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 learning resources for practising pharmacists and pharmacy technicians in England • We are based at a university to assure academic standards 1
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 2
The Declaration of Competence system is supported for use across England by Health Education England, and endorsed by NHS England and PH England. 3
Pharmacy professionalism and DoC The General Pharmaceutical Council (the regulator for pharmacy) states that pharmacy professionals are responsible for maintaining and improving the quality of their practice by keeping their knowledge and skills up-to-date and relevant to their role and the services they offer. 4
Declaration of Competence system 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! Step 3 – Revisit competency framework to complete the outstanding self- assessment Step 4 – Declaration. Print off Declaration of Competence Statement (certificate) and sign Step 5 – Update your CPPE learning record – NEW STEP 5
Declaration of Competence system • 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 6
Which services are covered by DoC? • 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 7
Why the commissioners are using DoC? • 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’ 8
How does CPPE support the DoC system? • 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. 9
CPPE Website 10
CPPE Viewer 11
Where to find DoC 12
DoC 13
Step 1: Recommended learning 14
Step 2: Supporting assessments 15
Step 3 & 4 16
Step 5 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 17
How do CPPE support you with the DoC system? 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 18
What to do if you are already providing the service • 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 19
Working through the EHC DoC • 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 20
Consultation skills • Why they are important • Help with passing the e-assessment • Difficult discussions 21
National practice standards for pharmacy • Outline the key knowledge, skills and behaviours expected of all pharmacy professionals when speaking with patients • Important to move practice forward 22
Website 23
Six-step pathway to improvement • Why? • What standard? • Where am I? • How do I improve? • Check my learning? • Ongoing improvement? 24
The learning Distance learning Downloads Workshops 60,000 25
www.consultationskillsforpharmacy.com 26
The assessment 27
Four sections • 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 28
Section 1 – MCQ Knowledge base • 15 MCQs based on the following 5 topic areas (all in distance learning book) • Medicines adherence and medicines optimisation • National Practice Standards • Consultation models • Consultation skills tools and frameworks • Key communication and consultation skills 29
Sections 2,3&4 – video observations • 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 30
Resources to help you • Consultation skills for pharmacy practice distance learning • National Practice Standards • CSfPP assessment guidelines 31
Developing your practice: getting started 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 32
Dealing with difficult discussions • A discussion where our personal, social or moral perspective prevents us from communicating effectively 33
Dealing with difficult discussions • 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 34
Difficult discussion activity (1) 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 ovulation testing kit 35
Difficult discussion activity (2) 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 36
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 37
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