EHC accreditation requirements April 2014 Last week 2 new PGDs were issued for the supply of emergency hormonal contraception by community pharmacists. The PGDs have been developed by Cheshire and Mersey Public Health network (CHAMPS) and will be the same across Cheshire and Merseyside. The PGDs will be authorised by each local authority and you must sign a separate authorised PGD for each local authority you work in. The PGD is signed by the pharmacist providing the service. EHC PGD training requirements for pharmacists Training and competency of registered community pharmacists Qualifications and professional registration Initial training Competency assessment Requirements of registered community pharmacists working under the PGD Community Pharmacists currently registered with the General Pharmaceutical Council (GPhC), who are working in a pharmacy contracted to NHS England (Mersey) or NHS England (Cheshire, Warrington and Wirral) Training must be in accordance with the Local Authority service specification, including the Pharmacist Selfdeclaration of Competence in Emergency Hormonal Contraception (EHC), and Safeguarding. The pharmacist must satisfy the requirements of Selfdeclaration of Competence for Community Pharmacy for Emergency Contraception The Pharmacist should have achieved the competency levels specified in the NICE Competency Framework for Health Professionals using Patient Group Directions http://www.nice.org.uk/mpc/goodpracticeguidance/GPG2.jsp Ongoing training and competency The pharmacist must maintain a regular Self-assessment Declaration of Competency every two years or sooner if appropriate. It is the responsibility of the pharmacist to undertake Continuing Professional Development and to make this information available on request. As part of the introduction of these new PGDs there has been a shift away from the accreditation of pharmacists to provide a service within each locality they work, to a model of self-declaration of competence. The model has been developed in conjunction with the CPPE and is co-hosted by the Royal Pharmaceutical Society. Information on Declaration of competence (DoC) is on the CPPE website (www.cppe.ac.uk/services). CPPE provides a stepwise approach in guiding the pharmacy professional through the self-declaration process. 1. Learning and development needs: Details of the recommended learning and assessment to meet the minimum competency requirements for the service. 2. Self-Assessment Framework: The framework includes competencies in a question format which relate to the clinical, ethical, cultural and legal aspects of delivering each service. If, pharmacy professionals are able to answer ‘yes’ to all the competency questions and can provide evidence of learning and assessments completed (such as certificates issued on completion of training), they can be confident that they meet the service’s competency requirements. There are also recommendations in the learning and development section about how to fill any gaps in meeting all the competencies (e.g. by undertaking some further training) although these are not meant to be exhaustive. 3. Self-declaration of competence: When the pharmacist is confident that they can meet the competencies to deliver the specific service and all the training and self- assessment has been successfully completed, they will then be able to print a personally generated declaration certificate from the CPPE website. This will include details of all the learning programmes and assessments an individual has successfully completed. The declaration can be provided to employers and commissioners as evidence of competency. An example of what a personal declaration certificate looks like for EHC can be found on the CPPE website: https://www.cppe.ac.uk/myCPPE/ssl/MyServiceDocs/Emergency%20contraception.p df If you currently provide this service you will need to follow the above process and complete the self- declaration of competence in order to continue to provide the service in line with the new PGD and service specifications. You may be able to use training workshops attended for previous accreditation in your declaration of competence. Pharmacists must ensure that they have access to local information on safeguarding and local sexual health referral pathways. The LPC is working with local commissioners to ensure that local information is available at CPPE local solutions workshops within Halton, St Helens and Knowsley and we have also requested commissioners to provide information to put on the LPC website. Service Level Agreement The pharmacy providing the service will also sign a service level agreement (SLA) with the local authority. Sometimes these SLAs include additional training requirements to those listed within the PGD. These requirements are listed below for Halton, St Helens and Knowsley. Additional training requirements in local authority service specifications St Helens 1. local training once every 3 years for a lead pharmacists who will need to ensure they update any other pharmacists involved in EHC. This will not stop pharmacists from delivering the service but will ensure they have clearer understanding of where to refer women. 2. CPPE distance learning pack ‘contraception’ (this could also be included as part of DoC). Knowsley 1. The Pharmacy should ensure that staff are sufficiently trained & accredited to provide the service. 2. The pharmacy will make available, on request, evidence of training & accreditation for audit purposes to the Council Halton No additional training requirements notified to LPC Other Services which will be covered by DoC in future include: Minor Ailments schemes, Supervised consumption of prescribed medicines, Stop Smoking, Needle and syringe programmes, Alcohol use identification and brief advice, Chlamydia testing and treatment. Please contact Bertha Brown if you need any further information: Bertha Brown Chief Officer Halton, St Helens and Knowsley LPC [email protected] telephone 07857 889449
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