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East & South East England Specialist Pharmacy Services Technician Level Framework –TLF – a professional development framework for pharmacy technicians.

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Presentation on theme: "East & South East England Specialist Pharmacy Services Technician Level Framework –TLF – a professional development framework for pharmacy technicians."— Presentation transcript:

1 East & South East England Specialist Pharmacy Services Technician Level Framework –TLF – a professional development framework for pharmacy technicians in medicines management Clinical Pharmacy Clinical Governance & Technical Services Community Health Community Pharmacy Medicines Management Strategy & Development Medicines Information Medicines Procurement Prescribing Support Quality Assurance Workforce Development & Education & Training Jane Hough Pharmacy Clinical Services Manager ORH Honorary Associate Director Clinical Pharmacy ESEESPS On behalf of the Competency Development and Evaluation Group (CoDEG)

2 East & South East England Specialist Pharmacy Services Background to GLF/TLF CoDEG – Competency Development and Evaluation Group General Level Framework (GLF) used by pharmacists in primary and secondary care – same group developed Advanced Level Framework - fed in Department of Health Consultant Pharmacist criteria GLF used as postgraduate certificate/diploma assessment tool or to help practitioners develop/rate their competence

3 East & South East England Specialist Pharmacy Services Background to GLF/TLF Could the GLF be used for pharmacy technicians? On the basis that appropriate medicines management functions should be performed competently by any individual who has the capability to undertake those functions.

4 East & South East England Specialist Pharmacy Services Why a competency approach? National Policy –Agenda for Change and the NHS KSF Inconsistency in practice Evidence shows accelerated improvement Sustainability Also defines and makes explicit development needs

5 East & South East England Specialist Pharmacy Services Definitions A Competency Framework is a collection of competencies central to effective performance The competencies describe what you need to know or be able to do so you can do your job properly Similarity with NVQ approach to learning and skills? Definitions

6 East & South East England Specialist Pharmacy Services The Framework

7 East & South East England Specialist Pharmacy Services Cluster names Competency Titles Each competency further defined by behavioural statements that describe behaviours that would be observed when the competency is demonstrated. The framework contains a rating scale to allow Rating of performance. General Level Framework 2nd Edition

8 Staff Management Performance management (Optional) ALWAYS carries out staff appraisals on a regular basis ab USUALLY carries out staff appraisals on a regular basis ab SOMETIMES carries out staff appraisals on a regular basis ab NEVER carries out staff appraisals ab cdcdcdcd Comment Staff development (Optional) ALWAYS supports staff in their development ab USUALLY supports staff in their development ab SOMETIMES supports staff in their development ab NEVER supports staff in their development ab cdcdcdcd Comment Employment issues (Optional) ALWAYS correctly applies employment issues ab USUALLY correctly applies employment issues ab SOMETIMES correctly applies employment issues ab NEVER correctly applies employment issues ab cdcdcdcd Comment Basic Structure of the Framework Management and Organisation Cluster Space to write feedback on individuals development

9 Staff Management Performance management (Optional) ALWAYS carries out staff appraisals on a regular basis ab USUALLY carries out staff appraisals on a regular basis ab SOMETIMES carries out staff appraisals on a regular basis ab NEVER carries out staff appraisals ab cdcdcdcd Comment Staff development (Optional) ALWAYS supports staff in their development ab USUALLY supports staff in their development ab SOMETIMES supports staff in their development ab NEVER supports staff in their development ab cdcdcdcd Comment Employment issues (Optional) ALWAYS correctly applies employment issues ab USUALLY correctly applies employment issues ab SOMETIMES correctly applies employment issues ab NEVER correctly applies employment issues ab cdcdcdcd Comment Basic Structure of the Framework Management and Organisation Cluster Competency Space to write feedback on individuals development

10 Staff Management Performance management (Optional) ALWAYS carries out staff appraisals on a regular basis ab USUALLY carries out staff appraisals on a regular basis ab SOMETIMES carries out staff appraisals on a regular basis ab NEVER carries out staff appraisals ab cdcdcdcd Comment Staff development (Optional) ALWAYS supports staff in their development ab USUALLY supports staff in their development ab SOMETIMES supports staff in their development ab NEVER supports staff in their development ab cdcdcdcd Comment Employment issues (Optional) ALWAYS correctly applies employment issues ab USUALLY correctly applies employment issues ab SOMETIMES correctly applies employment issues ab NEVER correctly applies employment issues ab cdcdcdcd Comment Basic Structure of the Framework Management and Organisation Cluster Competency Behavioural Statement Space to write feedback on individuals development

11 Staff Management Performance management (Optional) ALWAYS carries out staff appraisals on a regular basis ab USUALLY carries out staff appraisals on a regular basis ab SOMETIMES carries out staff appraisals on a regular basis ab NEVER carries out staff appraisals ab cdcdcdcd Comment Staff development (Optional) ALWAYS supports staff in their development ab USUALLY supports staff in their development ab SOMETIMES supports staff in their development ab NEVER supports staff in their development ab cdcdcdcd Comment Employment issues (Optional) ALWAYS correctly applies employment issues ab USUALLY correctly applies employment issues ab SOMETIMES correctly applies employment issues ab NEVER correctly applies employment issues ab cdcdcdcd Comment Basic Structure of the Framework Management and Organisation Cluster Competency Behavioural Statement Assessment ratings at times a,b,c and d Space to write feedback on individuals development

12 East & South East England Specialist Pharmacy Services The Framework Assessment ALWAYS demonstrates the behaviour with very rare lapses (85-100%) USUALLY implies occasional lapses (51-84%) SOMETIMES much more haphazard (21-50%) NEVER very rarely demonstrates the behaviour (0-20%)

13 East & South East England Specialist Pharmacy Services The Framework The handbook Handbook helps to interpret the competencies and behaviours Describes how competencies and behaviours relate to different sectors Promotes thought on how the competencies and behaviours relate to the pharmacists/technicians job Includes the grids to provide evidence for formal assessment or as a complete CPD resource

14 East & South East England Specialist Pharmacy Services General Level Framework First Edition – was implemented in 100+ hospital trusts Outcomes based on research evidence (accelerated improvement in performance which is sustained) Second Edition (nGLF) – piloted in Community Pharmacy to cover primary and secondary care Used in Joint Programme Board - on CoDEG website Adapted for use in Australia! Mapped MI by UKMi and MUR service delivery Mapped to KSF profile for a Band 6 Pharmacist

15 Pharmacist Development Strategy Qualified Practitioner Senior or Specialist Practitioner Advanced Practitioner Consultant Practitioner Healthcare Scientists Making the Change Consultant Advanced Practitioner Specialist Practitioner Practitioner Allied Health Professions Meeting the Challenge PAM(PTA)2/2001 Pre-registration Pharmacist Registered Pharmacist General Level Pharmacist Advanced Level Pharmacist Consultant Pharmacist

16 Pharmacy/Dispensing Assistant (NVQ2) Registered Pharmacy Technician (NVQ3) Senior Pharmacy Technician (includes post-qualification training: ACT etc.). Medicines Management Pharmacy Technician: Near Patient/Clinical Duties Further role developments (e.g. via Foundation Degrees/NVQ4) Completion of MPharm Pharmacy Support Staff and Technician Development ?

17 East & South East England Specialist Pharmacy Services Currently roles for technicians vary across different acute, mental health trusts and PCTs Boundaries between pharmacist and pharmacy technician duties vary in different trusts Often related to ability to recruit and skill mixing Variations in training requirements within Trusts eg formal accredited course v in-house training No specific Competency Frameworks for post- NVQ3 pharmacy technicians i.e. there is a a degree of inconsistency (as there was for pharmacists) Technician Roles

18 Task Group If pharmacy technicians undertaking similar medicines management functions to pharmacists Could the GLF be used to assess competency and develop pharmacy technicians?

19 East & South East England Specialist Pharmacy Services Task Group Identified members – ranging from technician practitioners, those running MMT courses, interested pharmacists Looked at work already in existence What do medicines management technicians do (varies from place to place) Identified which competencies/behavioural statements are appropriate for technicians Checked what needed modifying Identified those to be added And some behavioural statements were deleted

20 East & South East England Specialist Pharmacy Services We found Most behavioral statements appropriate in two clusters (personal and problem solving) Management and Organisation behavioural statements – some less relevant depending on role Delivery of Patient Care Competencies – most challenging (and largest section) Added more behavioural statements especially around PODs/Discharge For all behavioural statements - two levels – core and optional

21 East & South East England Specialist Pharmacy Services Work undertaken NEVER rarely demonstrates the behaviour (0-20%) replaced with RARELY Layout wasnt logical! Handbook needed reworking Numbered behavioural statements to make cross referencing easier Have suggested level(s) of competence

22 East & South East England Specialist Pharmacy Services Redefined some of the terminology to ensure reflects practices by pharmacy technicians Used term pharmacy technician (MMT, Clinical Technician, near patient technician) Suggested what evidence can be used to show competence Checked applicability to primary care Discussions around accountability and working within a governance framework We have a pilotable version! - almost

23 East & South East England Specialist Pharmacy Services Governance Framework There may be locally agreed situations where appropriately trained and assessed pharmacy technicians undertake some clearly defined clinical roles – however the accountability for their actions remains with the pharmacist. Medicines Management activities are undertaken in accordance with a system of governance that reflects roles, responsibilities and accountabilities of different professional groups. Before using the framework it is important to identify locally what is the scope of practice for pharmacy technicians in respect of medicines management

24 East & South East England Specialist Pharmacy Services Current work Gathering support of sponsoring organisations CoDEG – valuable piece of work with the (P)GLF describes a complete medicines management service UKCPA Guild of Health Care Pharmacists APTUK UK Clinical Technicians Network UK Psychiatric Pharmacy Group Discussed with the Society

25 Task Group There is no need to prove: It works! Is evidence based Measures competence Is reliable Shows improvement with time

26 East & South East England Specialist Pharmacy Services Pilot Will run during 2008 Launch meeting in central London on Wednesday January 16 th Assessments during February, May and August Each reviewer two MMTs Complete a validation tool Attend feedback meeting autumn Looking for a range of services and sites

27 East & South East England Specialist Pharmacy Services Pilot – behavioural statements Delivery of Patient Care 42 Personal 19 Problem solving 15 Management & Organisation 21 Handbook to help reviewers and pharmacy technicians navigate around the framework

28 East & South East England Specialist Pharmacy Services Pilot Does the framework work for medicines management ? Does it describe what pharmacy technicians involved in medicines management activities do? – in all sectors ?? Is it user friendly ? Do we need to change anything ?

29 Patient Assessment ALWAYS introduces self to explain role and checks patient details with prescription and patient AB USUALLY introduces self to explain role and checks patient details with prescription and patient AB SOMETIMES introduces self to explain role and checks patient details with prescription and patient AB RARELY introduces self to explain role and checks patient details with prescription and patient AB CCDCDCD Your turn to have a go! Consider aspects of medicines management role Where should the standard be set ? What evidence could be used to demonstrate level of performance?

30 East & South East England Specialist Pharmacy Services Your turn to have a go!! Assessment ALWAYS demonstrates the behaviour with very rare lapses (85-100%) USUALLY implies occasional lapses (51-84%) SOMETIMES much more haphazard (21-50%) RARELY very rarely demonstrates the behaviour (0-20%)

31 East & South East England Specialist Pharmacy Services Core Project Group Jane Hough Diane Blunden Julie Chatters Kulpna Daya Dawn Denison Vanessa Eggerdon Bev Faulkner Tess Fenn Elizabeth Fidler Sarah Gray Paul Lindars Tracey Tisley

32 CoDEG Future Work CoDEG developing an electronic version As (P) GLF mapped onto Band 6 Pharmacist KSF - could the TLF map to Band 5 or 6? Work on NOS using (P) GLF Could technician NOS work link to Technician Level Framework

33 Competency Development and Evaluation Group Contributors David WebbGraham Davies Lizzie MillsDenise Farmer Duncan McRobbieIan Bates Naomi MeadowsSotiris Antoniou Julia WrightKevin Purser Laura ObiolsJane Hough

34 East & South East England Specialist Pharmacy Services My contact details: CoDEG website:


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