The programme 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 & 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
It is expected that following successful completion of the qualification the student will be able to:
With reference to pathophysiology and the use of common diagnostic aids undertake assessment and effective consultation with patients and carers that includes taking an accurate history and conducting a relevant clinical and/or physical examination. (NMC Learning Outcomes 1, 2, 8; HCPC Learning Outcomes 1.5, 1.6)
Demonstrate the ability to apply clinical assessment skills to inform a working diagnosis and formulate a treatment plan, prescribe where appropriate and carry 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)
Demonstrate 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)
Prescribe safely, appropriately and both clinically and cost effectively. (NMC Learning Outcomes 4, 5, 6, 8; HCPC Learning Outcomes 1.9, 2.2)
Demonstrate an understanding of the legal and professional framework for accountability and responsibility in relation to independent/supplementary prescribing. (NMC Learning Outcomes 3, 9, 10; HCPC Learning Outcomes 1.2, 1.14, 1.15, 1.16, 1.17, 2.3)
Demonstrate an understanding of the legal and professional implications of prescribing unlicensed medicines. (NMC Learning Outcomes 3, 8, 9; HCPC Learning Outcomes 1.2, 2.3)
Identify evidence based sources of information, advice and decision support and explain how they will be used in prescribing practice. (NMC Learning Outcomes 4, 8; HCPC Learning Outcomes 2.1)
Recognise, and respond effectively to, influences on prescribing practice at individual, local and national levels. (NMC Learning Outcomes 4, 5; HCPC Learning Outcomes 1.7)
Apply knowledge of pharmacology to prescribing practice. (NMC Learning Outcomes 6, 8; HCPC Learning Outcomes 1.1, 1.10, 1.11)
Understand the role and responsibilities of the Independent Prescriber and the roles and relationships of others involved in prescribing, supplying and administering medicines. (NMC Learning Outcomes 3, 7, 9; HCPC Learning Outcomes 1.3, 1.4, 1.15)
Develop effective communication channels and relationships 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 and document 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)
Participate regularly in CPD and maintain a record of CPD activity, reflect on continuing professional development within prescribing practice. (NMC Learning Outcomes 8, 9; HCPC Learning Outcomes 2.3)
Work within clinical governance frameworks that include audit of prescribing practice and personal development. (NMC Learning Outcomes 3, 4, 9; HCPC Learning Outcomes 2.3)
Utilise the principles of concordance and adherence in making accurate assessments of patients' needs and prescribing decisions. (NMC Learning Outcomes 1, 5; HCPC Learning Outcomes 1.6)
Demonstrate an understanding of the public health issues related to medicines use. (NMC Learning Outcomes 4, 5; HCPC Learning Outcomes 1.12)
Differentiate between 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 & 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.
Coronavirus (COVID-19): changes to courses
The 2020/21 academic year will start in September. We aim to deliver as much face-to-face teaching as we can, supported by high quality online alternatives where we must.
Find details of the measures we're planning to protect our community.