Awarding and teaching institution: Modules available: Modules accredited by: Duration: Date produced: Programme Specification University of Bradford School of Health Studies Division of Nursing University of Bradford Prescribing for Healthcare Professionals HN3502Q HN4057Q 40 credits Level 3/M[FHEQ level H/M] Community Nurse Prescribing 20 credits level 3/M[FHEQ level H/M] NMC, RPSGB, HPC Maximum 1 year, part time. June 2010 INTRODUCTION AND AIMS Non medical prescribing is a key element of NHS modernisation, intended to transcend traditional professional boundaries and make better use of professional skills (Department of Health [DH] 2000, DH 2006). The benefits to patient care of non medical prescribing are significant, facilitating patient centred care, speedy access to treatment and greater patient choice without compromising safety (DH, 2005 DH 2006). The Department of Health, in partnership with regulatory bodies has provided an outline curriculum, which forms the framework for the education of prescribers. The University of Bradford offers several modules designed to meet the requirements of experienced practitioners from different professional backgrounds wishing to record a qualification as a prescriber with their relevant professional body. Students undertaking these modules, delivered by the Division of Nursing, benefit from the opportunities for inter-professional learning as well as teaching from a wide range of lecturers, pharmacists and medical staff. On successful completion of the 40 credit ‘Prescribing for Healthcare Professionals Course’ nurses and pharmacists may record a qualification as an independent and supplementary prescriber with the Nursing Midwifery Council (NMC) (V300) or the Royal Pharmaceutical Society of Great Britain (RPSGB). Radiographers, podiatrists and physiotherapists who successfully complete the ‘Prescribing for Healthcare Professionals’ module may record their qualification as a supplementary prescriber with the Health Professions Council (HPC). Alternatively, nurses may choose to undertake the 20 credit, ‘Community Nurse Prescriber’ module and record their qualification to prescribe from the Community Practitioner Formulary (V150) with the NMC. Both the Prescribing for Healthcare Professionals module and the Community Nurse Prescriber module are available at level 3 (undergraduate) and level M (masters level). A. AIMS The modules at Level 3 and M aim to: A1 Prepare nurses, pharmacists, radiographers, podiatrists and physiotherapists to prescribe from the appropriate formulary within current legal and professional guidelines. A2 Enable experienced health professionals to enhance their knowledge and gain critical awareness of contemporary issues in order to become safe, competent, effective and reflective non–medical prescribers. In addition at Level M: A3 Enable practitioners to advance non medical prescribing practice in their field of practice. B. OUTCOMES On completion of the undergraduate, level 3 modules and masters level modules, in relation to your own area of prescribing practice, you will be able to: B 1. Knowledge and Skills 1.1 Appraise local and national policy and apply the relevant legislation. 1.2 Analyse and evaluate the influences on contemporary prescribing practice 1.3 Apply knowledge of drug actions (pharmacodynamics, pharmacokinetics and therapeutics) and research evidence. Undertake a systematic consultation and make a holistic assessment of patients’ needs. Evaluate and reflect upon own communication and examination skills. Undertake a comprehensive history, to inform diagnosis and prescribing decision making. Reflect on safe, appropriate and cost effective prescribing practice, using best available evidence. 1.8 Monitor response to medication and modify treatment and refer where appropriate. 1.9 Practice within a framework of professional accountability, clinical governance and responsibility. B. 2. Transferable Skills 2.1 Use a variety of sources of information and advice to support decision making and to enhance personal learning. 2.2 Evaluate your role and the roles and relationships of others when working as part of a team. 2.3 Define problems, engage in decision making and use appropriate verbal and written communication skills. 2.4 Plan and time manage own clinical and theoretical learning. 2.5 Undertake numerical calculations to underpin safe prescribing practice. 1.4 1.5 1.6 1.7 In addition, on completion of the Level M module, in relation to your own area of prescribing practice, you will be able to: B.1M Knowledge and Skills 1.1 Critically appraise recent research in order to inform diagnosis or therapeutic management of patients and clients. 1.2 Manage change(s) in practice to improve access to treatment for patients/clients B.2M Personal Transferable Skills 2.1 Use skills in data capture and analysis to support decision making. C. THE CURRICULUM Module choice will depend on your professional background, service and patient/client need and existing prescribing qualifications Unit code credits sem level Title HN3502Q 40 1 or 2 3 Prescribing for healthcare professionals HN4057Q 40 1 or 2 M Prescribing for healthcare professionals 20 1 or 2 3 Community Nurse Prescribing 20 1 or 2 M Community Nurse Prescribing D. LEARNING, TEACHING AND ASSESSMENT STRATEGIES. The learning, teaching and assessment have been designed to develop your skills as a reflective practitioner, critical thinker and to promote continued engagement in lifelong learning. The learning and teaching strategies also recognise the diversity and prior education that different students bring to the classroom, this presents an opportunity for those differences to be used creatively in order to facilitate valuable inter-professional learning. Supervised prescribing practice is a formal element of your learning and your development of competency as a prescriber will be supported by a mentor throughout the course. The theoretical elements are directly linked to your supervised practice experience, facilitating educational coherence for you and your mentor and ultimately employer and importantly patients. Learning and teaching will be undertaken over one semester, this normally also includes the required days of practice learning working alongside a mentor, however the module team are aware that completing the required practice based learning on the 40 credit ‘Prescribing for Healthcare Professionals’ module can be a challenge therefore you may negotiate with the Module Leader and mentor to extend the practice days over two semesters. It is not possible to undertake the practice experience before the taught element of the module Knowledge and Skills The theoretical component will be delivered using a range of teaching and learning strategies including lectures, tutorials and seminars. Role play, ward visits and formative objective structured clinical examinations (OSCEs) are used to support learning in the classroom in addition to the more traditional lectures. Inter-professional learning is promoted through the use of student and lecturer generated case studies and event analyses. You will be encouraged to share experiences and case examples generated through supervised practice. Individualised learning is supported by a learning contract for some modules. Theoretical elements are assessed using a multiple choice question examination (MCQ) and, for some modules, a summative objective structured clinical examinations (OSCE). As well as the formal examination you will be expected to demonstrate your understanding through reflective writing, the development of a portfolio and completion of a competency framework. The competency framework, developed by the National Prescribing Centre (NPC) (2001, 2003, 2004), is used as the basis for prescribing practice development and assessment of competence by students working with a mentor. Assessment is carried out jointly between your mentor and the teaching team. Personal Transferable Skills You may need to develop or revisit and extend your information technology skills through supported learning in the Interactive Learning Centre (ILC) in order to search, retrieve and evaluate electronic data and information sources. In addition skills of data capture and analysis required to inform evidence based prescribing practice will be reinforced. Problem solving using case studies and the simulated consultations are used so that students can practice, within the confines of a ‘safe’ consultation setting, decision-making behaviour. Personal transferable skills will be assessed through reflective writing, development of a portfolio and the competency framework. Formative assessment will be ongoing throughout the programme of study. Formative assessments are timetabled so you can assess your own learning within the confines of a ‘safe’ setting. Summative assessment will normally be undertaken, or submitted, at the end of the semester that you originally registered. The diet and volume of assessment reflects the breadth of the curriculum and the understandable necessity to ensure robust assessment of your fitness for purpose and practice: You have to pass each element of assessment to be deemed as having successfully achieved the module and to qualify as a prescriber. Supplementary assessment on one occasion of any unsuccessful element(s) in the same mode is normally allowed. E. ADMISSION REQUIREMENTS Students will be selected on the basis of having met the requirements of the NMC, RPSGB or HPC for admission to prescribing modules. Admission requirements vary according to professional background and module choice but include: Valid registration on NMC Register as a nurse, midwife or community public health nurse, or registration with the HPC as an allied health professional or registered pharmacist on the membership register of the RPSGB and /or Pharmaceutical Society of Northern Ireland Nurses - minimum of 3 years experience since qualifying, including one year, immediately preceding the course, working in the area of practice in which they intend to prescribe. Nurse applicants must be competent to take a history, carry out an appropriate clinical examination and make a diagnosis. Alternatively Nurse applicants may be enrolled on an appropriate educational advanced practice module such as HM4009D or HN3127D. Allied Health Professionals – minimum 3 years experience as a qualified allied health professional. Pharmacist – minimum of two years experience following registration. Support from your employing organization to undertake the module and practice subsequent to successful completion; that costs generated by their prescribing (once qualified) will be met, that appropriate CRB checks have been undertaken and access to continuing professional development (CPD) opportunities will be available on completion of the course. The employing organisation must have assessed the applicant to be competent in their area of practice. The applicant must also have demonstrated appropriate numeracy skills. Demonstrate an ability to study at appropriate level (3/M) through prior learning. Potential entrants would normally have studied at level 2 for level 3, and level 3 for level M. Any judgments on prior learning will follow normal procedures for assessing academic standing through the University of Bradford APL process. On successful completion, if you might wish to import the credit into a University of Bradford postgraduate award you must undertake the module at Level M. Have written evidence (proof) that the learner has access to an appropriate mentor who has agreed to provide support, supervision, and opportunities for the individual to develop competence as a prescribing practitioner for the duration of the course. The mentor must be approved by the course leader and the non medical prescribing lead for the employing organization. F ADMISSION POLICY Admission is on the basis of submission of an application, curriculum vitae, letter of support from your manager and organisational non-medical prescribing lead. G. PROGRESSION The assessment regulations are in accordance with the University of Bradford’s Regulations and Ordinances covering Postgraduate Taught courses. As the module outcomes relate to professional practice a waiver has been obtained and the MCQ and OSCE examinations must be achieved at 80%. The School of Health Studies level 3 or M assessment criteria are applied to all other summative assessment and you must achieve a minimum pass of 40%. You will be encouraged to complete and submit a self assessment proforma to underpin your development as a reflective prescriber. You must pass all elements of the diet of assessment to be eligible to record your qualification with the relevant professional organisation. H. STUDENT SUPPORT AND GUIDANCE The University and the School of Health Studies have a well-deserved reputation for excellence in learning and teaching and our latest Major Review (2004) and internal university annual monitoring continues to confirm this. The QAAHE has expressed confidence in the academic and practitioner standards in all of the provision delivered by the School of Health Studies and partner clinical placements. It also commended the quality of learning opportunities in all three categories: learning and teaching; student progression and learning resources. In addition the NMC commended the prescribing provision following annual review in 2005. The School of Health Studies Library is fully integrated with the main University J B Priestley Library but is dedicated to serving the teaching, learning and research needs of the School. Support for students in the use of the Library and its resources are provided at induction, through formal teaching and via enquiry services. There are systems for reserving books and accessing electronic journals and databases from home. Student support provided by the Division and School is enhanced by a strong University infrastructure, in particular the Disabilities Office and the Careers Service, and by 24hour access and Internet connections to the Library and computing facilities. Course handbooks contain full details of all support services and information about the University and the School of Health Studies. The School’s Interactive Learning Centre (ILC) and Learning Technology Advisor are available to students, as is advice on innovative learning and teaching practice. The academic staff associated with this programme will be developing and integrating e-learning as a feature of the student experience. All students have the opportunity to comment on the course, its organisation, content and management through the Staff Student Liaison Committee and Course Management Teams in addition to modular evaluation. In recognition of the part time nature of the programme this will be facilitated through a virtual learning environment. In addition the Course Team will act as personal tutors for you supported by a multidisciplinary teaching team. Students will also be provided with university and course student handbooks that provide information of additional resources and sources of support for their learning. Members of staff involved in your course are available via e-mail and operate an increasing amount of student support electronically. I. FURTHER INFORMATION Contact Recruitment and Student Support on (01274) 236365 email: sohrecruitment@bradford.ac.uk REFERENCES Department of Health (2000) The NHS Plan London: HMSO Department of Health (2005) Supplementary Prescribing by Nurses, Pharmacists, Chiropodists/Podiatrists, Physiotherapists and Radiographers within the NHS in England, http://www.dh.gov.uk/PolicyAndGuidance/MedicinesPharmacyAndIndustryPrescriptions/Suppleme ntaryPrescribing/fs/en. Accessed June 2006 Department of Health (2006) Improving Patients’ Access to Medicines: A Guide to Implementing Nurse and Pharmacist Independent Prescribing within the NHS in England, http://www.dh.gov.uk/assetRoot/04/13/37/47/04133747.pdf Accessed June 2006 National Prescribing Centre, (2001) Maintaining Competency in Prescribing An Outline Framework to Help Nurse Prescribers. Liverpool. NPC National Prescribing Centre, (2003) Maintaining Competency in Prescribing An Outline Framework to Help Pharmacist Prescribers. Liverpool. NPC National Prescribing Centre, (2004) Maintaining Competency in Prescribing An Outline Framework to Help Allied Health Professional Supplementary Prescribers. Liverpool. NPC DisclaimerThe information identified within this specification and the curriculum may change, subject to the University's course approval, monitoring and review procedures.