The module aims to allow first level registered Nurses, registered Midwives, and registered AHPs (Physiotherapists, Radiographers and Chiropodists/Podiatrists) to acquire the competencies for Independent (Nurses, Midwives Physiotherapists and Chiropodists/Podiatrists) and Supplementary (Nurses, Midwives and AHPs) prescribing.
Synopsis of Module:
Course content is based on the original Department of Health (2006) guidance and learning outcomes together with competency frameworks produced by the Royal Pharmaceutical Society (2016). There is an emphasis on the application of the principles of prescribing in practice. The module is mapped to the learning outcomes published by the Nursing and Midwifery Council (NMC) and the Health and Care Professions Council (HCPC).
The course includes 12 x 7.5 hour days' (6.5 hours excluding breaks) supervised learning in practice under the guidance of a designated medical mentor.
Achieving 80% attendance is a requirement of the programme and attendance is formally recorded at all teaching sessions. Satisfactory attendance will be verified by the Module Leader or a member of the programme team in the portfolio of evidence.
Module learning outcomes
By the end of the module learners will be able to:
With reference to pathophysiology and the use of common diagnostic aids the student will critically evaluate their assessment and consultation skills and their ability to take an accurate history and perform a comprehensive problem-focused age-appropriate clinical/physical examination. (NMC Learning Outcomes 1, 2, 8; HCPC Learning Outcomes 1.5, 1.6)
Critically reflect on and apply clinical assessment skills to inform a working diagnosis and the formulation of a treatment plan, prescribing where appropriate and carrying out a checking process to ensure patient safety. (NMC Learning Outcomes 1, 2, 8; HCPC Learning Outcomes 1.5, 1.6, 1.11, 2.1)
Critically analyse the ability to review working/differential diagnosis, monitor response to therapy, modify treatment, or seek guidance/ refer the patient as appropriate. (NMC Learning Outcomes 2, 6, 8, 9; HCPC Learning Outcomes 1.7, 1.8, 1.10, 2.1)
Make robust prescribing decisions based on the interpretation and analysis of information on efficacy, safety and cost. (NMC Learning Outcomes 4, 5, 6, 8; HCPC Learning Outcomes 1.9, 2.2)
Demonstrate critical awareness of the legal and professional framework for accountability and responsibility in relation to independent and supplementary prescribing. (NMC Learning Outcomes 3, 9, 10; HCPC Learning Outcomes 1.2, 1.14, 1.15, 1.16, 1.17, 2.3)
Demonstrate critical awareness of the legal and professional implications of prescribing unlicensed medicines. (NMC Learning Outcomes 3, 8, 9; HCPC Learning Outcomes 1.2, 2.3)
Justify prescribing decisions in the light of best available evidence and decision support. (NMC Learning Outcomes 4, 8; HCPC Learning Outcomes 2.1)
Critically reflect on and respond to influences on prescribing decisions at individual, local and national levels. (NMC Learning Outcomes 4, 5; HCPC Learning Outcomes 1.7)
Demonstrate detailed knowledge and understanding of pharmacological principles and their application to prescribing practice. (NMC Learning Outcomes 6, 8; HCPC Learning Outcomes 1.1, 1.10, 1.11)
Demonstrate a critical awareness of the role and responsibilities of the independent prescriber and others involved in prescribing and medicines management and work collaboratively with them. (NMC Learning Outcomes 3, 7, 9; HCPC Learning Outcomes 1.3, 1.4, 1.15)
Develop robust relationships and communication channels with other prescribers and members of the healthcare team through the maintenance of accurate, effective and timely records and ensuring colleagues are appropriately informed. (NMC Learning Outcomes 7, 9; HCPC Learning Outcomes 1.7)
Develop, document and justify a clinical management plan (CMP) within the context of a prescribing partnership. (NMC Learning Outcomes 3, 10; HCPC Learning Outcomes 1.13, 1.14, 1.15, 1.16, 1.17)
Actively participate in CPD and maintain a record of CPD activity, critically reflect on continuing professional development for prescribing practice at individual and professional levels. (NMC Learning Outcomes 8, 9; HCPC Learning Outcomes 2.3)
Work within clinical governance frameworks and critically evaluate prescribing practice through audit and personal development. (NMC Learning Outcomes 8, 9; HCPC Learning Outcomes 2.3)
Critically reflect on and apply the principles of concordance and adherence in managing patients' needs for medicines. (NMC Learning Outcomes 1, 5; HCPC Learning Outcomes 1.6)
Demonstrate detailed knowledge and understanding of the public health issues related to medicines use. (NMC Learning Outcomes 4, 5; HCPC Learning Outcomes 1.12)
Critically evaluate the needs of patients across the life-span when assessing, examining and taking prescribing decisions. (NMC Learning Outcomes 1, 2, 6, 8; HCPC Learning Outcomes 1.5)
Academic and graduate skills
Academic supervision is an integral part of this module and formative feedback will be given to the student throughout the module in accordance with University guidelines.
University - closed examination Independent & Supplementary Prescribing for Non-Medical Prescribers (Nurses, Midwives & Allied Health Professionals)
University - closed examination Numeracy
OSCE: Written feedback on a proforma specially developed for the OSCE will be provided within the timescale specified in the programme handbook.
Unseen exam: Cohort feedback will be provided in line with Departmental policy for closed examinations. Students may request to view their marked closed examination script. The application and a flowchart of the request process is available at https://www.york.ac.uk/healthsciences/student-intranet/teaching/exams
Portfolio of evidence: Written feedback will be provided within the timescale specified in the programme handbook.
Courtenay, M. and Griffiths, M. (2010) Independent and Supplementary Prescribing: An Essential Guide. 2nd edition. Cambridge University Press. Cambridge.
Nursing and Midwifery Council (2015) The Code: Professional standards of practice and behaviour for nurses and midwives. Nursing and Midwifery Council. London.
Health & Care Professions Council (2012) Standards of conduct, performance and ethics. Health & Care Professions Council. London.
Royal Pharmaceutical society (2016) A competency framework for all prescribers. Royal Pharmaceutical Society. London.
For further resources please refer to EARL resource list.