University of Bradford: Postgraduate Programme specification UNIVERSITY OF BRADFORD School of Health Studies Division of Dementia Studies Programme title: Postgraduate Certificate in Dementia for Practitioners with a Special Interest Awarding and teaching institution: University of Bradford Final award: Postgraduate Certificate [Framework for Higher Education Qualifications level 7] Programme title: Dementia for Practitioners with a Special Interest Programme approved / accredited by: N/A Relevant subject benchmark statement(s): N/A Duration: 1-year part-time Date produced: January 2012 Last updated : January 2014 Introduction This innovative Postgraduate Certificate in Dementia for Practitioners with a Special Interest is designed for practitioners from a variety of clinical backgrounds (GPs, Nurse Prescribers etc) working in health care settings where diagnostic services and ongoing support for people with dementia are or are planned to be provided. It is currently the only postgraduate programme of this nature in England. The programme will equip you with the knowledge and skills to undertake person-centred assessment, diagnostic, prescribing and ongoing support/management duties for people with dementia, commensurate with your role and in accordance with current best practice guidelines. It will equip you to seek local recognition as a Practitioner with a Special Interest in Dementia, where a recognition scheme of this type is operational. The programme is delivered by research active members of academic staff from the Bradford Dementia Group, Division of Dementia Studies and the Bradford School of Pharmacy. The Bradford Dementia Group has an international reputation for excellence in dementia education, research, training and consultancy. Staff hold research grants from funders such as the ESRC, MRC and the National Institute for Health Research. Our cutting edge research and practice development expertise directly informs our education programmes. The Bradford School of Pharmacy (BSP) has a national reputation for the education of pharmacists who are fully equipped to © University of Bradford 1 practise within a dynamic healthcare system. Its highly regarded Professional Practice team work closely with the NHS in BSP’s programme of education and practice-based research. Early diagnosis and support for people with dementia is cost-effective and is a governmental priority (Department of Health 2009). Early diagnosis of dementia enables people with dementia and their families to work alongside clinicians to plan their future needs more effectively and can improve quality of life for the person with dementia and their carers (Relkin 2000). Early diagnosis enables more timely access to support services and treatments and thus is one strand to reducing the costs of dementia care in England through delaying entry to long term care (Audit Commission 2000). However, there is a significant gap in diagnosis with only around one third to a half of people who have dementia ever being formally diagnosed (National Audit Office 2007) and delays in receiving a diagnosis for those accessing diagnostic services. The National Dementia Strategy for England (2009) recommends that specialist services should be commissioned locally to provide a high-quality single point of access for diagnostic and intervention services. Such services need to be staffed by relevant skilled practitioners and should see people outside of hospital settings. In order to increase diagnosis rates, reduce the length of the diagnostic process and improve the diagnostic experience and ongoing support for people with dementia, it is important to increase the number of practitioners with the knowledge and skills to undertake this role. Therefore, this programme aims to provide the knowledge and skills to practitioners who wish to develop a specialist interest in the diagnosis and ongoing support of people with dementia. This programme combines study and assessment of theory alongside its application within a clinical setting. Study is through a blended learning approach. it includes two days of face-to-face lectures/tutorials per module alongside independent study, guided by a distance learning study guide. The study guide includes relevant required readings and a range of guided activities including on-line tutorials via a virtual learning environment, clinical work-based learning and mentor supervision. Assessment of the programme includes theoretical as well as clinical competence assessment. We are currently working with the Royal College of General Practitioners to seek approval for this programme. To successfully undertake this programme you will need to work within a service that provides or is planning to provide diagnostic and ongoing support services for people with dementia and their families. You should currently be working in, or have your employers support to commence working in, a role where dementia diagnosis and ongoing support, including prescribing, forms a component of the work. You will also need access to a computer with broadband connection and the ability to download software such as Skype and access a variety of internet sites including social networking sites. You will also be provided with an appropriately qualified and experienced, local Clinical Mentor/Assessor for each module who will provide clinical supervision and undertake clinical based assessments of competence. Programme Aims The programme is intended to: © University of Bradford 2 Support you to develop high level skills in assessment, diagnosis, clinical management and ongoing support for people with dementia and their carers. Enable you to gain appropriate knowledge and skills to seek local approval to work as a Practitioner with a Special Interest (PwSI) in Dementia, where PwSI schemes are operational. Programme Learning Outcomes When you have completed the programme you will be able to: 1. Accurately diagnose dementia using appropriate screening measures and assessments, in accordance with current guidelines, or determine when referral onto a specialist diagnostic service is required. 2. Demonstrate mastery in applying a person centred approach to the assessment, diagnosis and ongoing support of people living with dementia and their carers. 3. Critically appraise and apply evidence about the early and ongoing experiences of adjusting to, and coping with, living with dementia including the associated implications for help seeking and help provision in primary care. 4. Synthesise and critically apply evidence-based best practice to the pharmacological and non-pharmacological/psychosocial support and treatment of people living with dementia, including the prescribing and ongoing management of anti-dementia drugs, and support in relation to behaviours others find challenging. 5. Apply critical reasoning to the complexities of prescribing for people with dementia in the context of polypharmacy, and acute and ongoing comorbidities. 6. Demonstrate mastery in communication with people living with dementia and their families in relation to diagnosis, and treatment or support options. 7. Practise critical and effective problem solving and decision making in complex and unpredictable situations, including exercising personal responsibility for decision making. 8. Work and learn independently Curriculum Postgraduate Certificate Module Code Module Title Type Credits Level Study period HD-7001T Assessment and diagnosis of dementia in primary care Core 30 7 Sem 1 ORsem2 HD-7000T Pharmacological and psychosocial support for people with dementia in primary care Core 30 7 Sem 2 ORsem1 © University of Bradford 3 The curriculum may change, subject to the University's programme approval, monitoring and review procedures. The curriculum is organised into two 30-credit modules. One module will be studied each semester. Each module combines theory with application to clinical practice. The first module covers assessment and diagnosis of dementia. The second module examines ongoing assessment, treatment and support, including prescribing of antidementia drugs, and non-pharmacological/psychosocial and pharmacological treatments for aspects of dementia, such as behaviours others find challenging. The modules also examine the impact of a diagnosis of dementia on coping and adjusting throughout the journey with the condition, and the help and support people with dementia and their families may need from primary care and other sources. Optionality on the programme is offered through the choice of assignment topics. By the end of this stage you will be able to effectively assess and diagnose dementia or understand when to refer onto a specialist service. You will also be able to undertake ongoing assessment and support for people living with dementia in accordance with best practice guidelines, including the prescribing, ongoing management and withdrawal of anti-dementia drugs, use of nonpharmacological/psychosocial and pharmacological supports for other symptoms and behaviours experienced in dementia, including behaviours others find challenging and consider the complexities of prescribing in the light of polypharmacy and acute and ongoing co-morbidities. You will be eligible for a Postgraduate Certificate awarded from the School of Health Studies. The curriculum may change, subject to the University's programme approval, monitoring and review procedures. Teaching and Assessment Strategies Study is through a blended learning approach which includes two days of face-toface lectures/tutorials per module alongside independent study guided by a distance learning study guide and readings, on-line tutorials via a virtual learning environment, clinical work-based learning and mentor supervision. The design of the programme permits flexible study that can be undertaken alongside working. The teaching, learning and assessment approaches chosen are designed to help you apply theory directly to your own practice and to help you to tailor work-based learning to your own specific learning needs. The supporting annexes to this document indicate how the modules map to the programme learning outcomes (Annex 1); how the different modes of assessment map to each module (Annex 2); how the teaching methods for each module are mapped (Annex 3); and how the curriculum maps to the School statement on Education for Sustainable Development (Annex 4). The teaching and learning strategies utilised are designed to help you to meet the programme learning outcomes. Teaching and learning approaches include face-toface teaching sessions which will include some short lectures on key module topics (learning outcomes 1, 3, 4, 5), an assignment preparation and advice session (outcome 8), critical case study reviews in small groups (outcomes 2, 4, 5, 7) as well as opportunities to discuss key guidance, practice guidelines and other issues identified by students (outcomes 1, 2, 3, 4). The distance learning study guide will © University of Bradford 4 guide you through completion of selected required reading alongside completion of exercises that will help you to apply learning to your practice (outcomes 1, 2, 3, 4, 5, 6, 7, 8) and to prepare for your assignments. This will be supported by on-line forum discussions for the whole group based on the exercises, plus two to three Skype tutorials on key issues at set points during each module (outcomes 2, 3, 4, 5). You will also undertake 30 hours of clinical work-based learning per module (outcomes 1, 2, 3, 4, 5, 6, 7, 8). This may be observation or participation within a specific service outside of your own workplace (for example visiting a local memory clinic) or individual supervised practice within your own workplace, undertaking activities specific to the modules. The composition of the work-based learning will be negotiated between yourself, your clinical mentor and the module leader, based on your existing role, experience and learning needs. You will be allocated a clinical mentor/assessor for each module. They will provide you with ten hours of tutorial support during the module (outcomes 1, 4, 5, 7). You can access this face-to-face, or by telephone or Skype. These tutorials will provide you with an opportunity to discuss your own clinical experiences during the module, and support you to demonstrate how you have met the module learning outcomes. Your clinical mentor will also conduct assessments of your clinical competence in relation to the module learning outcomes, based on observation of your practice. Each module includes up to two components of assessment. The assignments are designed to relate directly on the clinical work-based learning you undertake. Both modules include a portfolio of clinical practice, which will include critical case examples, assessments by your clinical mentor and personal reflections on aspects of your clinical practice. The module Pharmacological and psychosocial support for people with dementia in primary care also includes a one-hour on-line, open book examination. Assessment Regulations This Programme conforms to the standard University Assessment Regulations for Postgraduate Programmes which are available at the following link: http://www.bradford.ac.uk/aqpo/ordinances-and-regulations/ Admission Requirements The University welcomes applications from all potential students regardless of their previous academic experience; offers are made following detailed consideration of each individual application. Most important in the decision to offer a place is our assessment of a candidate’s potential to benefit from their studies and of their ability to succeed on this particular programme. Entrance requirements for each programme will vary but consideration of your application will be based on a combination of your formal academic qualifications and other relevant experience. If you have prior certificated learning or professional experience which may be equivalent to parts of this programme, the University has procedures to evaluate this learning in order to provide you with exemptions from specified modules contained within the curriculum. Please talk to us if you do not fit the standard pattern of entry qualifications. © University of Bradford 5 We are continually reviewing and developing our practices and policies to make the University more inclusive, but if you are disabled we may need to make some adjustments to make sure that you are not disadvantaged. We would advise you to contact the programme leader before you apply to discuss these. Usual entry requirements to the programme include: A good first degree (2:2 or above) or equivalent qualification in a relevant subject area. Current registration with a professional body. Have a recorded qualification in prescribing or be a medical practitioner. Where English is not your first language you should have an IELTS or equivalent score of 7.0 or above. To be currently working within a service that provides or intends to provide diagnostic and ongoing support services for people living with dementia, to ensure requirements for module assignments and practice experience can be achieved. Currently working in a role, or support from employer to move into a role where diagnosis and ongoing support for people with dementia comprises part of the role for the duration of the programme. Support from your employer to undertake this programme of study. Access to a computer with a broadband connection and ability to download software to this (e.g. Skype) and to access on-line resources including social networking sites. Have computing skills commensurate with the demands of the programme. Learning Resources The JB Priestley Library provides a wide range of printed and electronic resources to support your studies. Subject librarians for each School provide training sessions and individual guidance in finding the information you need for your assignment, and will help you organise your references properly. These can be conducted by telephone or Skype. Most of our online journals are available on the internet (both on and off campus), and you can also access your University email account, personal information and programme-related materials this way. Staff are on hand during the daytime to help you via telephone or e-mail if you get stuck, and there is a 24/7 IT helpline available. The University has dedicated Distance Learning librarian and staff throughout its Learner Support Services who understand the specific needs that distance learners may have. They can provide learning support via phone, e-mail and Skype. There is also a dedicated distance learner web-page on the University of Bradford web-site, which offers direct links to the learning support and other resources relevant to distance learning students. We have developed a specific induction programme designed to meet the needs of distance learning students. This has been developed through on-going feedback from our students about what they would find helpful in preparing for study. Induction © University of Bradford 6 commences at the point of acceptance of your place onto the programme, at which point you will be sent part one of our induction guide, containing activities that will help you to prepare for commencing your programme. Your will be sent part two of the induction guide in early September. This will induct you into University resources such as e-mail, library resources and Virtual Learning Environments that only become available once you have fully enrolled. The University also utilises a number of on-line learning resources to support studying at a distance, including Virtual Learning Environments (VLEs) such as Blackboard and Elluminate as well as free software such as Skype. These VLEs will be used to support your effective learning and to facilitate contact with other students and programme tutors throughout the duration of your studies. Student Support and Guidance Programme Team Support for you personally and in your programme of study, will be provided by local mentors and the University based programme team. The University based programme team comprises of academic lecturers and expert clinical tutors. You will be allocated a personal tutor who is someone with whom you will be able to talk about any academic or personal concerns. The School will ensure that there is someone available with whom you feel comfortable to help and support you. You will be provided with a comprehensive series of handbooks that you can consult on a range of learning issues and your programme tutors will be available to consult on subject specific queries. The local mentors are experts in diagnosis and ongoing support for people with dementia and will provide local face-to-face or telephone based support for the actions and facilitation of activities of the clinical components of your study. They will have been trained by the University of Bradford to undertake their role. Students’ Union We value the feedback provided by students. The Students’ Union and the University of Bradford work in partnership to provide confidential counselling and welfare services where you can get help with any aspect of your personal or academic life. This can be provided at a distance by telephone. We also seek feedback from students formally via end of module and year on-line evaluations as well as informally through e-mails seeking student feedback sent each semester. We also encourage students to feedback to their module leaders on an on-going basis to permit us to act swiftly where action on feedback is required. Students can also input feedback to the programme team or Programme Management Team via the student representatives. Employability and Career Development The University is committed to helping students develop and enhance employability and this is an integral part of many programmes. Specialist support is available throughout the programme from Career Development Services. Since you need to be in employment to undertake this programme of study, there is no careers input directly into the programme. However, advice on applying for Practitioner with a Special Interest status within your locality will be provided as part of the application process for this programme, by your local sponsor or © University of Bradford 7 commissioning team. You are also able to access the University careers advice at a distance if you wish to explore other career opportunities at any stage. Learner Development Unit for Academic Skills Advice For postgraduate students on taught programmes who are looking to improve their marks during their time at university, study skills and maths advice is available to all regardless of degree discipline. Students can access a programme of interactive workshops and clinics which is delivered throughout the year. This is in addition to our extremely popular face-to-face guidance from our advisers, who also offer a wide range of online and paper based materials for self-study. http://www.bradford.ac.uk/learner-development/ Disability Disabled students will find a supportive environment at Bradford where we are committed to ensuring that all aspects of student life are accessible to everyone. The Disability Service can help by providing equipment and advice to help you get the most out of your time at Bradford and is a place where you can discuss any concerns you may have about adjustments that you may need, whether these relate to study, personal care or other issues. For more information contact the Disability Service by phoning: 01274 233739 or via email: disabilities@bradford.ac.uk University policies and initiatives Ecoversity Ecoversity is a strategic project of the University which aims to embed the principles of sustainable development into our decision-making, learning and teaching, research activities campus operations and lives of our staff and students. The focus of the modules and award pathways held within the framework is to facilitate your continuing development as lifelong learners who have developed critical thinking and analysis skills which you can apply into your work place. Inherent within the learning outcomes for the modules and awards are the values we aspire to in providing high quality education to support high quality care whatever professional discipline, sector or organisation you work for. The core work of the School of Health studies is the focus on health and wellbeing and developing professionals such as yourselves who can work within multidisciplinary teams, work across care sectors and different types of organisations using clinical, educational, research or management and leadership skills to improve practice, services or improve organisations and their cultures and influence change. The modules within this programme are taught by a multidisciplinary team with a range of different backgrounds and experiences, in addition to the variety of backgrounds that students undertaking this programme may come from. This combined focus enables your education to have a sustainable component in terms of your future career as well as the sustainability of your services by maintaining and © University of Bradford 8 improving what you provide for your local communities. For more information please go to http://www.brad.ac.uk/health/ecoversity/ or www.bradford.ac.uk/ecoversity/ Further Information: For further information, please check the University prospectus or contact Admissions. The Admissions Office The Admissions Office The University of Bradford School of Health Studies Richmond Road The University of Bradford Bradford, BD7 1DP Horton A Building UK Richmond Road Bradford, BD7 1DP UK +44 (0)1274 233054 +44 (0)1274 236367 http://www.brad.ac.uk/courses/ soh-recruitment@bradford.ac.uk http://www.brad.ac.uk/health/ The contents of this programme specification may change, subject to the University's regulations and programme approval, monitoring and review procedures. Further in information on the Postgraduate Certificate in Dementia for practitioners with a special interest can be found here http://www.bradford.ac.uk/health/courses/postgraduate-cpd-professional/dementiaolder-people/pgcertindementiaforpractitionerswithaspecialinterest/ References Audit Commission (2000). Forget Me Not: mental health services for older people. London, Audit Commission. Department of Health (2009). Living well with dementia: A National Dementia Strategy. London, Department of Health. National Audit Office (2007). Improving services and support for people with dementia. London, The Stationary Office. Relkin, N. (2000). "Screening and early diagnosis of dementia." American Journal of Managed Care 6: 1111-1124. © University of Bradford 9 Annexes: Annex 1: Programme learning outcomes and their assessment within modules This table shows which programme learning outcomes are formally assessed within each module. Modules LO1 Assessment and diagnosis of dementia in primary care Prescribing and ongoing psychosocial support for people with dementia in primary care LO2 LO3 LO4 LO5 LO6 LO7 LO8 Annex 2: Assessment map This table shows the methods of assessment used across different modules 1. Clinical portfolio 2. Open book on-line examination Modules 1 Assessment and diagnosis of dementia in primary care Prescribing and ongoing psychosocial support for people with dementia in primary care 2 Annex 3: Teaching map This table shows the teaching and learning methods used across the different modules 1. Face-to-face lectures and seminars 2. On-line discussion forums using a VLE 3. Clinical supervision with clinical mentor 4. Self directed study 5. Distance learning study guide 6. Work-based learning © University of Bradford 10 Modules Teaching methods 1 2 3 4 5 6 7 Assessment and diagnosis of dementia in primary care Prescribing and ongoing psychosocial support for people with dementia in primary care Annex 4: Mapping the School of health Studies statement on Education for Sustainable Development (ESD) Assessment and diagnosis Prescribing and ongoing support ESD 1 demonstrate respect and understanding of the different cultural, socioeconomic needs of their patients and client groups to support a strong, healthy and fair society ESD 2 understand and embrace interprofessional and multidisciplinary team working as well as service user involvement to promote the sharing of knowledge and also fair and good governance within healthcare as well as the local community ESD 3 think critically; problem solve and inform their practice by using sound evidence and science responsibly ESD 4 develop new ways of delivering health care to sustain locally relevant health services and seamless care by working and living within environmental limits whilst promoting a sustainable economy for the future promote the importance of health and wellbeing by improving personal as well as community awareness and to develop personal responsibility as well as contribute to a sustainable workforce have a solid foundation, based on shared competences highlighted in the Knowledge and Skills Framework to support the development of new roles and services for the future of health care provision ESD 5 ESD 6 © University of Bradford 11