1. If the cap fits, wear it: Assessment using the Advanced/ Consultant Level Framework David Webb NZHPA Conference September 30, 2007

2. Workshop?

3. ClustersCompetencies Expert professional practiceExpert skills and knowledge, Patient care responsibilities, Reasoning and judgement, Professional autonomy. Building working relationshipsCommunication, Teamwork and consultation. LeadershipVision, motivation, governance, Strategy, innovation, Service development. ManagementPlanning, performance, change, Priorities, resources, standards, Risk. Education, training, development Mentorship, role model, delivery, CPD, practice linkage, policy. Research and evaluationCritical evaluation, protocol review, Evidence creation, development, Supervision, partnerships.

5. Self assessment using ACLF □Practice levels □Specialist-in-training □Experienced practitioner □Leading-edge practitioner □Evidence □To substantiate assessment □Sample (n=390) □Cancer69 □Mental health69 □Critical care36 □Primary care84 □Paediatrics53 □MI43 □Other36

6. 0.0 0.5 1.0 1.5 2.0 2.5 3.0 Mean cluster score Expert Practice Working relationships Leadership Management E&T and Development Research & Evaluation Specialist ExperiencedLeading-edge

7. Cluster Foundation F-E Excellence E - M Mastery Expert Practice Building Relationships Leadership Management E&T and Development Research and Evaluation 0.9 3.5 0.8 1.3 0.8 10.0 2.5 16.0 5.1 26.5 15.5 47.6 2.8 4.6 0.8 12.7 0.8 12.5 2.5 15.9 16.4 22.9 21.1 50.7 14.3 56.9 43.2 60.7 50.4 58.3 58.5 52.3 40.0 24.8 15.8 21.5 23.3 20.3 9.6 6.0 15.1 8.3 10.2 3.8 11.8 1.9 62.3 21.5 61.7 17.0 45.6 10.7 31.1 4.9 23.7 1.5 16.4 2.9 Respondent percentage by subgroup EP=155LE=135

8. Dimension 1 Dimension 2 F E M F E M F E M F E M F E M Expert PP Leadership Management E & T R & E Practice level HOMALS Quantifications F Foundation E Excellence M Mastery Specialist in training Experienced practitioner Leading-edgepractitioner

9. Competency profiles □Applying consultant profile to sample □50 pharmacists satisfy competency criteria (12.8%) □21 (+/- 7) years post qualification (mean +/- SD) □34% diploma, 40% MSc, 18% PhD

10. 1.Member local or Trust committee 2.Member regional / national / international committee 3.Active teaching role 4.Education development, design & provision 5.Active research participation 6.Research development & leadership 7. Professional standing / Peer status 8. Documented expert practice 9. Managing process & leadership (local) 10.Managing process & leadership (national) 11.Staff management 12.Other appropriate documentation Evidence categories Proportion of respondents citing different evidence categories by subgroup 0.00 10.00 20.00 30.00 40.00 50.00 60.00 Evidence 1Evidence 2Evidence 3Evidence 4Evidence 5Evidence 6Evidence 7Evidence 8Evidence 9 Evidence 10Evidence 11Evidence 12 Potential Consultant (n=50) Non-Consultant (n=340)

11. Graham DaviesIan Bates Denise Farmer Duncan McRobbie Lizzie MillsSotiris Antoniou Laura ObiolsNaomi Meadows Roger Fernandes With thanks to DH Steering Group, GHP, UKCPA, CPP and E&SE England Specialist Pharmacy Services. Members of Specialist/Practice Interest Groups and CPP Faculties Funding NWL WDC, NSC WDD and Department of Health (scoping higher level practice )