COLLEGE OF MEDICINE AND HEALTH
Medicine, Nursing and Allied Health Professions

Module

Practice Certificate in Independent and Supplementary Prescribing

Module titlePractice Certificate in Independent and Supplementary Prescribing
Module codeHPDM147
Academic year2021/2
Credits45
Module staff

Mr William Farmer (Convenor)

Dr Rob Daniels (Convenor)

Duration: Term123
Duration: Weeks

13

13

Number students taking module (anticipated)

24

Description - summary of the module content

Module description

Prescribing is an important intervention in clinical care that needs to be safe and effective for patients. In addition, decisions around medication-related care should strive to be patient-centred, evidence-based and cost-effective for the NHS. This is an inter-disciplinary programme, meaning that you will learn alongside pharmacists, nurses and other allied-health professionals.

 

 For pharmacists, entry to this module requires you to be a registered pharmacist with the GPhC or the Pharmaceutical Society of Northern Ireland (PSNI) with at least two years appropriate patient-orientated experience in a UK hospital, community or primary care setting following their pre-registration year. In addition, you must have organisational governance structures in place to support you (including clinical support, access to protected learning time and employer support), a declaration of good character and a valid Enhanced DBS that adheres to your organisation’s governance policy.

 

For NMC registrants, entry to this module requires you to be a registered nurse (level 1), midwife or SCPHN, with at least one year since qualification. You must have the academic ability to study at level 7 (must have previously studied at level 6, as a minimum) and be competent in clinical/health assessment, diagnostics/care management and planning/evaluation of care (confirmed by your line manager). In addition, you must have organisational governance structures in place to support you (including clinical support, access to protected learning time and employer support), a declaration of good character and a valid Enhanced DBS that adheres to your organisation’s governance policy.

 

For HCPC-registered allied health professionals, entry to this module requires you to be an HCPC registered health professional with at least three years relevant post-qualification experience. Paramedic applicants must have at least five years’ experience since qualification, practising in your area of expertise for at least 12 months.  You must have the academic ability to study at level 7 (must have previously studied at level 6, as a minimum) and be competent in clinical/health assessment, diagnostics/care management and planning/evaluation of care (confirmed by your line manager) Paramedic applicants must have evidence of post-qualification study at level 7.In addition, you must have organisational governance structures in place to support you (including clinical support, access to protected learning time and employer support), a declaration of good character and a valid Enhanced DBS that adheres to your organisation’s governance policy.

 

All applicants will be expected to have identified an area of clinical practice in which to develop your prescribing skills and have up-to-date clinical, pharmacological and pharmaceutical knowledge relevant to your intended area of prescribing practice. You will also be required to demonstrate how you take responsibility for your own continuing professional development and reflect on your own performance.

 

 

Building on this, the module will provide you with the knowledge and skills to holistically assess individual patients and implement safe prescribing as an autonomous practitioner. This module will extend your workplace-based experience and give you the credentials to become a Supplementary and/or Independent prescriber in your area of clinical practice. As a GPhC requirement, pharmacists will be expected to arrange supervised practice with an appropriate Designated Prescribing Practitioner. NMC-registrants will be expected to arrange supervised practice with an appropriate Practice Assessor and Practice Supervisor. HCPC registrants will be expected to arrange supervised practice with an appropriate Practice Educator. The supervisors must be named at the point of application for the course and must sign the student application form to confirm their agreement.

 

 

On successful completion of this module you will be awarded the Practice Certificate in Independent and Supplementary Prescribing. This freestanding qualification makes you eligible to apply for Independent Prescriber status annotation on the GPhC/NMC/HCPC register.

Module aims - intentions of the module

You will develop the practitioner’s ability to analyse and evaluate information from a variety of sources and available evidence so that shared prescribing decisions can be agreed with the patient and their carers. The learning outcomes of the course are mapped to the RPS Competency Framework for all Prescribers (2016), in addition to any additional standards set by the three accrediting bodies (GPhC, NMC and HCPC). Successful completion of the course will require all of RPS competencies for prescribers to be met.

 

On successful completion of the module, you will be awarded the Practice Certificate in Independent Prescribing and receive 45 credits at NQF level 7. Pharmacists will meet all the GPhC learning outcomes to achieve accreditation for annotation on the GPhC register as an Independent Prescriber.  NMC-registrants and other allied-health professionals will meet the relevant standards set by the Nursing and Midwifery Council (NMC) and the Health & Care Professions Council (HCPC) to achieve accreditation for annotation as an Independent/Supplementary Prescriber.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Gain a variety of perspectives when working with patients and reflect on and evaluate a variety of options for shared decision making
  • 2. Perform clinical and holistic assessments with patients to support and justify prescribing decisions
  • 3. Work competently and autonomously within the legal and ethical framework for prescribing

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

  • 4. Demonstrate how knowledge of patient assessment, clinical monitoring and pharmacology is integrated to undertake clinical medication reviews and patient care in practice
  • 5. Incorporate professional, legal and ethical values in clinical decision-making and prescribing governance

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 6. Contribute and collaborate with colleagues as part of a team
  • 7. Critically evaluate learning and evidence base resources for application to clinical practice
  • 8. Work within a prescribing partnership with patients and multidisciplinary teams in the wider health and social care system

Syllabus plan

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:

E-learning
3 units comprising:

• Prescribing Governance
• Clinical skills for Prescribing
• Prescribing Partnerships
Contact days
• Induction sessions to resources and course
• Problem-based case learning
• Communication skills
• Clinical examination skills
• Prescribing practice discussions
• Assessment preparation sessions

Practice work experience placement
• 90 hours of on the job work experience supervised by Designated Prescribing Practitioner (mandated by GPhC/HCPC/NMC), supported by work related evidence submitted via Portfolio of Practice.

This blended learning approach will incorporate:

• Communication skills, clinical assessment and interpretation of data.
• Application of therapeutic knowledge and evidence-based resources to prescribing decisions.
• Incorporating professional, legal and ethical values in prescribing
• Exploration of tailoring care and shared decision making.
• Prescribing issues around morbidity, multi-morbidity and polypharmacy.

The learning outcomes of the course are mapped to the RPS Competency Framework for all Prescribers (2016), in addition to any additional standards set by the three accrediting bodies (GPhC, NMC and HCPC). Successful completion of the course will require all of RPS competencies for prescribers to be met.

To ensure flexibility and resilience over the coming academic year, the following changes may be made to the module if needed:

• Practical skills, or contribution to discussions, which are usually observed in class, may be replaced by observation via Teams/Zoom, monitoring of discussion boards; or may be replaced with a different assessment format
• Face-to-face scheduled lectures may be replaced by short pre-recorded videos for each topic (15-20 minutes) and/or brief overview lectures delivered via MS Teams/Zoom, with learning consolidated by self-directed learning resources and ELE activities.
• Written examinations (e.g. timed, invigilated, closed-book formal exam) may be replaced by an online equivalent (e.g. timed, non-invigilated, open-book, online exam).
• Presentations (e.g. PowerPoint-based presentation to group in face-to-face setting) may be replaced by PowerPoint-based presentation to the group using Teams/Zoom; or submission of a narrated PowerPoint.
• Observed Structured Clinical Examinations may be undertaken by Teams/Zoom; or may be replaced with a different assessment format.

 

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
11025090

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled Learning and Teaching 60Contact Days: Learning group discussion, seminars, clinical assessment suite. Presentations (e.g. PowerPoint-based presentation to group in face-to-face setting) may be replaced by PowerPoint-based presentation to the group using Teams/Zoom; or submission of a narrated PowerPoint. Skills workshops involving practical skills acquisition demonstrations may be replaced by short pre-recorded videos as pre-learning; or workshop via Teams/Zoom
Scheduled Learning and Teaching 50Online learning (activities and resources): Material and activities on E-learning platform including pre-course learning
Guided Independent Study30Portfolio tasks: Work-place based tasks
Guided Independent Study50Clinical interest academic essay: Written essay on clinical interest topic
Guided Independent Study60Guided PBL case learning: Self-study based on patient cases between contact days. Workshops involving face-to-face classroom teaching may be replaced by synchronous sessions on Teams/Zoom; or Asynchronous workshop activities supported with discussion forum
Guided Independent Study50Preparation for observed skill assessment: Clinical skills practice. Skills workshops involving practical skills acquisition demonstrations may be replaced by short pre-recorded videos as pre-learning; or workshop via Teams/Zoom
Guided Independent Study60Wider research and reading of relevant topics
Placement90Work experience supervised by Designated Prescribing Practitioner/Practice Assessor/Practice Educator (mandated by GPhC/ NMC/HCPC)

Assessment

Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Clinical interest essay plan200-300 words1-2, 4-5, 7-8Written
Portfolio task200-300 words1-4, 6 Written

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
552025

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Independent Prescribing Safety Assessment (IPSA) Multiple-choice question examination – Parts 1, 2 and 3; 40 questions in total in single best answer format; Part 1 (numeracy) comprises 4 questions, is pass/fail only and each question must be passed; Part 2 (pharmacology) comprises 10 questions and must be passed at 80%; Part 3 (prescribing safety) comprises the remaining 26 questions; The pass mark for Parts 2 and 3 combined will be determined for each iteration of the test by Modified Angoff method. All three parts of this assessment must be passed; failure in any part of this assessment will lead to failure in the module and the programme 201 hour: 40 multiple-choice questions with single best answer assessment1-6Written
Portfolio of Practice404000 words: A collection of work-place based activities to evidence specific competencies1-8Written
Objective Structured Clinical Examination Observed Structured Clinical Examinations may be undertaken by Teams/Zoom; or may be replaced with a different assessment format.251.5 hours: 5 station OSCE1-5Written
Clinical interest academic essay151,500 words1, 4-5, 7Written

Re-assessment

Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Independent Prescribing Safety Assessment (IPSA) Multiple-choice question examination – Parts 1,2 and 3 (20%); 1 hourIndependent Prescribing Safety Assessment (IPSA) multiple-choice question examination – Parts 1,2 and 3 1-6Typically within six weeks of the result
Portfolio of Practice (40%); 4000 wordsRe-submission of the original form of the assessment with revisions 1-8Typically within six weeks of the result
Objective Structured Clinical Examination (25%); 1.5 hours; 5 station OSCEObjective Structured Clinical Examination 1-5Typically within six weeks of the result
Clinical interest academic essay (15%); 1500 wordsRe-submission of the original form of the assessment with revisions 1, 4-5, 7Typically within six weeks of the result

Re-assessment notes

Four items of assessment are required for this module. In all cases re-assessment will be the same as the original assessment. Where you have been referred/deferred for any form of assessment detailed above you will have the opportunity to retake within a specified time period from the date that feedback was provided.

All items of assessment for this module must be passed in order to pass the module; failure in any assessment will lead to failure in the module and the programme.

 

In any assessment, a failure to identify a serious problem or an answer which would cause the patient harm will result in overall failure of the programme. 

 

To pass the Portfolio assessment you are required to obtain your DPP’s signed approval for the Statement of Competence.  

 

 

If you pass re-assessments taken as a result of deferral, your re-assessment will be treated as it would be if it were your first attempt at the assessment and the overall module mark will not be capped.

 

If you pass re-assessments taken as a result of referral (i.e. following initial failure in the assessment), the overall module mark will be capped at 50%. 

 

If you fail re-assessments taken as a result of referral (i.e. following initial failure in the assessment), you will be failed in the module. 

Resources

Indicative learning resources - Basic reading

A Competency Framework for all Prescribers – Royal Pharmaceutical Society July 2016

 

Medicines, Ethics and Practice (current edition) - Royal Pharmaceutical Society

 

Standards for Pharmacy Professionals – General Pharmaceutical Council May 2017

 

Standards for Prescribing programmes – Nursing and Midwifery Council May 2018.

Standards for Prescribing – Health and Care Professions Council Sept 2019

Practice Guidance for Radiographer Independent and/or Supplementary Prescribers – Society of Radiographers Feb 2016

Practice Guidance for Paramedic Independent and/or Supplementary Prescribers – College of Paramedics Feb 2018

Practice guidance for physiotherapist supplementary and/or independent prescribers in the safe use of medicines (4th edition) - Chartered Society of Physiotherapy Nov 2018

 

Macleod's Clinical Examination: With STUDENT CONSULT Online Access, 13e Paperback – 21 Jun 2013 by Graham Douglas BSc(Hons) MBChB FRCP(Ed) (Author)

 

Symptom Sorter, Fifth Edition by Keith Hopcroft Paperback

Indicative learning resources - Web based and electronic resources

The textbook of non-medical prescribing [electronic resource] / edited by Dilyse Nuttall and Jane Rutt-Howard

 

ERESOURCE | Wiley Blackwell | 2016 | Second edition.

 

BMJ 10-minute consultation : primary care / by Doctor Helen Ashdown and Professor Anthony Harnden

 

Ashdown, Helen, author.

 

ERESOURCE | BPP Learning Media Ltd | 2016

 

Adverse drug interactions [electronic resource] : a handbook for prescribers / Lakshman Karalliedde ... [et al.]

 

ERESOURCE | Hodder Education | 2010.

 

Macleod's clinical examination / edited by Graham Douglas, Fiona Nicol, Colin Robertson ; illustrations by Robert Britton

 

ERESOURCE | Churchill Livingstone Elsevier | 2013 | Thirteenth edition.

 

Kumar & Clark's clinical medicine [electronic resource] / edited by Parveen Kumar, Michael Clark

 

ERESOURCE | Elsevier | 2017 | Ninth edition.

 

Oxford handbook of clinical examination and practical skills / edited by James Thomas and Tanya Monaghan

 

ERESOURCE | Oxford University Press | 2014 | Second edition

 

Pass the PSA / William Brown, Kevin Loudon, James Fisher, Laura Marsland ; foreword by Sam Leinster

 

Brown, Will, 1985- author.

 

ERESOURCE | Elsevier/Churchill Livingstone | 2014

 

Stockley's drug interactions pocket companion 2016 [electronic resource] / edited by Claire L. Preston

 

ERESOURCE | Pharmaceutical Press | 2016

Module has an active ELE page

Indicative learning resources - Other resources

https://www.nice.org.uk/

Local formularies such as https://northeast.devonformularyguidance.nhs.uk/

Key words search

Practice certificate; Independent prescribing; Pharmacy; Prescriber ; Prescribing; Non-medical Prescriber; GPhC; NMC; HCPC; Supplementary Prescribing

Credit value45
Module ECTS

22.5

Module pre-requisites

N/A

Module co-requisites

N/A

NQF level (module)

7

Available as distance learning?

No

Origin date

12/12/2017

Last revision date

24/09/2021