Are we competent medicines procurement professionals?
Dr Catherine Duggan
Drivers for change
• Social • Political• Economic
Patient safetyAccess to medicinesQuality and Self-careCost effectivenessCommissioning based on evidenceQIPP
Changing demographyChronic diseases, complexity of therapyLong term disease managementNew technologies & models of delivery Transferability of services and treatment options
Flexible workforceMEE (MPC)Transferability of knowledge and skillsLevels of service related to skill mixConsistent between sectors
Implications?
1. Biggest changes to NHS since inception
2. Dissolution of PCTs and SHAs, all NHS Trusts => Foundation Trusts
3. Commissioning, Commissioning, Commissioning
4. Education and Health
5. Forging links between Health, Social care, Local authorities
6. MEE and PABs
7. Any willing provider
Implications?
1. Commissioning, Commissioning, Commissioning
2. Public Health England
3. Commissioning Board
4. Local authorities responsible for local health improvements (PCT clusters)
5. MEE => HEE- statutory body
6. Formal partnerships between HEIs and employers: accountable for sign off at end of 5 year degree
7. Local skills networks
Three arguments for “developing practice” across all sectors
1. Adaptability: Changing healthcare environment
2. Flexibility: Recognition that enables the development of a flexible and adaptable workforce
3. Demonstrability: Demonstration of the benefit of pharmacy to health
…the benefit of patients, the public and pharmacy
What do other Royal Colleges provide?
Professional Support
Professional Development & advancement
Leadership and advocacy
Science and Research
Professional Recognition
Moving from services to support towards developmental systems
Map of Best practice- access to evaluations / audits / research across GB (UK?)
Research support: tools, networks, data management
Standards setting and guidance provision
Building flexible Knowledge networks
Developing Expert Panels- Harness expertise from all sectors
Harnessing expertise from the profession?
Networks and professional links Professional Forums Expert Advisory Panel for Science Expert Advisory Panel for Education Education Reference Group
PARTNERS!!
Our projects over the last year
1. Virtual networks & networking2. Communications & Consultations 3. Media working4. Developmental & educational support for practitioners5. Curricula for advanced practice6. Credentialing
Lets start with RPS Membership….
What is professional recognition?
1. Professional
• Media
• Influence, leadership, advocacy
• External invitations
• Standards and guidance
• Sharing best practice
2. Personal
• Career pathways & opportunities
• Support
• Development
• Recognition
What is professional recognition?
1. Professional
• Media
• Influence, leadership, advocacy
• External invitations
• Standards and guidance
• Sharing best practice
2. Personal
• Career pathways & opportunities
• Support
• Development
• Recognition
Regulatory leader
Regulatory leader
UG PreReg Advanced practice
Post-RegConsolidating
foundation practice
Higher levels of practice
Clinical LeaderClinical Leader
DirectorDirector
ManagerManager
Lead educatorLead educator
Lead researcher
Lead researcher
Specialist services
Specialist services
What knowledge and skills and experiences do I need to advance? (professional curricula)
What education, training and development can help me gain this (signposting & accreditation)
How can I demonstrate a recognised level of practice? (professional credentials)
What support will help me navigate my way (frameworks and tools)
What knowledge and skills and experiences do I need to advance? (curricula)
What education, training and development can help me gain this (signposting & accreditation)
How can I demonstrate a recognised level of practice? (credentials)
What professional development frameworks exist in practice?
Expert Group identifies need for
Professional Curriculum
Expert Group identifies need for
Professional Curriculum
Contact RPS (Royal
Pharmaceutical Society)
Contact RPS (Royal
Pharmaceutical Society)
Attend a CSG (Curricula Support Group)
meeting
Attend a CSG (Curricula Support Group)
meeting
Expert Group develops
Professional Curriculum
Expert Group develops
Professional Curriculum
PCG (Professional
Curricula Group) for validation
PCG (Professional
Curricula Group) for validation
If validatedIf validated
If not validatedIf not validated
Peer Review process
(by external organisations: ie. medical groups,
specialist nursing)
Peer Review process
(by external organisations: ie. medical groups,
specialist nursing)
Back to the CSG for revision
Back to the CSG for revision
Professional Curriculum
ready
Professional Curriculum
ready
Professional Curricula Development Process
Agreed visions for professional recognition• To have an accessible and comprehensive “library” of professional education
available to all practitioners.….to include formal (eg HEI) and informal (eg specialist group) education and training•
To have an accessible and comprehensive “library” of curricula for advanced practice available to all practitioners- specialist, generalists, all sectors all levels
• “We will recognise, promote and support best practice by members AND the RPS will unify the process by drawing on existing and developing
expertise in our profession”
Section Title
Imperatives across all sectorsSome challenges
1. Adaptability: Changing healthcare environment
2. Flexibility: Recognition that enables the development of a flexible and adaptable workforce
3. Demonstrability: Demonstration of the benefit of pharmacy to health
…the benefit of patients, the public and pharmacy
Some solutions
• Flexible career paths that facilitate transfer of knowledge, skills and expertise
• Robust, simple professional recognition programme
• Robust, supportive evidence base for agile, responsive, service development
Professional Recognition
I. Professional voice at the Top Tables
II. Innovative partnerships: research, education, industry, employers, health
III. Relevant, accessible, supportive networks
IV. Specialist, clinical, science expertise: Federation / faculty / academy
V. Professional leadership and professional advocacy- based on evidence
Professional Leadership, Professional Recognition, Professional Transformation
Are we competent medicines procurement professionals?
Dr Catherine Duggan