Clinical prioritisation is a method of working that aims to achieve the optimum use of the pharmacy team in clinical areas. This is achieved by training and empowering the pharmacy technician to identify and prioritise those patients who require the most clinical input with regards to their medications, thus ensuring the most effective use of the pharmacist’s time.
The programme aims to provide training and assessment that will equip pharmacy technicians with the required knowledge and skills to be able to accurately and efficiently prioritise patients who require further clinical input regarding their medicines and to communicate this effectively. The programme does not necessarily ‘teach’ the process of clinical prioritisation. This is because the process of clinical prioritisation is determined locally, in line with SOPs/guidelines and the expected roles and responsibilities of pharmacy technicians within this. The programme aims to provide a ‘toolkit’ of skills that support the pharmacy technician to prioritise patients according to risk and this enables the application of the programme in a wide range of settings and specialties.
The programme covers a variety of topics and themes that support the trainee to develop the relevant knowledge, skills and behaviours needed to undertake the programme and clinical prioritisation role. Examples include: • Legal and ethical issues – using professional judgement and accountability • Interpreting and evaluating different sources of patient information • High risk medicines and high risk patients • Reviewing and interpreting basic patient specific results o Observations, i.e. blood pressure, temperature etc. o Blood results, i.e. U&Es, liver function, creatinine clearance etc. • Dealing with a variety of conflicting information and referring appropriately • Prioritisation techniques and handover, e.g. SBAR, RSVP • Interpreting what information needs to be communicated and understanding who needs to know • Identifying poor practice with medicines management that may impact on patient safety e.g. IV injection reconstitution, poor medicines security • Portfolio building and the e-portfolio
The programme content is delivered by virtual induction and local practical skills evidence collection and assessment. Further details can be found in the programme handbook. • 1 day virtual induction event – delivered by PWDS; an interactive event providing networking opportunities and scenario based learning • Underpinning knowledge activities to support and develop practice – self-directed learning and reflection on application to clinical prioritisation role. • Work-based evidence collection and portfolio building – assessment of practical skills in the workplace. • Competency Based Assessments - assessment of practical skills in the workplace. A learning pathway is provided to trainees and educational supervisors that guide through the learning elements with templates for recording evidence for submission • Summative assessment interview and case study presentation – panel assembled by PWDS and held virtually.
Trainees are permitted a 12 month training duration to complete the evidence requirements and present for final assessment. As with any professional/personal development there is an expectation that trainees will undertake some of the learning in their own time. PWDS will accept requests from educational supervisors where specific circumstances have prevented the trainee from completing the programme with the specified training duration.
We will consider offering an extension if you are unable to complete due to periods of sick leave, maternity leave and special requirements etc. Extensions to the training period should be requested by the educational supervisor towards the end of the training period; at that point your progress to date and circumstances can be taken in account when agreeing how much time is necessary to complete the outstanding evidence. Please ask your educational supervisor to email the training programme director to request an extension with a brief outline of the reasons for the request.
Trainees will require a clinical pharmacist or a suitably trained and experienced unit 3 accredited pharmacy technician to act in the capacity of educational supervisor. Educational supervisors should guide the trainee and support them to understand their role in clinical prioritisation from a practical and clinical perspective. With this in mind where the trainee is allocated a pharmacy technician educational supervisor we recommend the additional involvement and support from a clinical pharmacist to support the trainee to develop the relevant clinical knowledge.
We advise that the trainee’s nominated educational supervisor remains the same for the duration of the training in order to support continuity of training and assessment. PWDS recognise that there are occasions where a change in educational supervisor is unavoidable (e.g. where they have left the organisation or moved to another role). In this instance we request that the trainee or educational supervisor contact the training programme director for further guidance. We would normally require documented evidence of a handover of the trainee’s progress from the old to the new educational supervisor. This can be documented as a ‘regular review’ and uploaded to the trainees e-portfolio.
The learning pathway is a document that supports the trainee and educational supervisor to understand and journey through the relevant evidence requirements to complete the programme. The learning pathways also contain the templates used to record the practical skills evidence collection for the programme. Trainees and educational supervisors will be provided with the relevant learning pathway upon registration to the programme. If you experience any difficulties in accessing the learning pathway or any of the documents embedded then please contact the training programme director.
Please see the ‘team’ page for specific contact details for all members of the PWDS team. For general enquiries you can email firstname.lastname@example.org or leave a voice message on 0117 3426677. We ask that you check the website for an answer to your question prior to emailing us as this is the easiest way to gain a prompt answer to your query.
Demonstration of competence is achieved through local practical skills evidence collection and using the following assessment methods: • Accuracy logs – second checked processes • Competency based assessments • Reflection on practice through written case studies across a range of experiences • Final summative assessment interview and case study presentation • Submission of electronic portfolio of evidence for final assessment by PWDS
Funded places may be available for trainees for trainees located in the HEE South geography. Please see the PWDS website for more details regarding funded opportunities. The programme cost for PWDS affiliated trusts is £140.00, for non-affiliated trusts the costs is £295.00. This cost includes 1 day induction, e-portfolio licence, final summative assessment interview and formal accreditation/certification
We have some feedback from trainees and educational supervisors who have experienced/competed this training programme. Here’s what they said….. ‘………At last we have been given the opportunity to learn and use clinical skills. The course pushes the pharmacy technician even further in their learning. It was useful to study within the working environment based on real events, so learning could be demonstrated in practice. This course is informative and enjoyable. A positive step forward.’ HM, Southmead Hospital ‘………the programme provided me with a structure to work within. It prompted me to reflect on this role’ SF, Bristol Royal Infirmary ‘……The clinical prioritisation role is excellent, it reduces the number of patients that I need to see & flags potential clinical problems in those patients that I would need to focus my time with’ SG, Clinical Pharmacist North Bristol NHS Trust
Please contact the PWDS Pharmacy Medicines Optimisation Unit 3 Training Programme Director: Mary Carter at mary.carter1@net or email PWDS at PWDS@uhbw.nhs.uk