Category: Careers

NSHE / I BNSSG Extended Mentors Scheme

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Applications must be in by Monday 31 January, 2022

Following on from the well-received newly-qualified GP mentor programme, we are collaborating with NHS England and Improvement in finding GP mentors to offer support to their colleagues at all stages of their career. This is a great portfolio working opportunity, enabling participating GPs to develop their mentoring, leadership, and coaching skills, all while supporting their fellow practitioners.

The overall aim is to retain experienced GPs working in primary care through this exciting portfolio working opportunity, while supporting other GPs at all stages of their career with high-quality mentoring. All participants will be funded to complete the European Mentoring and Coaching Council European Quality Aware (EQA), delivered by the NHS South West Leadership Academy.

To join, GP mentors need to work at least three clinical sessions per week and must be able to join the scheme for a minimum of one year.

For more information on this opportunity, please download the slide deck via the button below.

To register your interest in joining, please complete the application form and send it to [email protected]. Applications must be in by Monday 31 January, 2022.

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                                                                                                                                  Portfolio Careers Guide

                                                                                                                                  Now available!

                                                                                                                                  Produced in the autumn of 2021, this guide has been devised to bust myths and share realities! Appropriate for allied health professionals, GPNs, and GPs, the guide explores the diversity of portfolio working – with in-depth looks at the careers of several renowned clinicians – and describes the benefits and challenges of portfolio careers.

                                                                                                                                  • What are the practicalities of managing various roles?
                                                                                                                                  • What words of wisdom do those already treading this path offer?
                                                                                                                                  • How can you thrive in this way of working?

                                                                                                                                  We hope you find insights into the questions, and more, in the guide.
                                                                                                                                  Begin reading today!

                                                                                                                                  To access the guide, just click the button below!

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                                                                                                                                                                                                                                                                  Apprenticeships in Primary Care Webinars

                                                                                                                                                                                                                                                                  Apprenticeships Promo WS
                                                                                                                                                                                                                                                                  Parts 1 & 2 on Thursday 21 October & Thursday 4 November
                                                                                                                                                                                                                                                                  How can apprenticeships benefit my practice? What is the apprenticeship levy? What are levy transfers? What are T Levels?

                                                                                                                                                                                                                                                                  Do you have questions about the apprenticeships available in primary care — perhaps the questions above, perhaps a couple more?

                                                                                                                                                                                                                                                                  This autumn’s Apprenticeships in Primary Care Webinars are here to provide answers — organised by BNSSG Training Hub, and to be delivered in collaboration with Healthier Together, Avon LMC, and HEE South West, these webinars will run on Thursday 21 October (from 12.00 – 14.00) and Thursday 4 November (from 12.00 – 13.30).

                                                                                                                                                                                                                                                                  They will not only provide a useful overview of apprenticeships, levy options, and the national workforce context, but also explore standards for specific roles and professions: Nursing Associates (NAs), Trainee Nursing Associates (TNAs), Registered Nursing Degree Apprenticeships (RDNAs), and Advanced Clinical Practitioners (ACPs). Part 1 on 21.10.21 will cover NAs, TNAs, and RDNAs, while Part 2 on 4.11.21 will cover ACPs.

                                                                                                                                                                                                                                                                  For detailed information about the webinars’ content and speakers, please expand the boxes below.

                                                                                                                                                                                                                                                                  Part 1 | Thursday 21 October

                                                                                                                                                                                                                                                                  Part 1 will be held on Thursday 21 October (from 12.00 – 14.00) and is set to cover:

                                                                                                                                                                                                                                                                  • Understanding Apprenticeships
                                                                                                                                                                                                                                                                    • What is an Apprenticeship?
                                                                                                                                                                                                                                                                    • What are the benefits?
                                                                                                                                                                                                                                                                  • The current workforce challenge context
                                                                                                                                                                                                                                                                    • National workforce context
                                                                                                                                                                                                                                                                    • Primary care workforce shortfalls
                                                                                                                                                                                                                                                                  • T Levels: the start of the Apprenticeship Journey
                                                                                                                                                                                                                                                                  • Nursing Development & Career Pathways | Levels 1 – 5
                                                                                                                                                                                                                                                                    • Nursing Associates
                                                                                                                                                                                                                                                                    • Trainee Nursing Associates
                                                                                                                                                                                                                                                                    • Registered Nurse Degree Apprenticeships
                                                                                                                                                                                                                                                                  • The Apprenticeship Levy
                                                                                                                                                                                                                                                                    • How is funding acquired?
                                                                                                                                                                                                                                                                    • “Off-the-job” training
                                                                                                                                                                                                                                                                    • Choosing an apprenticeship provider and procurement

                                                                                                                                                                                                                                                                  Speakers to include:

                                                                                                                                                                                                                                                                  • Phil Elverd (Education Faciliator, BNSSG Training Hub)
                                                                                                                                                                                                                                                                  • Richard Francis (Apprenticeship Project Manager, Healthier Together)
                                                                                                                                                                                                                                                                  • James Orpin-Wright (Talent for Care Relationship Manager (Apprenticeships), HEE South West)
                                                                                                                                                                                                                                                                  • Laurence Ross (Schools and College Engagement Project Manager, Healthier Together)
                                                                                                                                                                                                                                                                  • Simon Fuller (Head of Workforce Planning and Intelligence, HEE South West)
                                                                                                                                                                                                                                                                  Part 2 | Thursday 4 October

                                                                                                                                                                                                                                                                  Part 1 will be held on Thursday 4 November (from 12.00 – 13.30) and is set to cover:

                                                                                                                                                                                                                                                                  • Brief Recap: Understanding Apprenticeships
                                                                                                                                                                                                                                                                    • What is an Apprenticeship?
                                                                                                                                                                                                                                                                    • What are the benefits?
                                                                                                                                                                                                                                                                  • Brief Recap: The current workforce challenge context
                                                                                                                                                                                                                                                                    • National workforce context
                                                                                                                                                                                                                                                                    • Primary care workforce shortfalls
                                                                                                                                                                                                                                                                  • Brief Recap: Choosing an apprenticeship provider and procurement
                                                                                                                                                                                                                                                                  • Advanced Clinical Practitioner – Level 7 Apprenticeship standard in primary care

                                                                                                                                                                                                                                                                  Guest speakers to include:

                                                                                                                                                                                                                                                                  • Phil Elverd (Education Faciliator, BNSSG Training Hub)
                                                                                                                                                                                                                                                                  • Richard Francis (Apprenticeship Project Manager, Healthier Together)
                                                                                                                                                                                                                                                                  • Kerri Magnus (Advanced Practice Lead, BNSSG Training Hub)
                                                                                                                                                                                                                                                                  • Simon Fuller (Head of Workforce Planning and Intelligence, HEE South West)

                                                                                                                                                                                                                                                                  Both webinars will be recorded and available to watch on-demand following delivery. There will be a chance for Q&As at the end of both sessions.

                                                                                                                                                                                                                                                                  They are FREE, virtual, and open to all primary care staff, though we encourage the attendance of practice and PCN management staff especially. Please do feel free to send deputies in your stead.

                                                                                                                                                                                                                                                                  To download our primer on the basics of apprenticeships, please click here — it includes a nurse development and careers pathway roadmap produced by Healthier Together.

                                                                                                                                                                                                                                                                  To register your space, please use the button below.

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                                                                                                                                                                                                                                                                                                                                                                                                  HEE FCP (Paramedic) Roadmap Stage 1 Webinar

                                                                                                                                                                                                                                                                                                                                                                                                  Photo by Matt Duncan

                                                                                                                                                                                                                                                                                                                                                                                                  HEE FCP (Paramedic) Roadmap Stage 1 Webinar

                                                                                                                                                                                                                                                                                                                                                                                                  On the evening of Tuesday 14 September, we delivered a free webinar on the HEE FCP (Paramedic) Roadmap to Practice. Lily Dixon, the Training Hub’s Paramedic Lead facilitated alongside Kerri Magnus (Advanced Practice Lead( and Rachel Butt (qualified HEE Roadmap Supervisor).

                                                                                                                                                                                                                                                                                                                                                                                                  The webinar was intended to help dispel the uncertainty around the Roadmap‘s portfolio route, with Lily mapping herself against stage 1 of the Roadmap and designing her personal development plan against stage 2; this, in combination with her responses to the knowledge, skills, and attributes (KS&A) section, provided the basis for an exploration of examples of potential portfolio evidence.

                                                                                                                                                                                                                                                                                                                                                                                                  Please find the template spreadsheet developed by Lily below.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE FCP (Paramedic) Portfolio Template

                                                                                                                                                                                                                                                                                                                                                                                                  To download the template Excel spreadsheet produced by our Paramedic LeadLily Dixon, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Recent news

                                                                                                                                                                                                                                                                                                                                                                                                  SMI & Physical Health Webinar

                                                                                                                                                                                                                                                                                                                                                                                                  A lunchtime webinar, running on Thursday 17 February, 2022!

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Induction Day (PCID)

                                                                                                                                                                                                                                                                                                                                                                                                  Announced for Wednesday 30 March, 2022!

                                                                                                                                                                                                                                                                                                                                                                                                  Level 3 Child Exploitation Webinar

                                                                                                                                                                                                                                                                                                                                                                                                  Covering risk indicators for child exploitation, on Thursday 17 March

                                                                                                                                                                                                                                                                                                                                                                                                  GP Toolkit

                                                                                                                                                                                                                                                                                                                                                                                                  General Practitioners

                                                                                                                                                                                                                                                                                                                                                                                                  Career Opportunities Hub

                                                                                                                                                                                                                                                                                                                                                                                                  Slider

                                                                                                                                                                                                                                                                                                                                                                                                  Demystifying NHS bodies and wider organisations

                                                                                                                                                                                                                                                                                                                                                                                                  Next Generation GP

                                                                                                                                                                                                                                                                                                                                                                                                  NHS Leadership Academy Programmes

                                                                                                                                                                                                                                                                                                                                                                                                  NHS South West Leadership Academy

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Academy South West

                                                                                                                                                                                                                                                                                                                                                                                                  The King's Fund

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Kirsty Alexander

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Shaba Nabi

                                                                                                                                                                                                                                                                                                                                                                                                  Health Education England Roadmap Clinical Supervisor Course

                                                                                                                                                                                                                                                                                                                                                                                                  RCGP Mentoring Opportunities

                                                                                                                                                                                                                                                                                                                                                                                                  University Of Bristol Professional Mentor to Medical Students

                                                                                                                                                                                                                                                                                                                                                                                                  First5 RCGP

                                                                                                                                                                                                                                                                                                                                                                                                  Next Generation GP

                                                                                                                                                                                                                                                                                                                                                                                                  GPs with Extended Roles

                                                                                                                                                                                                                                                                                                                                                                                                  Profiles of Local Clinicians with portfolio GPs

                                                                                                                                                                                                                                                                                                                                                                                                  Medical Education

                                                                                                                                                                                                                                                                                                                                                                                                  AISMA Guide to Becoming a GP Partner

                                                                                                                                                                                                                                                                                                                                                                                                  Online Articles

                                                                                                                                                                                                                                                                                                                                                                                                  New to Partnership Payment Scheme

                                                                                                                                                                                                                                                                                                                                                                                                  Applied Research Collaboration West

                                                                                                                                                                                                                                                                                                                                                                                                  Health Inequalities

                                                                                                                                                                                                                                                                                                                                                                                                  NHS England Improvement Fundamentals

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Academy South West

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust

                                                                                                                                                                                                                                                                                                                                                                                                  The King's Fund

                                                                                                                                                                                                                                                                                                                                                                                                  The Q Community

                                                                                                                                                                                                                                                                                                                                                                                                  West of England Academic Health Science Network (WEAHSN)

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust

                                                                                                                                                                                                                                                                                                                                                                                                  Avon LMC GP Safe House & COPE Scheme

                                                                                                                                                                                                                                                                                                                                                                                                  BMA Well-Being Support Services

                                                                                                                                                                                                                                                                                                                                                                                                  GP Return to Work Refresher Course

                                                                                                                                                                                                                                                                                                                                                                                                  Healthier Together Support Hub

                                                                                                                                                                                                                                                                                                                                                                                                  Looking After You Too

                                                                                                                                                                                                                                                                                                                                                                                                  Our Frontline: Mental Health at Work

                                                                                                                                                                                                                                                                                                                                                                                                  Our NHS People

                                                                                                                                                                                                                                                                                                                                                                                                  Practitioner Health

                                                                                                                                                                                                                                                                                                                                                                                                  Return-to-work GP Buddy Meetings

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust

                                                                                                                                                                                                                                                                                                                                                                                                  Avon Local Medical Committee

                                                                                                                                                                                                                                                                                                                                                                                                  GP Career Support Hub

                                                                                                                                                                                                                                                                                                                                                                                                  First5 RCGP

                                                                                                                                                                                                                                                                                                                                                                                                  The Royal College of General Practitioners (RCGP) have a First5 community for those five-years-post completion of training. There are opportunities for peer support groups as well as a variety of resources available to help the transition.

                                                                                                                                                                                                                                                                                                                                                                                                  Further information and local First5 contacts can be found at the website via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  The Severn Faculty section of the RCGP website also has some information about local contacts, accessible via the second button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Next Generation GP

                                                                                                                                                                                                                                                                                                                                                                                                  Next Generation GP is a nationally-funded leadership programme. It is targeted at early career GPs and is also a good opportunity for local networking and peer support.

                                                                                                                                                                                                                                                                                                                                                                                                  There are local programmes which run periodically throughout the year with events focusing on a variety of topics, including profiles from local leaders and portfolio career GPs.

                                                                                                                                                                                                                                                                                                                                                                                                  Details for NextGen Bristol and how to apply for the local programme can be found via the button below, at their website. The rest of the website has other resources including nationally-applicable podcasts and a newsletter.

                                                                                                                                                                                                                                                                                                                                                                                                  Next Generation GP

                                                                                                                                                                                                                                                                                                                                                                                                  Next Generation GP is a nationally-funded leadership programme. It is targeted at early career GPs and is also a good opportunity for local networking and peer support.

                                                                                                                                                                                                                                                                                                                                                                                                  There are local programmes which run periodically throughout the year with events focusing on a variety of topics, including profiles from local leaders and portfolio career GPs.

                                                                                                                                                                                                                                                                                                                                                                                                  Details for NextGen Bristol and how to apply for the local programme can be found via the button below, at their website. The rest of the website has other resources including nationally-applicable podcasts and a newsletter.

                                                                                                                                                                                                                                                                                                                                                                                                  NHS South West Leadership Academy

                                                                                                                                                                                                                                                                                                                                                                                                  NHS South West Leadership Academy runs a variety of free courses / programmes focused on developing leadership skills and coaching.

                                                                                                                                                                                                                                                                                                                                                                                                  Information on forthcoming opportunities can be found at their site, via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  NHS Leadership Academy Programmes

                                                                                                                                                                                                                                                                                                                                                                                                  The NHS Leadership Academy runs a number of FREE online programmes, targeted at clinicians in different leadership positions.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, please visit the Leadership Academy’s website.

                                                                                                                                                                                                                                                                                                                                                                                                  Association of Independent Specialist Medical Accountants (AISMA) Guide to Becoming a GP Partner

                                                                                                                                                                                                                                                                                                                                                                                                  This document has a comprehensive summary of the various facets you would need to consider when thinking about partnership. It is accessible here via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Please note: these resource(s) come from private companies, but the information is freely available. BNSSG Training Hub does not have any affiliation with these companies nor receive any funding.

                                                                                                                                                                                                                                                                                                                                                                                                  Online Articles

                                                                                                                                                                                                                                                                                                                                                                                                  Here are a few helpful online articles from a variety of resources which have further details about different elements involved in partnership:

                                                                                                                                                                                                                                                                                                                                                                                                  Please note: these resource(s) come from private companies, but the information is freely available. BNSSG Training Hub does not have any affiliation with these companies nor receive any funding.

                                                                                                                                                                                                                                                                                                                                                                                                  New to Partnership Payment Scheme

                                                                                                                                                                                                                                                                                                                                                                                                  For those considering partnership, there is a New to Partnership Payment Scheme (N2PP) which provides financial support for new partners.

                                                                                                                                                                                                                                                                                                                                                                                                  Further details are available from their site, accessible via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust has a section on quality improvement with links to several introductory videos, available via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust (SGPET) have some helpful e-Learning resources focusing specifically on skills for telephone triage.

                                                                                                                                                                                                                                                                                                                                                                                                  These resources can be found on SGPET’s website.

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust

                                                                                                                                                                                                                                                                                                                                                                                                  Somerset GP Education Trust (SGPET) have some helpful e-Learning resources on professional well-being.

                                                                                                                                                                                                                                                                                                                                                                                                  These resources can be found on SGPET’s website.

                                                                                                                                                                                                                                                                                                                                                                                                  Practitioner Health

                                                                                                                                                                                                                                                                                                                                                                                                  This free confidential service offers timely and comprehensive healthcare for all doctors on the GMC (or who have been within the last 12 months), on a self-referral basis. It is available for help with any mental health or addiction issue which may be affecting your working life.

                                                                                                                                                                                                                                                                                                                                                                                                  Their details are:

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Academy South West

                                                                                                                                                                                                                                                                                                                                                                                                  Founded by Health Education England (HEE) South West, the Primary Care Academy offers regular online learning sessions for primary care fellows working in the South West.

                                                                                                                                                                                                                                                                                                                                                                                                  They also run a number of special interest groups focusing on other topics, such as:

                                                                                                                                                                                                                                                                                                                                                                                                  • Deprivation and Health Inequalities
                                                                                                                                                                                                                                                                                                                                                                                                  • Digital
                                                                                                                                                                                                                                                                                                                                                                                                  • Education
                                                                                                                                                                                                                                                                                                                                                                                                  • Greener Practice
                                                                                                                                                                                                                                                                                                                                                                                                  • Leadership
                                                                                                                                                                                                                                                                                                                                                                                                  • Quality Improvement
                                                                                                                                                                                                                                                                                                                                                                                                  • Research

                                                                                                                                                                                                                                                                                                                                                                                                  For further details, and to receive updates about their events, please contact them at [email protected].

                                                                                                                                                                                                                                                                                                                                                                                                  The King's Fund

                                                                                                                                                                                                                                                                                                                                                                                                  The King’s Fund website has lots of resources, including blogs and podcasts, related to clinical leadership.

                                                                                                                                                                                                                                                                                                                                                                                                  To access them, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Demystifying NHS bodies and wider organisations

                                                                                                                                                                                                                                                                                                                                                                                                  This 30-minute video from the Derbyshire GP Taskforce provides a useful summary of various healthcare organisations – what the abbreviations stand for, what they mean, etc.

                                                                                                                                                                                                                                                                                                                                                                                                  To watch the video, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Leader Profile: Dr. Shaba Nabi

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Shaba Nabi is not only the Clinical Lead GP in a vibrant inner-city practice in Bristol, but also BNSSG CCG’s Clinical Lead for Prescribing.

                                                                                                                                                                                                                                                                                                                                                                                                  Please find below her answers to questions we posed to her on the topic of leadership.

                                                                                                                                                                                                                                                                                                                                                                                                  What does a typical working day look like for you in your current leadership position?

                                                                                                                                                                                                                                                                                                                                                                                                  I am contracted to work 3 sessions per week, and I usually work these sessions on Tuesday and Thursday. There is no typical working day, but my work includes:

                                                                                                                                                                                                                                                                                                                                                                                                  • Attending meetings:
                                                                                                                                                                                                                                                                                                                                                                                                    • Clinical Executive Meeting
                                                                                                                                                                                                                                                                                                                                                                                                    • Area Prescribing Team Meeting
                                                                                                                                                                                                                                                                                                                                                                                                    • Formulary Meeting
                                                                                                                                                                                                                                                                                                                                                                                                    • Medicines Safety and Quality Meeting
                                                                                                                                                                                                                                                                                                                                                                                                    • Strategic Medicines Optimisation Meeting
                                                                                                                                                                                                                                                                                                                                                                                                    • Senior Management Team Meeting
                                                                                                                                                                                                                                                                                                                                                                                                    • Drugs Dependence Working Group
                                                                                                                                                                                                                                                                                                                                                                                                    • Polypharmacy Working Group
                                                                                                                                                                                                                                                                                                                                                                                                  • Meeting preparation:
                                                                                                                                                                                                                                                                                                                                                                                                    • Reading papers / documents
                                                                                                                                                                                                                                                                                                                                                                                                  • Work in group writing prescribing protocols
                                                                                                                                                                                                                                                                                                                                                                                                  • Delivering training:
                                                                                                                                                                                                                                                                                                                                                                                                    • Shared Decision Making
                                                                                                                                                                                                                                                                                                                                                                                                    • Polypharmacy
                                                                                                                                                                                                                                                                                                                                                                                                  • Communications:
                                                                                                                                                                                                                                                                                                                                                                                                    • Responding to emails from CCG pharmacists, GPs, and consultants
                                                                                                                                                                                                                                                                                                                                                                                                  What are the key skills required for your role?
                                                                                                                                                                                                                                                                                                                                                                                                  • Self-awareness
                                                                                                                                                                                                                                                                                                                                                                                                  • Diplomacy
                                                                                                                                                                                                                                                                                                                                                                                                  • Relationship building
                                                                                                                                                                                                                                                                                                                                                                                                  • Good communication skills – verbally and in writing
                                                                                                                                                                                                                                                                                                                                                                                                  • Ability to digest / appraise large documents quickly
                                                                                                                                                                                                                                                                                                                                                                                                  • Evaluate and appraise clinical evidence
                                                                                                                                                                                                                                                                                                                                                                                                  • Critical thinking
                                                                                                                                                                                                                                                                                                                                                                                                  • Strategic thinking
                                                                                                                                                                                                                                                                                                                                                                                                  • Ability to work flexibly, sometimes to short notice deadlines
                                                                                                                                                                                                                                                                                                                                                                                                  How did you become involved in your current leadership role?

                                                                                                                                                                                                                                                                                                                                                                                                  I was originally the Clinical Lead for Cardiovascular Disease for Bristol, for 2.5 years. When the three CCGs merged, a new Prescribing Lead was developed.

                                                                                                                                                                                                                                                                                                                                                                                                  I have always been enthusiastic about taking up a prescribing role, as I have been the prescribing lead for my practice since I first started working there. I applied for the role, interviewed, and was successful.

                                                                                                                                                                                                                                                                                                                                                                                                  What does clinical leadership mean to you?

                                                                                                                                                                                                                                                                                                                                                                                                  It means having a foot in two camps; one foot is in coalface clinical care, whilst the other is in strategic thinking for quality improvement.

                                                                                                                                                                                                                                                                                                                                                                                                  Do you have any words of wisdom for people who may be looking to become involved in clinical leadership roles?
                                                                                                                                                                                                                                                                                                                                                                                                  • Have an interest in the role
                                                                                                                                                                                                                                                                                                                                                                                                  • Remain authentic
                                                                                                                                                                                                                                                                                                                                                                                                  • Manage your imposter syndrome – it never goes away, we just manage it better over time
                                                                                                                                                                                                                                                                                                                                                                                                  • Own up to your ignorance but don’t rely on it forever
                                                                                                                                                                                                                                                                                                                                                                                                  • It’s ok to make mistakes but own up to them
                                                                                                                                                                                                                                                                                                                                                                                                  • No one is perfect, everyone has flaws; accept yours and work on your strengths
                                                                                                                                                                                                                                                                                                                                                                                                  • You will always have conflicts of interest – don’t shy away from them but articulate them and remain true to yourself
                                                                                                                                                                                                                                                                                                                                                                                                  • Work to live!
                                                                                                                                                                                                                                                                                                                                                                                                  Leader Profile: Dr. Kirsty Alexander

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Kirsty Alexander is one of BNSSG CCG’s Clinical Lead for Children and Families, in addition to Co-Chair of the North and West Locality Integrated Care Partnership Board.

                                                                                                                                                                                                                                                                                                                                                                                                  Please find below her answers to questions we posed to her on the topic of leadership.

                                                                                                                                                                                                                                                                                                                                                                                                  What does a typical working day look like for you in your current leadership position?

                                                                                                                                                                                                                                                                                                                                                                                                  Back-to-back Teams meetings from 8.00 – 18.00! I have lots of other meetings outside these hours (mostly informally, but they are essential to keeping pace and traction). These might include representing the North and West on the Governing Body Board Meeting, attending locality meetings, or a number of meetings relating to Children and Young People work.

                                                                                                                                                                                                                                                                                                                                                                                                  The latter meetings include system strategy — considering how to reduce gang warfare, evaluating county lines, ensuring timely health & education plans, reducing the number of children excluded from school, improving asthma pathways, and reducing patient numbers in emergency departments (i.e., prevention right the way through to end-of-life care).

                                                                                                                                                                                                                                                                                                                                                                                                  What are the key skills required for your role?
                                                                                                                                                                                                                                                                                                                                                                                                  • Broad perspective, patience and persistence – it can take a very, very long time to get anything to change…
                                                                                                                                                                                                                                                                                                                                                                                                  • It’s not essential, but it helps to have had full Public Health training, so you’ll know how to write strategies, business cases and evaluate services (though I don’t have to do this myself anymore!)
                                                                                                                                                                                                                                                                                                                                                                                                  • What is vital is to recognise that it is all about collaborating and relationships — listening to others, understanding things from their perspective, working in and as a team to get things done.
                                                                                                                                                                                                                                                                                                                                                                                                  How did you become involved in your current leadership role?

                                                                                                                                                                                                                                                                                                                                                                                                  I trained for general practice, and went on to train to become a Consultant in Public Health. I was a consultant for 5 years, before choosing to focus on clinical work as a GP and using my public health skills in the world of commissioning. The latter requires a population-based perspective, ideally informed by evidence.

                                                                                                                                                                                                                                                                                                                                                                                                  It helps to understand Health Economics, a bit about epidemiology, finance, etc., and to combine that with clinical experience of frontline working. Through my public health training, I undertook some managerial and leadership skills courses. Managerial skills can be helpful (e.g., project management), but the leadership training often most usefully involves really understanding ourselves and our effect on others.

                                                                                                                                                                                                                                                                                                                                                                                                  What does clinical leadership mean to you?

                                                                                                                                                                                                                                                                                                                                                                                                  It means being able to hold a long-term vision of an improved service outcome for a patient population, whilst remaining firmly rooted in clinical service delivery.

                                                                                                                                                                                                                                                                                                                                                                                                  It’s vital for credibility that colleagues know I am also delivering the service we are aspiring to improve. I view it as servant leadership — i.e., I am here to not just to serve for the benefits of patients, but also to support my colleagues, who are likewise doing their bit to make things better.

                                                                                                                                                                                                                                                                                                                                                                                                  Do you have any words of wisdom for people who may be looking to become involved in clinical leadership roles?

                                                                                                                                                                                                                                                                                                                                                                                                  Ask yourself: what is it you really want?

                                                                                                                                                                                                                                                                                                                                                                                                  Some of the most effective leaders haven’t even thought about that; they are just passionate about improving a service, and find ways to do that, without ever having a ‘leadership’ role. Some of them are exceptionally effective because they don’t get involved in formal structures but just crack on and do things (asking for forgiveness, rather than permission).

                                                                                                                                                                                                                                                                                                                                                                                                  Take opportunities as they arise. Put your hand up when someone asks for a person to help with any sort of initiative — no matter how small.  For example, in general practice, we often need someone to take the lead on a pathway. Just say yes and give it a go, asking for help along the way. From small beginnings, you build both knowledge and experience of how to get things done.

                                                                                                                                                                                                                                                                                                                                                                                                  Other options include doing an MBA or other courses that broaden your intellectual skills set, which can then be applied in clinical settings.

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Academy South West

                                                                                                                                                                                                                                                                                                                                                                                                  Founded by Health Education England (HEE) South West, the Primary Care Academy offers regular online learning sessions for primary care fellows working in the South West.

                                                                                                                                                                                                                                                                                                                                                                                                  They also run a number of special interest groups focusing on other topics, such as:

                                                                                                                                                                                                                                                                                                                                                                                                  • Deprivation and Health Inequalities
                                                                                                                                                                                                                                                                                                                                                                                                  • Digital
                                                                                                                                                                                                                                                                                                                                                                                                  • Education
                                                                                                                                                                                                                                                                                                                                                                                                  • Greener Practice
                                                                                                                                                                                                                                                                                                                                                                                                  • Leadership
                                                                                                                                                                                                                                                                                                                                                                                                  • Quality Improvement
                                                                                                                                                                                                                                                                                                                                                                                                  • Research

                                                                                                                                                                                                                                                                                                                                                                                                  For further details, and to receive updates about their events, please contact them at [email protected].

                                                                                                                                                                                                                                                                                                                                                                                                  Applied Research Collaboration West

                                                                                                                                                                                                                                                                                                                                                                                                  ARC West run free training courses and support for those planning quality improvement courses. Information about their events and resources are available at their site, accessible below.

                                                                                                                                                                                                                                                                                                                                                                                                  They also have online videos to help plan a service evaluation:

                                                                                                                                                                                                                                                                                                                                                                                                  The King’s Fund

                                                                                                                                                                                                                                                                                                                                                                                                  The King’s Fund has resources, including blogs and podcasts, covering topics involving quality improvement.

                                                                                                                                                                                                                                                                                                                                                                                                  These can be accessed on their site.

                                                                                                                                                                                                                                                                                                                                                                                                  The Q Community

                                                                                                                                                                                                                                                                                                                                                                                                  The Q Community is an initiative to connect people with expertise in improvement in healthcare.

                                                                                                                                                                                                                                                                                                                                                                                                  If you are interested, more information can be found at their site.

                                                                                                                                                                                                                                                                                                                                                                                                  NHS England Improvement Fundamentals

                                                                                                                                                                                                                                                                                                                                                                                                  NHS England have a series of online courses covering a variety of quality improvement topics, available via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  West of England Academic Health Science Network (WEAHSN)

                                                                                                                                                                                                                                                                                                                                                                                                  The West of England Academic Health Science Network (WEAHSN) provide free quality improvement training, with upcoming events available on their website. Their site also hosts a comprehensive PDF Guide to Quality Improvement.

                                                                                                                                                                                                                                                                                                                                                                                                  For a list of WEAHSN’s available virtual resources and upcoming training [from September 2021March 2022]:

                                                                                                                                                                                                                                                                                                                                                                                                  Furthermore, there are toolkits available for:

                                                                                                                                                                                                                                                                                                                                                                                                  Health Inequalities

                                                                                                                                                                                                                                                                                                                                                                                                  The King’s Fund has further resources on the topics of:


                                                                                                                                                                                                                                                                                                                                                                                                  Fairhealth is a charity that works to reduce health inequalities and has several e-learning modules and online resources available at their site.


                                                                                                                                                                                                                                                                                                                                                                                                  Public Health England’s Local Knowledge and Intelligence Service, in partnership with NHSEI and Health Education England (HEE), have developed three e-learning modules on population health management.


                                                                                                                                                                                                                                                                                                                                                                                                  South West Population and Public Health Academy have resources / webinars related to health inequalities, with details about events available from their website.


                                                                                                                                                                                                                                                                                                                                                                                                  The Health Foundation is a charity that focuses on health inequalities. They have a variety of online resources including webinars / podcasts / articles on these topics. More information can be found at their site.

                                                                                                                                                                                                                                                                                                                                                                                                  Health Education England Roadmap Clinical Supervisor Courses

                                                                                                                                                                                                                                                                                                                                                                                                  Health Education England (HEE) are running two-day courses training supervisors to support clinicians through HEE’s Roadmaps to Practice.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, below use the button below to download the flyer.

                                                                                                                                                                                                                                                                                                                                                                                                  RCGP Mentoring Opportunities

                                                                                                                                                                                                                                                                                                                                                                                                  The Royal College of General Practitioners (RCGP) has a mentoring scheme through which you can request to receive mentoring, or become a mentor yourself.

                                                                                                                                                                                                                                                                                                                                                                                                  Further details on the scheme can be accessed through their website.

                                                                                                                                                                                                                                                                                                                                                                                                  University of Bristol Professional Mentor to Medical Students

                                                                                                                                                                                                                                                                                                                                                                                                  The University of Bristol runs a professional mentor scheme for their medical students. They often look for clinicians to volunteer to mentor a group of first-year medical students, whom you would then support for the duration of their undergraduate training.

                                                                                                                                                                                                                                                                                                                                                                                                  Further details are available in the downloadable document below.

                                                                                                                                                                                                                                                                                                                                                                                                  Additionally, you can also contact:

                                                                                                                                                                                                                                                                                                                                                                                                  Medical Education
                                                                                                                                                                                                                                                                                                                                                                                                  Medical Education Training
                                                                                                                                                                                                                                                                                                                                                                                                  Foundations of Medical Education Course:

                                                                                                                                                                                                                                                                                                                                                                                                  The University of Bristol offers a FREE Foundations of Medical Education course for clinicians involved in teaching undergraduate students. The course comprises 4 sessions, with delegates choosing which to attend. Completing all sessions provides 10 credits towards the Teaching and Learning for Health Professionals PG Certificate.

                                                                                                                                                                                                                                                                                                                                                                                                  Further details about the course structure and how to apply are available at the University of Bristol’s site. Please click here for more.


                                                                                                                                                                                                                                                                                                                                                                                                  Health Education England (HEE) South West Faculty

                                                                                                                                                                                                                                                                                                                                                                                                  Health Education England (HEE) South West also run a variety of short events throughout the year on a variety of topics, including motivational interviewing, resilience and provision of feedback, and facilitating small group teaching.

                                                                                                                                                                                                                                                                                                                                                                                                  Further details can be found at their site by clicking here.


                                                                                                                                                                                                                                                                                                                                                                                                  Teaching and Learning for Healthcare Professionals

                                                                                                                                                                                                                                                                                                                                                                                                  The University of Bristol has developed a Teaching and Learning for Healthcare Professionals qualification. This is for those interested in pursuing a higher level of study, with options including a postgraduate certificate, diploma and a full Masters’.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information on each option and relevant course fees, please click here to visit the University of Bristol’s site.


                                                                                                                                                                                                                                                                                                                                                                                                  University of Bristol’s Centre for Academic Primary Care

                                                                                                                                                                                                                                                                                                                                                                                                  The University of Bristol also runs a variety of FREE workshops for clinicians that teach their students.

                                                                                                                                                                                                                                                                                                                                                                                                  For details of forthcoming events, and of who to contact, please click here to visit the University of Bristol’s site.

                                                                                                                                                                                                                                                                                                                                                                                                  Becoming a Trainer for GP Registrars

                                                                                                                                                                                                                                                                                                                                                                                                  There are routes to become either a clinical supervisor (for F2s / GPST1 and 2) or an education supervisor (which also includes supervision of GPST3s).

                                                                                                                                                                                                                                                                                                                                                                                                  The Severn Deanery’s website features detailed information on the requirements for becoming an educational supervisor, as well as the requirements for becoming a training practice. The application forms can be found on their site. All of this can be found at their site, here.

                                                                                                                                                                                                                                                                                                                                                                                                  Particular requirements to note are:

                                                                                                                                                                                                                                                                                                                                                                                                  • Applicants must have MRCGP
                                                                                                                                                                                                                                                                                                                                                                                                  • Supervisors must have been on the General Medical Council (GMC) GP Register for 3 years or more, with at least 1 year in their current practice

                                                                                                                                                                                                                                                                                                                                                                                                  If you are interested in these opportunities, you would need to initially book on to a Potential Clinical Supervisor Course / Potential Educational Supervisor Course. Enquiries can be made to [email protected].

                                                                                                                                                                                                                                                                                                                                                                                                  Once your chosen course is completed, an approval visit to the practice is required. This is arranged by the Bristol GP Programme Manager, Mandy Price, whom can also put you in touch with the Training Programme Director Team, if you’d like to discuss the role further.

                                                                                                                                                                                                                                                                                                                                                                                                  Mandy can be reached at [email protected].

                                                                                                                                                                                                                                                                                                                                                                                                  Teaching Medical Students

                                                                                                                                                                                                                                                                                                                                                                                                  There are lots of opportunities to teach medical students from the University of Bristol. This can be both in practice and at the university.

                                                                                                                                                                                                                                                                                                                                                                                                  Teaching happens in the community during all five student years, ranging from small group teaching with expert patients to apprenticeship-style teaching over longer placements.

                                                                                                                                                                                                                                                                                                                                                                                                  The Centre for Academic Primary Care Teaching website provides an overview of all the teaching on offer, including opportunities to do so centrally at the university and courses to develop your skills.

                                                                                                                                                                                                                                                                                                                                                                                                  If you are interested in teaching, or just wish to keep up-to-date with available opportunities, please email [email protected]. The monthly teaching newsletter contains details of all upcoming opportunities.

                                                                                                                                                                                                                                                                                                                                                                                                  Profiles of Local Clinicians with portfolio GPs
                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Ashish Bhatia | Well-being

                                                                                                                                                                                                                                                                                                                                                                                                  Role:

                                                                                                                                                                                                                                                                                                                                                                                                  “I work as a GP, Bristol medical school tutor, advisor to the British Holistic Medical Association and founder of an organisation called Humble (www.humble.info). I am currently training a group of doctors in an accredited training in holistic approaches to health and performance optimization (graduates being certificated and insurable to practice as Humble Guides.)”


                                                                                                                                                                                                                                                                                                                                                                                                  How did you start the process of becoming a GP this specific portfolio role?

                                                                                                                                                                                                                                                                                                                                                                                                  “I’ve been inquisitive about holistic approaches to health for years. Having taught aspects of whole person care (specialising in sleep and behaviour design) at Bristol University, I began running free NHS well-being groups in my practice. The results were so profound that I now support individuals, schools, and organisations as well as teaching health professionals.”


                                                                                                                                                                                                                                                                                                                                                                                                  Do you need any supervision and if so, how did you arrange this?

                                                                                                                                                                                                                                                                                                                                                                                                  “I am fortunate to have the support of many experienced mentors and peers. I have 2 supervisors currently. Having been approached by many doctors requesting my guidance and supervision, I have established a group called Humble Pioneers, which offers peer support and supervision, whilst inspiring me to keep learning too.”


                                                                                                                                                                                                                                                                                                                                                                                                  What qualifications did you need to undertake this role?

                                                                                                                                                                                                                                                                                                                                                                                                  “Although I am trained as a GP, CBT I practitioner, yoga teacher, and massage practitioner, I find love, integrity, and experience trump my qualifications.”


                                                                                                                                                                                                                                                                                                                                                                                                  How do you demonstrate ongoing competence in the area and are there any specific requirements to do this?

                                                                                                                                                                                                                                                                                                                                                                                                  “I spend 3 hours a week ‘keeping up-to-date‘. About quarterly, I present my findings and explore my needs with my supervisors and annually at appraisal.”


                                                                                                                                                                                                                                                                                                                                                                                                  What do you feel having this additional role brings to your career?

                                                                                                                                                                                                                                                                                                                                                                                                  “The holistic work I do has transformed my life and clinical practice, bringing new skills, joy and wonder to my work. It also helps with my self-care, my abilities to support my clinical teams, and inspired my research and publications.”

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Susie Davies | Founder of Parents Against Phone Addiction in Young People (PAPAYA) Charity

                                                                                                                                                                                                                                                                                                                                                                                                  What is your role?

                                                                                                                                                                                                                                                                                                                                                                                                  “4 session salaried GP, GP mentor, OOH clinician, founder PAPAYA.”


                                                                                                                                                                                                                                                                                                                                                                                                  How did you start the process of becoming a GP with this specific portfolio role? 

                                                                                                                                                                                                                                                                                                                                                                                                  “I set up PAPAYA (Parents Against Phone Addiction in Young People) due to my concerns regarding the increased mental health problems in young people.

                                                                                                                                                                                                                                                                                                                                                                                                  Over several years, my personal learning was focused on young people’s mental health through online CBT courses, training events, and personal reading. I spent 18 months working at Student Health Services and became familiar with managing complex mental health problems and the potential links between anxiety / low mood and social media and gaming.

                                                                                                                                                                                                                                                                                                                                                                                                  I started researching possible causal links especially between the impact of social media on self-esteem and as a result set up a charity to get a better balance with technology. I run workshops for young people on how to build their self-esteem and use technology well, as well as giving media interviews on the subject.”


                                                                                                                                                                                                                                                                                                                                                                                                  Do you need any supervision and if so, how did you arrange this?

                                                                                                                                                                                                                                                                                                                                                                                                  “I had significant help from the in-house psychologist at Student Health Services, although this was on an informal basis.”


                                                                                                                                                                                                                                                                                                                                                                                                  What qualifications did you need to undertake this role?

                                                                                                                                                                                                                                                                                                                                                                                                  Online learning and courses in young people’s mental health, suicide prevention, qualification in CBT. I have done a lot of personal reading and research, joined forums, and watched lots of TED talks. However, I have learnt most through running workshops and listening to young people.”


                                                                                                                                                                                                                                                                                                                                                                                                  If applicable, how do you demonstrate ongoing competence in this area and are there any specific requirements to do this?

                                                                                                                                                                                                                                                                                                                                                                                                  “Every year I include mental health updates as part of my personal development plan. I read all new studies and reports that come out and record them as part of a learning log.”


                                                                                                                                                                                                                                                                                                                                                                                                  What do you feel having this additional role brings to your career overall? 

                                                                                                                                                                                                                                                                                                                                                                                                  “Running PAPAYA has helped me feel like I can make a difference to the mental health of young people. I really enjoy interacting with them and it has given me an increased sense of purpose. I have enjoyed giving talks and radio interviews.”

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Jonathan Rees | Urology

                                                                                                                                                                                                                                                                                                                                                                                                  What is your role?

                                                                                                                                                                                                                                                                                                                                                                                                  “GP Partner at Tyntesfield Medical Group, plus working in Community Urology Clinics in BNSSG, Gloucestershire, and Swindon.”


                                                                                                                                                                                                                                                                                                                                                                                                  How did you start the process of becoming a GP with an extended role?

                                                                                                                                                                                                                                                                                                                                                                                                  “I did surgical training (MRCS 1999) and then 3 years as Urology Research Fellow (MD 2003), which had a clinical element in addition. When I switched to GP in 2004, I wanted to keep my urology interest active and approached the local consultants – I did some work for private consultants in Bristol (cystoscopies, prostate biopsies), before the community urology service was set up in 2008 – I have worked in this service since then.”


                                                                                                                                                                                                                                                                                                                                                                                                  How did you arrange a supervisor (if applicable)?

                                                                                                                                                                                                                                                                                                                                                                                                  “I do not have a formal supervisor – however, I am one of 3 directors of my company Shire Health that works with GP care to provide these clinics. My fellow director Mr. Biral Patel is a urologist in Cheltenham and is always my source of urological advice and mentorship when needed. I also liaise closely with the 6 consultants who work for us.”


                                                                                                                                                                                                                                                                                                                                                                                                  What qualifications did you need to undertake this role?

                                                                                                                                                                                                                                                                                                                                                                                                  “When I started there was no requirement for any specific qualification, and I have not been asked since – however, I have clinical experience as well as the formal exams mentioned above.”


                                                                                                                                                                                                                                                                                                                                                                                                  How do you demonstrate ongoing competence in the speciality and are there any specific requirements?

                                                                                                                                                                                                                                                                                                                                                                                                  “Again, this is not formally assessed other than in my annual appraisal. I do a lot of teaching which often involves attending conferences and study days – my urology CPD each year is pretty extensive.”


                                                                                                                                                                                                                                                                                                                                                                                                  What do you feel being a GPwER brings to your career overall?

                                                                                                                                                                                                                                                                                                                                                                                                  “I do 6 sessions as a GP partner and am executive / managing partner for our 4 sites. Doing the urology clinics allows me some external perspective, a change of emphasis – and also, I find having a specialist role is good for professional self-esteem.

                                                                                                                                                                                                                                                                                                                                                                                                  As a GP we are expected to know something about everything, which can leave you feeling a bit like you don’t know enough about anything! Having an area in which you feel confident and knowledgeable is definitely good for the psyche.”

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Paula Rostek | Lipidology

                                                                                                                                                                                                                                                                                                                                                                                                  What is your role?

                                                                                                                                                                                                                                                                                                                                                                                                  “GPwSI in Lipidology.”


                                                                                                                                                                                                                                                                                                                                                                                                  How did you start the process of becoming a GP with an extended role? 

                                                                                                                                                                                                                                                                                                                                                                                                  “My colleague mentioned the Biochemistry team at the BRI were struggling to recruit for their new GPwSI in Lipidology posts.  I applied after speaking to one of the Biochemistry Consultants RE what the role involved, and after applying got the job alongside another GPwSI. I received on the job training and the department kindly part-funded me to do the “Certificate of excellence in lipidology“. I’ve been there for 2 1/2 years now. It was very much being in the right place at the right time sort of thing I think.”


                                                                                                                                                                                                                                                                                                                                                                                                  How did you arrange a supervisor (if applicable)? 

                                                                                                                                                                                                                                                                                                                                                                                                  “I am supervised in clinic by one of the BRI biochemistry consultants.”


                                                                                                                                                                                                                                                                                                                                                                                                  What qualifications did you need to undertake this role?

                                                                                                                                                                                                                                                                                                                                                                                                  MRCGP


                                                                                                                                                                                                                                                                                                                                                                                                  How do you demonstrate ongoing competence in the speciality and are there any specific requirements? 

                                                                                                                                                                                                                                                                                                                                                                                                  “I have a yearly Lipid Clinic appraisal. I also demonstrate my competencies on a weekly basis as after clinic our team which consists of a consultant, a registrar, a speciality nurse, and myself discuss our management plans of the patients we have seen. I also attend the European Society of Atherosclerosis congress each year.”


                                                                                                                                                                                                                                                                                                                                                                                                  What do you feel being a GPwER brings to your career overall? 

                                                                                                                                                                                                                                                                                                                                                                                                  “I find the lipid clinics really satisfying as it is allowing me to learn a lot about a sub-speciality and go out and do improvement projects and teaching with primary care. This helps make me feel more valued as a clinician. The sense of unity you get in secondary care is a lot less isolating than primary care work as we run the clinics very much as a team.

                                                                                                                                                                                                                                                                                                                                                                                                  In secondary care I generally have much more time to do my clinical and admin work – I feel that I am better able to give a gold standard of assessment and care to patients than the often rushed clinics I have to do in primary care. The constant learning and chance to be involved in a field that encompasses new drugs, genetics and CVD is exciting and interesting.”

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Jasmin Krischer | Training Programme Director (and variety of other roles)

                                                                                                                                                                                                                                                                                                                                                                                                  What is your role?

                                                                                                                                                                                                                                                                                                                                                                                                  • “GP at Student Health Service for 3 years
                                                                                                                                                                                                                                                                                                                                                                                                  • Previously mainstream GP for 20+ yrs
                                                                                                                                                                                                                                                                                                                                                                                                  • I’m also an appraiser, and a TPD and I have started my own charity: HappyMaps
                                                                                                                                                                                                                                                                                                                                                                                                  • In the past I have had many different roles and jobs including:
                                                                                                                                                                                                                                                                                                                                                                                                    • Clinical and educational supervisor
                                                                                                                                                                                                                                                                                                                                                                                                    • Facilitating communication skills teaching and mentoring for med students
                                                                                                                                                                                                                                                                                                                                                                                                    • Part-time clinical assistantships in Dermatology and in Paediatrics (at different times and combined with GP)
                                                                                                                                                                                                                                                                                                                                                                                                    • Working for NGOs in Sudan and East Timor”

                                                                                                                                                                                                                                                                                                                                                                                                  How did you start the process of becoming a GP with this specific portfolio role?

                                                                                                                                                                                                                                                                                                                                                                                                  “Teaching / mentoring roles are often advertised via the med school or deanery and you can be added to those mailing lists. To be an appraiser, you have to do training and that is advertised a couple of times a year – there are quite a few young appraisers so it’s not just for older GPs! There are lots of ways you can combine GP with working abroad from expedition medicine to shorter stints working for NGOs or volunteering e.g. for PHASE.”


                                                                                                                                                                                                                                                                                                                                                                                                  Do you need any supervision and if so, how did you arrange this?

                                                                                                                                                                                                                                                                                                                                                                                                  “Some of these roles are supervised / appraised, e.g., being an appraiser or TPD but not all.”


                                                                                                                                                                                                                                                                                                                                                                                                  What qualifications did you need to undertake this role?

                                                                                                                                                                                                                                                                                                                                                                                                  “In general, just being interested and keen!  For my clinical assistantship in Paediatrics, I had already done a fair bit of Paediatrics, but for Dermatology I didn’t know any more than the average GP – I just helped in clinics. For the work abroad, the Diploma in Tropical Medicine and Hygiene is very helpful.”


                                                                                                                                                                                                                                                                                                                                                                                                  If applicable, how do you demonstrate ongoing competence in this area and are there any specific requirements to do this? 

                                                                                                                                                                                                                                                                                                                                                                                                  “For your annual appraisal as a GP, you are generally required to show you have done some learning relevant to each role.”


                                                                                                                                                                                                                                                                                                                                                                                                  What do you feel having this additional role brings to your career overall? 

                                                                                                                                                                                                                                                                                                                                                                                                  Variety is the key to staying motivated and avoiding burn-out! Teaching / appraising keeps your own knowledge fresh as well and avoids feeling isolated. Once you’ve started adding some extra roles, you realise you can chop and change every few years depending on what grabs your interest at the time and, of course, what opportunities happen to come up.”

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Kayo Forster | Undergraduate Medical Education

                                                                                                                                                                                                                                                                                                                                                                                                  What is your role?

                                                                                                                                                                                                                                                                                                                                                                                                  • “GP
                                                                                                                                                                                                                                                                                                                                                                                                  • Academy GP Lead – North and South Bristol Academy
                                                                                                                                                                                                                                                                                                                                                                                                  • Year 5 tutor – South Bristol Academy

                                                                                                                                                                                                                                                                                                                                                                                                  How did you start the process of becoming a GP with this specific portfolio role?

                                                                                                                                                                                                                                                                                                                                                                                                  “I’ve always had an interest in Teaching and Education and this was helped by my foundation years taking place in a teaching hospital where the expectation was that we all teach the medical students. I started the process by gaining a Postgraduate Certificate in Medical Education at this stage. I made sure I took up opportunities to teach when they came up during GP training.”


                                                                                                                                                                                                                                                                                                                                                                                                  Do you need any supervision and if so, how did you arrange this?

                                                                                                                                                                                                                                                                                                                                                                                                  “I’ve always been a great fan of Mentoring. When I qualified as a newly qualified GP I moved to the South West and felt the need to be mentored to gain advice on how to get started in a portfolio career in medical education. I signed up to the RCGP mentorship scheme which was a pivotal moment which I hugely benefitted from. I talked to more senior GPs within medical education who supported me by sending me roles and opportunities when they came up.”


                                                                                                                                                                                                                                                                                                                                                                                                  What qualifications did you need to undertake this role?

                                                                                                                                                                                                                                                                                                                                                                                                  “Experience in teaching medical students and a medical education qualification desirable. As well as MRCGP.”


                                                                                                                                                                                                                                                                                                                                                                                                  If applicable, how do you demonstrate ongoing competence in this area and are there any specific requirements to do this? 

                                                                                                                                                                                                                                                                                                                                                                                                  “For your annual appraisal as a GP, you are generally required to show you have done some learning relevant to each role.”


                                                                                                                                                                                                                                                                                                                                                                                                  What do you feel having this additional role brings to your career overall? 

                                                                                                                                                                                                                                                                                                                                                                                                  “Much needed variety to my working work. Enjoyment! Lots of opportunities for progression and career progression.”

                                                                                                                                                                                                                                                                                                                                                                                                  Dr. Jane Edge | Sexual Health

                                                                                                                                                                                                                                                                                                                                                                                                  What is your role?

                                                                                                                                                                                                                                                                                                                                                                                                  “GP Partner at Horfield Health Centre and Faculty Registered Trainer (FRT).”


                                                                                                                                                                                                                                                                                                                                                                                                  How did you start the process of becoming a GP with this specific portfolio role?

                                                                                                                                                                                                                                                                                                                                                                                                  “I realised the importance of providing good contraceptive choice to women early in my career. I was a GP in Student Health immediately after qualifying and in my first GP partnership was asked to train to fit coils. I had a false start in training as an FRT – I attended the two day training pregnant with my 4th child and quickly moved cities. I was unable to pursue the necessary practical training at that time.

                                                                                                                                                                                                                                                                                                                                                                                                  On arriving in Bristol 22 years ago I did some sessional work at Brook and for the Sexual Health Service. The work was and probably still is not well remunerated but it was rewarding, slower pace than GP and consolidated my contraceptive skills.

                                                                                                                                                                                                                                                                                                                                                                                                  12 years ago I did the Clinical Supervisor training to become an F2 supervisor and realised that this would meet the training requirements for the FRT. FRT training has changed since that time. I then had a sabbatical from my partnership and pursued the practical training at what is now Unity.”


                                                                                                                                                                                                                                                                                                                                                                                                  Do you need any supervision and if so, how did you arrange this?

                                                                                                                                                                                                                                                                                                                                                                                                  “Yes. You are supported by the local Training Programme Director and an experienced FRT buddy.

                                                                                                                                                                                                                                                                                                                                                                                                  In Bristol the TPD is Dr. Cindy Farmer.

                                                                                                                                                                                                                                                                                                                                                                                                  It is best to contact Fay Webb – Executive Assistant To The Triumvirate (TRI) Team, Unity Sexual Health Centre at [email protected].”


                                                                                                                                                                                                                                                                                                                                                                                                  What qualifications did you need to undertake this role?

                                                                                                                                                                                                                                                                                                                                                                                                  This is from the FSRH website:

                                                                                                                                                                                                                                                                                                                                                                                                  “You must hold the following:

                                                                                                                                                                                                                                                                                                                                                                                                    • A current NMC or GMC registration with a licence to practice.
                                                                                                                                                                                                                                                                                                                                                                                                    • You hold a DFSRH, MFSRH or FFSRH.
                                                                                                                                                                                                                                                                                                                                                                                                    • Your membership is current and you are up to date with recertification.

                                                                                                                                                                                                                                                                                                                                                                                                  As well as confirming:

                                                                                                                                                                                                                                                                                                                                                                                                    • You have at least 12 months current experience in SRH.

                                                                                                                                                                                                                                                                                                                                                                                                  You must hold relevant qualification or accreditation in medical education. We accept any of the following:

                                                                                                                                                                                                                                                                                                                                                                                                    • Postgraduate course in Medical Education for Sexual and Reproductive Healthcare (University of Keele or Worcester) within the last 5 years. (NO plans for this course to run currently) 
                                                                                                                                                                                                                                                                                                                                                                                                    • Current GMC approved GP Trainer
                                                                                                                                                                                                                                                                                                                                                                                                    • Current GMC Recognised Trainer
                                                                                                                                                                                                                                                                                                                                                                                                    • Successful completion within the last 5 years of a university accredited postgraduate course in medical/clinical/healthcare teaching or education, with a minimum of 15 credits at Levels 6 or 7.
                                                                                                                                                                                                                                                                                                                                                                                                    • Successful completion of Academy of Medical Educators (AoME) accredited courses (within the last 5 years). We do not accept all AoME accredited courses and therefore may request additional information to support your application.
                                                                                                                                                                                                                                                                                                                                                                                                    • Current Member or Fellow of the AoME. (Associate and Student membership not applicable.)
                                                                                                                                                                                                                                                                                                                                                                                                    • Successful completion of a Advance Higher Education (Advance HE) (formerly known as the Higher Education Academy (HEA)) accredited course (within the last 5 years). We may request additional information to support your application.
                                                                                                                                                                                                                                                                                                                                                                                                    • Current Fellow, Senior Fellow or Principal Fellow of the HEA.

                                                                                                                                                                                                                                                                                                                                                                                                  FRT applicants have recently submitted the courses below as a way to meeting the medical/clinical/healthcare education requirements to become an FRT. Please note that we are NOT recommending these courses as all applicants’ needs are different. We are just providing them as examples of courses that have met our requirements, but you will need to check the content yourself carefully if you decide to take them as institutions change modules, level, and credit value from time to time.

                                                                                                                                                                                                                                                                                                                                                                                                  • AoME Accredited Educational and Clinical Supervisor course from Miad Healthcare. On completion of this course, you will need to attach with your FRT application form certificates showing that you have successfully completed the two webinars, two e-learning modules, a copy of your assessed reflection report, and a copy of the assessor’s feedback that all form part of this course.
                                                                                                                                                                                                                                                                                                                                                                                                  • Teaching and Learning in Health Professions Education module from University College London Medical School. On completion of this course, you will need to attach your full course transcript showing your marks for the module with your FRT application form.

                                                                                                                                                                                                                                                                                                                                                                                                  Many of you will be planning to undertake a course that is not listed above. If you would like to check whether it would meet our requirements, please email [email protected] with the full details of the course, including the level, number of credits, module descriptor including learning outcomes, and details of how the course is assessed. We will then review the course content and let you know whether it would be valid as part of your FRT application.”


                                                                                                                                                                                                                                                                                                                                                                                                  If applicable, how do you demonstrate ongoing competence in this area and are there any specific requirements to do this? 

                                                                                                                                                                                                                                                                                                                                                                                                  “Reaccreditation is every 5 years – best to check the FSRH website for full details of the requirement.”


                                                                                                                                                                                                                                                                                                                                                                                                  What do you feel having this additional role brings to your career overall? 

                                                                                                                                                                                                                                                                                                                                                                                                  “It is my area of expertise as a GP in my practice.

                                                                                                                                                                                                                                                                                                                                                                                                  I lead on Women’s Health and the educational aspect of training keeps me up to date.

                                                                                                                                                                                                                                                                                                                                                                                                  I have been able to support GP trainees and nurses at the practice to complete their DFSRH and LoC-IUT and LoC-DSI.

                                                                                                                                                                                                                                                                                                                                                                                                  On one occasion I did DFSRH, LoC-SDI and LoC-IUT training with an experienced GP from another GP surgery. I was paid by the GP for the DFSRH training and at that time there was a local fund for LARC training which paid for the rest.

                                                                                                                                                                                                                                                                                                                                                                                                  I now have an honorary contract with Bayer and train GPs and Nurses in LoC-IUT – I am paid £300 per session for this training

                                                                                                                                                                                                                                                                                                                                                                                                  I attend local FRT training and am invited to a national training meeting run by Bayer.”

                                                                                                                                                                                                                                                                                                                                                                                                  GPs with Extended Roles

                                                                                                                                                                                                                                                                                                                                                                                                  For most specialities, there is not a specifically-designed pathway for becoming a GP with an extended role (GPwER). The Royal College of General Practitioner (RCGP) website has details about the general requirements for the competency assessment, but the best advice is to establish local requirements with the relevant employer and commissioners.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, please click here to visit the RCGP site.
                                                                                                                                                                                                                                                                                                                                                                                                  Please expand the collapsible boxes below, too.

                                                                                                                                                                                                                                                                                                                                                                                                  GPwER Dermatology and Skin Surgery

                                                                                                                                                                                                                                                                                                                                                                                                  The RCGP, British Association of Dermatology (BAD), and Primary Care Dermatology Society have published a framework for dermatology and skin surgery as part of a national dermatology accreditation process.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information about this framework, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Faculty of Sexual and Reproductive Health Diploma

                                                                                                                                                                                                                                                                                                                                                                                                  More detailed information about how you can apply for the FSRH Diploma is available from the Faculty of Sexual and Reproductive Health’s website.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information about this diploma, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  How to Get Involved in Primary Care Research

                                                                                                                                                                                                                                                                                                                                                                                                  The University of Bristol’s Centre for Academic Primary Care (CAPC) has details of how to get involved in primary care research, and they have a newsletter that can be signed up to via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Academic Collaborative (PACT) is a network of primary care health professionals involved in research. Information about how to get involved / sign up is available on their site, which can be accessed via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Avon Local Medical Committee (Avon LMC)

                                                                                                                                                                                                                                                                                                                                                                                                  There are a variety of resources available on Avon LMC’s website. If your practice is a member, you should have access to them. If not, there is a fee to join.

                                                                                                                                                                                                                                                                                                                                                                                                  Their resources include:

                                                                                                                                                                                                                                                                                                                                                                                                  For more information on membership, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Avon LMC GP Safe House & COPE Scheme

                                                                                                                                                                                                                                                                                                                                                                                                  This a virtual safe house for GPs, in which you can access support, advice, and guidance. The COPE Scheme provides counselling and coaching.

                                                                                                                                                                                                                                                                                                                                                                                                  For more, please use the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  BMA Well-Being Support Services

                                                                                                                                                                                                                                                                                                                                                                                                  The British Medical Association’s (BMA) confidential counselling and peer support services, available online or over the phone for all doctors and medical students (plus their partners and dependents), round the clock.

                                                                                                                                                                                                                                                                                                                                                                                                  You do not need to be a BMA member to access these services. Simply call 0330 123 1245 or visit their site using the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  GP Return to Work Refresher Course

                                                                                                                                                                                                                                                                                                                                                                                                  This FREE one-day course, organised by our GP Fellow Dr. Pamela Curtis, is designed to support GPs returning from a short career break (be it parental leave, sick leave, etc.). It will run on Thursday 11 November, from 9.00 – 16.00.

                                                                                                                                                                                                                                                                                                                                                                                                  The session will be covering time management, the “new” appraisal process, consultation skills, useful clinical updates, and signposting to resources. An amazing career coach will be on-hand to guide you, and you will be able to network with GPs in a similar position.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Return-to-work GP Buddy Meetings

                                                                                                                                                                                                                                                                                                                                                                                                  Organised by our GP Fellow Dr. Pamela Curtis, these monthly Buddy Meetings for GPs returning to work from short career breaks will provide a safe space to discuss the things that matter to you. This can be clinical work, career goals, or well-being – and it can be in a format of your choosing (as a ‘study group’, via action learning sets, etc.). It is hoped these will increase the confidence of and support for GPs returning to practice.

                                                                                                                                                                                                                                                                                                                                                                                                  Sessions will be held on the last Wednesday of the next couple of months.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Healthier Together Support Hub

                                                                                                                                                                                                                                                                                                                                                                                                  This a local well-being resource hub, available to GPs.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Looking After You Too

                                                                                                                                                                                                                                                                                                                                                                                                  This is an easy-to-access, individually-tailored, FREE coaching support service for frontline primary care staff working during the COVID-19 pandemic. Its opening hours are as follows:

                                                                                                                                                                                                                                                                                                                                                                                                  • Monday – Friday | 8.00 – 22.00
                                                                                                                                                                                                                                                                                                                                                                                                  • Saturday – Sunday | 10.00 – 18.00

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Our Frontline: Mental Health at Work

                                                                                                                                                                                                                                                                                                                                                                                                  Round-the-clock, one-to-one support, by call or text, from trained volunteers, plus resources, tips, and ideas to look after your mental health.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Our NHS People

                                                                                                                                                                                                                                                                                                                                                                                                  Our NHS People provides a general support helpline (from 7.00 – 23.00, every day) and a round-the-clock text support service. They also have a bereavement support helpline, open from 8.00 – 20.00 every day.

                                                                                                                                                                                                                                                                                                                                                                                                  To reach their general support helpline, please contact 0300 131 7000
                                                                                                                                                                                                                                                                                                                                                                                                  To use their text service, please send FRONTLINE to 85258
                                                                                                                                                                                                                                                                                                                                                                                                  To reach their bereavement helpline, please contact 0300 303 4434

                                                                                                                                                                                                                                                                                                                                                                                                  To visit Our NHS People’s website, please click the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  GP Career Support Hub

                                                                                                                                                                                                                                                                                                                                                                                                  The GP Career Support Hub is a national resource for GPs, containing a wealth of information on numerous topics. Their resources include signposts to opportunities appropriate at all career stages, funded GP support schemes, training, and well-being resources.

                                                                                                                                                                                                                                                                                                                                                                                                  To access the Hub, you will need to register an account on the Future NHS Collaboration Platform, before selecting the GP Career Support Hub under ‘Find a Workspace’.

                                                                                                                                                                                                                                                                                                                                                                                                  For more, please use the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE FCP (MSK) Roadmap Stage 1 Webinar

                                                                                                                                                                                                                                                                                                                                                                                                  Photo by Matt Duncan

                                                                                                                                                                                                                                                                                                                                                                                                  HEE FCP (MSK) Roadmap Stage 1 Webinar

                                                                                                                                                                                                                                                                                                                                                                                                  BNSSG Training Hub’s new FCP (MSK) Lead, Lizzie Bradshaw, is aware of the confusion around the practical process of mapping to the Knowledge, Skills, & Attributes (KS&A) section in stage 1 of the HEE FCP (MSK) Roadmap.

                                                                                                                                                                                                                                                                                                                                                                                                  To this end, we ran a webinar on Wednesday 21 July, from 19.00 to 20.00, to share learning and guidance. Kerri Magnus, our ACP Lead, chaired the meeting discussion, and Rachel Butt – a HEE Roadmap Supervisor – helped to run through a mapping of Lizzie’s personal KS&A to discuss examples of potential evidence for those on the portfolio route, and also demonstrate the use of the HEE FCP framework spreadsheet tool to record this portfolio of evidence.

                                                                                                                                                                                                                                                                                                                                                                                                  The recording for this webinar is now available — to watch it, please use the button below!

                                                                                                                                                                                                                                                                                                                                                                                                  Recent news

                                                                                                                                                                                                                                                                                                                                                                                                  Protected: Podiatrists

                                                                                                                                                                                                                                                                                                                                                                                                  All about nursing associates

                                                                                                                                                                                                                                                                                                                                                                                                  First Steps into Nursing

                                                                                                                                                                                                                                                                                                                                                                                                  Five live webinars for college and school leavers, this July

                                                                                                                                                                                                                                                                                                                                                                                                  CPD Plenary

                                                                                                                                                                                                                                                                                                                                                                                                  A free, 30-minute Q&A on CPD funding

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical Pharmacist

                                                                                                                                                                                                                                                                                                                                                                                                  Questions?

                                                                                                                                                                                                                                                                                                                                                                                                  If you have any questions relating to clinical pharmacists, please send your queries to us at [email protected]

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical Pharmacists

                                                                                                                                                                                                                                                                                                                                                                                                  "Clinical pharmacists work in primary care as part of a multidisciplinary team in a patient facing role to clinically assess and treat patients using expert knowledge of medicines for specific disease areas."

                                                                                                                                                                                                                                                                                                                                                                                                  Source: HEE's Role Overview

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                                                                                                                                                                                                                                                                                                                                                                                                  What are they?

                                                                                                                                                                                                                                                                                                                                                                                                  What benefits can they bring?

                                                                                                                                                                                                                                                                                                                                                                                                  What is their scope of practice?

                                                                                                                                                                                                                                                                                                                                                                                                  Is funding available for them?

                                                                                                                                                                                                                                                                                                                                                                                                  Are there any case studies?

                                                                                                                                                                                                                                                                                                                                                                                                  What characteristics, training / qualifications, and competencies should they have?

                                                                                                                                                                                                                                                                                                                                                                                                  Are there any requirements to receive ARRS funding?

                                                                                                                                                                                                                                                                                                                                                                                                  What employment routes are there?

                                                                                                                                                                                                                                                                                                                                                                                                  Any example job descriptions?

                                                                                                                                                                                                                                                                                                                                                                                                  Any sample interview questions?

                                                                                                                                                                                                                                                                                                                                                                                                  What clinical supervision do they need?

                                                                                                                                                                                                                                                                                                                                                                                                  What should practice induction include?

                                                                                                                                                                                                                                                                                                                                                                                                  What ongoing support is available?

                                                                                                                                                                                                                                                                                                                                                                                                  What are clinical pharmacists?

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists are primary care health professionals, who work in a patient-facing role as part of a multidisciplinary team (MDT) to clinically assess and treat patients using their specialised knowledge of medicines. They are responsible for medicines optimisation within their respective primary care network (PCN) and conduct clinical medication reviews for patients with complex polypharmacy, especially the elderly, care home residents, or individuals with multiple co-morbidities.

                                                                                                                                                                                                                                                                                                                                                                                                  If not already able to prescribe, clinical pharmacists can achieve an independent prescribing qualification following completion of the Centre for Pharmacy Postgraduate Education’s (CPPE) 18-month pathway (completing this or an equivalent, approved course is necessary for clinical pharmacists receiving funding through the Additional Roles Reimbursement Scheme (ARRS)).

                                                                                                                                                                                                                                                                                                                                                                                                  For more information:

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Clinical Pharmacist Role Overview

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this page offers a succinct look at the education and training requirements, skills and competencies, and work activities of clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Minimum Role Requirements

                                                                                                                                                                                                                                                                                                                                                                                                  This appendix, from the Clinical Pharmacist DES Contract, clarifies the minimum requirements for clinical pharmacists receiving funding through the ARRS.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What benefits can clinical pharmacists bring?

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists can help to ease the workload of and release time for GPs — as a case study provided by NSHEI suggests, the inclusion of a clinical pharmacist in an MDT can reduce the patient need for GP appointments to a significant degree (by 30% in the case of Wallingbrook Health Group, Devon). By extension, clinical pharmacists can help to decrease prescription error rates and medication-related, non-elective hospital admissions.

                                                                                                                                                                                                                                                                                                                                                                                                  In short, clinical pharmacists can help to improve not only the quality of care provided to practice’s service-users, but also the efficiency and well-being of other members of staff.

                                                                                                                                                                                                                                                                                                                                                                                                  Please read NHSEI Devon Case Study and Clinical pharmacists in general practice: a necessity not a luxury? below, for more information.

                                                                                                                                                                                                                                                                                                                                                                                                  NHSEI Devon Case Study

                                                                                                                                                                                                                                                                                                                                                                                                  Hosted by NHSEI, this case study examines the highly positive impact a clinical pharmacist had on practices in Devon.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists in general practice: a necessity not a luxury?

                                                                                                                                                                                                                                                                                                                                                                                                  From the British Journal of General Practice (February 2018), this article is linked to from Dorset Training Hub’s website.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What is their scope of practice?

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists are qualified to carry out the following activities, as part of their scope of practice:

                                                                                                                                                                                                                                                                                                                                                                                                  • Collaborate with care homes to provide support on medicines-related issues
                                                                                                                                                                                                                                                                                                                                                                                                  • Conduct clinical switching protocols and alternative prescribing policies
                                                                                                                                                                                                                                                                                                                                                                                                  • Conduct evidence-based Medicines and Best Practice reviews
                                                                                                                                                                                                                                                                                                                                                                                                  • Conduct structured medication reviews
                                                                                                                                                                                                                                                                                                                                                                                                  • Domiciliary reviews
                                                                                                                                                                                                                                                                                                                                                                                                  • Educate other members of their MDT and patients on the use of specific medicines
                                                                                                                                                                                                                                                                                                                                                                                                  • Manage polypharmacy and co-morbidity complexities
                                                                                                                                                                                                                                                                                                                                                                                                  • Provide high-risk medicines monitoring
                                                                                                                                                                                                                                                                                                                                                                                                  • Provide medicines information and advice to other members of their MDT, patients, and the general public
                                                                                                                                                                                                                                                                                                                                                                                                  • Provide medicines reconciliation, supporting safe transfers of care
                                                                                                                                                                                                                                                                                                                                                                                                  • Provide prescribing and clinic management (e.g., Minor Ailments Clinics)
                                                                                                                                                                                                                                                                                                                                                                                                  • Treat patients with complex long-term conditions, like “difficult” hypertension

                                                                                                                                                                                                                                                                                                                                                                                                  Please note that this is not an exhaustive list, however.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information on the scope of practice of this profession, please consult HEE’s Clinical Pharmacist Role Overview and the Dorset Training Hub’s page on clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Clinical Pharmacist Role Overview

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this page offers a succinct look at the education and training requirements, skills and competencies, and work activities of clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Dorset Training Hub's Clinical Pharmacist Page

                                                                                                                                                                                                                                                                                                                                                                                                  Kindly provided by Dorset Training Hub, this page signposts to several useful documents exploring the role of clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Is funding available for them?

                                                                                                                                                                                                                                                                                                                                                                                                  HEE stipulates that from April 2020, clinical pharmacists will be reimbursed via the Additional Roles Reimbursement Scheme (ARRS) at 100% of actual salary plus defined on costs. This is up the maximum reimbursable amount of £55,670 over 12 months.

                                                                                                                                                                                                                                                                                                                                                                                                  Source:

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Clinical Pharmacist Role Overview

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this page offers a succinct look at the education and training requirements, skills and competencies, and work activities of clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Are there any case studies?

                                                                                                                                                                                                                                                                                                                                                                                                  NHSEI is able to provide a couple of case studies, focused on clinical pharmacists located in Devon and Norwich, and the valuable contributions they made to their respective practices.

                                                                                                                                                                                                                                                                                                                                                                                                  For more:

                                                                                                                                                                                                                                                                                                                                                                                                  NHSEI Devon Case Study

                                                                                                                                                                                                                                                                                                                                                                                                  Hosted by NHSEI, this case study examines the highly positive impact a clinical pharmacist had on practices in Devon.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  NHSEI Norwich Case Study

                                                                                                                                                                                                                                                                                                                                                                                                  Hosted by NHSEI, this case study examines the beneficial impact a clinical pharmacist had on practices in Norwich.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What characteristics, training / qualifications, and competencies should they have?

                                                                                                                                                                                                                                                                                                                                                                                                  Please find information on what you should look out for when employing a clinical pharmacist below:

                                                                                                                                                                                                                                                                                                                                                                                                  Personal Characteristics

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists should have personal characteristics that are in keeping with the Standards for pharmacy professionals provided by the General Pharmaceutical Council, with the most recent standards being published in May 2017. They outline what is expected from pharmacy professionals, and serve as a reflection of how pharmacy professionals view themselves and their colleagues.

                                                                                                                                                                                                                                                                                                                                                                                                  In short, clinical pharmacists should adhere to these nine standards:

                                                                                                                                                                                                                                                                                                                                                                                                  • Provide person-centred care
                                                                                                                                                                                                                                                                                                                                                                                                  • Work in partnership with others
                                                                                                                                                                                                                                                                                                                                                                                                  • Communicate effectively
                                                                                                                                                                                                                                                                                                                                                                                                  • Maintain, develop and use their professional knowledge and skills
                                                                                                                                                                                                                                                                                                                                                                                                  • Use professional judgement
                                                                                                                                                                                                                                                                                                                                                                                                  • Behave in a professional manner
                                                                                                                                                                                                                                                                                                                                                                                                  • Respect and maintain patient confidentiality and privacy
                                                                                                                                                                                                                                                                                                                                                                                                  • Speak up when they have concerns or when things go wrong
                                                                                                                                                                                                                                                                                                                                                                                                  • Demonstrate leadership

                                                                                                                                                                                                                                                                                                                                                                                                  To read the Standards themselves, which include a breakdown, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Training and Qualifications

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists must have completed a General Pharmaceutical Council-accredited (GPhC) Master of Pharmacy (MPharm) degree. This is typically a full-time, four-year course, provided by a number of universities from across the country.

                                                                                                                                                                                                                                                                                                                                                                                                  A clinical pharmacist should also be registered with the General Pharmaceutical Council (GPhC). To see what is required to register with the GPhC, please consult the guide linked below, published in January 2021.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it the guide, please click here.
                                                                                                                                                                                                                                                                                                                                                                                                  For a list of all accredited courses and qualifications, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  To be employed in primary care and receive funding from the Additional Roles Reimbursement Scheme (ARRS), there are additional criteria that pharmacy technicians must meet.

                                                                                                                                                                                                                                                                                                                                                                                                  For a breakdown of these, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Competencies

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists should have experience with the following competencies:

                                                                                                                                                                                                                                                                                                                                                                                                  • Working with GPs and patients to address medicine adherence
                                                                                                                                                                                                                                                                                                                                                                                                  • Reviewing patients on complex medicine regimens
                                                                                                                                                                                                                                                                                                                                                                                                  • Triaging and managing common ailments
                                                                                                                                                                                                                                                                                                                                                                                                  • Responding to acute medicine requests
                                                                                                                                                                                                                                                                                                                                                                                                  • Managing and prescribing for long-term conditions (often with the practice nurse)
                                                                                                                                                                                                                                                                                                                                                                                                  • Holding minor ailment clinics
                                                                                                                                                                                                                                                                                                                                                                                                  • Prescription management
                                                                                                                                                                                                                                                                                                                                                                                                  • Dealing with medication for patients recently discharged from hospital
                                                                                                                                                                                                                                                                                                                                                                                                  • Helping the practice deliver on the patients recently discharged from hospital
                                                                                                                                                                                                                                                                                                                                                                                                  • Helping the practice deliver on the Quality, Innovation, Productivity and Prevention (QIPP) and Quality Outcomes Framework (QOF) agenda and enhanced services
                                                                                                                                                                                                                                                                                                                                                                                                  • Delivering repeat prescription reviews
                                                                                                                                                                                                                                                                                                                                                                                                  • Being the point of contact for all medicine-related queries
                                                                                                                                                                                                                                                                                                                                                                                                  • Overseeing the practice’s repeat prescription policy
                                                                                                                                                                                                                                                                                                                                                                                                  • Taking over clinical medicines reviews from GPs
                                                                                                                                                                                                                                                                                                                                                                                                  • Audit and education
                                                                                                                                                                                                                                                                                                                                                                                                  • Medicines management
                                                                                                                                                                                                                                                                                                                                                                                                  • In dispensing practices, pharmacists can take responsibility for the business management of the dispensary

                                                                                                                                                                                                                                                                                                                                                                                                  This list has been sourced from HEE’s Clinical Pharmacist Role Overview. To see the original, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Are there any requirements to receive ARRS funding?

                                                                                                                                                                                                                                                                                                                                                                                                  As noted under ‘Is funding available for them?‘, clinical pharmacists can be reimbursed via the Additional Roles Reimbursement Scheme (ARRS). However, to be eligible for this funding, there are requirements that clinical pharmacists must adhere to.

                                                                                                                                                                                                                                                                                                                                                                                                  For instance, as stated in Annex B of the Clinical Pharmacist Direct Enhanced Service (DES) contract:

                                                                                                                                                                                                                                                                                                                                                                                                  • “B1.1. Where a PCN employs or engages a Clinical Pharmacist under the Additional Roles Reimbursement Scheme, the PCN ensure that the Clinical Pharmacist is enrolled in, or has qualified from, an approved 18-month training pathway or equivalent that equips the Clinical Pharmacist to:
                                                                                                                                                                                                                                                                                                                                                                                                    • a. be able to practice and prescribe safely and effectively in a primary care setting (for example, the CPPE Clinical Pharmacist training pathways);
                                                                                                                                                                                                                                                                                                                                                                                                    • b. and deliver the key responsibilities outlined in section B1.2.”

                                                                                                                                                                                                                                                                                                                                                                                                  Section B1.2. relates to the key responsibilities that clinical pharmacists must undertake.

                                                                                                                                                                                                                                                                                                                                                                                                  To read the full annex, please consult ARRS Minimum Role Requirements below.

                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Minimum Role Requirements

                                                                                                                                                                                                                                                                                                                                                                                                  This appendix, from the Clinical Pharmacist DES Contract, clarifies the minimum requirements for clinical pharmacists receiving funding through the ARRS.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What employment routes are there?

                                                                                                                                                                                                                                                                                                                                                                                                  According to the General Pharmaceutical Council (GPhC), there are two routes to registration for clinical pharmacists intending to work in Great Britain. As laid out in their Criteria for registration document, the routes are:

                                                                                                                                                                                                                                                                                                                                                                                                  • Initial registration by UK- and internationally-qualified pharmacy technicians
                                                                                                                                                                                                                                                                                                                                                                                                  • Initial registration by an applicant not in possession of a relevant European qualification
                                                                                                                                                                                                                                                                                                                                                                                                  • Returning to registration after a period of absence

                                                                                                                                                                                                                                                                                                                                                                                                  All three routes are detailed in the Criteria document, linked below. In addition to education and training checks, the registration routes also look at candidates’ health, character, identity, and grasp of the English language.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information:

                                                                                                                                                                                                                                                                                                                                                                                                  GPhC Criteria for registration

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by the General Pharmaceutical Council (GPhC), this twelve-page document covers the requirements for clinical pharmacists wishing to practise in Great Britain (which requires registering with them). Last published in January 2021.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Please note: to be employed in primary care and receive funding from the Additional Roles Reimbursement Scheme (ARRS), there are additional criteria that clinical pharmacists must meet.

                                                                                                                                                                                                                                                                                                                                                                                                  For a breakdown of these additional requirements:

                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Minimum Role Requirements

                                                                                                                                                                                                                                                                                                                                                                                                  This appendix, from the Clinical Pharmacist DES Contract, clarifies the minimum requirements for clinical pharmacists receiving funding through the ARRS.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Any example job descriptions?

                                                                                                                                                                                                                                                                                                                                                                                                  NSHEI have developed a job description, in addition to a recruitment pack — these are both available on the FutureNHS site. Accessing the site requires you to create an account; once done, you can visit the role selection page to find the resources in question (click here to jump to the role selection page — remember, you will need to be logged in to access it).

                                                                                                                                                                                                                                                                                                                                                                                                  Alternatively, you can download HealthWest’s job description by clicking here.

                                                                                                                                                                                                                                                                                                                                                                                                  The Primary Care Pharmacy Association (PCPA) have also kindly provided several example job descriptions, for various bands of working, on their site, accessible via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Any sample interview questions?

                                                                                                                                                                                                                                                                                                                                                                                                  The Primary Care Pharmacy Association (PCPA) kindly provides sample interview questions for clinical pharmacists on their website, accessible via the button below. The sample interview questions themselves are at the bottom of the page.

                                                                                                                                                                                                                                                                                                                                                                                                  What clinical supervision do they need?

                                                                                                                                                                                                                                                                                                                                                                                                  When employed in primary care under the Additional Roles Reimbursement Scheme (ARRS), clinical pharmacists must be part of a professional clinical network and receive clinical supervision. Specifically, they must have:

                                                                                                                                                                                                                                                                                                                                                                                                  • A minimum of one supervision session per month, delivered by a senior clinical pharmacist
                                                                                                                                                                                                                                                                                                                                                                                                  • Senior pharmacists should receive a minimum of one supervision session every three months, delivered by a GP clinical supervisor
                                                                                                                                                                                                                                                                                                                                                                                                  • All pharmacy professionals must have access to an assigned GP clinical supervisor, whom can provide support and development
                                                                                                                                                                                                                                                                                                                                                                                                  • There should be a ratio of one senior clinical pharmacist to five clinical pharmacists — and in all cases, appropriate peer support and supervision must be in place for each pharmacist

                                                                                                                                                                                                                                                                                                                                                                                                  Sourced from:

                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Minimum Role Requirements

                                                                                                                                                                                                                                                                                                                                                                                                  This appendix, from the Clinical Pharmacist DES Contract, clarifies the minimum requirements for clinical pharmacists receiving funding through the ARRS.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  The Centre for Pharmacy Postgraduate Education (CPPE) offers training to become a clinical supervisor for individuals supervising pharmacy professionals on the CPPE Primary Care Pharmacy Education Pathway. This is a half-day workshop generally, but it can be completed by attending two webinars.

                                                                                                                                                                                                                                                                                                                                                                                                  Interested individuals can apply for a space via the CPPE website, here. If you are not a pharmacy professional, you will need to create an account on the site before you are able to book a place.

                                                                                                                                                                                                                                                                                                                                                                                                  For more:

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Pharmacy Education Pathway

                                                                                                                                                                                                                                                                                                                                                                                                  This page, produced by the Centre for Pharmacy Postgraduate Education (CPPE), elaborates on the clinical supervision requirements for clinical pharmacists working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What should practice induction include?

                                                                                                                                                                                                                                                                                                                                                                                                  Practice induction for clinical pharmacists should include:

                                                                                                                                                                                                                                                                                                                                                                                                  • Signing them up on e-Learning for Health (e-LFH) to complete mandatory training | Please click here to access e-LFH
                                                                                                                                                                                                                                                                                                                                                                                                  • Signing them up on TeamNet, so that they can access relevant policies | Please click here to access TeamNet
                                                                                                                                                                                                                                                                                                                                                                                                  • Provide them with EMIS training, via the CCG
                                                                                                                                                                                                                                                                                                                                                                                                  • Familiarise them with the BNSSG Joint Formulary | Please click here to access it
                                                                                                                                                                                                                                                                                                                                                                                                  • Link with the CCG Medicines Optimisation Team, particularly if they should need Eclipse / Radar training
                                                                                                                                                                                                                                                                                                                                                                                                  • Provide them with Docman training
                                                                                                                                                                                                                                                                                                                                                                                                  • Set them up on the CPPE site and with access to Canvas, so they that can undertake the Centre’s e-Courses | Please click here for more information

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists should be sure to meet and shadow your PCN’s current pharmacists and prescription team. They should meet practice manager(s), deputy practice manager(s), reception manager(s), reception lead(s), clinical staff, and their supervisor(s), in addition to the CCG’s Medicines Optimisation Pharmacist.

                                                                                                                                                                                                                                                                                                                                                                                                  What ongoing support is available for clinical pharmacists?

                                                                                                                                                                                                                                                                                                                                                                                                  There are various ways in which clinical pharmacists can receive support, including:

                                                                                                                                                                                                                                                                                                                                                                                                  The ACP Forum

                                                                                                                                                                                                                                                                                                                                                                                                  Organised and led by our ACP Lead, Kerri Magnus, The ACP Forum can assist clinical pharmacists on the journey to becoming an advanced clinical practitioner. The Forum can signpost to relevant education and training, provide 1-to-1 guidance, and facilitate networking with like-minded colleagues from across BNSSG.

                                                                                                                                                                                                                                                                                                                                                                                                  To visit The ACP Forum’s site, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  The Hub's Physiotherapy Lead

                                                                                                                                                                                                                                                                                                                                                                                                  Our Profession Lead for Physiotherapy is Jo Clarke, here to provide a point of contact for clinical pharmacists, help set objectives and career goals, and to keep you n the loop with our pharmacy-related work.

                                                                                                                                                                                                                                                                                                                                                                                                  Jo can be contacted at [email protected] using the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Training Opportunities & Funding for General Practice Pharmacists

                                                                                                                                                                                                                                                                                                                                                                                                  Compiled by Jo Clarke (Profession Lead for Pharmacy), this guide outlines the assortment of training opportunities and funding on offer for clinical pharmacists working in Bristol, North Somerset, and South Gloucestershire — whether they’re funded through the additional roles reimbursement scheme (ARRS), or by the CCG.

                                                                                                                                                                                                                                                                                                                                                                                                  Version 1.2 is currently available, which was last updated on Wednesday 1 December.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Centre for Pharmacy Postgraduate Education (CPPE)

                                                                                                                                                                                                                                                                                                                                                                                                  The CPPE is part of the Division of Pharmacy and Optometry in the University of Manchester’s Faculty of Biology, Medicine, and Health. It is dedicated to providing professional development opportunities and support to pharmacy staff, including through coaching and networking.

                                                                                                                                                                                                                                                                                                                                                                                                  To find out more, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Literature
                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Minimum Role Requirements

                                                                                                                                                                                                                                                                                                                                                                                                  This appendix, from the Clinical Pharmacist DES Contract, clarifies the minimum requirements for clinical pharmacists receiving funding through the ARRS.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Clinical pharmacists in general practice: a necessity not a luxury?

                                                                                                                                                                                                                                                                                                                                                                                                  From the British Journal of General Practice (February 2018), this article is linked to from Dorset Training Hub’s website.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Dorset Training Hub's Clinical Pharmacist Page

                                                                                                                                                                                                                                                                                                                                                                                                  Kindly provided by Dorset Training Hub, this page signposts to several useful documents exploring the role of clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  GPhC Criteria for registration

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by the General Pharmaceutical Council (GPhC), this twelve-page document covers the requirements for clinical pharmacists wishing to practise in Great Britain (which requires registering with them). Last published in January 2021.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Clinical Pharmacist Role Overview

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this page offers a succinct look at the education and training requirements, skills and competencies, and work activities of clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  NHSEI Devon Case Study

                                                                                                                                                                                                                                                                                                                                                                                                  Hosted by NHSEI, this case study examines the highly positive impact a clinical pharmacist had on practices in Devon.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  NHSEI Norwich Case Study

                                                                                                                                                                                                                                                                                                                                                                                                  Hosted by NHSEI, this case study examines the beneficial impact a clinical pharmacist had on practices in Norwich.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Pharmacy Education Pathway

                                                                                                                                                                                                                                                                                                                                                                                                  This page, produced by the Centre for Pharmacy Postgraduate Education (CPPE), elaborates on the clinical supervision requirements for clinical pharmacists working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Standards for pharmacy professionals

                                                                                                                                                                                                                                                                                                                                                                                                  Regulated by the General Pharmaceutical Council, these standards outline what is expected of pharmacy professionals, including clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  To read them, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  A/V resources
                                                                                                                                                                                                                                                                                                                                                                                                  I'd like to see the clinical pharmacist

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by NSHEI for the NHS’ 70th anniversary in 2018, this video explores the role of a clinical pharmacist in their primary care MDT.

                                                                                                                                                                                                                                                                                                                                                                                                  To watch it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  [This video was uploaded on 07.05.19.]

                                                                                                                                                                                                                                                                                                                                                                                                  Pharmacy Technicians

                                                                                                                                                                                                                                                                                                                                                                                                  Questions?

                                                                                                                                                                                                                                                                                                                                                                                                  If you have any questions relating to pharmacy technicians, please send your queries to us at [email protected]

                                                                                                                                                                                                                                                                                                                                                                                                  Pharmacy Technicians

                                                                                                                                                                                                                                                                                                                                                                                                  "Pharmacy technicians play an important role within general practice and complement the more clinical work of clinical pharmacist, through utilisation of their technical skillset."

                                                                                                                                                                                                                                                                                                                                                                                                  Source: HEE's Role Overview

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                                                                                                                                                                                                                                                                                                                                                                                                  What are they?

                                                                                                                                                                                                                                                                                                                                                                                                  What benefits can they bring?

                                                                                                                                                                                                                                                                                                                                                                                                  What is their scope of practice?

                                                                                                                                                                                                                                                                                                                                                                                                  Is funding available for them?

                                                                                                                                                                                                                                                                                                                                                                                                  Any case studies?

                                                                                                                                                                                                                                                                                                                                                                                                  What characteristics, training / qualifications, and competencies should they have?

                                                                                                                                                                                                                                                                                                                                                                                                  Are there any requirements to receive ARRS funding?

                                                                                                                                                                                                                                                                                                                                                                                                  What employment routes are there?

                                                                                                                                                                                                                                                                                                                                                                                                  Any job descriptions?

                                                                                                                                                                                                                                                                                                                                                                                                  Any sample interview questions?

                                                                                                                                                                                                                                                                                                                                                                                                  What clinical supervision do they need?

                                                                                                                                                                                                                                                                                                                                                                                                  What ongoing support is available?

                                                                                                                                                                                                                                                                                                                                                                                                  What are they?

                                                                                                                                                                                                                                                                                                                                                                                                  Pharmacy technicians are an emerging profession in general practice and play a valuable role within the primary care multi-disciplinary team (MDT), supporting their fellow healthcare professionals in focusing on clinical care.  The role complements clinical pharmacists, with pharmacy technicians typically working under the direction of clinical pharmacists in a practice pharmacy team.

                                                                                                                                                                                                                                                                                                                                                                                                  Pharmacy technicians can complete a variety of tasks through use of their acquired pharmaceutical knowledge, help with a range of tasks that vary in complexity from preparing the repeat prescriptions to undertaking prescribing audits and helping patients get the best outcomes from taking their medicines providing consultations to ensure patients use their medicines appropriately, and conducting audits.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Pharmacy Technician Role Overview

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this page offers a succinct look at the education and training requirements, skills and competencies, and work activities of pharmacy technicians.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What benefits can they bring?

                                                                                                                                                                                                                                                                                                                                                                                                  There are several benefits to appointing a pharmacy technician to your team. As long-established healthcare professionals, they are well-equipped to deal with a wide range of tasks (managing prescription queries and repeat requests, as examples), allowing clinical pharmacists and GPs to spend their time addressing more complex cases.

                                                                                                                                                                                                                                                                                                                                                                                                  Dorset Training Hub has produced a two-page document exploring what pharmacy technicians can bring to primary care MDTs, as linked below:

                                                                                                                                                                                                                                                                                                                                                                                                  What Can Pharmacy Technicians Contribute to the GP Team?

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by Dorset Training Hub, this two-page document highlights the benefits arising from having pharmacy technicians in primary care MDTs.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Greater Manchester Training Hub, Greater Manchester Health and Social Care, NSHEI, and HEE have also produced a video which partly explores the benefits provided by pharmacy technicians.

                                                                                                                                                                                                                                                                                                                                                                                                  For more:

                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Webinar 4 - Pharmacy Techs & Physician Associates

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by Greater Manchester Training Hub, HEE, NHSEI, and Greater Manchester Health and Social Care, this webinar partly covers the role and work of pharmacy technicians.

                                                                                                                                                                                                                                                                                                                                                                                                  [This was published on 07.04.21]

                                                                                                                                                                                                                                                                                                                                                                                                  To watch it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What is their scope of practice?

                                                                                                                                                                                                                                                                                                                                                                                                  The scope of practice of a pharmacy technician includes, but is not exhaustively limited to, the following tasks:

                                                                                                                                                                                                                                                                                                                                                                                                  • Act in patient-facing and patient-supporting roles, facilitating shared decision making conversations, to see to it that medicines are used effectively
                                                                                                                                                                                                                                                                                                                                                                                                  • Carry out clinical duties
                                                                                                                                                                                                                                                                                                                                                                                                  • Champion antimicrobial stewardship in order to reduce inappropriate antibiotic prescribing
                                                                                                                                                                                                                                                                                                                                                                                                  • Collaborate with clinical pharmacists on the clinical aspects of shared care protocols and treatments for more complex patients
                                                                                                                                                                                                                                                                                                                                                                                                  • Complete medication reviews
                                                                                                                                                                                                                                                                                                                                                                                                  • Deliver audits
                                                                                                                                                                                                                                                                                                                                                                                                  • Helping PCNs to ensure efficient medicine optimisation processes are in place, in addition to meds reviews for patients
                                                                                                                                                                                                                                                                                                                                                                                                  • Respond to medicines information queries
                                                                                                                                                                                                                                                                                                                                                                                                  • Support the implementation of personalised care
                                                                                                                                                                                                                                                                                                                                                                                                  • Where appropriate, offer specialist expertise to fellow MDT staff, patients, and the general public (this can include lifestyle advice, service information, and guidance on local health inequalities)

                                                                                                                                                                                                                                                                                                                                                                                                  For more information on the scope of practice of this profession, please consult HEE’s Pharmacy Technician Role Overview and the Dorset Training Hub’s page on pharmacy technicians.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Pharmacy Technician Role Overview

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this page offers a succinct look at the education and training requirements, skills and competencies, and work activities of pharmacy technicians.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Dorset Training Hub's Pharmacy Technician Page

                                                                                                                                                                                                                                                                                                                                                                                                  Kindly provided by Dorset Training Hub, this page signposts to several useful documents including the role of Pharmacy Technicians

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Is funding available for them?

                                                                                                                                                                                                                                                                                                                                                                                                  HEE stipulates that from April 2020, pharmacy technicians will be reimbursed via the Additional Roles Reimbursement Scheme (ARRS) at 100% of actual salary plus defined on costs. This is up the maximum reimbursable amount of £35,389 over 12 months.

                                                                                                                                                                                                                                                                                                                                                                                                  Source:

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Pharmacy Technician Role Overview

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this page offers a succinct look at the education and training requirements, skills and competencies, and work activities of pharmacy technicians.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What characteristics, training / qualifications, and competencies should they have?

                                                                                                                                                                                                                                                                                                                                                                                                  Please find information on what you should look out for when employing a pharmacy technician below:

                                                                                                                                                                                                                                                                                                                                                                                                  Personal Characteristics

                                                                                                                                                                                                                                                                                                                                                                                                  Pharmacy technicians should have personal characteristics that are in keeping with the Standards for pharmacy professionals provided by the General Pharmaceutical Council, with the most recent standards being published in May 2017. They outline what is expected from pharmacy professionals, and serve as a reflection of how pharmacy professionals view themselves and their colleagues.

                                                                                                                                                                                                                                                                                                                                                                                                  In short, Pharmacy Technicians should adhere to these nine standards:

                                                                                                                                                                                                                                                                                                                                                                                                  • Provide person-centred care
                                                                                                                                                                                                                                                                                                                                                                                                  • Work in partnership with others
                                                                                                                                                                                                                                                                                                                                                                                                  • Communicate effectively
                                                                                                                                                                                                                                                                                                                                                                                                  • Maintain, develop and use their professional knowledge and skills
                                                                                                                                                                                                                                                                                                                                                                                                  • Use professional judgement
                                                                                                                                                                                                                                                                                                                                                                                                  • Behave in a professional manner
                                                                                                                                                                                                                                                                                                                                                                                                  • Respect and maintain patient confidentiality and privacy
                                                                                                                                                                                                                                                                                                                                                                                                  • Speak up when they have concerns or when things go wrong
                                                                                                                                                                                                                                                                                                                                                                                                  • Demonstrate leadership

                                                                                                                                                                                                                                                                                                                                                                                                  To read the Standards themselves, which include a breakdown, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Training and Qualifications

                                                                                                                                                                                                                                                                                                                                                                                                  There are a range of education, training, and experience requirements that pharmacy technicians must meet in order to practise in their profession. For starters, they must be registered with the General Pharmaceutical Council (GPhC) — to register with the GPhC, they must meet a number of criteria, including completion of both a knowledge qualification / course and a competence qualification. This can be achieved through GPhC-accredited courses, GPhC-recognised qualifications, or a GPhC-approved apprenticeship pathway.

                                                                                                                                                                                                                                                                                                                                                                                                  The GPhC has provided, as of January 2021, a comprehensive ten-page breakdown of the requirements for registering as a pharmacy technician. It outlines what pharmacy technicians need to do to register in the first instance and if they are returning to work following a period of absence.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click here.
                                                                                                                                                                                                                                                                                                                                                                                                  For a list of all accredited courses and qualifications, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  To be employed in primary care and receive funding from the Additional Roles Reimbursement Scheme (ARRS), there are additional criteria that pharmacy technicians must meet.

                                                                                                                                                                                                                                                                                                                                                                                                  For a breakdown of these, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Competencies

                                                                                                                                                                                                                                                                                                                                                                                                  Pharmacy Technicians should have experience with the following competencies:

                                                                                                                                                                                                                                                                                                                                                                                                  • Providing safe and effective pharmacy services
                                                                                                                                                                                                                                                                                                                                                                                                  • Supply medicines and devices to patients, whether on prescription or over the counter
                                                                                                                                                                                                                                                                                                                                                                                                  • Achieving the best outcomes through a patient’s medicines
                                                                                                                                                                                                                                                                                                                                                                                                  • Assemble medicines for prescription
                                                                                                                                                                                                                                                                                                                                                                                                  • Provide information to patients and other healthcare professionals
                                                                                                                                                                                                                                                                                                                                                                                                  • Manage areas of medicine supply such as dispensaries
                                                                                                                                                                                                                                                                                                                                                                                                  • Supervise other pharmacy staff/training and development
                                                                                                                                                                                                                                                                                                                                                                                                  • Answering patients’ questions face to face or by phone
                                                                                                                                                                                                                                                                                                                                                                                                  • Pre-packing, assembling, and labelling medicines
                                                                                                                                                                                                                                                                                                                                                                                                  • Referring problems or queries to the pharmacist
                                                                                                                                                                                                                                                                                                                                                                                                  • Quality control
                                                                                                                                                                                                                                                                                                                                                                                                  • Procurement
                                                                                                                                                                                                                                                                                                                                                                                                  • Information technology
                                                                                                                                                                                                                                                                                                                                                                                                  • Clinical trials
                                                                                                                                                                                                                                                                                                                                                                                                  • Medicines information

                                                                                                                                                                                                                                                                                                                                                                                                  This list has been sourced from HEE’s Pharmacy Technician Role Overview. To see the original, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Are there any requirements to receive funding?

                                                                                                                                                                                                                                                                                                                                                                                                  As noted under ‘Is funding available for them?‘, Pharmacy Technicians can be reimbursed via the Additional Roles Reimbursement Scheme (ARRS). However, to be eligible for this funding, there are requirements that clinical pharmacists must adhere to.

                                                                                                                                                                                                                                                                                                                                                                                                  For instance, as stated in Annex B of the Clinical Pharmacist Direct Enhanced Service (DES) contract:

                                                                                                                                                                                                                                                                                                                                                                                                  • “B2.1. Where a PCN employs or engages a Pharmacy Technician under the
                                                                                                                                                                                                                                                                                                                                                                                                    Additional Roles Reimbursement Scheme, the PCN must ensure that the Pharmacy Technician:

                                                                                                                                                                                                                                                                                                                                                                                                    • a. is registered with the General Pharmaceutical Council (GPhC);
                                                                                                                                                                                                                                                                                                                                                                                                    • b. meets the specific qualification and training requirements as specified by the GPhC criteria to register as a Pharmacy Technician;
                                                                                                                                                                                                                                                                                                                                                                                                    • c. be enrolled in, undertaking or qualified from, an approved training pathway. For example, the Primary Care Pharmacy Educational Pathway (PCPEP) or Medicines Optimisation in Care Homes (MOCH);
                                                                                                                                                                                                                                                                                                                                                                                                    • and d. is working under appropriate clinical supervision to ensure safe, effective and efficient use of medicines in order to deliver the key responsibilities outlined in section B2.2.”

                                                                                                                                                                                                                                                                                                                                                                                                  Section B1.2. relates to the key responsibilities that clinical pharmacists must undertake.

                                                                                                                                                                                                                                                                                                                                                                                                  To read the full annex, please consult ARRS Minimum Role Requirements below.

                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Minimum Role Requirements

                                                                                                                                                                                                                                                                                                                                                                                                  This document, Network Contract DES, clarifies the minimum requirements for Pharmacy Technicians receiving funding through the ARRS. Please refer to page 16 onwards.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Any case studies?

                                                                                                                                                                                                                                                                                                                                                                                                  Health Education England (HEE) East Midlands is able to provide several short case studies, showcasing the different roles undertaken by pharmacy technicians in improving clinical care and efficiency in a variety of settings, and highlighting the possibilities this profession has to offer.

                                                                                                                                                                                                                                                                                                                                                                                                  What employment routes are there for pharmacy technicians?

                                                                                                                                                                                                                                                                                                                                                                                                  According to the General Pharmaceutical Council (GPhC), there are two routes to registration for pharmacy technicians intending to work in Great Britain. As laid out in their Criteria for registration document, the routes are:

                                                                                                                                                                                                                                                                                                                                                                                                  • Initial registration by UK- and internationally-qualified pharmacy technicians
                                                                                                                                                                                                                                                                                                                                                                                                  • Returning to registration after a period of absence

                                                                                                                                                                                                                                                                                                                                                                                                  Both routes are detailed in the Criteria document, linked below. In addition to education and training checks, the registration routes also look at candidates’ health, character, identity, and grasp of the English language.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information:

                                                                                                                                                                                                                                                                                                                                                                                                  GPhC Criteria for registration

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by the General Pharmaceutical Council (GPhC), this ten-page document covers the requirements for pharmacy technicians wishing to practise in Great Britain (which requires registering with them). Last published in January 2021.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Please note: to be employed in primary care and receive funding from the Additional Roles Reimbursement Scheme (ARRS), there are additional criteria that pharmacy technicians must meet.

                                                                                                                                                                                                                                                                                                                                                                                                  For a breakdown of these additional requirements:

                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Minimum Role Requirements

                                                                                                                                                                                                                                                                                                                                                                                                  This appendix, from the Pharmacy Technician Contract DES, clarifies the minimum requirements for Pharmacy Technicians receiving funding through the ARRS.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please refer to pages 70/71 click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What ongoing support is available for pharmacy technicians?

                                                                                                                                                                                                                                                                                                                                                                                                  There are various ways in which pharmacy technicians can receive support, including:

                                                                                                                                                                                                                                                                                                                                                                                                  The ACP Forum

                                                                                                                                                                                                                                                                                                                                                                                                  Organised and led by our ACP Lead, Kerri Magnus, The ACP Forum can assist clinical pharmacists on the journey to becoming an advanced clinical practitioner. The Forum can signpost to relevant education and training, provide 1-to-1 guidance, and facilitate networking with like-minded colleagues from across BNSSG.

                                                                                                                                                                                                                                                                                                                                                                                                  To visit The ACP Forum’s site, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  The Hub's Physiotherapy Lead

                                                                                                                                                                                                                                                                                                                                                                                                  We hope to soon be welcoming a new member to our team: a Physiotherapy Lead. They will provide a point of contact for clinical pharmacists, helping you to set objectives and career goals, and to keep in the loop with our pharmacy-related work.

                                                                                                                                                                                                                                                                                                                                                                                                  Please stand by for more.

                                                                                                                                                                                                                                                                                                                                                                                                  CPPE Pharmacy Technician Newsletter

                                                                                                                                                                                                                                                                                                                                                                                                  This is a quarterly email newsletter, intended to keep you up to date with events at the Centre for Pharmacy Postgraduate Education (CPPE). To receive it, please register on the CPPE site or update your profile.

                                                                                                                                                                                                                                                                                                                                                                                                  To head over to the CPPE site, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Any sample interview questions?

                                                                                                                                                                                                                                                                                                                                                                                                  The Primary Care Pharmacy Association (PCPA) kindly provides sample interview questions for pharmacy technicians on their website, accessible via the button below. The sample interview questions themselves are at the bottom of the page.

                                                                                                                                                                                                                                                                                                                                                                                                  Any job descriptions?

                                                                                                                                                                                                                                                                                                                                                                                                  NSHEI have developed a job description, in addition to a recruitment pack — these are both available on the FutureNHS site. Accessing the site requires you to create an account; once done, you can visit the role selection page to find the resources in question (click here to jump to the role selection page — remember, you will need to be logged in to access it).

                                                                                                                                                                                                                                                                                                                                                                                                  The Primary Care Pharmacy Association (PCPA) have also kindly provided several example job descriptions, for various bands of working, on their site, accessible via the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  What clinical supervision do they need?

                                                                                                                                                                                                                                                                                                                                                                                                  When employed in primary care under the Additional Roles Reimbursement Scheme (ARRS), pharmacy technicians must receive an appropriate level of clinical supervision.  The Centre for Pharmacy Postgraduate Education (CPPE) clarifies that this involves supervision from a pharmacist experienced in the same area of practice.

                                                                                                                                                                                                                                                                                                                                                                                                  GPs are able to serve this function, too, but they are expected to liaise with a senior pharmacist to better understand the scope of practice of pharmacy technicians, and how best to help them develop.

                                                                                                                                                                                                                                                                                                                                                                                                  The CPPE also offers training to become a clinical supervisor for individuals supervising pharmacy professionals on the CPPE Primary Care Pharmacy Education Pathway. This is a half-day workshop generally, but it can be completed by attending two webinars.

                                                                                                                                                                                                                                                                                                                                                                                                  Interested individuals can apply for a space via the CPPE website, here. If you are not a pharmacy professional, you will need to create an account on the site before you are able to book a place.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information on CPPE’s offer, and the requirements for pharmacy clinical supervision, please peruse the Primary care pharmacy education pathway booklet below.

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Pharmacy Education Pathway

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by the Centre for Pharmacy Postgraduate Education (CPPE), this thirty-eight-page document covers the work of pharmacy clinical supervisors. Last published in June 2021.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Literature
                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Minimum Role Requirements

                                                                                                                                                                                                                                                                                                                                                                                                  This appendix, from the Clinical Pharmacist DES Contract, clarifies the minimum requirements for clinical pharmacists receiving funding through the ARRS.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Dorset Training Hub's Pharmacy Technician Page

                                                                                                                                                                                                                                                                                                                                                                                                  Kindly provided by Dorset Training Hub, this page signposts to several useful documents exploring the role of clinical pharmacists.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  GPhC Criteria for registration

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by the General Pharmaceutical Council (GPhC), this ten-page document covers the requirements for pharmacy technicians wishing to practise in Great Britain (which requires registering with them). Last published in January 2021.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Pharmacy Technician Role Overview

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this page offers a succinct look at the education and training requirements, skills and competencies, and work activities of pharmacy technicians.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Primary Care Pharmacy Education Pathway

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by the Centre for Pharmacy Postgraduate Education (CPPE), this thirty-eight-page document covers the work of pharmacy clinical supervisors. Last published in June 2021.

                                                                                                                                                                                                                                                                                                                                                                                                  To access it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What Can Pharmacy Technicians Contribute to the GP Team?

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by Dorset Training Hub, this two-page document highlights the benefits arising from having pharmacy technicians in primary care MDTs.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  A/V resources
                                                                                                                                                                                                                                                                                                                                                                                                  ARRS Webinar 4 - Pharmacy Techs & Physician Associates

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by Greater Manchester Training Hub, HEE, NHSEI, and Greater Manchester Health and Social Care, this webinar partly covers the role and work of pharmacy technicians.

                                                                                                                                                                                                                                                                                                                                                                                                  [This was published on 07.04.21]

                                                                                                                                                                                                                                                                                                                                                                                                  To watch it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  CPD Funding for Nurses & AHPs

                                                                                                                                                                                                                                                                                                                                                                                                  Introduction

                                                                                                                                                                                                                                                                                                                                                                                                  How to Apply

                                                                                                                                                                                                                                                                                                                                                                                                  Funding Stream Diagram

                                                                                                                                                                                                                                                                                                                                                                                                  Funding Eligibility

                                                                                                                                                                                                                                                                                                                                                                                                  Professional Development Advice

                                                                                                                                                                                                                                                                                                                                                                                                  FAQs

                                                                                                                                                                                                                                                                                                                                                                                                  Introduction

                                                                                                                                                                                                                                                                                                                                                                                                  One of BNSSG Training Hub’s core functions is, with a mandate and funding from HEE, to support the recruitment, retention, and development of the local primary care workforce; this can be achieved, in part, by enabling members of the primary care workforce to access and complete the CPD courses and training that they want and need.

                                                                                                                                                                                                                                                                                                                                                                                                  We are committed to seeing that all nurses and allied health professionals (AHPs) in BNSSG have access to the £1,000 personal development budget announced back in September 2019, as part of a funding boost for frontline NHS staff. Through this budget, nurses and AHPs may receive up to £1,000 worth of funding over three years, to be put towards their continuing professional development (CPD).

                                                                                                                                                                                                                                                                                                                                                                                                  This page will elaborate on how this funding is secured and distributed, and how you can access your allocated amount.

                                                                                                                                                                                                                                                                                                                                                                                                  Funding Eligibility

                                                                                                                                                                                                                                                                                                                                                                                                  To be eligible for funding from the personal development budget, you must be a member of one of the following roles:

                                                                                                                                                                                                                                                                                                                                                                                                  Nurses
                                                                                                                                                                                                                                                                                                                                                                                                  • Advanced Nurse Practitioners
                                                                                                                                                                                                                                                                                                                                                                                                  • Extended Role Practice Nurses
                                                                                                                                                                                                                                                                                                                                                                                                  • Nurse Dispensers
                                                                                                                                                                                                                                                                                                                                                                                                  • Nursing Partners
                                                                                                                                                                                                                                                                                                                                                                                                  • Nurse Specialists
                                                                                                                                                                                                                                                                                                                                                                                                  • Practice Nurses
                                                                                                                                                                                                                                                                                                                                                                                                  AHPs
                                                                                                                                                                                                                                                                                                                                                                                                  • Nursing Associates
                                                                                                                                                                                                                                                                                                                                                                                                  • Paramedics
                                                                                                                                                                                                                                                                                                                                                                                                  • Podiatrists
                                                                                                                                                                                                                                                                                                                                                                                                  • Physiotherapists
                                                                                                                                                                                                                                                                                                                                                                                                  • Therapists

                                                                                                                                                                                                                                                                                                                                                                                                  Additionally, you must:

                                                                                                                                                                                                                                                                                                                                                                                                  • Be employed by a practice or PCN in Bristol, North Somerset, or South Gloucestershire
                                                                                                                                                                                                                                                                                                                                                                                                  • Request funding for an education / training package which is relevant to your role and in-line with the needs of your practice or PCN
                                                                                                                                                                                                                                                                                                                                                                                                  • Have the approval of your line manager to complete said education / training package
                                                                                                                                                                                                                                                                                                                                                                                                  FAQs

                                                                                                                                                                                                                                                                                                                                                                                                  Below are several frequently asked questions (FAQs) about the personal development budget and attendant funding:

                                                                                                                                                                                                                                                                                                                                                                                                  Which settings must staff be employed in to be eligible for CPD funding?

                                                                                                                                                                                                                                                                                                                                                                                                  Staff in the following settings are eligible for funding*:

                                                                                                                                                                                                                                                                                                                                                                                                  • General practice
                                                                                                                                                                                                                                                                                                                                                                                                  • Ambulance Trusts
                                                                                                                                                                                                                                                                                                                                                                                                  • Foundation Trusts
                                                                                                                                                                                                                                                                                                                                                                                                  • NHS Trusts

                                                                                                                                                                                                                                                                                                                                                                                                  *The Training Hub only deals with enquiries from staff working in general practice, however.

                                                                                                                                                                                                                                                                                                                                                                                                  Staff working in the following settings are excluded from funding:

                                                                                                                                                                                                                                                                                                                                                                                                  • Arm’s-length bodies
                                                                                                                                                                                                                                                                                                                                                                                                  • CCGs
                                                                                                                                                                                                                                                                                                                                                                                                  • Independent sector (inc. orgs that deliver NHS services)
                                                                                                                                                                                                                                                                                                                                                                                                  • Social care
                                                                                                                                                                                                                                                                                                                                                                                                  • Social enterprises
                                                                                                                                                                                                                                                                                                                                                                                                  Is CPD funding available to nursing associates?

                                                                                                                                                                                                                                                                                                                                                                                                  CPD funding is available to all registered nursing roles.

                                                                                                                                                                                                                                                                                                                                                                                                  What about nurses within federations, as they do not submit onto NHS Digital. How are staff employed on behalf of PCNs and practices considered?

                                                                                                                                                                                                                                                                                                                                                                                                  Eligible staff are those working in general practice, and this is in the guidance. The colleagues referred to in the question, although employed on behalf of the PCN, will normally report to NHS Digital via their lead GP practice as part of their workforce return.

                                                                                                                                                                                                                                                                                                                                                                                                  Paramedics are AHPs -- won't it be difficult to exclude them?

                                                                                                                                                                                                                                                                                                                                                                                                  Paramedics are included and are part of the Health & Care Professions Council’s (HCPC) AHP list.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information on the HCPC’s standards for CPD, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Can CPD funding be used as part payment for a more expensive programme?

                                                                                                                                                                                                                                                                                                                                                                                                  If a learning need is evidenced and approved as part of the CPD investment plan, then CPD funding can be used as part payment, yes.

                                                                                                                                                                                                                                                                                                                                                                                                  We have recently completed a Training Needs Analysis across our practice / PCN -- will this suffice?

                                                                                                                                                                                                                                                                                                                                                                                                  This would require agreement across all practices, the PCN, and the Training Hub. It would be dependent on the training needs analysis being current and relevant.

                                                                                                                                                                                                                                                                                                                                                                                                  Does training need to be accredited, non-accredited, or experiential for CPD funding to be considered?

                                                                                                                                                                                                                                                                                                                                                                                                  All are eligible.

                                                                                                                                                                                                                                                                                                                                                                                                  As we are starting CPD mid-year, can monies be claimed for CPD activity which has already taken place within the financial year?

                                                                                                                                                                                                                                                                                                                                                                                                  Yes, but this would need to be evidenced within the application as an identified learning need for a personal development plan.

                                                                                                                                                                                                                                                                                                                                                                                                  Will Training Hubs be expected to provide payments to training providers directly, rather than PCNs / practices?

                                                                                                                                                                                                                                                                                                                                                                                                  Funding will stream from the Training Hub to PCNs. Applications from eligible members of the workforce will be summarised at PCN level.

                                                                                                                                                                                                                                                                                                                                                                                                  Where significant demand is identified for a particular course, the Training Hub may procure at scale based on agreement with the PCN(s). If programmes are procured by the Training Hub, payment will be made directly to the provider.

                                                                                                                                                                                                                                                                                                                                                                                                  Is a proportion of this CPD allocation utilised for Training Hub administration costs?

                                                                                                                                                                                                                                                                                                                                                                                                  None of the CPD funding will be used to cover Training Hub administration costs. The administration of CPD monies is a core function of Training Hubs, and as such, administration will be absorbed through infrastructure funding.

                                                                                                                                                                                                                                                                                                                                                                                                  How does the allocated amount per CCG translate into everyone having access to their CPD amount?

                                                                                                                                                                                                                                                                                                                                                                                                  Funding has been allocated down to an individual level using NHS Digital returns. Consideration must be given that CPD funding has been allocated on a ‘point-in-time’ basis. This may not include every member of the current primary care teams, due to workforce movement and incomplete data returns.

                                                                                                                                                                                                                                                                                                                                                                                                  Practices are encouraged to complete future data returns to enable more accurate payments in future financial years. If support is required, STP-level Training Hubs can facilitate.

                                                                                                                                                                                                                                                                                                                                                                                                  Can monies not spent in-year be carried over?

                                                                                                                                                                                                                                                                                                                                                                                                  All CPD monies must be allocated and paid to PCNs / CCGs in-year. The STP-level Training Hub cannot carry CPD funds over into the next financial year.

                                                                                                                                                                                                                                                                                                                                                                                                  Will PCNs be responsible for how the CPD funding is spent and administered?

                                                                                                                                                                                                                                                                                                                                                                                                  Yes, however PCNs should work with their local Training Hub to develop investment plans.

                                                                                                                                                                                                                                                                                                                                                                                                  What happens if staff move during the financial year?

                                                                                                                                                                                                                                                                                                                                                                                                  Any funding previously allocated cannot be reclaimed from the individual leader. This CPD funding is excluded from any existing learning & development financial / contractual arrangements. This CPD funding has been allocated regionally by Health Education England (HEE) and no instruction to re-claim monies because of staff movement has been made.

                                                                                                                                                                                                                                                                                                                                                                                                  Will personal information be collected and shared?

                                                                                                                                                                                                                                                                                                                                                                                                  The Training Hub will be asking for personal staff information to ensure that CPD funds are utilised appropriately, and as agreed. Personal information will be shared with the individual’s PCN for the purpose of confirming funding; it will not be shared with any other party, however.

                                                                                                                                                                                                                                                                                                                                                                                                  Aggregate, anonymised information will be shared with Health Education England (HEE) to secure release of funding.

                                                                                                                                                                                                                                                                                                                                                                                                  How will personal information be shared while ensuring that GDPR / IG requirements are met?

                                                                                                                                                                                                                                                                                                                                                                                                  Personal information will be shared with PCNs by the Training Hub to provide assurances that CPD funds are being distributed fairly. All stakeholders will be responsible for ensuring that GDPR / Information Governance processes are followed, and that personal details are not shared where staff have not consented.

                                                                                                                                                                                                                                                                                                                                                                                                  Professional Development Advice

                                                                                                                                                                                                                                                                                                                                                                                                  If you would like to talk about your career trajectory and the venues open to you, the Training Hub is here to help you; our ACP Lead, Kerri Magnus, and our Placement Expansion Lead, Kim Ball, are available to meet on a 1:1 basis for 15-30 minutes, to discuss their individual goals and those of their practice / PCN. Line managers are also welcome to book a slot.

                                                                                                                                                                                                                                                                                                                                                                                                  To make an appointment, please contact:

                                                                                                                                                                                                                                                                                                                                                                                                  Kerri at [email protected]
                                                                                                                                                                                                                                                                                                                                                                                                  Kim at [email protected]

                                                                                                                                                                                                                                                                                                                                                                                                  How to Apply

                                                                                                                                                                                                                                                                                                                                                                                                  To apply for your CPD funding, please register your expression of interest by completing the online application formplease click here to access it.

                                                                                                                                                                                                                                                                                                                                                                                                  If you have any further questions, please speak to Kerri Magnus.

                                                                                                                                                                                                                                                                                                                                                                                                  Funding Stream Diagram

                                                                                                                                                                                                                                                                                                                                                                                                  The diagram below elaborates on the process by which the Training Hub collects the necessary information from primary care networks (PCNs) and GP practices to sign-off on funding for individual staff members.

                                                                                                                                                                                                                                                                                                                                                                                                  For a downloadable PDF version, please click on the diagram.

                                                                                                                                                                                                                                                                                                                                                                                                  First Contact Paramedics

                                                                                                                                                                                                                                                                                                                                                                                                  HEE FCP (Paramedic) Portfolio Template

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by our Paramedic Lead, Lily Dixon, to complement the HEE FCP (Paramedic) Roadmap run on 14.09.21.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE Roadmaps Landing Page

                                                                                                                                                                                                                                                                                                                                                                                                  The landing page for Health Education England’s (HEE) Roadmaps to Practice, with links to and updates on the Roadmaps themselves.

                                                                                                                                                                                                                                                                                                                                                                                                  Questions?

                                                                                                                                                                                                                                                                                                                                                                                                  If you have any questions relating to first contact or advanced paramedics, please send your queries to our Paramedic Lead, Lily Dixon, at [email protected]

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                                                                                                                                                                                                                                                                                                                                                                                                  What are they?

                                                                                                                                                                                                                                                                                                                                                                                                  What benefits can they bring?

                                                                                                                                                                                                                                                                                                                                                                                                  What is their scope of practice?

                                                                                                                                                                                                                                                                                                                                                                                                  Is funding available for them?

                                                                                                                                                                                                                                                                                                                                                                                                  Are there any case studies?

                                                                                                                                                                                                                                                                                                                                                                                                  What training, qualifications, and competencies should they have?

                                                                                                                                                                                                                                                                                                                                                                                                  What educational pathways are there?

                                                                                                                                                                                                                                                                                                                                                                                                  NEW: How does the ARRS link to HEE's Roadmap?

                                                                                                                                                                                                                                                                                                                                                                                                  Are they eligible for the apprenticeship levy?

                                                                                                                                                                                                                                                                                                                                                                                                  Any example job descriptions?

                                                                                                                                                                                                                                                                                                                                                                                                  Any sample interview questions? [DONE]

                                                                                                                                                                                                                                                                                                                                                                                                  What clinical supervision do they need?

                                                                                                                                                                                                                                                                                                                                                                                                  What ongoing support is available?

                                                                                                                                                                                                                                                                                                                                                                                                  NEW: Do you have any resources for the HEE Roadmap portfolio route?

                                                                                                                                                                                                                                                                                                                                                                                                  What are first contact paramedics?

                                                                                                                                                                                                                                                                                                                                                                                                  First contact paramedics are autonomous, diagnostic clinicians with experience in handling undifferentiated and unpredictable cases; conducting an array of clinical assessment, diagnostic, and treatment activities; and directing and signposting care. They are at the top of their clinical scope of practice at Agenda for Change Band 7 (A Roadmap to Practice, see below).

                                                                                                                                                                                                                                                                                                                                                                                                  As generalists, they can effectively use the medical / biopsychosocial model to assess, examine, treat, and manage patients of all ages, with a variety of undifferentiated and chronic conditions. Their work can involve triaging patients, carrying out telephone and face-to-face consultations, and conducting home visits. They refer patients to GPs for the management of presentations and pharmacology outside their scope of practice.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, please read HEE’s A Roadmap to Practice and the College of Paramedics’ Employers’ Guide: Paramedics in Primary and Urgent Care.

                                                                                                                                                                                                                                                                                                                                                                                                  A Roadmap to Practice

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read this document, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Employers' Guide: Paramedics in Primary and Urgent Care

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by the College of Paramedics, this document was produced by a multi-professional group and provides concise information regarding the current education and regulatory standards for paramedics.

                                                                                                                                                                                                                                                                                                                                                                                                  To download this document, please go to the CoP’s site by clicking here.

                                                                                                                                                                                                                                                                                                                                                                                                  What benefits can first contact paramedics bring?

                                                                                                                                                                                                                                                                                                                                                                                                  GPs face a constant and increasing demand for their time. First contact paramedics can help to alleviate this by addressing a wide range of undifferentiated presentations to urgent and primary care (including frailty, long-term conditions, and mental health crises). In so doing, they not only enable GPs to turn their attention to more complicated presentations when needed, but paramedics also ensure that patients can receive equitable treatment from a MDT workforce that isn’t so unduly strained. Patients are less likely to need to go to the hospital, as paramedics are well-equipped to see, treat, and / or refer as appropriate by themselves performing home visits.

                                                                                                                                                                                                                                                                                                                                                                                                  Please see the Paramedic Specialist Core Capabilities Framework below for more information.


                                                                                                                                                                                                                                                                                                                                                                                                  Paramedics have so many complementary skills and in primary care there are many areas where paramedics can complement the rest of the primary care team, not least acute care, but also, domiciliary visiting and follow up to the same that may well enable patients to stay in their own home rather than be admitted to hospital…

                                                                                                                                                                                                                                                                                                                                                                                                  Professor Simon Gregory
                                                                                                                                                                                                                                                                                                                                                                                                  Director of Education and Quality
                                                                                                                                                                                                                                                                                                                                                                                                  (HEE, working across Midlands and East)

                                                                                                                                                                                                                                                                                                                                                                                                  (Ref. Paramedic Specialist Core Capabilities Framework)

                                                                                                                                                                                                                                                                                                                                                                                                  Paramedic Specialist Core Capabilities Framework (2019)

                                                                                                                                                                                                                                                                                                                                                                                                  Produced jointly by HEE, Skills for Health, and the College of Paramedics, this framework establishes the scope of practice for paramedics working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read this framework, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What is the scope of their practice?

                                                                                                                                                                                                                                                                                                                                                                                                  First contact paramedics’ scope of practice is outlined in HEE’s A Roadmap to Practice for first contact and advanced paramedics. This document offers a clear educational pathway from undergraduate to advanced practice for paramedics seeking a career in primary care, outlining the skills and attributes required to become a first contact paramedic or advanced paramedic, in addition to establishing the supervision and governance needed to support them.

                                                                                                                                                                                                                                                                                                                                                                                                  In asserting the capabilities of first contact and advanced paramedics, this document assists employers and workforce planners in understanding what this role can bring to the table in a multi-professional team, and thereby support the delivery of the best patient care.

                                                                                                                                                                                                                                                                                                                                                                                                  For a detailed breakdown of a first contact paramedic’s scope of practice, please consult the Roadmap to Practice and read:

                                                                                                                                                                                                                                                                                                                                                                                                  • Section 3.0: National standards and frameworks for MSK practitioners
                                                                                                                                                                                                                                                                                                                                                                                                  • Appendix 12.14: Knowledge, Skills and Attributes document
                                                                                                                                                                                                                                                                                                                                                                                                  A Roadmap to Practice

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read this document, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Is funding available for first contact paramedics?

                                                                                                                                                                                                                                                                                                                                                                                                  From April 2021 onward, first contact paramedics can be recruited by PCNs through the Additional Roles Reimbursement Scheme (ARRS). This scheme provides funding for additional roles, enabling the creation of bespoke multidisciplinary teams. All PCNs are eligible for reimbursement funds, with the amount available dependent on their weighted population share.

                                                                                                                                                                                                                                                                                                                                                                                                  Through ARRS, paramedics can be employed by PCNs and reimbursed at 100% of defined salary, plus defined costs. More information on this can be found in NHS Confederation’s guide, below.

                                                                                                                                                                                                                                                                                                                                                                                                  Additionally, like nurses, nursing associates, and other AHPs, paramedics are entitled to £1,000 of CPD funding over 3 years.

                                                                                                                                                                                                                                                                                                                                                                                                  Recruiting paramedic practitioners through the Additional Roles Reimbursement Scheme

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by NHS Confederation, this document serves as a guide to how the ARRS works, how paramedics can be recruited through it, and how paramedics can support your multidisciplinary practice team.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What training, qualifications, and competencies should a paramedic have?

                                                                                                                                                                                                                                                                                                                                                                                                  The College of Paramedics (CoP) states that, from 2021 onward, all paramedics should have a BSc (Hons) to be registered with the Health and Care Professions Council (HCPC). This qualification is acquired over 3 to 5 years of study. Paramedics working in advanced practice should be educated to the level of a Master’s degree, however.

                                                                                                                                                                                                                                                                                                                                                                                                  The CoP notes that the requirement for higher education qualifications is relatively new, though, with a number of paramedics in advanced practice not having such. The CoP maintains that paramedics aspiring to transition should be educated in line with these requirements — and it is hoped that employers will assist the paramedics they recruit in meeting these standards.

                                                                                                                                                                                                                                                                                                                                                                                                  It is also expected that paramedics will have successfully completed a preceptorship programme (or the equivalent of) prior to working in primary care; this is usually done in the first two years after initial registration, via schemes like the Newly Qualified Paramedic (NQP) programme. Completion of a preceptorship is intended to round out paramedics, with experience in assessing and managing an array of patients across the clinical and social spectrum.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information on a first contact paramedic’s required competencies, please refer to the Paramedic Specialist in Primary and Urgent Care Core Capabilities Framework.

                                                                                                                                                                                                                                                                                                                                                                                                  For a detailed breakdown on the training required for a paramedic to practice at first contact and advanced levels, please refer to HEE’s Roadmap to Practice below.

                                                                                                                                                                                                                                                                                                                                                                                                  Paramedic Specialist Core Capabilities Framework (2019)

                                                                                                                                                                                                                                                                                                                                                                                                  Produced jointly by HEE, Skills for Health, and the College of Paramedics, this framework establishes the scope of practice for paramedics working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read this framework, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  A Roadmap to Practice

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read this document, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Are there any case studies?

                                                                                                                                                                                                                                                                                                                                                                                                  HEE are currently producing case studies for first contact paramedics. Please stand by until they’re ready to be released.

                                                                                                                                                                                                                                                                                                                                                                                                  Are paramedics eligible for the apprenticeship levy?

                                                                                                                                                                                                                                                                                                                                                                                                  The short answer is yes — to access it, a first contact paramedic will need to secure the backing of a GP and their practice manager, before reaching out to the Training Hub. It is then a matter of applying to UWE’s apprenticeship scheme.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, please do contact our ACP Lead, Kerri Magnus, at [email protected]t using the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Alternatively, you can download MSc AP Apprenticeship Programme to read more about UWE’s scheme for advanced clinical practitioners.

                                                                                                                                                                                                                                                                                                                                                                                                  MSc AP Apprenticeship Programme

                                                                                                                                                                                                                                                                                                                                                                                                  This document provides information on UWE’s apprenticeship programme for advanced clinical practitioners.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What academic qualifications should an FCP have?

                                                                                                                                                                                                                                                                                                                                                                                                  An FCP should be pursuing one of the following routes to become qualified:

                                                                                                                                                                                                                                                                                                                                                                                                  • Completing a BSc Physiotherapy degree at a recognised university
                                                                                                                                                                                                                                                                                                                                                                                                  • Completing a BSc Degree Apprenticeship, combining on-the-job training with university-level learning an study
                                                                                                                                                                                                                                                                                                                                                                                                  • Completing an integrated Master’s degree — a four-year, full-time course combining undergraduate and postgraduate study into a single course
                                                                                                                                                                                                                                                                                                                                                                                                  • Completing a Master of Science degree for those who have studied at undergraduate level in another relevant subject area: (e.g., biological sciences, psychology, or sports science, consisting of a range of lectures, placements, and assessments over 2 years

                                                                                                                                                                                                                                                                                                                                                                                                  Generally speaking, an FCP should have 1,000 placement hours under their belt, though this can vary depending on the qualification they’re pursuing.

                                                                                                                                                                                                                                                                                                                                                                                                  Detailed information on accredited university courses can be found at this link:
                                                                                                                                                                                                                                                                                                                                                                                                  Find a physiotherapy programme | The Chartered Society of Physiotherapy (csp.org.uk)

                                                                                                                                                                                                                                                                                                                                                                                                  Any example job descriptions?

                                                                                                                                                                                                                                                                                                                                                                                                  Please stand by whilst we confirm HEE’s job description for first contact paramedics.

                                                                                                                                                                                                                                                                                                                                                                                                  Any sample interview questions?

                                                                                                                                                                                                                                                                                                                                                                                                  We will provide sample interview questions soon. Thank you for your patience.

                                                                                                                                                                                                                                                                                                                                                                                                  What clinical supervision do you need to provide?

                                                                                                                                                                                                                                                                                                                                                                                                  HEE stipulates that the clinical supervision you provide should build the first contact paramedic’s confidence, capability, clinical reasoning, and critical thinking. As such, it should include:

                                                                                                                                                                                                                                                                                                                                                                                                  • Regular supervision within practice
                                                                                                                                                                                                                                                                                                                                                                                                  • A routine debrief (at least daily) to ensure patient and practitioner safety
                                                                                                                                                                                                                                                                                                                                                                                                  • A high-quality feedback process, to help with addressing practitioner and patient uncertainty
                                                                                                                                                                                                                                                                                                                                                                                                  • A Workplace-Based Assessment (WPBA) to assess the application of knowledge, skills, and behaviours in primary care

                                                                                                                                                                                                                                                                                                                                                                                                  Our Paramedic Lead, Lily Dixon, has put together a one-page document elaborating on and providing guidance around the portfolio route to practice.


                                                                                                                                                                                                                                                                                                                                                                                                  For information on how to become a first contact paramedic’s supervisor, please consult the illustration and relevant documents below.

                                                                                                                                                                                                                                                                                                                                                                                                  Training Hub FCP - AP Roadmap Supervision Portfolio Guide

                                                                                                                                                                                                                                                                                                                                                                                                  Compiled by Lily Dixon, this document provides guidance on the portfolio route to practice for first contact and advanced paramedics.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE Clinical Supervision for FCPs / ACPs FAQs

                                                                                                                                                                                                                                                                                                                                                                                                  Compiled by Kerri Magnus, this document addresses many frequently asked questions surrounding clinical supervision for first contact practitioners and advanced clinical practitioners (including first contact paramedics).

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's FCP / ACP Roadmap Supervision slides

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this slide deck outlines the supervision process for first contact practitioners and advanced clinical practitioners.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Workplace Supervision for Advanced Clinical Practice guide

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by HEE, this document is intended for employers and supervisors, to support them in delivering high-quality workplace supervision to advanced clinical practitioners in training.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  What ongoing support is available?

                                                                                                                                                                                                                                                                                                                                                                                                  There are various ways in which first contact paramedics can receive support, including:

                                                                                                                                                                                                                                                                                                                                                                                                  1:1 Sessions

                                                                                                                                                                                                                                                                                                                                                                                                  Lily Dixon, our Paramedic Lead, is available to run 1:1 sessions for advanced clinical practitioners, in which they can create their own individual pathways, relevant to their role and practice goals. These will be 15-30 minutes, and GPs / Practice Managers are also welcome to book a slot, should they wish to ask any questions relating to first contact practitioners or advanced clinical practitioners.

                                                                                                                                                                                                                                                                                                                                                                                                  You can contact Lily at [email protected], by clicking here.

                                                                                                                                                                                                                                                                                                                                                                                                  The ACP Forum

                                                                                                                                                                                                                                                                                                                                                                                                  Organised and led by our ACP Lead, Kerri Magnus, The ACP Forum can assist first contact paramedics on the journey to becoming an advanced clinical practitioner. The Forum can signpost to relevant education and training, provide 1-to-1 guidance, and facilitate networking with like-minded colleagues from across BNSSG.

                                                                                                                                                                                                                                                                                                                                                                                                  To visit The ACP Forum’s site, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  The College of Paramedics (CoP)

                                                                                                                                                                                                                                                                                                                                                                                                  The College of Paramedics is a professional body for UK paramedics, well-placed to lead the profession’s development across a variety of health and care settings, informing national and regional legislation and policy. Membership does require a fee but comes with a number of benefits, including free access to The British Paramedic Journal (BPJ) — a quarterly, peer-reviewed electronic journal.

                                                                                                                                                                                                                                                                                                                                                                                                  To find out more, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  CoP Diploma in Primary and Urgent Care

                                                                                                                                                                                                                                                                                                                                                                                                  The College of Paramedics provides a professional Diploma in Primary and Urgent Care (DIP PUC) examination, which is designed to assess the skills, knowledge, and attitudes of experienced, specialist paramedics. It is intended to incorporate the range of possible patient presentations and depth of knowledge required to carry out an effective, successful patient consultation.

                                                                                                                                                                                                                                                                                                                                                                                                  To find out more, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  BNSSG FCP / ACP (Paramedic) Survey

                                                                                                                                                                                                                                                                                                                                                                                                  Kerri Magnus has also designed a survey to establish the learning needs of first contact and advanced practitioners, including paramedics. Completing this survey will assist us in directing funding to appropriate higher education modules and CPD. All data acquired will be anonymised in presentations, but ourselves and Avon LMC will keep a summary of individual requirements so that if resources become available (and agreed by practice), we’ll be able to direct funding appropriately.

                                                                                                                                                                                                                                                                                                                                                                                                  To access the survey, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Do you have any resources for the HEE Roadmap portfolio route?

                                                                                                                                                                                                                                                                                                                                                                                                  Developed by our Paramedic LeadLily Dixon, this template Excel spreadsheet should help to record evidence for your portfolio. Below is the recording for an accompanying webinar, held on Tuesday 14 September.

                                                                                                                                                                                                                                                                                                                                                                                                  What educational pathways are there?

                                                                                                                                                                                                                                                                                                                                                                                                  At present, there are two main educational pathways by which one can train to be a first contact or advanced paramedic:

                                                                                                                                                                                                                                                                                                                                                                                                  • Via an FCP portfolio and taught routes, with onward portfolio route or a taught Advanced Practice master’s to become an Advanced Practitioner
                                                                                                                                                                                                                                                                                                                                                                                                  • Via an AP portfolio or taught routes with the addition of the required primary care KSA training

                                                                                                                                                                                                                                                                                                                                                                                                  The diagram below provides a visual representation of this routes.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, please see HEE’s Roadmap to Practice using the collapsible box below.

                                                                                                                                                                                                                                                                                                                                                                                                  A Roadmap to Practice

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read this document, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Diagram sourced from HEE’s A Roadmap to Practice

                                                                                                                                                                                                                                                                                                                                                                                                  How does the ARRS link to HEE's Roadmap?

                                                                                                                                                                                                                                                                                                                                                                                                  First contact physiotherapists employed under the Additional Roles Reimbursement Scheme (ARRS) have a deadline of April 2022 to complete stages 1 & 2 of HEE’s Roadmap to Practice to enable drawing down of funding.

                                                                                                                                                                                                                                                                                                                                                                                                  If you are not employed under ARRS, then you do not have this deadline. It is beneficial to complete them, however, if you want to be on the Centre for Advancing Practice Directory — you will need to have gone through stages 1 & 2 before moving on to stage 3 and advanced clinical practice.

                                                                                                                                                                                                                                                                                                                                                                                                  Both stages can be completed in general practice and signed off by a verified clinical roadmap supervisor, or you can attend a taught route. You will still need to have evidence of clinical supervision by a roadmap supervisor to ensure competency, though.

                                                                                                                                                                                                                                                                                                                                                                                                  For weekly updates here, please refer to HEE’s site using the button below.

                                                                                                                                                                                                                                                                                                                                                                                                  Literature
                                                                                                                                                                                                                                                                                                                                                                                                  Employers' Guide: Paramedics in Primary and Urgent Care

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by the College of Paramedics, this document was produced by a multi-professional group and provides concise information regarding the current education and regulatory standards for paramedics.

                                                                                                                                                                                                                                                                                                                                                                                                  To download this document, please go to the CoP’s site by clicking here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE Clinical Supervision for FCPs / ACPs FAQs

                                                                                                                                                                                                                                                                                                                                                                                                  Compiled by Kerri Magnus, this document addresses many frequently asked questions surrounding clinical supervision for first contact practitioners and advanced clinical practitioners (including first contact physiotherapists).

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's A Roadmap to Practice

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read this document, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's FCP / ACP Roadmap Supervision slides

                                                                                                                                                                                                                                                                                                                                                                                                  Provided by HEE, this slide deck outlines the supervision process for first contact practitioners and advanced clinical practitioners.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE FCP (Paramedic) Portfolio Template

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by our Paramedic LeadLily Dixon, this template Excel spreadsheet should help to record evidence for your portfolio.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  HEE's Workplace Supervision for Advanced Clinical Practice guide

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by HEE, this document is intended for employers and supervisors, to support them in delivering high-quality workplace supervision to advanced clinical practitioners in training.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  MSc AP Apprenticeship Programme

                                                                                                                                                                                                                                                                                                                                                                                                  This document provides information on UWE’s apprenticeship programme for advanced clinical practitioners.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Paramedic Specialist Core Capabilities Framework (2019)

                                                                                                                                                                                                                                                                                                                                                                                                  Produced jointly by HEE, Skills for Health, and the College of Paramedics, this framework establishes the scope of practice for paramedics working in primary care.

                                                                                                                                                                                                                                                                                                                                                                                                  To read this framework, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  Recruiting paramedic practitioners through the Additional Roles Reimbursement Scheme

                                                                                                                                                                                                                                                                                                                                                                                                  Produced by NHS Confederation, this document serves as a guide to how the ARRS works, how paramedics can be recruited through it, and how paramedics can support your multidisciplinary practice team.

                                                                                                                                                                                                                                                                                                                                                                                                  To read it, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  A/V resources
                                                                                                                                                                                                                                                                                                                                                                                                  An Essential Update about First Contact Practitioners and Advanced Clinical Practice in primary care

                                                                                                                                                                                                                                                                                                                                                                                                  Arranged by Somerset LMC and Somerset Training Hub, this 1.5 hour webinar provides a concise, ideal look at the scope and requirements of first contact / advanced clinical practitioners (FCPs / ACPs), and at how best to provide the support, supervision, and conditions they need to thrive.

                                                                                                                                                                                                                                                                                                                                                                                                  A range of individuals contributed, including our own ACP Lead, Kerri Magnus.

                                                                                                                                                                                                                                                                                                                                                                                                  For more information, and to watch this webinar, please click here (do note that you will need to register).

                                                                                                                                                                                                                                                                                                                                                                                                  [This webinar was held on 04/02/21]


                                                                                                                                                                                                                                                                                                                                                                                                  HEE FCP Roadmap Webinar

                                                                                                                                                                                                                                                                                                                                                                                                  On Wednesday 24 March, HEE held a webinar on their first contact practitioner (FCP) Roadmaps to Practice. This webinar will be of interest to those in MSK and paramedic roles and will specifically cover the portfolio route through, with guidance and insights into how delegates can look to build their portfolios.

                                                                                                                                                                                                                                                                                                                                                                                                  The recording is now available to watch and download.

                                                                                                                                                                                                                                                                                                                                                                                                  To access the recording, please click here. To download the slides, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  [This video was published on 01/04/21]

                                                                                                                                                                                                                                                                                                                                                                                                  NEW: HEE FCP (Paramedic) Roadmap Stage 1 Webinar

                                                                                                                                                                                                                                                                                                                                                                                                  On Tuesday 14 September, we ran a webinar on the HEE FCP (Paramedic) Roadmap to Practice. In it, our Paramedic Lead, Lily Dixon, guided delegates through her take on and response to the portfolio route.

                                                                                                                                                                                                                                                                                                                                                                                                  The recording is now available to watch. The accompanying template spreadsheet can be found under Literature.

                                                                                                                                                                                                                                                                                                                                                                                                  To access the recording, please click here.

                                                                                                                                                                                                                                                                                                                                                                                                  [This video was published on 17.09.21]

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