Educational solutions for the NHS pharmacy workforce Addiction to Medicines: Training and support...
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Transcript of Educational solutions for the NHS pharmacy workforce Addiction to Medicines: Training and support...
Educational solutions for the NHS pharmacy workforce
Addiction to Medicines:Training and support for GPs, pharmacists and other healthcare professionals Dr Ben RileyMedical Director of CurriculumRoyal College of General Practitioners
Michelle StylesRegional Manager, LondonCentre for Pharmacy Postgraduate Education
Educational solutions for the NHS pharmacy workforce
About the Royal College of GPs
Leading professional body for general practice with over 46,000 members
Sets the training curriculum and assessments and recommends standards for the licensing and revalidation of GPs
Policy development and research in general practice
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Educational solutions for the NHS pharmacy workforce
The role of the GP in safer prescribing
In the NHS, 90% of medical consultations take place in general practice: over 300 million each year
Each year in England, around 900 million items are prescribed in primary care
GPs write 98.5% of these prescriptions. An estimated 1.5% are written by nurses and other non-medical prescribers (of which 0.6% are by dentists)
Around 70-80% of prescriptions are issued on ’repeat’
Sources: The Information Centre, 2009 and Prescribing Support Unit, 2010
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Educational solutions for the NHS pharmacy workforce
The RCGP Curriculum
This means that as a GP you should: 1.1 Appreciate that drug and alcohol use is common the community and
that harmful use is often unrecognised and can take a range of forms1.2 Recognise the special needs of patients with drug and alcohol problems,
who often have very difficult lives and are frequently marginalised by society
1.3 Ensure that patients with drug and alcohol problems have equal access to care in your practice and are treated with compassion
1.5 Provide evidence-based screening, brief interventions and effective primary care treatments for these patients, where appropriate ..../....
1.6 Make sure that repeat prescriptions are monitored for long-term prescribing of addictive drugs and appropriate action taken if this is happening
1.7 Work in partnership with the wider primary healthcare team including pharmacists, specialist services, the voluntary and criminal justice sectors
1.8 Recognise that older adults can have unrecognised alcohol or drug problems
www.rcgp.org.uk/curriculum
Incorporates Academy of Medical Royal Colleges core competencies
Educational solutions for the NHS pharmacy workforce
Future challenges for the NHS
Ageing, multi-morbid population
Avoiding greater fragmentation of care
Growing expectations of access and quality
Increased demand
Outdated organisation and service boundaries
Diverging UK care systems
Focus on process measures/’tick-boxes’
Growing financial pressures
Concept based on Harden and Stamper, 1999 and Dreyfus and Dreyfus, 1986.
Multidisciplinary team-working
From Novice
Towards Expert
Training
System improvement
Consultation skills
CPD & Revalidation
Educational solutions for the NHS pharmacy workforce
Four-year Enhanced GP Training
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Submitting proposals for enhancing consulting and prescribing skills of all new GPs through a new four-year training programme (subject to Government approval)
Introducing practical quality improvement training for all senior GP trainees
Developing educational tools and resources for the continuing professional development of qualified GPs
• e-Learning
• Printed materials
Plans to improve GP skills
Educational solutions for the NHS pharmacy workforce 9
Online Learning Environment: www.elearning.rcgp.org.uk
RCGP/SMAH blended courses Identification and Brief
Advice for Alcohol Misuse Management of Drug
Misuse (Harm Reduction)
RCGP Certificate in the Management of Drug Misuse
SMMGP AtM GP workshops
Existing resources
Educational solutions for the NHS pharmacy workforce
Addiction, misuse and dependency:
Focus on prescribed and over-the-counter medicines
E-learning programme
Educational solutions for the NHS pharmacy workforce
Educational solutions for the NHS pharmacy workforce 11
Joint project with the Centre for Pharmacy Postgraduate Education (CPPE) and Royal College of General Practitioners
Key focus is GPs and pharmacists but relevant to others
Project lead by
- Dr Linda Harris, GP and clinical director, RCGP, Substance Misuse and Associated Health
- Professor Christopher Cutts, Director, CPPE
Background
Educational solutions for the NHS pharmacy workforce
Centre for Pharmacy Postgraduate Education
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- Funded by the NHS via SHA (LETB/HEE) for England
- Learning for the whole professional pharmacy workforce
in England
- Hosted by the University of Manchester
Educational solutions for the NHS pharmacy workforce
CPPE Quality Assurance process
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Educational solutions for the NHS pharmacy workforce
Development team
Claire Barber, Pharmacist with interest in this substance use
Richard Cooper, Lecturer in public health and course director, University of Sheffield
Colin Fearns, Secure environment pharmacist
Ajay Birly, RCGP substance misuse and associated health unit
Jenny Keen, clinical director, Primary Care Addiction Service Sheffield
Ruth Fleming , Project officer, RCGP
Aileen Bryson, Practice and policy lead for Scotland, Royal Pharmaceutical Society
Simon Butterworth, Community pharmacist with an interest in the area
Cathy Stannard, Chair, British Pain Society
Kate Halliday, Policy and development manager, Substance Misuse Management in GP
Jo Clark, Local pharmacy tutor, CPPE
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Educational solutions for the NHS pharmacy workforce
External reviewers
Steve Brinksman, GP, regional lead in substance misuse for the West Midlands, RCGP, and clinical director of Substance Misuse Management in General Practice
Matthew Young, GP and London regional lead, RCGP Substance Misuse and Associated Health unit
Andrew Mawdsley, Clinical tutor and clinical pharmacist, Central Manchester University Hospitals NHS Foundation Trust
Graham Parsons, Pharmacist with special interest and pharmacist prescriber (substance misuse), NHS Devon, Plymouth and Torbay
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Educational solutions for the NHS pharmacy workforce
Learning objectives
Define the term ‘addiction to medicines’ with respect to prescribed and OTC medicines
Interpret key data sources and reports which discuss the public health problem with medicines addiction and misuse
Identify key at-risk groups of people and patients who could become dependent on medicines
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Educational solutions for the NHS pharmacy workforce
Learning objectives cont’d
Differentiate between prevention and treatment aspects of medicines addiction
Recognise best practice in safe and effective prescribing most likely to reduce the risks and harms from addictive medicines
Describe appropriate services, treatment interventions and care pathways which can support people who have become dependent on medicines
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Educational solutions for the NHS pharmacy workforce
Structure of the learning
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Educational solutions for the NHS pharmacy workforce
Build in ‘Storyline’ software
Great look, style and feel
Compatible with PC, iPad, iPhone and Android tablets
Video stories, exploring graphics
Case studies to challenge
Web links & references
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Educational solutions for the NHS pharmacy workforce
Development, hosting and delivery
Currently at the e-build stage
Hosted on CPPE (www.cppe.ac.uk) and RCGP website
Happy to discuss hosting options with other organisations
Aiming for 1st April 2013 launch
Email: [email protected]
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Educational solutions for the NHS pharmacy workforce
Completing the learning cycle
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Educational solutions for the NHS pharmacy workforce
Revalidation requirements for GPs
General information about professional work
Keeping up to date
- CPD activities
- Review of practice
- Quality improvement activity
- Significant events
Feedback on professional practice
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