Declaration of competence (DoC) system Sally Greensmith Regional - - PowerPoint PPT Presentation

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Declaration of competence (DoC) system Sally Greensmith Regional - - PowerPoint PPT Presentation

Declaration of competence (DoC) system Sally Greensmith Regional Tutor 0 What is CPPE? Centre for Pharmacy Postgraduate Education based at the University of Manchester Funded by Health Education England We provide national


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Declaration of competence (DoC) system Sally Greensmith Regional Tutor

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What is CPPE?

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  • Centre for Pharmacy Postgraduate Education based at the

University of Manchester

  • Funded by Health Education England
  • We provide national learning resources for practising pharmacists

and pharmacy technicians in England

  • We are based at a university to assure academic standards
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What is the DoC system? Aim:

  • to assist the development and provision of

consistent, sustainable high quality pharmacy services for patients

  • to provide assurance to employers and

commissioners of practitioner competence

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The Declaration of Competence system is supported for use across England by Health Education England, and endorsed by NHS England and PH England.

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Pharmacy professionalism and DoC

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The General Pharmaceutical Council (the regulator for pharmacy) states that pharmacy professionals are responsible for maintaining and improving the quality

  • f their practice by keeping their

knowledge and skills up-to-date and relevant to their role and the services they offer.

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Declaration of Competence system

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Step 5 – Update your CPPE learning record – NEW STEP Step 4 – Declaration. Print off Declaration of Competence Statement (certificate) and sign Step 3 – Revisit competency framework to complete the outstanding self- assessment Step 1 – Learning/assessment: reflection on previous learning, training and assessment (see learning pathway) Step 2 - Completion of self-assessment DoC framework to identify gaps in knowledge skills and behaviours “ Can you….?” Fill the gaps!

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Declaration of Competence system

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  • Each DoC is underpinned with core competencies of:
  • Consultation skills for pharmacy practice
  • Safeguarding children and vulnerable adults
  • Different levels of service are addressed
  • Pharmacy professionals revisit the DoC every three years unless the

service specification requires more regular revision

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Which services are covered by DoC?

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  • Emergency Contraception
  • Chlamydia Testing and Treatment
  • Supervised Consumption of Prescribed Medicines
  • Needle and Syringe Programmes
  • Stop smoking
  • Alcohol Use Identification and Brief Advice
  • Health Checks
  • Minor Ailments Schemes (levels 1 and 2)
  • Head lice
  • Flu vaccination – NEW ADVANCED SERVICE
  • Vaccination service (London pilot)
  • Improving Inhaler technique
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Why the commissioners are using DoC?

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  • Quality and robust reflective framework embedded into the service

specification and PGD

  • Allows flexibility for the commissioner
  • Supported by quality learning and assessment
  • Robust governance processes for the development of DoC
  • Enables pharmacy workforce to be ‘service ready’
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How does CPPE support the DoC system?

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  • CPPE hosts DoC on the CPPE website
  • Community pharmacy specific area linked to CPPE records
  • Commissioner specific area where they can access each DoC and

the learning and assessment overviews

  • Links personal learning and development records of pharmacy

professionals to DoC

  • Links personal learning and development records to pharmacy IT

systems such as PharmOutcomes. Working with others to expand this.

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CPPE Website

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CPPE Viewer

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Where to find DoC

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DoC

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Step 1: Recommended learning

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Step 2: Supporting assessments

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Step 3 & 4

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Step 5

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NEW – Step 5 - allows you to confirm you have signed your statement of declaration for a particular service and the date of declaration This should be backdated by everyone who has previously completed a DoC for a service with the date when the DoC statement was signed

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How do CPPE support you with the DoC system?

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Training

  • National team of highly trained

facilitators (all pharmacy professionals)

  • Flexibility to deliver

commissioned and collaborative events

  • Range of high quality

educationally robust training materials

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What to do if you are already providing the service

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  • Step one: When did you last do any learning for the EHC service?

Are you sure you are competent? Is it within 3 years?

  • Step two: work through the DoC framework self assessment tool and

identify any gaps. Can you.................

  • Complete any necessary learning
  • Revisit the DoC framework, print off the DoC statement and sign
  • Remember – if you can provide evidence to show you meet the

competencies you may not have to do any formal learning

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Working through the EHC DoC

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  • Similar layout for all the different DoC frameworks
  • Pages 1 - 3 – How to use the system
  • Page 4, section 4.1, 4.2 & 4.3 – learning relevant to the competencies
  • Page 5, section 4.4 – other learning you may have done that is relevant e.g.

Local commissioner training

  • Page 6 – the DoC framework
  • Questions for you to answer – ‘do you’? ‘can you’ ? ‘have you?’
  • Answer – ‘Yes because...’ and write a statement of why you meet the competency
  • Statements should be supported by appropriate evidence
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Consultation skills

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  • Why they are important
  • Help with passing the e-assessment
  • Difficult discussions
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National practice standards for pharmacy

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  • Outline the key knowledge,

skills and behaviours expected of all pharmacy professionals when speaking with patients

  • Important to move practice

forward

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Website

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Six-step pathway to improvement

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  • Why?
  • What standard?
  • Where am I?
  • How do I improve?
  • Check my learning?
  • Ongoing improvement?
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The learning

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60,000

Distance learning Workshops Downloads

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www.consultationskillsforpharmacy.com

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The assessment

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Four sections

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  • Section 1 - MCQ
  • Sections 2,3 & 4 are video observation
  • Don’t have to do all in one sitting
  • Pass marks
  • Sections 1 & 2 = 80%
  • Sections 3 & 4 = 60%
  • Green = passed
  • Yellow = retry
  • If fail a section 20hours to reflect and retry
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Section 1 – MCQ Knowledge base

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  • 15 MCQs based on the following 5 topic

areas (all in distance learning book)

  • Medicines adherence and medicines
  • ptimisation
  • National Practice Standards
  • Consultation models
  • Consultation skills tools and frameworks
  • Key communication and consultation skills
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Sections 2,3&4 – video observations

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  • Objective structured video exam (OSVE)
  • Each section contains three videos
  • Could be an example of one of three stages of the consultation
  • Don’t get caught up in the clinical detail
  • You have 10 minutes to assess each video
  • Section 2 – Did you see it? Was it there?
  • Section 3 – The skill is demonstrated but how good is it?
  • Section 4 – a combination of the approach in section 2&3
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Resources to help you

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  • Consultation skills for pharmacy practice

distance learning

  • National Practice Standards
  • CSfPP assessment guidelines
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Developing your practice: getting started

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How do you know how good you are?

  • Complete the self assessment activities (MRCF?
  • Take a look at the consultation models
  • Choose one or two that may suit your approach
  • Take some of the skills and techniques on a test

drive

  • Peer review of practice
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Dealing with difficult discussions

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  • A discussion where our personal, social or moral

perspective prevents us from communicating effectively

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Dealing with difficult discussions

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  • Ask yourself:
  • Have I any latent prejudices that might affect my dealings with certain

groups of people?

  • Do I find some subjects distasteful?
  • Am I at a loss as to how to respond when people raise issues that I find

embarrassing?

  • Do I find it difficult to decide what sort of language to use when discussing

personal or embarrassing topics?

  • If this is you:
  • CPPE e-learning – Dealing with difficult discussions
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Difficult discussion activity (1)

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Work in pairs How would you open the conversation about a chlamydia test with these people? Practice the actual words you would say.

  • 1. Young woman about 20 asks you if Alka-Seltzer

is still the best cure for a hangover

  • 2. Young woman is buying tampons and an
  • vulation testing kit
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Difficult discussion activity (2)

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For each of the excuses below we would like you to think of at last one response that will help you explain why they should do the test.

  • 1. I don’t think I’ve got it
  • 2. I’m in a steady relationship
  • 3. I don’t like the idea of testing
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www.cppe.ac.uk info@cppe.ac.uk 0161 778 4000

Follow us on Twitter, Facebook, LinkedIn and YouTube:

www.twitter.com/cppeengland www.facebook.com/cppeengland www.linkedin.com/company/centre-for-pharmacy-postgraduate-education www.cppe.ac.uk/youtube

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