Run by School of Medical and Health Sciences
40.000 Credits or 20.000 ECTS Credits
Semester 1 & 2
Organiser: Mrs Ffion Simcox
Overall aims and purpose
This programme will enable nurses, midwives, advanced physiotherapists, therapeutic radiographers, advanced paramedics, chiropodists and podiatrists to undertake a robust training programme in order to develop and register as competent independent/supplementary prescribers to meet the standards set by the Nursing and Midwifery Council (NMC), and the Health and Care Professions Council (HCPC).
The programme will develop professionals to become safe, knowledgeable, competent, compassionate and effective practitioners with a person-centred approach to prescribing, with a comprehensive and thorough understanding of safe prescribing practice. By exploring the issues relating to self-care, resilience and accountability, practitioners will adopt the skills and knowledge required to become compassionate leaders. The programme aims to develop critical-thinking prescribers who fully understand and exercise their professional accountability within their advanced role. Upon successful completion of the programme, students will be able to record their independent/supplementary prescribing status with their regulatory body.
All students undertaking the programme must meet the requirements as determined by their respective professional standards (NMC and HCPC). This is a level 7 programme.
The programme will ensure that you are familiar with and can apply the general principles of prescribing practice which you must utilise within your own area of clinical practice. Topics will be delivered in a generic style and the speakers will occasionally refer to their own clinical experience, however the principles discussed can be applied to all areas of practice. The programme will allow you to expand on your existing knowledge and apply these to the principles of prescribing.
This will provide a foundation for your development as a newly qualified independent/supplementary prescriber. Once qualified and registered with your regulatory body, you will have opportunities to expand your formulary and area of competence, in conjunction with your employer, as appropriate.
Elements of this programme will be delivered in conjunction with the prescribing programme for pharmacists. The students on both of these courses come from different professional backgrounds and diverse clinical specialties and will have different knowledge, skills, experiences and expertise. This course facilitate interprofessional learning which encourages a collaborative team-orientated approach to learning and working. Based on this, you are expected to take an active role in interprofessional learning during the programme by sharing your expertise and professional perspective.
You are expected to be active participants in your learning which means participating in discussions within the class and on the discussion board, actively seeking learning opportunities within clinical practice, and undertaking self-directed learning.
The programme is underpinned by the Royal Pharmaceutical Society's A Competency Framework for all Prescribers (2016). The programme content and assessments are mapped against the 10 domains within this framework -
- assessing the service user
- consider the options
- reach a shared decision
- provide information
- monitoring and review
- prescribe safely
- prescribe professionally
- improve prescribing practice
- prescribe as part of a team
Good (Minimum B-)
• Strong knowledge
• Demonstrates understanding of the prescribing issue
• Evidence of extensive contemporaneous background study
• Focussed answer with good structure
• Arguments presented coherently
• Some limited original interpretation
• Well known links between prescribing topics are described and analysed
• Problems addressed by existing methods/approaches
• Good presentation with accurate communication
Excellent (Minimum A-)
Comprehensive knowledge of the facts and principles surrounding independent prescribing
• Detailed understanding of the subject area
• Extensive relevant contemporaneous background study
• Highly focused answer and well structured
• Logically presented and defended arguments
• No factual/computational errors
• Original interpretation
• New links between topics are developed
• New approach to a problem
• Outstanding quality in terms of presentation with accurate use of grammar
Threshold (Minimum C-)
• Knowledge of key areas/principles of prescribing
• Understands the main elements of the prescribing issue identified
• Limited evidence of background study
• Answer focussed on prescribing but also with some irrelevant material
• Arguments presented but lack coherence
• No original interpretation
• Only major links between topics are described
• Some weaknesses in presentation and accuracy
- Demonstrate a comprehensive level of pharmacology knowledge required to become a safe prescriber and apply to own area of practice
Adopt a reflective approach to critically analyse the theory underpinning person-centred care, professionalism, professional knowledge and skills, collaboration and service user feedback and apply to own area of prescribing practice.
Demonstrate achievement of the competencies identified within the Royal Pharmaceutical Society's A Competency Framework for all Prescribers (2016)
Demonstrate the numerical and calculation skills required to become a safe prescriber
Critically analyse, interpret, apply and justify the general principles of safe prescribing
Adopt a reflective approach to critically analyse and apply a wide range of contemporary evidence relating to own area of practice, to inform and improve best prescribing practice
|EXAM||Safe Prescribing Examination||
Multiple choice and short answer questions exam based on the principles of general pharmacology and safe prescribing. The use of a current BNF is required for this exam. The pass mark is 80%. You will be given the opportunity to sit a formative safe prescribing examination prior to the summative assessment. You must pass this exam in order to pass the programme.
|LOGBOOK OR PORTFOLIO||Prescribing Competency Portfolio||
You are required to submit a portfolio of evidence, which includes the assessments performed by your DPP during practice-based learning.
|INDIVIDUAL BLOG||Discussion Board Contribution||
You are required to participate in an online discussion forum where you must reflect on your development as a trainee prescriber. You must contribute to the discussion board on a monthly basis from week 5 of the programme. You will be expected to initiate at least one discussion a month, as well as respond to at least one other entry. Entries must be written to an academic standard and reflect on your prescribing experiences which is supported by referenced evidence. The five topics for the discussion board and word-count requirement are outlined below. Person Centred Care (minimum 1,000 words) Professionalism (minimum 1,000 words) Professional Knowledge and Skills (minimum 1,000 words) Collaboration (minimum 1,000 words) Reflecting and responding to service user feedback (minimum 1,000 words) This assessment must be passed in order to pass the programme.
A 40 minute examination on basic numeracy skills pertaining to prescribing practice. The use of a calculator is permitted in this exam. The pass mark is 100% and the assessment must be passed in order to pass the programme. You will be given an opportunity to sit a formative numeracy examination prior to the summative examination.
You will be required to deliver a 20 minute recorded presentation to discuss a prescribing decision regarding a medicine on your personal formulary encountered during your practice-based learning. You will need to address the 10 dimensions specified in the Royal Pharmaceutical Society's Competency Framework fro all Prescribers. Service users will be invited to take part in the assessment.
Teaching and Learning Strategy
Total of 48 hours over 9 study days
2 x 3 hour group tutorials
2 x 3 hour group case scenario workshops
250 hours of directed and self-directed study
90 hours of practice-based learning, supervised by the Designated Prescribing Practitioner
- Literacy - Proficiency in reading and writing through a variety of media
- Numeracy - Proficiency in using numbers at appropriate levels of accuracy
- Computer Literacy - Proficiency in using a varied range of computer software
- Self-Management - Able to work unsupervised in an efficient, punctual and structured manner. To examine the outcomes of tasks and events, and judge levels of quality and importance
- Exploring - Able to investigate, research and consider alternatives
- Information retrieval - Able to access different and multiple sources of information
- Inter-personal - Able to question, actively listen, examine given answers and interact sensitevely with others
- Critical analysis & Problem Solving - Able to deconstruct and analyse problems or complex situations. To find solutions to problems through analyses and exploration of all possibilities using appropriate methods, rescources and creativity.
- Safety-Consciousness - Having an awareness of your immediate environment, and confidence in adhering to health and safety regulations
- Presentation - Able to clearly present information and explanations to an audience. Through the written or oral mode of communication accurately and concisely.
- Teamwork - Able to constructively cooperate with others on a common task, and/or be part of a day-to-day working team
- Mentoring - Able to support, help, guide, inspire and/or coach others
- Caring - Showing concern for others; caring for children, people with disabilities and/or the elderly
- Management - Able to utilise, coordinate and control resources (human, physical and/or financial)
- Argument - Able to put forward, debate and justify an opinion or a course of action, with an individual or in a wider group setting
- Self-awareness & Reflectivity - Having an awareness of your own strengths, weaknesses, aims and objectives. Able to regularly review, evaluate and reflect upon the performance of yourself and others
- Leadership - Able to lead and manage, develop action plans and objectives, offer guidance and direction to others, and cope with the related pressures such authority can result in
Subject specific skills
Students will develop a range of skills such as clinical reasoning, managing risk, communication and multi-disciplinary teamworking. Upon successful completion of the programme, students will be able to register their independent/supplementary prescribing status with their regulatory body.
Resource implications for students
Students may need to buy a stethoscope in preparation for the course. Students will need access to a computer and internet connection as well as a calculator.
Talis Reading listhttp://readinglists.bangor.ac.uk/modules/nhs-4258.html
Barber P. & Robertson D. (2020). Essentials of Pharmacology for Nurses. 4th Edition. Open University Press
Beckwith S. & Franklin P. (2011). Oxford Handbook of Prescribing for Nurses and Allied Health Professionals. 2nd Edition. Oxford, Oxford University Press.
Blaber A., Morris H. & Collen A. (2018) Independent Prescribing for Paramedics. Class Professional Publishing.
British National Formulary bnf.nice.org.uk
British National Formulary for Children bnfc.nice.org.uk
Courtenay M. & Griffiths M. (2010). Independent and Supplementary Prescribing: An Essential Guide. 2nd Edition. Cambridge, Cambridge University press.
Dimond B. (2019). Legal Aspects of Nursing. 8th Edition London, Quay Books.
Galbraith, A., Bullock, S., Manias, E, Hunt, B. & Richards, A. (2017). Fundamentals of Pharmacology: An applied approach for nursing and health. 2nd Edition. Harlow, Pearson Prentice Hall.
Haylock D. & Warburton P. (2013). Mathematics Explained for Healthcare Practitioners. London: Sage
Health and Care Professions Council website https://www.hcpc-uk.org/
Hogan-Quigley B., Palm M.L.& Bickley L. (2011). Bates' Nursing Guide to Physical Examination and History Taking (Bates Guide) London, Lippincot, Williams and Wilkins.
Hopcroft K. & Forte V. (2020). Symptom Sorter. 6th Edition. Oxford: Radcliffe Medical Press.
Lovell B., Lander M. and Murch N (2020). Clinical Skills, Diagnostics and Reasoning. Scion Publishing.
McGavock. (2015). How Drugs Work. Basic Pharmacology for Health Professionals. 4th edition. CRC Press.
Neal, M.J. (2020). Medical Pharmacology at a Glance. 9th edition. Cornwall, Blackwell- Science
Nursing and Midwifery Council website https://www.nmc.org.uk/
Nuttall D. & Rutt-Hpward J. (Eds.) (2019. The textbook of Non-Medical Prescribing (3rd ed). Wile-Blackwell
Rawles, Z., Griffiths, B. & Alexander, T. (Eds) (2015). Physical Examination Procedures for Advanced Nurses and Independent Prescribers. Evidence and Rationale. 2nd Edition. Spain, Hodder Arnold
Reznik, J., Ofer, K., Morris, J. & Biran, I. (2017) Pharmacology Handbook for Physiotherapists. Elsevier.
Royal Pharmaceutical Society (2016). A Competency Framework for All Prescribers. https://www.rpharms.com/Portals/0/RPS%20document%20library/Open%20access/Professional%20standards/Prescribing%20competency%20framework/prescribing-competency-framework.pdf?ver=2019-02-13-163215-030
Starkings S. & Krause L. (2018). Passing Calculations Tests in Nursing 4th ed. London: Sage
Swartz, M. H. (2020). Textbook of physical diagnosis: history and examination. 8th edition. Philadelphia, Elsevier, Saunders.
Taylor,D., Paton, C.& Kapur, S ( 2015). The Maudsley Prescribing Guidelines in Psychiatry 13th Edition. Oxford, Wiley Blackwell.