APPENDIX III
Community Pharmacy Enhanced Services
Competencies and Training Framework
Enhanced Service: / Supervised ConsumptionVersion: / 1 (March 2009)
Issue Date: / 1stApril 2009
Review Date: / 1stApril 2010
No. of pages: / 2
Authorised by: / Devon Primary Care Services Group
1. / Introduction
Community Pharmacists wishing to provide Supervised Consumption as an enhanced service must be accredited (see Section 3.1) and have their names on an enhanced service provider list kept by the DAAT on whose behalf they are providing the service. Throughout this document the abbreviation DAAT is used in place of “Primary Care Trusts or other Commissioning Bodies”.
The information in this document outlines the purpose and design of suitable local training. This training and competency framework supports the competencies required to achieve the Drug and Alcohol National Occupational Standards (DANOS).
2. / Core Competencies
These core competencies have been linked, where appropriate, to the general pharmacist competences of the Royal Pharmaceutical Society of Great Britain.
Understands the terminology, definitions of drug dependence, the concept and practice of harm reduction; in particular the legislation and parameters associated with the supply of diversionary opiates [G1].
Has an awareness of the treatment of substance misuse and knowledge of commonly misused drugs with particular reference to drugs liable to require substitute prescribing [G1].
Is able to promote safer practice to users [G1].
Effectively communicates with drug misusers with respect and courtesy [G1].
Advises on general health promotion including sexual health, STIs, BBVs, HIV and Hepatitis C transmission and Hepatitis B immunisation [G2, G3].
Is able to counsel and advise individuals about their drug dependence whilst respecting their privacy and treating them with dignity [G2].
Is aware of when to ask for support and advice [G7].
Understands the legislation, ethics, duty of care and the need to apply professional judgement for this client group [G1, G10].
Understands principles of risk minimisation to patients, staff and members of the public; use of appropriate protective equipment and how to deal safely and effectively with spillages or contamination with potentially infected blood or body fluids [G1, G8].
Understands the principles of safe storage of medication; is aware of actions to take in the event of needle stick injuries [G1, G7].
3. / Framework of Training
3.1Underpinning Knowledge
A Centre for Pharmacy Postgraduate Education (CPPE) open learning programme provides pharmacists with the necessary knowledge to underpin the provision of this enhanced service:
CPPE Substance Use and Misuse
This should be completed within six months of starting to provide a Needle and Syringe Provision service and a record of completion of this programme must be kept and a copy sent to the accrediting DAAT for full accreditation.
CPPE also has a Pharmacy Technician Substance Use and Misuse open learning programme available. Although not a requisite for service provision, this will support the development of such services.
3.2Local PCT / Drug and Alcohol Action Team Commissioned (DAAT) Workshop
Attendance at a workshop is considered a prerequisite in order for Pharmacists to provide a Supervised Consumption service. New Pharmacists may commence providing the service on the condition that they attend the next available DAAT training event. The DAAT Clinical lead will ensure that the Pharmacist is trained to the minimum standard if the next training event is not imminent. Knowledge of local services should be provided by reference to the DAAT’s service specification.
[The National Treatment Agency recommends that the DAAT should arrange at least one contractor meeting per year to promote service development and update the knowledge of pharmacy staff.]
4. / Summary of Assessment & Accreditation
Each pharmacist must be undertaking or have successfully completed the required assessment for:
CPPE Substance Use and Misuse open learning programme
Temporary accreditation for the first six months may be achieved by written self declaration to the DAAT stating that the CPPE training pack has been commenced and will be completed within six months. Full accreditation is proven by possession of a current, expiry dated certificate provided by the accrediting DAAT. DAATs are recommended to maintain records of pharmacists accredited or re-accredited for a minimum of three years.
5. / Re-accreditation
Updates are recommended every two years which may be in the form of a self declaration of competency or other method of assessment as considered appropriate by the accrediting DAAT. Where there are concerns regarding poor performance, this should be addressed separately as a clinical governance matter.