Sample Declaration of
Competence
for community pharmacy services
Vaccination Services
1. Introduction to the Self-assessment process
Pharmacy professionals are responsible and accountable for maintaining and improving the quality
of their practice by keeping their knowledge and skills up-to-date and relevant to their role and the
services they offer (GPhC Standards of conduct, ethics and performance July 2012). This selfassessment process provides pharmacy professionals with a framework to demonstrate to
themselves, their employers and the service commissioners that they have the skills and knowledge
necessary to deliver a Vaccination service, which will include the supply of a prescription only
medicine (POM) by pharmacists using a patient group direction (PGD).The framework includes
details of available learning mapped to a range of core competencies which include the clinical,
ethical, cultural and legal aspects of delivering this service.
In addition to this it is expected that pharmacy professionals:
 Practise within the GPhC Standards of Conduct, Ethics and Performance
 Meet the GPhC Standards for Registered Pharmacies
 Meet the Practice Standards for Consultation skills in pharmacy practice as determined by
Health Education England
 Are aware of their safeguarding responsibilities.
This concept is built on the successful approach to harmonisation of accreditation for service
delivery. Although initially developed in the North West this framework presents a national solution
for the Declaration of Competence for the delivery of community pharmacy services in England.
2. Self-assessment of core competencies
This self-assessment against the core competencies has been developed in conjunction with CPPE,
national experts and professional groups including the NHS England, London region immunisation
team. It takes into account
 the Health Protection Agency’s national minimum standards for immunisation training
 the Royal Pharmaceutical Society’s public health standards
If you are NOT able to answer ‘yes’ to all of the self-assessment questions, then you are not yet
ready to deliver the service and should refer to section 4 to further your learning and development.
3. How to use this self-declaration tool
Where self-declaration of competence is part of the service specification:
a. Review the suggested learning programmes (section 4).
b. Work through the self- assessment tool to review your competencies.
c. Identify any gaps in your competency and re-visit the learning programmes if necessary.
d. Print and sign the declaration certificate.
4. Learning and Development
The table in section 4.1 contains details of the various CPPE training programmes that you can use
to help develop your skills and knowledge to satisfy the self-assessment. Table 4.2 contains details
of other associated learning. Information relating to learning acquired from other training providers
can be entered in section 4.3.
What is CPPE?
The Centre for Pharmacy Postgraduate Education (CPPE) is funded through the NHS Multiprofessional Education and Training Fund from Health Education England to provide learning to
support all pharmacists and pharmacy technicians providing NHS services in England. Further
information and an online tool to facilitate your self-assessment process are available at
www.cppe.ac.uk. Learning outcomes for each of the above programmes and information about the
features and objectives of the workshop are available on the CPPE website.
4.1 CPPE Programmes, Workshops & Assessment you may wish to access
Training/learning
CPPE Immunisation in pharmacies:
developing your services
CPPE Immunisation in pharmacies –
developing your service (Part 1)
assessment
CPPE Immunisation in pharmacies –
extending your service (Part 2)
assessment (for administration of
vaccines other than seasonal inactivated
influenza vaccine)
CPPE Safeguarding children and
vulnerable adults e-learning and
assessment
Competencies linked to the self-assessment tool
a, c, d, e, g, l
a, c, d, e, g, h
d, e
k
4.2 Other associated learning you may wish to access
Training/learning
PHE Immunisation against infectious disease (Green
Book)
https://www.gov.uk/government/collections/immunisati
on-against-infectious-disease-the-green-book#thegreen-book
CPPE Influenza- module 1:Understanding the disease
National Institute for Health and Care Excellence
(NICE). GPG2. Patient Group Directions
Competencies linked to the selfassessment tool
a, c, d, e, f, l
a
l, m, n
National Institute for Health and Care Excellence
(NICE). Competency framework: For health
professionals using Patient Group Directions.
http://www.nice.org.uk/mpc/goodpracticeguidance/GP
G2.jsp?domedia=1&mid=BE78D07B-E9E7-39C7C8C22B69D72439B4
l, m, n
4.3 Learning & Assessment completed from other Training Providers
Training courses and workshops delivered by other trainers may be used, provided that they deliver
the equivalent knowledge and learning outcomes as the CPPE programmes listed in Section 4.1.
You should list these in the table below if undertaken in place of or in addition to the CPPE
programmes. Please also list the practical training course attended here:
Training / Learning / Competencies / Assessment
(list below)
Please list below details of the practical training course attended.
(This must cover the requirements set out in the National Minimum
Standards for Immunisation Training and the Core Curriculum for
Immunisation Training as well as basic life support and
administration of adrenaline for anaphylaxis).
b, d, e, f, h, i, j, o, p
5. Declaration of qualifications and competence to deliver vaccination
services
A declaration of qualification and competence certificate to deliver vaccination services can be
downloaded from the CPPE website. This is personalised to the user and contains evidence of
learning and assessment. This should be printed and signed by the pharmacy professional and can
be used as evidence of competence for employers and service commissioners. A sample certificate
is included at the end of this document.
6. Reassessment of competence
Pharmacy professionals are responsible for reassessing their competence to deliver this service at
least once every three years. This should involve revisiting the self-assessment of core
competences, reflecting on each competency and identifying personal learning needs to assure
self-declaration again at this point. Where changes are introduced to the commissioned service,
pharmacy professionals (and pharmacy staff) will need to update themselves as part of their usual
continuing professional development. Some commissioners may require the pharmacy
professionals to attend an update meeting each year.
7. Endorsement and support
This model of “Declaration of Competence” has received endorsement from the following national
pharmacy organisations:
 Royal Pharmaceutical Society (RPS)
 Pharmaceutical Services Negotiating Committee (PSNC)
 Pharmacy Voice (PV)
 Association of Pharmacy Technicians UK (APTUK)
Competency: Are you/ do you?
(Statements should be supported by appropriate evidence whenever possible)
If the learning you have completed applies to more than one competency then you do not
need to repeat this information. This is for your own self-assessment purposes
Please ensure you have successfully completed the required practical training course before selfdeclaring your competency to deliver the vaccination service. (This must cover the requirements set
out in the National Minimum Standards for Immunisation Training and the Core Curriculum for
Immunisation Training as well as basic life support and administration of adrenaline for anaphylaxis)
LEVEL 1
This level covers administration of vaccines in a community pharmacy.
a) Able to communicate the benefits of vaccination vs risks of disease?
Yes. Because I have undertaken the following:
b) Able to provide assurance to patient/parent and correctly position patient prior to
vaccination?
Yes. Because I have undertaken the following:
c) Able to describe the vaccination service to the patient to obtain and document informed consent?
Yes. Because I have undertaken the following:
d) Able to advise on the identification and management of potential adverse reactions?
Yes. Because I have undertaken the following:
e) Able to advise on contraindications?
Yes. Because I have undertaken the following:
f) Able to demonstrate correct injection technique and use the recommended vaccination site?
Yes. Because I have undertaken the following:
g) Able to demonstrate correct administration technique for intranasal vaccination in the 2 to 16 year
old age group?
Yes. Because I have undertaken the following:
h) Able to complete relevant records and documentation including ‘Yellow card’ reports?
Yes. Because I have undertaken the following:
i) Able to recognise and act on the signs of anaphylaxis and provide basic life support in children and
adults?
Yes. Because I have undertaken the following:
j) Able to take appropriate action in the event of a needle stick injury or spillage of blood or vaccine?
Yes. Because I have undertaken the following:
k) Able to dispose of sharps, vials and other vaccine equipment safely?
Yes. Because I have undertaken the following:
l) Aware of your role in the process of safeguarding children and vulnerable adults?
Yes. Because I have undertaken the following:
m) Understand the legal implications and professional responsibility of using a Patient Group
Direction (PGD)?
Yes. Because I have undertaken the following:
n) Able to demonstrate knowledge of the clinical content of the relevant Patient Group Direction(s)?
Yes. Because I have undertaken the following:
o) Satisfy the NICE competency framework for health professionals using Patient Group
Direction(s)?
Yes. Because I have undertaken the following:
p) Able to develop your pharmacy team to support promotion and delivery of the service?
Yes. Because I have undertaken the following:
LEVEL 2
This level covers offsite administration of vaccines in locations other than the community
pharmacy (eg residential care homes, schools, prisons, workplaces etc) and expands on the
Level 1 competencies. The following competencies also apply:
p) Understand and apply the requirements of the Health and Safety at Work etc Act 1974 and its
Regulations when undertaking domiciliary and offsite visits.
Yes. Because I have undertaken the following:
Training/Learning
Competence in the administration
of all vaccines specified in the SLA
Review of most recent service
documents relating to provision of
the service – PGDs, contract or
SLA, claims procedures etc
Review and/or develop relevant
SOP and policies in your practice
Competency
Date completed
Date review due
Specimen Personal Declaration of Qualifications and
Competence to deliver a Vaccination service
Pharmacy professional
John Smith
GPhC number:
20202020
About CPPE
We are the Centre for Pharmacy Postgraduate Education (CPPE) based within the Faculty of Medical and Human
Sciences at the University of Manchester. CPPE is funded through the NHS Multi-professional Education and Training Fund from Health Education England
and is committed to providing quality learning to support all pharmacists and pharmacy technicians providing NHS services in England.
Statement of Qualification
The above pharmacy professional has accessed the following learning and successfully completed the listed assessment from CPPE. Assessments are only
listed if accessed and passed
Vaccination service
This section will list personalised information on CPPE learning programmes
and assessment and dates accessed and completed
NB- e-learning programmes and open-learning verified by successful completion of assessment.
Learning and assessment completed from other providers (please print off and list)
I have completed the ‘self-assessment’ of core competencies framework and answered yes to
ALL of the statements.
I have reviewed the local policies and documentation from commissioners for this service.
The information above is a true representation of my learning and assessment.
I have the necessary knowledge and skills to deliver the vaccination service and can
demonstrate these skills.
I have completed the relevant practical training listed here and attach the relevant certificates
(please list the practical training you have attended and the date attended here):
Signature of Pharmacist ……………………. …………………………. Date…………………