PG Cert Postgraduate Certificate in Non-Medical Prescribing/Practice Certificate in Independent Prescribing (Level 7, Level M)

This course is designed to provide the main theoretical perspectives associated with evidence-based therapeutics, the consultation process, including concordance and the legal, ethical and professional issues associated with the prescribing role.

The Course

The Postgraduate Certificate in Non-Medical Prescribing/Practice Certificate in Independent Prescribing is validated by the Nursing and Midwifery Council (NMC), the General Pharmaceutical Council (GPhC), and the Health and Care Professions Council (HCPC).

Our course is designed to provide the main theoretical perspectives associated with evidence-based therapeutics, the consultation process, including concordance and the legal, ethical and professional issues associated with the prescribing role.

The course aims to support the application of theoretical knowledge to practice by incorporating a minimum of 90 hours of supervised clinical experience in which students have the opportunity to work alongside, and are assessed, by their Designated Medical Practitioner (DMP). This can enable students to develop their skills including the specific competencies required to prescribe safely, effectively and appropriately within their own area of professional clinical expertise.

Start Date: March 2018

The University of Lincoln Non-Medical Prescribing Programme is accessed over 6 month period. The 60-credit course at level 7 (Master’s level) comprises three modules:

Level 7
NUR9005M: The Consultation (30 credit module)
NUR9004M: Prescribing in Context (15 credit module)
NUR9003M: Prescribing Effectively (15 credit module)

All three modules employ blended approaches and provide opportunities for inter-professional learning, including access to web based interactive resources.

Level 6 and Level 7 Certificates are taught simultaneously. The course runs over 26 week period, excluding a two-week break over Easter.

Students are required to identify a medical supervisor willing to provide supervision and support for an additional 12 days (or 90 hours equivalent) within clinical practice.

Students are encouraged to seek inter-professional learning opportunities and work alongside prescribing colleagues from a range of different disciplines, with the aim of starting to establish a supportive network for their future role as a qualified prescriber. The commitment is therefore a minimum of 38 days, not including personal, self-directed study time.

The composition and delivery for the course may break down differently for each module and may include lectures, seminars, workshops, independent study, practicals, work placements, research and one-to-one learning.

This programme aims to enable students to:

  • Identify the essential principles of clinical pharmacology, therapeutics and evidence-based medicine
  • Demonstrate clinical decision making skills for prescribers
  • Discuss critically the concept of concordance
  • Demonstrate skills required for effective consultation
  • Discuss critical perspectives associated with professional, legal and ethical prescribing practice
  • Demonstrate the ability to safely apply an understanding of theoretical concepts to clinical practice under supervision
  • Prescribe from the British National Formulary according to their designated prescribing role (supplementary and/or independent prescriber) as agreed with their employer, once annotated as a prescriber with their regulatory body
  • Demonstrate reflective practice in their clinical prescribing role.

Prescribing Effectively (Core)
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Prescribing Effectively (Core)

This module focuses on the critical evaluation of the ethical, legal and professional issues associated with all aspects of the prescribing role. Codes of conduct, standards of practice, professional responsibility and accountability are explored in relation to prescribing, in addition to the recognition of the importance of an up-to date knowledge of the current evidence base for practice and implications for students' own on-going professional development.

Prescribing in Context (Core)
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Prescribing in Context (Core)

This module encourages students to explore the implications of their own and others’ prescribing practice and to consider the health policies, processes and systems which shape and inform the wider context in which they work. The module aims to provide students with the chance to relate the conceptual frameworks and knowledge learned throughout the programme to their own practice area and clinical experience.

It is intended that the practice learning in this module will be used to provide regular opportunities to consolidate some of the concepts and ideas and through observation, evaluation of practice, discussion with colleagues and individual reflection, with the aim of developing practical skills as well as extending knowledge and critical understanding of both pharmacological principles and values associated with safe, appropriate and effective prescribing practice.

The Consultation (Option)
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The Consultation (Option)

This module is designed to assist students in developing a solid underpinning knowledge base in relation to pharmacology and pharmacokinetics, essential for safe, competent prescribing within their own field of expertise and clinical practice. The module investigates the main theoretical perspectives associated with effective consultation, exploring the interpersonal skills required, and promoting the concept of concordance, including shared decision-making and establishing a meaningful partnership with the service user.

The Consultation for Pharmacists (Option)
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The Consultation for Pharmacists (Option)

This module is designed to assist pharmacists in developing a sound underpinning knowledge base in relation to pharmacology and pharmacokinetics, essential for safe, competent prescribing within their own field of expertise and clinical practice.

The module investigates the main theoretical perspectives associated with effective consultation, exploring the interpersonal skills required, and promoting the concept of concordance, including shared decision-making and establishing a meaningful partnership with the service user.

This module is identical to ‘The Consultation’ module undertaken by nurses and eligible Allied Healthcare Practitioners (AHPs) in all respects except the approach taken to the practical assessment. Pharmacists will complete a Live Clinical Assessment (LCA) rather than the Observed Clinical Assessment (OSCE) completed by nurses and AHPs, as this is a requirement of the General Pharmaceutical Council.

The assessment strategy for the Non-Medical Prescribing Programme comprises:

  • Written tests in pharmacology and drug calculations
  • An Observed Structured Clinical Examination (OSCE) or Live Clinical Assessment (LCA - pharmacists only)
  • Reflective writing and care study assignments
  • Portfolio of evidence to support achievement of competency in clinical practice.


Assessment Feedback

The University of Lincoln's policy on assessment feedback aims to ensure that academics will return in-course assessments to you promptly – usually within 15 working days after the submission date.

We are now accepting applications for January 2019 and March 2019 start dates. Closing date for applications for January AND March 2019 cohorts is strictly 21 September 2018.

Please complete the application form (in 4 sections) and read the accompanying guidance notes prior to completion. You are expected to have discussed your application with your funding organisation prior to submission. HEE funding may be available for eligible practitioners. Contact your employer or the University for further details.

The university requires the form to be either posted, or hand delivered along with original evidence, certificates and proof of registration. If posting, we recommend you send it recorded or special delivery and your certificates will be returned the same way. If you would prefer to hand-deliver your form and evidence please email cpd@lincoln.ac.uk to arrange an appointment.

The application process comprises 3 stages:
Stage 1: Application Form (closing date 21 September 2018)
Stage 2: Drugs calculation pre-assessment test (October 2018)

And if stage 2 is passed

Stage 3: Interview (October/November 2018)
Offers for places in January and March 2019 will be made in November 2018.

Enrolment and induction day for the January cohorts will be week commencing 17 December with teaching starting in January 2019. Enrolment and induction day for the March cohort will be late February/March 2019.

Application form and guidance notes:

http://www.lincoln.ac.uk/t4media_2017/doc/NMPApplicationFormSection1.docx

http://www.lincoln.ac.uk/t4media_2017/doc/NMPApplicationFormSection2.docx

http://www.lincoln.ac.uk/t4media_2017/doc/NMPApplicationFormSection3.docx

http://www.lincoln.ac.uk/t4media_2017/doc/NMPApplicationFormSection4.docx

http://www.lincoln.ac.uk/t4media_2017/doc/NMPApplicationGuidanceNotes.docx

For further information and for details about funding your study, scholarships and bursaries, please see our Postgraduate Fees & Funding pages [www.lincoln.ac.uk/home/studyatlincoln/postgraduateprogrammes/feesandfunding/].

Other Costs

You may be eligible for funding From Health Education England which the university will claim on your behalf. Please contact your employer for further details or contact the Professional Development Centre: cpd@lincoln.ac.uk

The 2018/19 fee for this programme is £3150.

For each course you may find that there are additional costs. These may be with regard to the specific clothing, materials or equipment required.

With regards to text books, the University provides students who enrol with a comprehensive reading list and you will find that our extensive library holds either material or virtual versions of the core texts that you are required to read. However, you may prefer to purchase some of these for yourself and you will be responsible for this cost.

Nurses

Nurses must provide evidence that they have met the NMC’s criteria for eligibility to undertake a nurse independent/supplementary prescribing programme:

You must be a first level nurse, midwife and/or specialist community public health nurse with a diploma or degree qualification.

You must have at least three years' experience as a practising nurse, midwife or specialist community public health nurse and be deemed competent by your employer to undertake the programme. Of the three years, the year immediately preceding application must have been in the field in which you intend to prescribe e.g. neonates, mental health. Part-time workers must have practised for a sufficient period to be deemed competent by their employer.

Applicants will be required to be successful at interview and achieve a minimum pass mark of 80% in a drug calculations assessment before a place may be offered.

Currently, nurses may apply to complete their Non-Medical Prescribing qualification at either level 6 (undergraduate) or level 7 (masters level). This decision is an important one, and should be made in conjunction with your employer, taking into consideration your future career aspirations. Please seek further individualised advice from the Professional Development Centre during your application, as this needs to be agreed before you enrol onto the course.

Pharmacists

Pharmacists must access the Non-Medical Prescribing Programme at Level 7 (Master’s level).

The GPhC requires that pharmacists applying to undertake an independent prescribing programme must:

  • Be a registered pharmacist with the GPhC or the Pharmaceutical Council of Northern Ireland (PSNI)
  • Have at least two years appropriate patient-orientated experience in a UK hospital, community of primary care setting following their pre-registration year.


In addition, applicants must:

  • have identified an area of clinical practice in which to develop their prescribing skills and have up-to-date clinical, pharmacological and pharmaceutical knowledge relevant to their intended area of prescribing practice
  • demonstrate how they reflect on their own performance and take responsibility for their own CPD.


Applicants will be required to be successful at interview and achieve a minimum pass mark of 80% in a drug calculations assessment before a place may be offered.


Allied Health Professionals

An independent prescriber is an appropriately qualified practitioner who is responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions, and for decisions about their clinical management, including prescribing. Independent prescribers can prescribe any medicine for any medical condition within their competence, including some controlled drugs for specified medical conditions. They must also comply with any relevant medicines legislation.

Of the professions regulated by the HCPC, appropriately trained chiropodists/podiatrists, physiotherapists, and therapeutic radiographers are able to become independent prescribers.

Health and Care Professions Council (HCPC) [On-line] Independent Prescribing (IP) Available from: http://www.hcpc-uk.org/education/providers/postregistration/#PRES

Education programmes cover both supplementary and independent prescribing. Individuals who successfully complete an approved programme will be able to apply for annotations on the relevant HCPC register as independent/supplementary prescribers.

The safety of patients is paramount and the entry requirements focus on the protection of patients including:

  • The legal requirements to be registered to practise as an allied health professional.
  • The service need to protect patients-including in the development of new services and new roles.
  • Demonstrating and maintaining competence in a clinical speciality.
  • Independent prescribing/supplementary prescribing as an adjunct to high level clinical practice.
  • Responsibility of services to identify:

a) where this development needs to occur and b) that potential prescribers are in roles which require such development.

In order to gain entry onto the Education programme, applicants must meet each of the criteria listed below:

a) Be registered with the HCPC in one of the relevant allied health professions.

b) Be professionally practising in an environment where there is an identified need for the individual to regularly use independent/supplementary prescribing.

c) Be able to demonstrate support from their employer/sponsor including confirmation that the entrant will have appropriate supervised practice in the clinical area in which they are expected to prescribe.

d) Be able to demonstrate medicines and clinical governance arrangements are in place to support safe and effective supplementary and/or independent prescribing.

e) Have an approved medical practitioner, normally recognised by the employer/commissioning organisation as having:

i) experience in the relevant field of practice

ii) training and experience in the supervision, support and assessment of trainees, and

iii) agreed to:

  • Provide the student with opportunities to develop clinical competencies in prescribing
  • Supervise, support and assess the student during their clinical placement

f) Have normally at least 3 years relevant post-qualification experience in the clinical area in which they will be prescribing.

g) Be working at an advanced practitioner or equivalent level.

h) Be able to demonstrate how they reflect on their own performance and take responsibility for their own Continuing Professional Development (CPD) including development of networks for support, reflection and learning.

i) Provide evidence of a DBS check within the last 3 months.


Joint AHP. Outline Curriculum Framework for Education Programmes to Prepare Physiotherapists and Podiatrists as Independent/Supplementary Prescribers and to Prepare Radiographers as Supplementary Prescribers (2013) Chartered Society of Physiotherapy.

Available from:

http://www.csp.org.uk/documents/outline-curriculum-framework-education-programmes-prepare-physiotherapists-podiatrists-ind

Applicants will be required to be successful at interview and achieve a minimum pass mark of 80% in a drug calculations assessment before a place may be offered.

Paramedic Prescribing

Not all paramedics are expected to train to become independent prescribers. The safety of patients is paramount and the strict eligibility criteria for acceptance on prescribing education programmes are reflective of this.

In line with other professions able to train as non-medical independent prescribers, all paramedic entrants need to meet the following requirements:

• Be registered with the HCPC as a paramedic
• Be professionally practising in an environment where there is an identified need for the individual to regularly prescribe independently
• Be able to demonstrate support from their employer/sponsor, including confirmation that the entrant will have appropriate supervised practice in the clinical area in which they are expected to prescribe
• Be able to demonstrate medicines and clinical governance arrangements are in place to support safe and effective independent prescribing
• Have an approved medical practitioner to supervise and assess their clinical training as a prescriber
• Have normally at least three years relevant post-qualification experience in the clinical area in which they will be prescribing
• Be working at an advanced practitioner or equivalent level
• Be able to demonstrate how they reflect on their own performance and take responsibility for their own Continuing Professional Development (CPD), including development of networks for support, reflection and learning
• Provide evidence of a Disclosure and Barring Service (DBS) check within the last three years.

NHS England (2018): Prescribing training for paramedics. [online] Available from
www.england.nhs.uk/ahp/medproject/paramedics/prescribing-training/

Learn from Experts

Throughout this course, students may receive tuition from professors, senior lecturers, lecturers, researchers, practitioners, visiting experts or technicians, and they may be supported in their learning by other students.

Dianne Ramm

Programme Leader


Contact: dramm@lincoln.ac.uk


Your Future Career

Facilities

We constantly invest in our campus as we aim to provide the best learning environment for our students. Whatever the area of study, the University strives to ensure students have access to specialist equipment and resources, to develop the skills, which they may need in their future career.

An exciting new development for the School, the Sarah Swift Building, is a £19m investment into a dedicated facility for the Schools of Health and Social Care and Psychology. The building houses high-quality teaching, research, social and learning spaces for both Schools.

Students can study and research in the University's Great Central Warehouse Library, which provides more than 250,000 printed books and approximately 400,000 electronic books and journals, as well as databases and specialist collections. The Library has a range of different spaces for shared and individual learning.


The University intends to provide its courses as outlined in these pages, although the University may make changes in accordance with the Student Admissions Terms and Conditions.