Gphc Framework Guidance PDF

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GPhC Framework Guidance

Firstly I would like to mention that these notes are for guidance purposes and whatever guidance is mentioned in this document is to support pre-reg students. I am aware that most pre-reg students do not get enough support for their exam hence why I created this document to help you guys with your learning and give my own personal experience of the exam and how I would revise for the exam and understand it from your perspective. Therefore do not follow these guidance or notes strictly and always refer to your senior members who are experts in this field that have a lot more experience than me since I am only just newly qualified. You should always refer to the RPS, GPhC, Pre-registration tutors and your university lecturers who are experts in this field. I have created this solely to support you guys and give you my experience of how I would revise for this exam. This is a new exam format from the GPhC and no organisation, tutors, support groups will have any idea of what to expect from this exam. GPhC have never specified clearly how much depth you need to know from the BNF and from the framework and its always best advice to learn everything or as much as you can. As you are aware the BNF, MEP and OTC are not the only resources that you will be examined. The GPhC have clearly emphasized many times in previous years and this year in the webinar to make sure you follow the framework strictly and use a variety of resources to ensure you are fully prepared for the exam. I have created a table and broken down each section, and indicated a list of topics on what the framework is asking for you to learn from each subheading using my experience and knowledge. I have compared the previous year’s framework and this year’s framework and notice quite a few similarities. If I were to revise for the framework the following aspects, resources and topics I would focus on learning are mentioned in the table below and I would like to emphasize again use these notes as guidance to help you support with your learning a lot of the topics mentioned in the notes may not seem like you don’t need to cover or not relevant so if you feel they are not appropriate to learn then it is your decision. Understanding the learning the framework is tricky and vague hence why I created this table to give you a better idea what GPhC is asking from the framework and topics you should be focusing on.

GPhC Framework Guidance Weighting

< Med >

< Low >

Future pharmacist outcome Recognise the duty to take action if a colleague’s health, performance or conduct is putting patients or the public at risk

Indicative assessment topics  GPhC standards and guidance documents  Action to take if a colleague’s conduct has the potential to affect patient or public health

Apply the principles of clinical governance in practice

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Purpose and principles of clinical governance Risk management in pharmacy and other healthcare contexts Systems to reduce medication errors

Resources to use  GPhC guidance documents (standards of conduct and ethics and performance)  GPhC standards (Seven Principles of Code of ethics)  GPhC guidance documents on Whistle blowing  MEP appendix 1,6,7,8,10  Maintaining sexual boundaries  RPS guidance document on Clinical governance  NHS website on Clinical governance  PSNC website (Clinical Governance)  Learn about SOP’s  Health and safety (HSE.gov.uk)  Risk management (Complaints procedures, Near miss logs, Central safety alerts, Child protection, Vulnerable adults, Root cause analysis, COSHH, RIDDOR)  NPA Guidance to pharmacy risk management  Audits (PSNC website and RPS guidelines)  NHS complaints procedures  MEP (Appendix 11)

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How to minimise dispensing

GPhC Framework Guidance

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< Med >

Demonstrate how the science of pharmacy is applied in the design and development of medicines and devices

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Factors affecting the stability of medicinal products Procedures for the dilution of solid, semi-solid and liquid dosage forms

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< High >

Respond appropriately to medical emergencies, including provision of first aid

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Appropriate responses to medical emergencies

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< Med >

< Med >

Access and critically evaluate evidence to support safe, rational and cost-effective use of medicines

Apply knowledge of current

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Principles of obtaining and applying evidence for use in current practice Interpreting and applying information to improve patient care

Principles of promoting healthy

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errors and reasons for medication errors CPD and staff training Pharmaceutics Aulton’s Pharmaceutics: The design and manufacture of medicines Learn the different types of medicine formulations Excipients in each formulation, its purpose and stability issues Medicines with stability issues (E.g. Dosset box/compliance aid boxes) First Aid course BNF (Medical Emergencies in dental practice) BNF chapter 16 (Emergency treatment of poisoning) Rules for sale, supply, and administration of medicines for specific healthcare professionals (gov.uk) Hierarchy of evidence NHS Business services Authority (nhs.bsa.nhs.uk) Different levels of evidence (patient.uk) NICE Evidence based medicines P-value PSNC (Health living pharmacies)

GPhC Framework Guidance pharmacy-related policy to improve health outcomes 

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lifestyles including current pharmacy-related policy Collaboration across the healthcare professions to improve patient outcomes Purpose of prescribing guidelines

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< High >

Identify and employ the appropriate diagnostic or physiological testing techniques in order to promote health

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Selecting appropriate diagnostic or physiological testing techniques for use in clinical decision-making and to promote health Normal ranges for test results, and actions to take when results are out of the normal range

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< High >

Identify inappropriate health

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Concepts of health promotion,

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PSNC (Promoting health lifestyles) NHS choices (Live well – how your pharmacist can help) PSNC (Essential Services, Advance services, enhanced services) Medicines optimisation & patient centred care (RSP guidelines) NHS Five year forward view NHS England Clinical commissioning groups (CCG’s) Care quality commission (CQC) NHS flu vaccinations Prescribing guidelines (NICE, CKS, SIGN, FRSH, GPhC, MHRA, NPSA, NRLS, and local formularies) SOP’s Diabetes testing Blood pressure testing Blood Cholesterol testing Chlamydia screening Bowel cancer screening Vaccinations Asthma inhaler technique & peak flow Biochemical blood test parameters Health promotion for

GPhC Framework Guidance behaviours and recommend suitable approaches to interventions 

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health education and health improvement programmes, based on national and local health priorities and parameters Role of pharmacists and pharmacy support staff in promoting health and preventing disease Behavioural change as a tool to support health promotion Social, environmental and dietary factors that influence health

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pharmacists by Blenkinsopp (Book) Public Health England (gov.uk/public-health-england) OTC (responding to symptoms) OTC referral symptoms Minor Ailment scheme Cycle of change (Precontemplation, contemplation. Preparation, action, and maintenance) General knowledge about health living (Alcohol units, Fat intake, Salt intake, Healthy balanced diet etc.) PSNC (Essential Services, Advance services, enhanced services) Vaccinations Diabetes testing Blood pressure testing Blood Cholesterol testing Chlamydia screening Bowel cancer screening Vaccinations Asthma inhaler technique & peak flow

Learn about how certain diseases are influence by social, environmental and dietary factors (E.g. Diabetes)

GPhC Framework Guidance

< High >

Instruct patients in the safe and effective use of their medicines and devices

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Identifying appropriate advice on the use of medicines

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< Med >

Analyse prescriptions for validity and clarity

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Legal and professional requirements for prescriptions, to enable the safe and legal supply of medicines

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< High >

Clinically evaluate the appropriateness of prescribed medicines

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Appropriateness of prescribed medicines, for example in the context of presenting conditions, associated diseases, and test results Circumstances in which prescribed medicines are contraindicated

Interactions that occur between medicines (either prescribed or purchased), and between these medicines and food or other substances

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OTC counselling BNF (medication counselling points) Patient.uk CPPE consultation skills PIL’s of medicines How to use diagnostic equipment (e.g. blood pressure machine, diabetes testing machine, peak flow meter etc.) Law and ethics MEP (section 3) Highly abused drugs (Codeine, pseudoephedrine etc.) Prescriptions requirements for P,POM, Vet, Signed order and CD’s BNF and BNFc Stockley drug interactions OTC Clinical pharmacy & therapeutics: walker & whittlesea MEP (Appendix 12)

GPhC Framework Guidance

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< High >

Provide, monitor and modify prescribed treatment to maximise health outcomes

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< Med >

Record, maintain and store patient data

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< Med >

Supply medicines safely and efficiently, consistently within legal requirements and best

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Use of licensed, off-label and unlicensed medicines including providing information to patients Principles of medicines management, medicines optimisation and pharmaceutical care Dosages and dose adjustments, especially for people with particular needs due to, for example, age or health conditions Reasons for treatment failures Recognising and managing adverse effects of medicines Mechanism of action, administration, absorption, distribution, metabolism and excretion of medicines Maintaining confidentiality, and disclosing information both with and without the subject’s consent Information governance Requirements for recording, maintaining and storing data

Statutory regulations and professional requirements for the supply of human and

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RPS guidelines (Medicine optimisation) NICE (Medicines management) King’s Fund (Medicines management) BNF & BNFc (Prescribing in elderly & children, patients with co-morbidity states) Medicine adherence and compliance (CPPE) or (Patient.uk) Pharmacokinetics (BNF Appendix 1) or (Stockleys drug interactions) CPPE packs (Liver disease, Acute renal failure, children and their medicines, and Child health) Information Governance (NHS England) GPhC guidance documents (Consent, and confidentiality) MEP (Appendix 4,5,6,7) Freedom of information Act 2000 Disclosing information Data protection Act 1998 MEP section 3.6 Veterinary medicines directorate (gov.uk)

GPhC Framework Guidance professional practice. NB This should be demonstrated in relation to both human and veterinary medicines

veterinary medicines

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< Med >

Ensure quality of ingredients to produce medicines and products

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Quality assurance processes for medicines and ingredients Storage requirements for medicines and ingredients

< Med >

Apply pharmaceutical principles to the formulation, preparation and packaging of products

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Formulation, preparation and packaging of products

< Low >

Procure and store medicines and other pharmaceutical products working within a quality assurance framework

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Procurement and storage of medicines Additional precautions necessary for particular formulations

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Veterinary medicines regulations (gov.uk) Veterinary medicine guidance (gov.uk) NOAH compendium of Animal Medicines MHRA The Orange Guide (Rules and guidance for Pharmaceutical manufactures) COSHH assessment MHRA The Orange Guide (Rules and guidance for Pharmaceutical manufactures) MEP (section 3.5) MHRA The Orange Guide (Rules and guidance for Pharmaceutical manufactures) MEP

< Low > Dispose of medicines safely, legally and effectively

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< Low >

Identify, report and prevent errors and unsafe practice

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Statutory regulations covering the safe, legal and effective disposal of medicines Procedures for the disposal of special and controlled waste from the pharmacy Supervising others involved in service delivery

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MEP (section 3.5) PSNC (Disposal of unwanted medicines) Controlled drug regulations disposal (MEP and PSNC) MEP (Appendix 6 & 11) NHS complaints (nhs.co.uk)

GPhC Framework Guidance

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< Low >

Procure, store and dispense and supply veterinary medicines safely and legally

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Identifying, reporting and preventing errors and unsafe practices Responding to complaints and concerns Regulations and professional requirements governing the procurement, storage, dispensing and supply of veterinary medicines

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< High >

Identify and employ the appropriate diagnostic or physiological testing techniques to inform clinical decisionmaking

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Identifying appropriate diagnostic or physiological testing techniques, and interpreting results Identifying conditions that need referring to another healthcare professional Identifying conditions that may be treated by non-prescription medicines

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< Low >

Demonstrate the characteristics of a prospective professional pharmacist as set out in relevant codes of conduct and behaviour

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Characteristics of a pharmacist as set out in the relevant standards and guidance Principles of the NHS complaints procedures

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PSNC (Complaints and raising concerns) Root Cause Analysis CHAPS procedures GPhC guidance documents MEP section 3.6 Veterinary medicines directorate (gov.uk) Veterinary medicines regulations (gov.uk) Veterinary medicine guidance (gov.uk) NOAH compendium of Animal Medicines OTC BNF and BNFc Red flag symptoms for both medical conditions and OTC referral symptoms Childhood conditions Clinical pharmacy & therapeutics: walker & whittlesea Biochemical Blood result parameters Clinical Biochemistry: Churchill Livingstone MEP GPhC standard code of ethics & conduct GPhC guidance documents NHS complaints procedure

GPhC Framework Guidance

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< Low >

< Low >

Participate in audit and in implementing recommendations Contribute to the development and support of individuals and teams

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Purpose of audit and principles of audit procedures Principles of change management Principles of identifying, and responding to, the learning and development needs of professional team members Principles of CPD and regulatory requirements

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(nhs.co.uk) PALS complaints MEP (Appendix 6 & 11) PSNC (Complaints and raising concerns) RPS guidance document (Audit) PSNC (Audits) Principles of Audit (Six principles) RPS guidance document (CPD) GPhC guidance document MEP (section 2.9)...