Creating a competent GP pharmacist workforce: innovative approaches in foundation level training

Helen Davies, Pharmacist Team Leader: Education, Training and Workforce Development, Primary Care

Cwm Taf Morgannwg University Health Board

Industry partner: AlphaTangoDelta LTD

Background

GP practice pharmacist roles have increased in number and become more clinical over the last six years. However, training for this sector is in relative infancy, with previous pathways mainly focusing on hospital and community pharmacy roles. As such, there is a need for intense training to transition pharmacists to become competent in these GP sector advanced roles.

Including GP practice pharmacy into the ‘grass roots’ of training pathways, to prepare our workforce for these extended roles is a strategy recognised by Health Education and Improvement Wales (HEIW), Welsh Government and Health Boards.


Project Aims

To explore the current GP pharmacy foundation training at CTM UHB, by focussing on the voice of the learners and tutors, and make innovative improvements.

Pharmacists are ideally positioned to tackle the polypharmacy crisis that afflicts many people in primary care, but compared to the community and secondary care counterparts, GP pharmacist roles are often more isolated and autonomous.

GP pharmacists manage patients that endure multimorbidity and complex medication regimes. A competent GP pharmacist can promote behaviour change in the complex patient cohort with their consultation and motivational interviewing skills. Ensuring pharmacists are prepared for this role at an earlier stage may translate into improved healthcare outcomes and patient experience. In turn, they will release other healthcare staff to focus on non-medication issues, and solidify pharmacy as a valued member of the primary care multi-disciplinary team.

Common identified themes
Image: issues identified with the primary care training model Following feedback from foundation trainees

The trainers identified the following issues with the training programme:


Challenges

An idea for a training app was conceived early on, originally intended to be the main intervention. However, funding was not obtained until December 2020 so additional solutions to the training flaws required.

COVID-19 and enforced social distancing has impacted all parts of training and will continue to do so. Innovative ways of training remotely are vital.

NHS organisations, while supportive of innovation and technology, may need to adapt their current processes to ensure progress with projects is not impacted. CTM UHB innovation team, finance, procurement and Information Communication Technology (ICT) departments have been instrumental in helping to overcome these barriers.


Key Outcomes

Recruiting more tutors is an obvious solution, but this would require a minimum of one whole time equivalent advanced pharmacist. This is an expensive solution, and the experienced workforce are not always available to recruit, nor is there workplace capacity for extra staff.


This project sought to overcome identified flaws with our training programme.

The solutions:

Man using laptop
Image: proposed App design

“I am delighted to hear about the Bevan project Helen Davies is leading to explore the use of technology to support the pharmacy education and training within GP practices. This innovative project supports the HEIW vision for multi-sector and multi-professional training. I am really looking forward to seeing the outcomes from this exciting project.” Professor Margaret Allan, Pharmacy Dean, HEIW

Professor Margaret Allan, Pharmacy Dean, HEIW

Next Steps


Being a Bevan Exemplar

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Bevan Exemplar Showcase 2021


Bevan Exemplars 2021: Helen Davies


Contact
Helen.davies14@wales.nhs.uk

@PharmHelenD