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Shared decision making, including information sources for patients 33 ... Leadership, business skills and personal development 44 Networking 46 Keeping up to date 48 CPPE programmes for pharmacist prescribers 49 ... and are available in multiple form
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Annual report 2015/2016
AR1516 July 2016
About CPPE The Centre for Pharmacy Postgraduate Education (CPPE) is part of the Manchester Pharmacy School at the University of Manchester. We are funded by Health Education England to provide continuing professional development opportunities to all pharmacists, pre-registration trainee pharmacists and pharmacy technicians providing NHS services in England. Our dedicated team of staff is committed to providing a high-quality professional service to support the learning we deliver.
CPPE mission statement
Provider of educational solutions for the NHS pharmacy workforce across England, to maximise their contribution to improving patient care.
Information about our governance can be found on our website: www.cppe.ac.uk/about-cppe/governance
CPPE values To underpin our mission statement we have developed five core values; making a commitment to: ■ improve and achieve ■ communicate ■ encourage others ■ be open and honest ■ work together.
Contents Change, collaboration and creativity .................. 3 Highlights 2015/2016 ....................................... 5 How we are performing ..................................... 8 Your feedback ................................................... 9 Strategic goals 2015/2016 .............................. 11 Regional highlights .......................................... 16 Finance report ................................................. 25
These values are underpinned by some guiding principles: patient care and public interest is at the heart of all our plans and actions, we act in a non-competitive way within the pharmacy family of organisations, and we collaborate and work with partners whenever possible.
Change, collaboration and creativity During 2015/2016 we said goodbye to some remarkable performers, including David Bowie, Sir Terry Wogan, Cilla Black, Lemmy, BB King, Christopher Lee and Ronnie Corbett. During his 50 years in the music industry, David Bowie became a rock icon, known for his innovation. He collaborated with numerous well-known musicians, including John Lennon, Iggy Pop and Mick Jagger. Through his creativity he released more than 30 studio-recorded albums and became one of the world’s best-selling music artists. I have taken inspiration from David Bowie’s life and career to frame my report for this year.
Ch-ch-change The NHS landscape is always changing, and this year we developed our General practice pharmacist training pathway (GPPTP) to train over 450 pharmacists that are part of the NHS England and Health Education England Clinical Pharmacists in General Practice Pilot. The Declaration of Competence (DoC) system received national support and approval in 2015 and five new services have since been added to the DoC portfolio. The main addition was in September 2015 when a new DoC for the NHS seasonal influenza vaccination advanced service was developed and over 10,000 pharmacists declared themselves competent to deliver this service.
From spring 2016, community pharmacists and pharmacy technicians across England will be able, with patient consent, to access Summary Care Records (SCRs) for patients. In 2015/2016 we developed a new e-learning programme to support pharmacists and pharmacy technicians to offer this service, as well as an e-assessment, which is a prerequisite for them to access SCRs through their NHS Smartcards. In response to the rise in accident and emergency waiting times and the Keogh Urgent and Emergency Care Review, we developed an e-learning programme, distance learning programme, and a two-day residential course to support community pharmacy professionals in the North West to develop clinical assessment skills to provide care for urgent cases. We hope to roll this course out nationally during 2016/2017. This year we reviewed our internal governance and changed the structure of our customer services team. Our customer services staff now fit into three support teams: customer experience and quality, learning operations, and finance and administration. This allowed our head office team to focus on specific areas of support and enabled us to create one new administrative position. As an organisation, we have grown by approximately 30 percent this year. With the launch of GPPTP we needed to increase capacity, and we recruited 32 new members of staff, taking our full-time equivalent (FTE) from 46 to 60.7.
Let’s dance… focus on collaboration Acute kidney injury (AKI) was the topic of our autumn 2015 learning campaign. We collaborated with the Think Kidneys programme from the Renal Registry to develop the learning campaign, encouraging pharmacy professionals to improve their knowledge on AKI and make changes to their practice to help prevent this condition. We sent our new AKI distance learning programme to over 64,000 pharmacy professionals. Every six months we work with the British National Formulary (BNF) to develop a learning programme highlighting the most recent changes to the BNF. During the year we built on this partnership and worked with Karen Baxter, director of the BNF, to develop a new programme to support healthcare professionals to use the redesigned BNF book, website and app. During 2015/2016 we continued to work with the National Institute for Health and Care Excellence (NICE) to develop online learning tools to support health and social care professionals to implement NICE guidance. The most recent tools focused on severe mental illness, bladder cancer, weight management, and diabetes, and the final three tools will focus on antimicrobial stewardship, children’s attachment and food allergy. We have continued to collaborate with the Royal Pharmaceutical Society to produce two more medicines optimisation briefings to be sent out with the Pharmaceutical Journal, with another two to come later in 2016.
professionals with their consultation skills with specific patient groups. We added some innovative elements to our learning campaigns during the year. For the AKI learning campaign we produced two animations to highlight how simple interventions from the pharmacy team can help people reduce their risk of developing AKI. As part of our Polypharmacy learning campaign we created a stronger online presence by developing a media wall on our website, which includes videos and podcasts that form part of the distance learning programme and focal point workshop. Learners could also sign up to the learning campaign on our website and record evidence that they completed campaign challenges. After completing all the challenges, a virtual badge appeared on their account. Overall, we have had a very productive year. We developed 35 new learning programmes, facilitated close to 700 workshops and saw 831,410 sessions* on our website.
Heroes I want to pay tribute to my superb CPPE team of tutors, regional managers, head office staff, new GPPTP team and pharmacists. They have grown and adapted to change exceptionally well this year and all our successes would not be possible without their leadership, commitment, talent and enthusiasm to make a difference. Thank you.
Sound and vision… focus on creativity Since 2014 we have been developing consultation skills learning materials for pharmacy professionals. During 2015/2016 we created a new CPPE learning format for pharmacy support staff and sent this resource to almost 11,500 community pharmacies in England. The resource consists of a set of learning cards that can be used for self-study or group learning. It encourages learners to critique videos of consultations and complete online activities on theLearningpharmacy.com™. We also launched a range of learning programmes to support pharmacy
Professor Christopher Cutts, Director Centre for Pharmacy Postgraduate Education
*A session is a group of interactions that take place on a website within a given time frame. See page 14 for more information.
Highlights 2015/2016 Below we tell you about some of the highlights of 2015/2016, which include the Declaration of Competence for the NHS seasonal influenza vaccination advanced service, the General practice pharmacist training pathway, our work in the North West to support pharmacy’s role in urgent care, and issue 100 of e-challenge. Read on to find out more.
Declaration of Competence
The Declaration of Competence (DoC) received national support and approval in 2015. It is now the single nationally supported method for pharmacy professionals to assure competence to carry out public health services, and many commissioners are including it in their service specifications, service level agreements and patient group directions.
We continue to support pharmacy professionals to meet the Royal Pharmaceutical Society Professional standards for public health practice and ensure that we update all our public health workshop materials each year. This year we have also rewritten many of our public health self-study programmes, including Alcohol misuse: support and advice from the pharmacy team, Cancer and Immunisation in pharmacies: developing your service distance learning programmes. We replaced our Sexual health in pharmacies: developing your service and Contraception distance learning programmes with Sexual health in pharmacies and Contraception e-learning programmes. We also combined elements of our existing Emergency contraception, Chlamydia testing and treatment and Safeguarding children and vulnerable adults workshops to create an extra full-day Sexual health workshop.
In September 2015 the DoC for the NHS seasonal influenza vaccination advanced service was launched. We saw a surge in the number of people using DoC, with over 10,000 pharmacists declaring themselves competent to deliver this service. To support pharmacy professionals to complete a DoC online we delivered five e-workshops, with 144 participants in total. A recorded workshop session is now available on the website.
Our support for European Antibiotic Awareness Day (EAAD) in November 2015 involved a mini campaign encouraging pharmacy professionals to complete or revisit the Antibacterial resistance: a global threat to public health distance learning programme, attend an Antibacterials focal point workshop, create a display to raise awareness of the risk of antibacterial resistance, and pledge to become an antibiotic guardian. 9
CPPE and its role in public health 2015/2016 CPPE is funded by Health Education England (HEE) to offer learning opportunities for pharmacy professionals in England. The wide range of learning programmes and assessments for each of the pharmacy-based public health services support the whole pharmacy team in maintaining competence. Learning and assessment is linked to the Declaration of Competence (DoC) system to assure provision of high-quality services for patients and enable a service-ready position when approaching commissioners. The DoC system is supported for use across England by HEE and endorsed by NHS England and Public Health England. CPPE also provides a range of support for those working towards accreditation as a Healthy Living Pharmacy.
E-learning programmes 13,000 accessed
Contraception Emergency contraception Introduction to public health Safeguarding children and vulnerable adults Sexual health in pharmacies Stop smoking: very brief advice Vascular risk and the NHS health check programme Weight management
Workshops 900 participants
Distance learning 4,300 downloads Alcohol misuse: support and advice from the pharmacy team Antibacterial resistance: a global threat to public health Cancer Immunisation in pharmacies: developing your service Substance misuse
Healthy Living Pharmacy resources CPPE provides a ran nge of resources for community pharmacy teams who wish to become Healthy Living Pharmacies: Healthy Living Pharmacy: developing your services: e-course Leadership for Healthy Living Pharmacies: all day workshop Leadership for Healthy Living Pharmacies: evening taster event Leadership for Healthy Living Pharmacy: e-course
Healthy Living Pharmacy: developing your services e-course
Alcohol identiﬁcation and brief advice Cancer awareness and screening Chlamydia testing and treatment Contraception services Emergency contraception Safeguarding children and vulnerable adults Sexual health all day workshop Stop smoking Substance misuse Weight management
Resources for training your health champions and counter staff www.thelearningpharmacy.com t t t t t
General practice pharmacist training pathway In 2015 NHS England announced its pilot to test the role of clinical pharmacists working in general practice. As part of this pilot we are leading the provision of the training pathway for all pharmacists employed in the NHS England bid sites. The pathway offers a comprehensive programme of residential courses, study days, small group learning, resources for self-directed study, assessment and support to equip pharmacists with the necessary knowledge, skills, behaviours and experience for their general practice role. Delivery of the pathway began in spring 2016. We received additional funding from Health Education England (HEE) to support this.
e-challenge In December 2015 we launched issue 100 of our e-challenge quiz, which was also our Christmas issue. We release e-challenge twice a month – it’s a quick and fun way for pharmacy professionals to test their knowledge and provides ideas for their CPD. There were 1394 attempts at issue 100, which focused on CPPE highlights from 2015. Overall there were nearly 50,040 attempts at the 24 e-challenge quizzes released in 2015/2016. In March 2016 we added a new development to our website, allowing people to log in before completing the quiz so that there is a record of their score. We are going to build on this and plan to create an e-challenge leader board.
Supporting older people learning campaign Supporting older people was our third learning campaign and we launched it in spring 2015. For this learning campaign, we used the format we developed for our Use antibacterials wisely learning campaign (which ran in autumn 2014) and posted a distance learning programme and campaign leaflet to all registered pharmacy professionals in England. The campaign leaflet contained six challenges for pharmacy professionals to complete, which helped them to focus on how they can support older people in practice. These challenges included: ■ testing existing knowledge by completing a special edition e-challenge ■ attending a Palliative care focal point workshop or working through the Palliative care topic on theLearningpharmacy.comTM to improve end-of-life care ■ enhancing their consultation skills by working through the Consultation skills for pharmacy practice website or attending a Consulting with older people workshop ■ becoming a Dementia Friend or Dementia Friend Champion ■ visiting an older people or carers support group to promote pharmacy services ■ making a commitment to take action to improve health outcomes for older people.
Acute kidney injury learning campaign Our autumn 2015 learning campaign was about acute kidney injury (AKI) and was launched at the Pharmacy Show on 19 October 2015. We sent the Acute kidney injury distance learning programme to more than 64,000 pharmacy professionals in England. The learning campaign ran for six weeks, focusing on one challenge each week. We continued to deliver key messages from the learning campaign right up until World Kidney Day on 10 March 2016. For this learning campaign we collaborated with the Think Kidneys programme from the Renal Registry to highlight the risks of acute kidney injury. We also built on our work from previous learning campaigns by developing a dedicated AKI page on our website with details of the weekly challenges.
Polypharmacy learning campaign We launched our Polypharmacy learning campaign in March 2016 to raise awareness of the risks people face if they are taking unnecessary or problematic medicines. We posted the distance learning programme to over 64,000 pharmacy professionals in England and developed a focal point workshop to complement and build on the distance learning programme. To enhance the learning campaign, we made further developments to the CPPE website. We created a media wall, which hosts videos and podcasts that form part of the distance learning programme and focal point workshop. Pharmacy professionals could sign up to this learning campaign on the website, record their activities throughout the learning campaign and earn a virtual badge as evidence of completing all six challenges. This approach adds an element of competition to the learning campaign and means pharmacy professionals can use the badge as evidence of their continuing professional development (CPD). It also helps us to see how many pharmacy professionals are engaging with our learning campaigns and offers some insight into how they use our learning materials. We plan to use this interactive approach for other parts of the website and upcoming learning.
Consultation skills for pharmacy practice During 2015/2016 we continued to add to our Consultation skills for pharmacy practice portfolio and recruited a new learning development pharmacist to support this work. We developed four new learning programmes focusing on consulting with people in specific patient groups. We also developed Consultation skills: what good practice looks like e-learning to provide pharmacy professionals with the opportunity to observe examples of good consultation skills in practice by watching a series of videos.
As well as these programmes, we developed learning materials to support the whole pharmacy team to improve their consultation skills. This includes our Do you say…? leaflet that contains key phrases which team members can incorporate into conversations with patients. In February 2016 we posted a new resource to all community pharmacies in England. This resource, Consultation skills for pharmacy support staff, is a set of cards containing hints and tips and links to online activities that anyone in the pharmacy team can complete. The resource also links to a new topic on theLearningpharmacy.com™ containing 12 bite-sized challenges for the pharmacy team to work through individually or together. Since distributing this resource, we have received requests from pharmacies outside of England who would like to purchase the card sets.
Urgent care Through local education and training board funding in the North West we developed a new two-day residential workshop: Advanced training in the assessment and management of urgent cases. Feedback from the two pilots was excellent and we went on to deliver a further 12 events in 2015/2016, offering training to 280 community pharmacists in history-taking and clinical examination skills. We will continue to run this workshop and plan to roll it out nationally in 2016/2017. The aim of the learning is to increase the confidence of community pharmacists to assess, manage, treat where appropriate and support patients in a community setting, to reduce the burden on the urgent care system. It includes medic-led teaching, facilitated group work and individual role play with simulated patients to produce an exciting, challenging and supportive learning environment. We also worked with Health Education England in Kent, Surrey and Sussex to develop a distance learning programme on urgent care for pharmacy practice. We held a series of focus groups with patients, pharmacists and pharmacy technicians to discuss the concept of urgent care and barriers to offering urgent care services through pharmacy. The outcome was a shared recognition that patients decide whether a condition is urgent, and that the pharmacy needs to be a haven for people to turn to for advice and support. The distance learning programme focuses on the management of pain – either due to muscular injury or headache – as a priority area to divert people from accident and emergency departments.
How we are performing With our focus on customer service, our Customer charter sets out our commitment to our customers and the level of quality that they can expect to receive – high-quality learning resources and excellent customer service. We set a number of standards for the level of service that customers can expect when dealing with us and measure our performance against them. The results are available on our website and summarised below:
Our customer service
We will achieve a target of 90% from our customers who are satisfied with the quality of our service1
We will achieve a target of 90% from our customers contacting CPPE, who felt we handled their complaint or query satisfactorily1
Percentage of emails replied to within three working days (five working days for emails to local pharmacy tutors)1
Percentage of complaints acknowledged within three working days2
Percentage of complaints addressed fully within 20 working days2
Our delivery standards
Percentage of pre-event materials dispatched on time for customers who book 14 or more days before the event3
Percentage of pre-event materials dispatched within four working days for customers who book with fewer than 14 days before the event3
Our learning services4
We will develop a minimum of 15 new learning programmes as per commission We will maintain the current level of administration costs to ensure maximum expenditure on learning5
1 Data taken from survey April 2016. 2 Data from complaints file April 2015/March 2016. 3 Data shows performance for orders placed and events run from April 2015 to March 2016. 4 Data taken from CPPE annual report 2015/2016. 5 Setup of GPPTP and other large-scale initiatives have caused a one-off increase.
Your feedback Building on the results from our customer surveys, our Customer Service Excellence action plan and your feedback over the last 12 months, we have developed a number of improvements.
You told us that you wanted:
We have responded by:
■ an easier-to-use password reset facility on our website
■ extending our Live chat operating hours
■ more guidance on how to approach the Consultation skills for pharmacy practice e-assessment ■ information about how you can make the most of using theLearningpharmacy.com™ as a teaching tool ■ to regain confidence to use your prescribing qualifications ■ support for being a GP-based pharmacist.
■ improving the password reset facility on our website to make it easier for you to change your password ■ launching a four-week online campaign, focusing on a different section of the Consultation skills for pharmacy practice assessment each week, to support and motivate you to complete and pass the assessment ■ developing theLearningpharmacy.com™ workshop ■ developing a new residential course, Return to prescribing, and a guide to prescriber CPD.
You told us you liked: ■ our Live chat service ■ the information we provide ■ the range of programmes to support your continuing professional development (CPD).
I was extremely fortunate to be a part of the [GPPTP induction] residential, and it’s given me such a confidence boost... The staff were very accommodating and made the experience even better. I am definitely going to make CPPE the core to progressing in my career. A true eye opener! Not only did it [the Acute kidney injury campaign] provide knowledge on the area, it also linked together the ways in which it can be used in practice to educate patients and identify the at-risk patients. I honestly can’t recommend the [Advanced training in assessment and management of urgent cases] course enough.
Strategic goals 2015/2016 Our aim for 2015/2016 was to ensure that our learning portfolio continued to be relevant and current and that the range of learning programmes we offered provided greater accessibility to all sectors of pharmacy. We prioritised our development plans based on a wide range of criteria and influences, including: the NHS outcomes and Public health outcomes frameworks, key changes in the NHS, supporting continuing professional development, fitness to practise, skill mix and driving quality and excellence. Health Education North West, on behalf of Health Education England (HEE), set seven strategic goals, and to meet these goals we developed 57 core and 55 developmental performance indicators as part of our organisational strategy for 2015/2016. Core indicators encompass our key priorities for the year and developmental indicators include activities that are designed to stretch our performance over the year. We fully met 47 out of 55 developmental performance indicators; one developmental indicator made good progress, three made some progress, with four indicators placed on hold. Here are some of our achievements for the year.
Strategic goal 1 CPPE as a leadership organisation After more than two decades of service to the pharmacy profession, we have developed a trusted, respected and valued place in pharmacy. To safeguard this position we support our team to act as local and national leaders, and we lead specific national programmes to support the development of pharmacy. This includes: ■ expanding and promoting the Declaration of Competence system to the pharmacy profession ■ developing further Consultation skills for pharmacy practice learning programmes that focus on consulting with different patient groups ■ posting Consultation skills for pharmacy support staff resources to around 11,500 community pharmacies in England ■ implementing social responsibility activities at our 2015 national meeting to raise funds and goods for charitable organisations ■ developing the General practice pharmacist training pathway (GPPTP) ■ achieving Investors in People Gold status ■ supporting three members of staff to become Royal Pharmaceutical Society (RPS) Fellows, including our deputy director, Matthew Shaw.
Strategic goal 2 Embedding patients and the public in CPPE strategy, learning and assessment
Strategic goal 3 Ensuring stakeholder and customer engagement
We have involved patients and the public in the design, content and review of our learning, and in the shaping of our assessments. We placed extra emphasis on this agenda in 2013 but recognised that there was still much more that we could do to embed patient and public involvement (PPI) in our learning.
To ensure that we serve the NHS and public health services we continually listen and respond to a wide range of stakeholders and customers. We work collaboratively and in partnership with local and national organisations and people in the development and delivery of our learning for pharmacy professionals.
We have implemented this by:
■ training and updating our learning development team to enable them to fully embed PPI within their learning development and committing to repeat this training annually
■ undertaking a large stakeholder survey in December to establish stakeholder views on priorities for CPPE
■ undertaking a survey as part of the development of our Contraception e-learning programme to find out what is important to members of the public using a contraception service ■ recording a podcast of a pharmacist talking about her experience of her mother developing acute kidney injury (AKI) and encouraging pharmacy professionals to listen to this podcast as part of our AKI campaign ■ including PPI in our tutor induction process to emphasise the importance and highlight local opportunities ■ including PPI in 91 percent of the programmes we developed this year.
■ developing focal point workshops on Parkinson’s disease and polypharmacy ■ collaborating with the Royal Pharmaceutical Society (RPS) to produce two medicines optimisation briefings on learning disability and eye health for the Pharmaceutical Journal ■ working locally with commissioners and employers to ensure pharmacy is service-ready – delivering 101 public health workshops and 227 collaborative and commissioned events ■ supporting the RPS by providing advice, information and support about learning resources to pre-registration trainee pharmacists attending six RPS conferences (with a further three in 2016) ■ regular inclusion of articles in professional journals, such as the Association of Pharmacy Technicians UK (APTUK) ■ working with a range of stakeholders to create GPPTP and the Chief pharmacist development programme ■ visiting close to 800 community pharmacies to promote CPPE.
Strategic goal 4 Governance and infrastructure of CPPE We develop and maintain a flexible learning and assessment portfolio. Quality is maintained through good internal and external governance systems. Information about our governance can be found on our website: www.cppe.ac.uk/about-cppe/governance We have done this by: ■ restructuring the format of our organisational strategy ■ reviewing our internal governance structures for learning development and delivery to ensure our programmes are produced to a high standard, whether face to face or via our website ■ exploring how we can help home-based members of staff to ensure they feel supported and included in the organisation ■ developing an intranet for use across the organisation ■ adding new members to our executive operational board ■ creating a reference group for GPPTP.
Strategic goal 5 Developing a quality learning portfolio supporting NHS and public health priorities and outcomes We develop our learning to ensure it meets the needs of the NHS and public health services and supports our six key pathways of career development; NHS and public health services; leadership, business skills and personal development; clinical pharmacy and therapeutics; education and training; and supporting pharmacy professionals. We demonstrated this by: ■ augmenting our internal learning development documents to create a guide to the learning development process and standards ■ implementing an induction programme for new members of the learning development team ■ working with core partners to develop a national programme to support medicines counter assistants to deliver patient-centred care ■ developing a guide for non-medical prescribers ■ sending out copies of our distance learning programmes on older people, acute kidney injury and polypharmacy to every pharmacy professional in England ■ continuing to embed primary care pharmacy in our learning programmes ■ developing GPPTP to support clinical pharmacists moving into GP practices ■ creating three new topics for theLearningpharmacy.com™ with 31,851 views of the topic floors ■ delivering 24 issues of our e-challenge quiz with nearly 50,040 attempts.
Strategic goal 6 Delivery and maintenance of quality learning and assessment We provide learning opportunities so that the pharmacy workforce providing NHS and public health services in England is able to meet its CPD requirements, while reflecting the educational requirements for specific NHS and public health services. This includes: ■ collaborating with stakeholders to form and operationalise a learning pathway for the next generation of general practice pharmacists ■ delivering an urgent care initiative with community pharmacy in the North West and developing a case to deliver this across England ■ recruiting 11 new events tutors, one new regional tutor and 15 new GPPTP staff members to deliver face-to-face learning ■ delivering 694 workshops, of which 227 were collaborative and commissioned events, with an additional 399 other collaborative activities ■ running 23 online workshops, with 579 people attending, and eight tutor-supported e-courses, with 2091 people participating ■ recording 150 small group sessions run by learning communities
Strategic goal 7 Efficient processes through CPPE Operations Management Unit (OMU) We review and amend our structure and infrastructure as necessary to ensure that we support the provision of learning opportunities for all users in an effective and efficient manner. We seek to maximise our expenditure on learning by continuing to monitor and report on costs relating to administration. We have demonstrated this by: ■ updating our bulk emailing facility to target specific groups of customers and provide analytics on the effectiveness of this type of promotion ■ improving our website to allow customers to link their learning record to their local commissioning body to share their Declaration of Competence ■ using our new policy for working with the pharmaceutical industry to further expand workshop provision within a fixed budget ■ restructuring our head office administrative staff to create three teams to focus on customer experience and quality, learning operations and finance and administration ■ monitoring 831,410 sessions* on our website and 6,514,168 page views ■ delivering 94,713 online activities
■ transferring our e-courses to a more user-friendly online platform
■ achieving 4501 followers on Twitter and 7313 likes (followers) on our Facebook page
■ operating within the funds allocated to us by Health Education England (HEE).
■ improving our online password reset facility ■ achieving the Green Impact Gold award for our work to reduce waste, save energy, promote recycling and encourage sustainable travel and procurement.
*A session is a group of interactions that take place on a website within a given time frame. A single session may contain multiple screen or page views, events, social interactions, and e-commerce transactions. A session ends after 30 minutes of inactivity and if an individual comes back after that a new session is started.
Regional highlights North CPPE activity in the North ■ 12,413 pharmacists ■ 6670 pharmacy technicians ■ 805 pre-registration trainee pharmacists ■ 219 events, across the area, including 80 collaborative and commissioned events, and 112 other collaborative activities (supporting facilitation, and other taster events)
■ 28,049 online activities including e-learning, distance learning and guide downloads, podcasts and e-lectures ■ 9673 successfully completing e-assessments, including 675 completing the Consultation skills for pharmacy practice e-assessment ■ 189 learning communities across the area, with 21 events in 2015/2016
■ 14,800 Declaration of Competence statements downloaded ■ 58,164 distance learning programmes distributed (Older people, Acute kidney injury and Polypharmacy) Note: For details of national activities not captured in the above data, see Strategic goals on pages 11-14.
North West highlights North West team Samantha White, regional manager (photo) Sarah Gough and Anna Graves, regional tutors Alison Butt, Sarah Gough and Deborah Howard, GPPTP education supervisors
Angela Brockbank, tutor Simon Butterworth, tutor Deborah Howard, tutor Claire Jones, tutor Vicki Tavares, tutor Emma Wilson, tutor
We were successful in a bid to Health Education North West to develop and roll out medic-led workshops focusing on the assessment and management of urgent cases. Community pharmacists attended the workshops to increase their confidence and skills to carry out examinations of the respiratory system and four other commonly presenting areas: superficial eye complaints; ear, nose and throat problems (ENT); skin conditions and swollen lymph glands. The workshop learning was underpinned by consultation skills and history-taking skills training. During 2015/2016 270 pharmacists attended the workshops, with 12 events being held across the North West. We collaborated with local pharmaceutical committees (LPCs) across the North West to support Healthy Living Pharmacies and their pharmacy teams. As a result, we ran consultation skills workshops to support minor ailments, and developed a bespoke workshop to support emergency contraception consultation skills. To support the leadership development of pharmacists participating in Healthy Living Pharmacies, we ran an all-day Leadership for Healthy Living Pharmacies workshop, and we have four further commissioned events planned for 2016/2017. Inhaler technique training continues to be a priority, and we collaborated with our stakeholder colleagues to deliver six commissioned events, with three more events planned in Cumbria. Correct inhaler technique helps pharmacists to make a difference for their patients when undertaking medicines use reviews (MURs) with them.
North East highlights North East team Joanne Lane, regional manager (photo) – commenced January 2016 (previously Maria Bell until October 2015) Helena Nettleton, regional tutor
Lorraine Crawford, tutor Paul Davies, tutor Cath McClelland, tutor Stuart Spence, tutor
Cath McClelland, GPPTP education supervisor
We worked with colleagues in the North East to develop a workshop to raise awareness of the Mental Capacity Act 2005 and specifically the practice issues that pharmacy professionals need to consider with regards to the covert administration of medicines. This workshop has now been fully developed and rolled out across the national CPPE network. We also delivered ten workshops on advanced inhaler technique across the North Durham Clinical Commissioning Group (CCG) area and worked with Tees LPC to facilitate three full-day events for Leadership for Healthy Living Pharmacies.
Yorkshire and the Humber highlights Yorkshire and the Humber team Joanne Lane, regional manager (photo) – commenced January 2016 (previously Maria Bell until October 2015) Shannon Nickson, regional tutor and GPPTP education supervisor
Matt Auckland, tutor Chris Bonsell, tutor Gill Hawksworth, tutor Paul Jenks, tutor Emma Keating, tutor Diana Taylor, tutor (left December 2015)
Working with colleagues in Hull and the East Riding of Yorkshire we delivered six advanced inhaler technique workshops in the localities for multidisciplinary audiences, with a total of around 100 pharmacy professionals, primary care nurses and general practitioners. We worked with Astellas Pharma to develop and deliver two workshops on medicines optimisation for older people, which encompassed consulting with older people with an expert speaker on anticholinergic burden and reasons for non-adherence to medicines. Feedback from participants has been very positive and we anticipate holding further workshops on this topic in the future.
Midlands CPPE activity in the Midlands ■ 11,789 pharmacists ■ 6030 pharmacy technicians ■ 747 pre-registration trainee pharmacists ■ 201 events across the area, including 46 collaborative and commissioned events, and 137 other collaborative activities (supporting facilitation and taster events)
■ 25,157 online activities, including e-learning, distance learning and guide downloads, podcasts and e-lectures ■ 9669 successfully completing e-assessments, including 668 completing the Consultation skills for pharmacy practice e-assessment ■ 164 learning communities across the area, with 39 events in 2015/2016
■ 12,832 Declaration of Competence statements downloaded ■ 54,198 distance learning programmes distributed (Older people, Acute kidney injury and Polypharmacy) Note: For details of national activities not captured in the above data, see Strategic goals on pages 11-14.
West Midlands highlights West Midlands team Geraldine Flavell, regional manager (photo) Gill Hall and Mandip Rooprai (maternity leave from November 2015), regional tutors
Our good relationship with sexual health commissioners in Birmingham resulted in commissioned events throughout the city for the University Hospitals Birmingham Umbrella group, with a plan to extend the event to Solihull. Our interprofessional work continues, with several events commissioned across the West Midlands bringing GP trainees and community pharmacists together. NHS England commissioned 14 events for community pharmacy teams to learn about consultation skills with a minor ailments focus. We visited all four pharmacy schools to introduce undergraduates to CPPE and supported a Royal Pharmaceutical Society conference and careers fair at the University of Birmingham for pre-registration trainee pharmacists.
East Midlands highlights East Midlands team Caroline Barraclough, regional manager (photo) Emma Anderson, regional tutor Nuala Hampson, GPPTP education supervisor
Hayley Berry, tutor (until September 2015) Sejal Gohil, tutor Michelle Lad, tutor Penny Mosley, tutor Helen Root, tutor
We worked closely as a team across the region and responded to local need by listening and responding to our learners. We collaborated with stakeholders to run events, including: a Dementia friends and focal point event for north Derbyshire, and an extra consultation skills event, both with Nottinghamshire/Derbyshire local professional network (LPN) to support a request from learners in the Derbyshire Dales. This consultation skills event gave one of our tutors an opportunity to help support a learner on the autistic spectrum on his journey from enjoying and participating fully in the day event to successfully passing the assessment. We have maintained our relationships with hospital colleagues and successfully engaged with 18 local hospitals, delivering 16 [email protected] events. The drive to support our hospital pharmacy teams encouraged us to further develop our communications and extend the reach of CPPE messages. The working relationship helped us to understand better the training needs of our hospital colleagues, to form new contacts and [email protected] leads, and to engage with pharmacy professionals in a positive way. As a result, three new learning communities have been set up to continue their learning with CPPE. We have been working closely with Health Education East Midlands (HEEM) and jointly organised and hosted the first East Midlands pharmacy workforce development forum. This successful and popular event resulted in the development of an insight paper on the East Midlands pharmacy workforce. Outcomes from the forum have helped to underpin the pharmacy components of the HEEM 2016/2017 workforce planning, as well as a 12-month leadership training programme, in collaboration with Nottinghamshire/Derbyshire LPN and local practice forum (LPF).
East of England highlights East of England team Hayley Berry, regional manager (photo) – commenced September 2015 (previously Jan Douglas until August 2015) Clare Daly and Zara Mehra, regional tutors Clare Daly, GPPTP education supervisor
Paul Larkin, tutor Laura McEwen-Smith, tutor Rachel Rose, tutor Rahul Singal, tutor
We have been working closely with Hertfordshire LPC to help them secure funding for the development of an e-learning tool for the Accessible Information Standard to support community pharmacy both locally and nationally. We plan to support the LPC to run a conference to help pharmacists to implement the standard and share best practice. We have maintained effective relationships with the public health team at Hertfordshire County Council, which has led to two full-day Confidence in consultation skills events being commissioned in June and October of last year and a full-day Sexual health event in July. We are now members of the Sexual Health Network group, which is looking at training provided across the county for all healthcare professionals. We continued to maintain strong links with hospitals across the region and delivered successful learning sessions, including consultation skills and clinical [email protected] sessions to support them and ensure that their learning needs are met. We continued to support the steering committee for the East of England LPFs, arranging collaborative events across the region. The events have incorporated the use of expert speakers and case studies from CPPE materials. We visited the two universities in the region to tell students about CPPE and explain the support that CPPE can provide them as students and beyond. With the roll-out of the GPPTP pathway we have been building networks across the region to ensure that the learning needs of primary care pharmacy professionals are met and that we will be able to support the new general practice pharmacists.
South CPPE activity in the South ■ 6106 pharmacists ■ 3072 pharmacy technicians ■ 330 pre-registration trainee pharmacists ■ 134 events across the area, including 51 collaborative and commissioned events, and 66 other collaborative activities (supporting facilitation and taster events)
■ 14,574 online activities including e-learning, distance learning and guide downloads, podcasts and e-lectures ■ 4966 successfully completing e-assessments, including 334 completing the Consultation skills for pharmacy practice e-assessment ■ 126 learning communities across the area, with 14 events in 2015/2016
■ 6033 Declaration of Competence statements downloaded ■ 27,024 distance learning programmes distributed (Older people, Acute kidney injury and Polypharmacy) Note: For details of national activities not captured in the above data, see Strategic goals on pages 11-14.
South West highlights South West team Anne Cole, regional manager (photo) Lisa Bullock, regional tutor Cate Dawes, GPPTP educational supervisor
Xenia Bray, tutor Linda Clark, tutor Jo Clarke, tutor Kate Emblin, tutor Mike Field, tutor Catherine Hilton, tutor Martin Littleton, tutor Kathleen Pritchard, tutor Lindsay Woodford, tutor
The South West team were commissioned to provide 14 public health workshops for pharmacy professionals in Dorset this year, including smoking cessation, NHS health checks, sexual health, and drug and harm reduction, to support the delivery of enhanced pharmacy services across the county. We also worked with the South West Academic Health Science Network to provide repeat dispensing training and have run 18 collaborative events with LPFs, LPCs and other organisations in the South West. We worked with several local authorities to facilitate the move to use Declaration of Competence for community pharmacy services and supported both commissioners and pharmacy teams during this transition. We actively encouraged pharmacy professionals to engage in the Consultation skills for pharmacy practice learning pathway, [email protected] programmes, other CPPE programmes and the CPPE Supporting older people and Acute kidney injury learning campaigns in person, via email and social media. We are delighted that our tutor Mike Field became a Fellow of the RPS.
South Central highlights South Central team Karen Wragg, regional manager (photo) Sue Carter and Deborah Williams, regional tutors Claire Hough, GPPTP education supervisor
Bianca Davies, tutor Ian Dunphy, tutor Claire Hough, tutor Sarah Hounsell, tutor Julia Neal, tutor Jane Portlock, tutor
In Thames Valley we delivered a series of 18 full-day events for community pharmacy team members across the Berkshire, Buckinghamshire and Oxfordshire LPCs as part of their HELP project. These included workshops on depression (in partnership with Buckinghamshire Mind), cancer awareness (in partnership with Cancer Research UK) and also further full days on consultation skills, palliative care and sexual health. In Wessex we collaborated with a number of organisations to provide learning opportunities for the wider healthcare teams. We delivered two evening events attended by 130 pharmacists and GPs on the topic of the electronic prescription service and repeat dispensing, in conjunction with Hampshire LPC and Health and Social Care Information Centre. We also delivered six advanced inhaler technique sessions for 120 GPs and nurses as commissioned events for West Hampshire CCG. The events were held across the CCG as both evening and lunchtime events. The feedback was excellent. Comments included: “Thought-provoking and patient-centred”, “Very relevant, practical knowledge to improve patient education”, “I have been demonstrating MDI technique incorrectly for 15 years!” We are delighted that our regional tutor Sue Carter became an RPS Fellow.
London and the South East CPPE activity in London and the South East ■ 12,708 pharmacists ■ 3475 pharmacy technicians ■ 962 pre-registration trainee pharmacists ■ 115 events across the area, including 37 collaborative and commissioned events, and 66 other collaborative activities (supporting facilitation and taster events)
■ 23,815 online activities including e-learning, distance learning and guide downloads, podcasts and e-lectures ■ 8766 successfully completing e-assessments, including 576 completing the Consultation skills for pharmacy practice e-assessment ■ 123 learning communities across the area, with 69 events in 2015/2016
■ 9594 Declaration of Competence statements downloaded ■ 49,935 distance learning programmes distributed (Older people, Acute kidney injury and Polypharmacy) Note: For details of national activities not captured in the above data, see Strategic goals on pages 11-14.
London and South East highlights London team
South East Coast team
Michelle Styles, regional manager (photo) Yinka Kuye and Sam Scragg, regional tutors Yinka Kuye, Khateja Malik and Sneha Varia, GPPTP education supervisors Darush Attar-Zadeh, tutor Sally Brown, tutor Brian Conn, tutor Simon Harris, tutor Funke Lawal, tutor Leanne May, tutor Swati Patel, tutor Mo Saeed, tutor Amit Shah, tutor
London and the South East (continued) Developing consultation skills has been recognised as a national priority and a learning need across the London and South East area (LaSE). To meet this learning need we have been promoting the consultation skills programmes across all sectors. The consultation skills events were delivered as part of our core activity and also as collaborative or commissioned events with a number of other organisations. We delivered five Confidence in consultation skills full-day events, seven evening workshops for Consultation skills: meeting the new practice standards for pharmacy and eight for Consulting with older people, and a Championing patient-centred consultations event. All members of the LaSE teams have completed our consultation skills assessment, which is an objective for all pharmacy professionals at CPPE. We have also been promoting the new Consultation skills for pharmacy support staff resources in our visits to local pharmacies. In London and the South East, we have worked collaboratively with a number of LPCs and local authorities to support the roll-out of Healthy Living Pharmacies. Since April 2015 this has included four Leadership for Healthy Living Pharmacies full-day events and one Leadership for Healthy Living Pharmacies evening taster event. We have supported public health and Healthy Living Pharmacy by providing 23 events on public health topics, including substance misuse, NHS health checks and sexual health. Some of these events were provided from core funding and others were commissioned by local authorities. We were commissioned by Health Education Kent, Surrey and Sussex to undertake a learning needs analysis, develop a curriculum to meet the learning needs and produce a learning programme to increase the contribution made by pharmacy to reduce pressure on urgent and emergency care services. The programme, Urgent care in pharmacy practice, was sent to approximately 4500 pharmacy professionals across the South East area. An evaluation of the project has been undertaken by Medway School of Pharmacy and the University of Brighton to inform the next phase of the programme. Across south London, we worked collaboratively with the Royal Pharmaceutical Society’s LPF to secure funding from Health Education South London (HESL) to increase access to learning. The funding enabled the provision of an additional 17 workshops for all members of the pharmacy team across six training hubs in south London. Topics for the workshops were aligned with local and national priorities and included minor ailments, consultation skills, substance misuse and safeguarding children and vulnerable adults. In north London, we worked with the Barnet Community Education Provider Network (CEPN) to provide three multiprofessional learning events. These events brought together GP and pharmacy teams to learn about common skin conditions and discuss local referral pathways.
Finance report Year ending 31 March 2016 The core funds we were allocated for 2015/2016 were at the same level as 2014/2015. During 2015/2016 our expenditure totaled £4,289,910 representing an increase of £723,648 on 2014/2015. Income for the year, over and above the allocation from Health Education England, comprised:
Additional income for 2015/2016 Sales to other CPPE centres Income from cancellation policy charges
Income from Return to practice course
Chief pharmacist development programme funding*
Income from partners
Income generation activities**
Total additional income
Expenditure for this additional income will be in 2016/2017 and 2017/2018.
** Income generation activities include international sales, MUR assessment, leadership project and other sales. The £326,000 generated includes £98,000 contribution to the University of Manchester as part of income share arrangements. This met our income target for 2015/2016. All the additional income generated over the period is being reinvested in programme development and delivery through 2016/2017. †
Figures rounded to the nearest 1000.
Expenditure Human resources and associated costs
IT developments ‡
Distribution and warehousing
Venues and catering
Professional fees¥ Printing and design Total †
Figures rounded to the nearest 1000.
Includes GPPTP IT infrastructure and avatar investment.
Includes fees for programme guardians, expert writers and speakers.
Overall, organisational expenditure in 2015/2016 is 20.2 percent more than in 2014/2015. This increase in expenditure was expected due to an increase in specific areas of funding (eg, consultation skills) and specific projects (eg, urgent care, and the general practice workforce). Increases in expenditure predominantly comprised venue costs from residential courses, changes to our infrastructure requiring additional staff and IT developments, and the print and design costs for our learning campaigns. CPPE has received additional income to deliver the NHS England General practice pharmacist training pathway (GPPTP). This expenditure is reported directly to HEE. During this year, we undertook a number of significant activities, including close to 800 pharmacy visits, direct distribution of around 200,000 distance learning programmes for our learning campaigns on older people, acute kidney injury and polypharmacy, as well as 24 editions of e-challenge, resulting in nearly 50,040 attempts. Close to 700 events were supported, with more than 200 commissioned and collaborative activities. We have been able to provide, on average, ten hours of learning to each member of our potential audience of 64,000 pharmacists and pharmacy technicians in England. During this financial year, we saw a 33 percent increase in learning activity prompted by more time-efficient learning such as e-challenge, e-learning downloads and smaller, bite-sized learning through our apps and theLearningpharmacy.com™. We have continued to use cost-effective ways of delivering learning, in particular developing e-access and controlling workshop venue costs.
Contacting CPPE For information on your orders or bookings, or any general enquiries, please contact us by email, telephone or post. A member of our customer services team will be happy to help you with your enquiry.
Email [email protected] Telephone 0161 778 4000 By post Centre for Pharmacy Postgraduate Education (CPPE) Manchester Pharmacy School 1st Floor, Stopford Building The University of Manchester Oxford Road Manchester M13 9PT