directions (PGDs) to deliver NHS services in line with legislation and NICE medicines practice guideline (MPG2).

CPPE Blood pressure training monitoring video

This video will support you to measure blood pressure using an automated device.

Click here to download a transcript for this video


Any queries about this service should be directed to england.pharmacyintegration@nhs.net