Category: Careers

HEE FCP (Paramedic) Roadmap Stage 1 Webinar

Photo by Matt Duncan

HEE FCP (Paramedic) Roadmap Stage 1 Webinar

We will be delivering a FREE, virtual webinar on the HEE FCP (Paramedic) Roadmap to Practice this evening, from 19.00 – 20.00. Facilitating will be Lily Dixon, the Training Hub’s Paramedic Lead; Kerri Magnus, Advanced Practice Lead; and Rachel Butt, qualified HEE Roadmap Supervisor.

We hope that, in sharing the learning we’ve accrued with you and your colleagues, we can help to dispel the uncertainty around the Roadmap‘s portfolio route. Lily has mapped herself against stage 1 of the Roadmap and designed her personal development plan against stage 2; this, in combination with her responses to the knowledge, skills, and attributes (KS&A) section, will be discussed and examined for examples of potential portfolio evidence.

To reserve your place, please click the button below.

HEE FCP (Paramedic) Portfolio Template

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

Following the success of our last HEE Roadmap webinar, our new FCP (Paramedic) Lead, Lily Dixon, has mapped herself against stage 1 of the HEE FCP (Paramedic) Roadmap to Practice, and designed her PDP against stage 2.

Like many people going through the process, we are learning as we go, but this learning will be helpful to share, to support others (be they practitioners or supervisors). To this end, we will be running a webinar on Tuesday 14 September (from 19.0020.00), with Kerri Magnus (Advanced Practice Lead), Rachel Butt (HEE Roadmap Supervisor), and Lily to facilitate. Lily’s personal knowledge, skills, and attributes (KS&A) will be explored, to discuss examples of potential evidence for those on the portfolio route and also demonstrate the use of the HEE FCP framework spreadsheet tool in recording this evidence.

This webinar is FREE, virtual, and will have time for questions at the end.

For further information, please contact Kerri Magnus at [email protected].

To register your space, please use the button below to access the sign-up form.

Recent news

September 2021 Newsletter

Published on 07.09.21

Preparing for GP Partnership

NEW: For GPs, GPNs, AHPs, and PMs

General Practice Teaching Workshops

NEW: Now open to all GPs, GPNs, & APNs!

Buddy Meetings for return-to-work GPs

NEW: Dates added in November and January

National HEI First Contact Practice Webinar

National updates on First Contact Practice (FCP)!

Medicines Optimisation Training

NEW: Pain Management Overview on Wednesday 13 October!

GP Return to Work Refresher Course

NEW:Our full-day Return to Work Refresher Course is back this November!

Clinical Supervision Training for GPNs

NEW: Downloadable breakdown of this training’s expectations, benefits, and format

Shared Decision Making Training

Free, virtual training, continuing this Autumn

Newly Qualified GP / GPN Fellowship Programmes

Develop an enjoyable, fulfilling, and sustainable career in primary care.

Events Calendar

Our ever-populating events calendar

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!

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Clinical Pharmacists

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

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.

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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next arrownext arrow
Slider

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?

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.

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]

Advanced Practice Hub

Advanced Practice Hub

A landing page for information on and relevant to Advanced Care Practitioners

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Advanced Practice updates

If you have any questions relating to first contact physiotherapists or advanced physiotherapists, or if you would like to sign up to The ACP Forum’s newsletter, please contact our ACP LeadKerri Magnus, at [email protected].

Updates

This advanced practice hub was last updated on 05.05.21. The following sections were updated:

  • HEE Roadmaps & ARRS [under Universal]
    Clarification regarding the relationship between HEE’s Roadmaps to Practice and the Additional Roles Reimbursement Scheme (ARRS), with confirmation that ARRS-employed staff must complete stages 1 & 2 of the Roadmap by April 2022.

Summary pages

Resources

An Essential Update about FCPs & ACP in Primary Care

Becoming an FCP / ACP Clinical Supervisor

Condensed ARRS

FCP Roadmap Supervision slides

NEW: HEE Roadmaps & ARRS

HEE Roadmaps Landing Page

HEE FCP Roadmap Webinar

HEE National Paramedic Webinar

HEE Roadmap to Practice & FAQs

Recruiting paramedic practitioners through the ARRS

Simplified roadmap to Advanced Practice

HEE FCP Roadmap Webinar

First Contact Physiotherapist Summary Page

An Essential Update about FCPs & ACP 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.

Becoming an FCP / ACP Clinical Supervisor
Condensed ARRS

Please download the document below for a condensed version of the Additional Roles Reimbursement Scheme (ARRS) and information on the benefits of clinical supervision.

FCP Roadmap Supervision slides

Produced by Simon Ingram (Assessment and Supervision Lead for Advanced Practice in Primary Care, HEE), this slide deck and accompanying set of FAQs cover the supervision process for first contact practitioners.

HEE Roadmaps & ARRS

If you are employed under the Additional Roles Reimbursement Scheme (ARRS), please note that you currently 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.

HEE Roadmap to Practice & FAQs

HEE’s Roadmap to Practice is a supportive document that clearly outlines the educational pathway from undergraduate to advanced practice for paramedics wishing to pursue a career in primary care.

To read it, and a range of FAQs, please use the button below.

NEW: Recruiting paramedic practitioners through the ARRS

As of April 2021, PCNs can recruit paramedics through the Additional Roles Reimbursement Scheme (ARRS).

NHS Confederation have produced a guide explaining what the ARRS is and how it works, in addition to how paramedics can support:

  • Population health management via on-the-day demand and access with hear-and-treat telephone triage
  • Treatment of minor ailments and injuries
  • Medicines supply via patient group directions (PGDs)
First Contact Physiotherapist Summary Page

Keen to learn more about first contact physiotherapists? What is their scope of practice? What training and qualifications do they need?

What ongoing support is available for them locally? Answers to these questions, and more, can be found on our First Contact Physiotherapist Summary Page — a one-stop shop, created with input from The ACP Forum and featuring links to a wealth of resources from HEE, the Chartered Society of Physiotherapists, and more.

HEE National Paramedic Webinar

Following the HEE Paramedic Roadmap’s publication, HEE will be running a webinar to provide an overview of the roadmap and the supervision requirements on Tuesday 23rd March, from 15.30 to 17.00. This will be an opportunity to hear from a GP’s perspective what the roadmap means for them in primary care and to hear from the College of Paramedics.

The agenda is as follows:

  • 15.30: Welcome and open | Andy Collen (Paramedic Subject Matter Expert, HEE / Consultant Paramedic)
  • 15.40: Roadmap Overview | Amanda Hensman-Crook (HEE AHP National Clinical Fellow)
  • 15.55: Roadmap Supervision and Verification | Julia Taylor (HEE Primary Care Roadmap Supervision and Verification Lead)
  • 16.10: College Perspective on the Roadmap | Helen Beaumont-Waters (Primary Care Lead, College of Paramedics)
  • 16.25: FCP & AP in Primary Care GP Perspective | Alistair Bavington (GP)
  • 16.40: Q&A
  • 17.00: Close

For more information, please contact Carrie Biddle (Regional Head of Allied Health Professions, HEE) at [email protected]. To join via Microsoft Teams on the day, please use the button below.

HEE Roadmaps Landing Page

HEE has established a landing page for all their allied health profession roadmaps to practice, including for first contact physiotherapists and first contact paramedics. These roadmaps outline a clear educational pathway from undergraduate to advanced practice, for clinicians looking to pursue a career in primary care.

HEE FCP Roadmap Webinar

On Wednesday 24 March, HEE will be holding 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 it, and to download the slides, please use the buttons below.

Simplified roadmap

The e-Learning modules can be accessed on the College of Paramedics site, under Guide to accessing eLearning, by clicking here

First Contact Physiotherapists

Diagnostic clinicians who work in primary care, addressing undiagnosed and undifferentiated MSK presentations

Serve as the first point of contact for patients with MSK conditions, releasing time for GPs and providing specialist support

In 2016, the British Medical Association asserted that an "expanded workforce in and around the practice" should include FCPs

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Questions?

If you have any questions relating to first contact physiotherapists, or even to advanced physiotherapists, please feel free to contact our ACP Lead, Kerri Magnus, at [email protected].

HEE’s Roadmap to Practice

HEE has published their Roadmap to Practice for first contact physiotherapists, which features a wealth of information pertaining to the role’s requirements and paths to progress to advanced practice.

To read it, please click here.

UPDATED: To watch HEE and the CSP’s webinar on the Roadmap to Practice, please click here.

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?

What clinical supervision do they need?

NEW: What ongoing support is available?

Updates

This first contact physiotherapy summary page was last updated on 05.05.21. The following sections were updated:

  • How does the ARRS link to HEE’s Roadmap?
    [Under ‘How do you employ a first contact physiotherapist?’]
  • What ongoing support is available?
    [Under ‘What support do first contact physiotherapists need?’]
What are first contact physiotherapists?

First contact physiotherapists are the first point-of-contact for patients with MSK conditions in primary care; they are at the top of their clinical scope of practice at Agenda for Change Band 7 (A Roadmap to Practice, see below).

They are qualified to assess, diagnose, treat, and manage patients, and when appropriate, can discharge them without a medical referral. They refer patients to GPs to address non-MSK conditions and pharmacology outside their agreed scope of practice.

They also have a range of clinical and service-based responsibilities, playing an important role in supporting ongoing educational and research development within primary care.

A Roadmap to Practice

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

To read this document, please click here.

What benefits can first contact physiotherapists bring?

The presence of first contact physiotherapists in multi-disciplinary teams can help to release time for GPs; one-in-five GP appointments are about musculoskeletal conditions, thereby allowing them to address other presentations. Physiotherapists may also bring an increased focus on lifestyle issues, such as smoking, drinking, and lack of sleep; all these issues can exacerbate muscle pain, and physiotherapists are well-placed to assist in ensuring that patients can be pain-free and mobile.

Please see What MSK First Contact Physiotherapists can offer you below for more information.


In my view and experience [first contact physiotherapists] are a valued and now essential member of the primary care team. The role is effective both in delivering great outcomes and experience for patients but also in our area resilience for practices. Their approach in my experience empowers patients to better self-manage their condition and become less reliant on traditional medical approaches such as analgesia.

Dr. Darren Cocker
GP, Lydden Surgery
Deputy Governing Body Member, Kent and Medway CCG
GP Tutor, HEE

(Ref. What MSK First Contact Physiotherapists can offer you)

What MSK First Contact Physiotherapists can offer you

Produced by the Chartered Society of Physiotherapy, this page outlines the case for first contact physiotherapists and the benefits you can expect from employing them.

To visit this page, please click here.

Diagram sourced from CSP’s What MSK First Contact Physiotherapists can offer you

What is the scope of their practice?

First contact physiotherapist appointments typically last 20 minutes, to provide ample time for safe and effective consultation. Most appointments involve assessment, diagnosis, and first-line treatment, but first contact physiotherapists are qualified to:

  • Assess and diagnose — this includes screening for serious pathologies
  • Refer for a course of treatment
  • Refer to orthopaedic / rheumatology / pain services
  • Convey information about self-care and facilitate behaviour change
  • Discuss physical activity and health — i.e., discuss the negative impact of lifestyle choices on a patient or service user’s health (e.g., smoking)
  • Appraise fitness for work
  • Conduct social prescribing
  • Conduct medicines optimisation
  • Request investigations
  • Administer soft-tissue injections (if qualified)

For more information, please consult CSP’s About First Contact Physiotherapist services page below.

About First Contact Physiotherapist services

Produced by the Chartered Society of Physiotherapy, this page answers several FAQs about the scope and function of first contact physiotherapy in primary care.

To visit this page, please click here.

How much training do they have?

According to HEE’s e-Learning for Health platform, to work in primary care FCPs must have completed a physiotherapy degree (BSc).

For Band 7 roles, FCPs must complete the HEE Primary Care FCP capability training, at minimum, and be backed by appropriate governance and indemnity. For Band 8A roles, this training should be completed and the FCP must be working at an advanced level of practice (e.g., at Master’s level) across all four pillars of Advanced Practice.

(Source: First Contact Physiotherapist,
HEE)


For more information, please consult HEE’s First Contact Practitioners and Advanced Practitioners in Primary Care: (Musculoskeletal) A Roadmap to Practice, via the button below.

Is funding available for them?

First contact physiotherapist roles created from 31 March 2019 onward will likely be funded, in part, by PCNs through the Additional Roles Reimbursement Scheme (ARRS), as detailed in the five-year framework for GP services agreed between NHS England and the BMA General Practitioners Committee (GPC). The scheme is projected to produce around 20,000+ additional posts in five reimbursable primary care roles by 2023 / 24, including the first contact physiotherapist role.

Through ARRS, NHS England will reimburse employment on-costs, in addition to 70% of ongoing salary expenses.

This is but only one way in which to secure funding for first contact physiotherapists, however.

For more, please consult HEE’s Implementation Guide using the collapsible box below.

HEE's Implementation Guide

This document addresses capability frameworks and governance issues around introducing implementation of first contact physiotherapists.

To read it, please click here.

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

Please find below links to two significant documents which will help service providers, managers, and physiotherapists themselves to identify what training, qualifications, and competencies they should have to safely and effectively practice at first contact and advanced practice levels.

A Roadmap to Practice

HEE are in the process of producing a roadmap of education for practice for all first contact practitioner roles, including physiotherapists. This roadmap sets out:

  • The definition of first contact roles, their respective training processes, and educational pathways
  • The definition of advanced practice roles, their respective training processes, and educational pathways
  • How to build a portfolio of evidence for both first contact and advanced practice roles

As such, this document should be considered invaluable when determining what skills and knowledge a first contact physiotherapist should have under their belt to practice and progress.

To read this document, please click here.

Musculoskeletal Core Capabilities Framework (CCF)

Skills for Health, Health Education England, NHS England, Public Health England, and the Arthritis and Musculoskeletal Alliance (ARMA) have collaborated to produce an MSK Core Capabilities Framework. This document is intended to provide a resource by which first contact physiotherapists can demonstrate and evidence how they meet the capabilities required for the role, and to assist them in identifying their specific learning needs.

To read this framework, please click here.

Are there any case studies?

NHSE / I have produced a document featuring the details of 16 first contact physiotherapist case studies, which you may access using the button below.

Are physios eligible for the apprenticeship levy?

The short answer is yes — to access it, a first contact physiotherapist 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?

The Chartered Society of Physiotherapy (CSP) has kindly produced two example job descriptions for Band 8A and Band 7 first contact physiotherapists. As they state, however, these JDs are only examples, providing a broad overview of the responsibilities of the role; local JDs will be structured differently, reflecting local needs.

Likewise, HEE has example JDs on their e-Learning for Health Hub, though it should be noted that these are still being drafted and therefore subject to change.

Please note: the banding is a point of reference for allied health professionals and their employers, and is not a reflection of the capability of the individual. In primary care, pay is negotiated on an individual basis.

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 physiotherapist’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

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

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 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 physiotherapists can receive support, including:

The ACP Forum

Organised and led by our ACP Lead, Kerri Magnus, The ACP Forum can assist first contact physiotherapists 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.

1:1 Sessions

Kerri Magnus, our ACP 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 Kerri at [email protected], by clicking here.

NEW: The Hub's FCP (MSK) Lead

On 1 May, BNSSG Training Hub welcomed Lizzie Bradshaw as our FCP (MSK) Lead! She is here to aid first contact physiotherapists in setting your objectives and keeping up-to-date on the progress of our physiotherapist projects.

She has already linked in with regional and national teams to represent Bristol, North Somerset, and South Gloucestershire, and will use the community of practice as a platform to build a network with our partners in the community and social care sectors.

If you would like to get in touch with Lizzie, please contact [email protected] and he can pass you on.

interactiveCSP

The iCSP is a forum on the Charted Society of Physiotherapy’s site, which provides its members with access to a range of online physiotherapy networks.

To find out more, please click here.

Our Quality Improvement Project

Kerri Magnus has also designed a survey to establish the learning needs of all advanced clinical practitioners (even if still in training), including physiotherapists. Initially, this is aimed solely at advanced nurse practitioners (ANPs), as it is benchmarked against the core capabilities framework, but it will be rolled out to other roles in due course.

To find out more, please click here.

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 physiotherapist:

  • 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 physiotherapists 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
A Roadmap to Practice

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

To read this document, please click here.

About FCP services

Produced by the Chartered Society of Physiotherapy, this page answers several FAQs about the scope and function of first contact physiotherapy in primary care.

To visit this page, please click here.

BMA's 'urgent prescription for general practice'

To read the BMA’s April 2016 report on the state of general practice, 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 physiotherapists).

To read it, please click here.

HEE's easy-read

To read HEE’s easy-read guide on first contact physiotherapists, 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 Implementation Guide

This document addresses capability frameworks and governance issues around introducing implementation of first contact physiotherapists.

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.

MSK Core Capabilities Framework (CCF)

Skills for Health, Health Education England, NHS England, Public Health England, and the Arthritis and Musculoskeletal Alliance (ARMA) have collaborated to produce an MSK Core Capabilities Framework. This document is intended to provide a resource by which first contact physiotherapists can demonstrate and evidence how they meet the capabilities required for the role, and to assist them in identifying their specific learning needs.

To read this framework, please click here.

What MSK First Contact Physiotherapists can offer you

Produced by the Chartered Society of Physiotherapy, this page outlines the case for first contact physiotherapists and the benefits you can expect from employing them.

To visit this page, please click here.

A/V resources
A Roadmap to Practice webinar

Delivered by HEE and the Chartered Society of Physiotherapists, this webinar provided attendees with the chance to ask practical questions regarding starting a portfolio and finding support.

For more information and to watch this webinar, please click here

Introduction to First Contact Physiotherapy

Provided by Somerset NHS Foundation Trust, this succinct animation considers who first contact physiotherapists are and what they can do.

To watch it, please click here.

[This video was published on 03/11/20]

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]


FCPs in primary care: video series

To watch the Chartered Society of Physiotherapy’s video series on FCPs working in primary care, please click here.

[These videos were last reviewed on 31/01/19]

NEW: HEE FCP Roadmap Webinar

On Wednesday 24 March, HEE will be holding 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.

A recording will be available soon on HEE’s Roadmaps Landing Page. Click here to visit this page.

Stage 1 of the First Contact Physiotherapist Roadmap

To watch this video from Sussex MSK Partnership, please click here.

[These videos were last reviewed on 09/02/21]

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