COMMUNITY PHARMACY SCOTLAND CORNER
INDEPENDENT PRESCRIBING: TEACH AND TREAT
The current Scottish Government and Community Pharmacy Scotland priority to deliver a Community Pharmacist Independent Prescriber (CPIP) Service from each community pharmacy in Scotland is progressing well, with the service being delivered from close to half of the community pharmacies in Scotland.
The service forms an enhancement to the national NHS Pharmacy First (Scotland) Service. It enables community pharmacist employees who are qualified Independent Prescribers (IPs) to provide extended clinical assessments and to prescribe medicines for common clinical conditions within the community pharmacy setting.
There are currently over 200 community pharmacists in training to become independent prescribers, supported by an extensive training programme and funding from Community Pharmacy Scotland (CPS) and Public Services Delivery Scotland.
Public Services Delivery Scotland (PSD Scotland) is the new organisation that brought together the strengths of NHS Education for Scotland (NES) and NHS National Services Scotland (NSS) to support transformation across health and social care in Scotland.
Once the pharmacists on this training programme qualify as Independent Prescribers, they are invited to participate in the PSD Scotland Teach and Treat Programme for Common Clinical Conditions. This programme has been designed by and for community pharmacists. Quality assured, hands on learning is delivered in designated community pharmacies by Hub Lead Pharmacists, who are all experienced Community Pharmacist Independent Prescribers(CPIP), to help newly qualified employee CPIPs apply their prescribing qualification back in practice.
The overall aim is to support CPIPs to use their advanced clinical and consultation skills in practice to prescribe for patients presenting at a community pharmacy with acute common clinical conditions, who otherwise would have been referred onwards for treatment. If a CPIP employee did not take up the opportunity to
attend a Teach and Treat Hub when newly qualified as an IP, there are still opportunities to attend when seeking to expand the scope of conditions within their practice.
Completion of pre-training modules and appropriate training, alongside attendance at a CCC Teach and Treat Hub, should help the CPIP to achieve the following learning outcomes:
• Develop confidence and competence in completing clinical assessments and undertaking consultations within their role in community pharmacy.
• Gain an understanding and insight into how a common clinical conditions service can be provided within community pharmacy.
• Create a network of peers and experienced prescribers to connect with and provide support for their continuing prescribing journey.
It also provides the opportunity to:
• See a range of presentations of acute common clinical conditions.
• Use and build their advanced clinical assessment and consultation skills under clinical supervision.
• Work through differential diagnosis and agree a safe management plan with the Hub Lead Pharmacist.
• Receive real time feedback and peer review.
• Get practical advice on setting up a prescribing service (integration with daily workload, record keeping and communicating with GP practices).
Before attending CPIPs need to complete the pre-attendance questionnaire and self-assessment checklist sent to the CPIPs
This is very much a learning opportunity, it is not a test or an exam! Feedback from CPIP employees who have attended is extremely positive:
“ “
The chance to work alongside the Hub
Lead was hugely beneficial in developing my own prescribing service. The opportunity to discuss cases in real time was very useful. I would highly recommend attending a hub if you get an opportunity.”
Being a recently qualified prescriber
and having started to offer Pharmacy First Plus, I was keen to attend a Teach and Treat Hub. I would highly recommend my fellow employee CPIPs to book a visit to a hub because the hands on experience you gain from this supersedes any pictures or role play. Having the support of experienced tutors to guide you is invaluable.”
with their PSD Scotland Invitation (also available from Hub Leads). This preparatory work supports the Hub Lead to tailor the session to meet their individual learning needs.
An additional benefit of the session is that it can be used for peer discussion/review towards GPhC revalidation (agree this with the Hub Lead and document appropriately).
Hubs operate across most NHS Boards. CPIPs can contact the Hub Lead directly at the venue of their choice to agree a convenient date.
Employee CPIPs who completed their IP training through a different training route (
e.g.in another area of pharmacy or through self funding), who would like to explore options to attend a Teach and Treat can contact
enquiries@cps.scot. All CPIPs can also use the same email for any questions about Teach and Treat.
More information is available on TURAS
Attending a NES Pharmacy Teach and Treat Hub for Common Clinical Conditions | Turas | Learn
Teach & Treat hubs – locations and NHS Board contacts (Turas Learn)
scotpharm.com 7
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