Continuing Professional Development for prescribing Karen Ford, February 2010.

Continuing Professional Development for prescribing

Karen Ford, February 2010

Why do we need specific CPD for prescribers?

• Trust assurance and safety (DOH 2007)• Public Confidence• Professional Credibility• Patient Safety• NMC competency• Confidence to Prescribe• Clinical Governance and Audit


What is competency?

• What qualities delineate being a competent prescriber for you?


NPC 2006 definition

• A competency is a quality or characteristic of a person which is related to effective or superior performance. Competencies can be described as a combination of knowledge, skills, motives and personal traits. Competencies help individuals (and their managers) look at how they do their jobs.


What the non-medical prescribers say they want

• Latter et al’s (2006)Survey:• 66% receiving

support/supervision• 95% undertaking self-directed

activity• 50% have formal professional

development opportunities• But 50% said they need CPD

that is ongoing

• 84% identified Pharmacology as their main concern

• 40% identified skill areas in practice not provided by undertakig the prescribing course alone e.g. advanced clinical skills; pharmacology & physical assessment skills


Oxford experienceWaite & Keenan 2010

• prescribers bring in case studies and a pharmacist is invited to group covers:

• Pharmacology

• Updates on anything new/changed

• Also group discuss updating NMC portfolio for prescribing

• Competency maintained by peer review


Whose responsibility is it?

• Individual - NMC PREP

• Trust/employer (DOH 2004)

• Employers responsibility – access to CPD through staff appraisal (NMC 2006)

• Organisations must provide CPD for non-medical prescribers (DOH 2006)


What form should this CPD take?

• Compulsory or voluntary?• Frequency?• Location?• Formal or informal?• Rolling agenda?• Annual numeracy test?• Portfolio that manger reviews?• Write a certain amount of prescriptions per

year?• On line resources – Waite & Keenan 2010


Resources available

• NPC competency workshops

• NPC website• Connecting prescribers

newsletter• Email alerts• Short updates• Support groups for nurse,

AHP and pharmacist prescribers

• Reflection• Audit/PACT data• Blogs• MDT meetings• Medics• BNF,NICE,CKS, SIGN,

NSF’s• Courses & conferences• Critical incident analysis• Self Assessment via a

diary


Resources available

• Specialist groups e.g. dermatology

• Clinic visits• Appraisal• CD roms• ANP & journal• DOH – non-medical

prescribers section• Being Observed• Practice Review

• In-house training• Mentoring• Protected time• Journals e.g. Nurse

Prescribing• NMC 2008 Guidance for

CPD for Nurse and Midwife prescribers

• 360O Appraisal (Hobden 2007)


Key DocumentsAvailable from National Prescribing Centre www.npc.nhs.uk

For NursesNPC (2001) Maintaining competency in prescribing. An outline

framework to help nurse prescribers 1st edition November NPC

For PharmacistsNPC (2006) Maintaining Competency in Prescribing An outline

framework to help pharmacist prescribers 2nd edition October.

For Allied Health ProfessionalsNPC (2004) Maintaining Competence in Prescribing. An outline

framework to help Allied Health Professional Supplementary Prescribers 1st edition July


Conflicts as a prescriber

• Inter-professional• Lack of support • Showing you are credible• Limited CPD budgets• Lack of own confidence• Poor access to resources

e.g. Athens account/Library resources

• Poor quality data• Access to a computer• Communication barriers

between primary and secondary care

• Systems not in place e.g. electronic prescriptions


References

DOH (2007)DOH (2006)DOH (2004)Hobden (2007) Latter et al (2006)

NMC (2006)Waite & Keenan (2010)


Further reading

• Bramley I (2006) Continuing Professional Development: what is it and how do I get it? Nurse Prescribing 4 (3) pp117-120

• Hobden A (2007) Continuing Professional Development for nurse prescribers Nurse Prescribing 5 (4) pp153-155

• Ford K & Otway C (2008) Health visitor prescribing: the need for CPD Nurse Prescribing 6 (9) pp397-403


Additional Reading

• Latter S. MabenJ. Myall M & Young A.(2007) Evaluating Nurse Prescribers’ education and continuing professional development for independent prescribing practice: Findings from a national survey in England Nurse Education Today 27 pp685-696

• Waite M & Keenan J (2010) CPD for Non-Medical Prescribers A Practical Guide Wiley Radcliffe: West Sussex


This work was produced as part of the TIGER project and funded by JISC and the HEA in 2011. For further information see: http://www.northampton.ac.uk/tiger.

This work by TIGER Project is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. Based on a work at tiger.library.dmu.ac.uk.

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Continuing Professional Development for prescribing Karen Ford, February 2010.

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