RPS Advanced Pharmacy Framework
RPS Advanced Pharmacy Framework
AD V AN CE D PH AR M AC Y
FR A M EWO R K
(AP F)
2013
Preface
Patients and the public in general expect high quality care from health professionals. They expect professionals to
work together and to identify where improvements to outcomes and quality of care can be made, and to address
those deficiencies effectively and efficiently. They also expect professionals to utilise public resources well and to
maximise value obtained from those resources.
A competent workforce is an essential pre-requisite for all health care professions. The capacity to improve
therapeutic outcomes, patients‟ quality of life, scientific advancement and enhancement of our public health
imperatives are dependent on a foundation of competence and continued development of practice. For a
profession to develop in a cohesive way, across all sectors, the ability to access the knowledge, skills, attitudes,
behaviours and specific competencies that underpin practice beyond day 1 is essential and forms the basis of a
professional development framework to support practitioner development for effective and sustained
performance.
Professional Development Frameworks have become increasingly popular in professional education over the past
decade alongside the increased focus on supporting healthcare professionals to keep up to date and continue to
advance their practice. Such frameworks contain a structured assembly of behavioural competencies, driven by the
need for transparency in the training, development and professional recognition of healthcare professionals. The
evidence to support their routine use in professional development is unequivocal.
The RPS is pleased to launch the Advanced Pharmacy Framework, the APF, developed in partnership with
CoDEG and representatives from across the profession and across GB. The APF builds on the widely used
Advanced to Consultant Level Framework (the ACLF), to ensure it is applicable to all sectors and specialisms
across pharmacy and across GB. This framework is designed to be read and used in conjunction with relevant
professional, service and corporate documents such as policy, curricula guidance, standards and frameworks
related to education and training, learning and development activity and performance assessment tools. The APF
forms the backbone of the RPS Faculty portfolio and will be a valuable tool for all those in pharmacy seeking to
develop and advance.
In Partnership with:
Contents
1 Introduction 4
2 The Advanced Pharmacy Framework 5
2.1 Development of the APF 5
2.2 Clusters and Competencies of the APF 5
2.3 Application of the APF 6
3 Who is it for? 6
4 The Framework 7
5 Glossary 13
6 The Bibliography 17
The APF builds on the widely used Advanced to Consultant Level Framework (the ACLF), to ensure it is
applicable to all sectors and specialisms across pharmacy in GB.
The evidence supports its use across the profession, and more widely, for the development of both advanced
and specialist practice, applicable to all who work in pharmacy.
The APF is intended for use once early or foundation years have been completed. It forms a useful supportive
framework to gather evidence of advancement across the core competencies.
The original ACLF underpinned the Department of Health (England) guidance for NHS Consultant pharmacists
and those pharmacists with special interests. The new APF will prove useful for advanced roles across pharmacy,
across Great Britain and across healthcare.
The APF has been developed to ensure applicability across sectors, specialities and for both patient facing and
non-patient facing roles. The new RPS APF is available to all practitioners wanting to advance their practice in all
sectors.
The APF comprises 34 competencies located across 6 clusters; each competency is described at three stages of
development.
Advanced Stage I - Either early stages of specialisation and advancement, or established in a role, performing well,
advanced beyond foundation years.
Advanced Stage II – An expert in an area of practice, experienced. Routinely manages complex situations and a
recognised leader locally/regionally.
Mastery - Aligned to recognised leader in community or primary care; Consultant and corporate level practice in
NHS; equivalent leads in academia; business / corporate leadership roles in industry; business or strategic leader
in community. Recognised as a leader in an area of expertise (nationally often internationally), alongside a
breadth of experience.
Very often, practitioners start with considering their role and experiences and how they might map to the
clusters in the framework, alongside the evidence they have to support a cluster. Alongside that, examples of
development from practice often map against more than one cluster and across many competencies.
Practitioners can use the framework to identify areas they want to develop further across all areas of practice,
not just expertise or to progress to a higher level. For pharmacists who are members of the RPS, this is a very
useful tool to target your CPD and to populate a Professional Development Plan (PDP) as well as being essential
for Faculty membership.
3 Who is it for?
The Advanced Pharmacy Framework applies to all pharmacy professionals who are experienced practitioners;
who are developing complex skills; or who are recognised at NHS Consultant or higher levels of practice.
The application of, and opportunity to demonstrate, the competencies in the APF will differ according to the
career stage of the pharmacy professional and the type of role they fulfil. The context in which competence can
be achieved will become more complex throughout the stages as well as more demanding with career
progression.
For example, registered practitioners are very often involved in work relating to patients, customers and other
staff and are the ones who are experiencing how day-to-day healthcare works in action. They often undertake
more education, training and professional development opportunities to further consolidate and develop their
skills and knowledge in everyday practice. They are uniquely placed to develop experience across all six clusters.
This experience will, of course vary from sector to sector, but these experiences can be mapped to very generic
competencies with some additional support and guidance. Essentially the framework is very useful for capturing a
practitioner‟s experience and development as evidence of advancement.
More experienced practitioners hold more complex roles and have greater responsibility for outcomes and
deliverables. They develop their abilities though delivery of services, higher levels of responsibility and
accountability, by working with colleagues in other settings and projects and by working across boundaries,
disciplines and sectors. Familiarity with a specific focus of practice will enable them to improve healthcare for
patients, to innovate, educate and research their practice, whatever their sector. As established members of staff,
area teams, company or Trust directors or as pharmacy owners and partners, they are able to develop their
leadership abilities by actively contributing to the running of the organisation and to the way care is provided in
complex systems.
1.1 Expert Skills and Knowledge In addition for patient focussed roles: Is able to plan, In addition for patient focussed roles: Is able to
In addition for patient focussed roles: Advances
manage, monitor, advise and review general plan, manage, monitor, advise and review in-
in-depth/complex pharmaceutical care
pharmaceutical care programmes for patients in core depth/complex pharmaceutical care programmes
programmes for patients.
areas. for patients in defined area(s).
Is able to follow legal, ethical, professional and Is able to take action based on own interpretation Is able to interpret relevant policy and strategy,
1.4 Professional Autonomy organisational policies/procedures and codes of of broad professional policies/procedures where in order to establish goals and standards for
conduct. necessary. others within the defined area(s).
Developmental Descriptors
Competency
Advanced Stage I Advanced Stage II Mastery
Developmental Descriptors
Competency
Advanced Stage I Advanced Stage II Mastery
Demonstrates understanding of, and contributes Creates vision of future and translates this into Convinces others to share the vision at a
3.3 Vision
to, the workplace vision. clear directions for others. higher level.
Demonstrates ability to improve quality within Recognises and implements innovation from Takes the lead to ensure innovation
3.4 Innovation
limitations of service. the external environment. produces demonstrable improvement.
Reviews last year‟s progress and develops clear Develops clear understanding of priorities and
Relates goals and actions to strategic aims of
3.5 Service Development plans to achieve results within priorities set by formulates practical short-term plans in line
organisation and profession.
others. with workplace strategy.
Developmental Descriptors
Competency
Advanced Stage I Advanced Stage II Mastery
Demonstrates understanding of the implications of Shapes the response of the team and/or service to Accountable for the direct delivery of national
4.1 Implementing National Priorities
national priorities for the team and/or service. national priorities. priorities at a higher level.
Demonstrates understanding of the process for effective Demonstrates ability to reconfigure the use of
4.2 Resource Utilisation Demonstrates ability to effectively manage resources.
resource utilisation. available resources.
Demonstrates understanding of, and conforms to, Demonstrates ability to set and monitor standards of Accountable for the setting and monitoring of
4.3 Standards of Practice
relevant standards of practice. practice at team and/or service level. standards at a higher level.
Demonstrates understanding of the principles of project Demonstrates ability to successfully manage a project Demonstrates ability to successfully manage a
4.6 Project Management
management. at team and/or service level. project at a higher level.
Demonstrates understanding of the principles of change Demonstrates ability to manage a process of change Demonstrates ability to manage a process of change
4.7 Managing Change
management. for the team and/or service. at a higher level.
Demonstrates ability to think 4-12 months ahead within a
Demonstrates ability to think over a year ahead Thinks long term and sector wide. Takes the long-
defined area. Plans the work programme to align with
within a defined area. term perspective.
strategy.
4.8 Strategic Planning
Demonstrates understanding of culture and climate
Demonstrates understanding of organisational
Demonstrates understanding of formal structures. and ability to plan with the whole of the organisation
politics and changes in the external environment.
in mind.
Developmental Descriptors
Competency
Advanced Stage I Advanced Stage II Mastery
Understands and demonstrates the characteristics of a Demonstrates the characteristics of an effective role Is able to develop effective role model behaviour in
5.1 Role Model
role model to members in the team and/or service. model at a higher level. others.
Demonstrates ability to effectively mentor others Demonstrates ability to effectively mentor outside
5.2 Mentorship Demonstrates understanding of the mentorship process.
within the team and/or service. the team and/or service.
Developmental Descriptors
Competency
Advanced Stage I Advanced Stage II Mastery
Demonstrates ability to critically evaluate and review Demonstrates application of critical evaluation skills Is recognised as undertaking peer review activities
6.1 Critical Evaluation
literature. in the context of working practice. within working practice.
Identifies Gaps in The Demonstrates ability to identify where there is a gap in Demonstrates ability to formulate appropriate and Demonstrates ability to design a successful
6.2 Evidence Base the evidence base to support practice. rigorous research questions. strategy to address research questions.
Demonstrates ability to generate evidence suitable for Demonstrates ability to generate new evidence Demonstrates authorship of primary evidence
6.4 Creates Evidence
presentation at local level. suitable for presentation at research symposia. and outcomes in peer reviewed media.
Demonstrates ability to apply research and Is able to use research evidence to shape
Research Evidence Into Demonstrates ability to apply the research evidence
6.5 Working Practice base into working practice.
evidence-based practice within the team and/or policy/procedure at an organisational and/or
service. national level.
Supervises Others Undertaking Demonstrates understanding of the principles of Is able to contribute to research supervision in Is a research project supervisor for postgraduate
6.6 Research research governance. collaboration with research experts. students.
Core areas cover the common areas that A „patient focused‟ pharmacist would be
any practitioner would be expected to be expected to have a good working knowledge
familiar with in a similar role at an advanced of common conditions and medicines; e.g.
level. hypertension, type 2 diabetes, asthma, and
ability to apply this knowledge to resolve
Core Areas of
practice The core areas of pharmacy practice include pharmaceutical care issues.
leadership, management, education, training
and development and research and A „non-patient focused‟ pharmacist e.g. in
evaluation. industrial medicines information: knowledge
of appropriate legislation around reporting
Core clinical areas are defined in the generic adverse events, appropriate use of info
and specialist „professional curricula‟. resources, questioning and listening skills.
Where the context of the problem is Providing management and leadership during
Dynamic
changing and requires regular evaluation and a „major incident‟.
Situations
feedback.
One who encourages self-directed learning: A facilitator may help a trainee identify
Establishes a collaborative relationship learning needs through reflection and
where the learner(s) is(are) responsible for feedback, support and direct them in
Facilitator learning. identifying suitable methods to meet those
needs, and help the trainee in reviewing their
Provides a structure for learning. Creates learning outcomes.
open/ trusting environment.
One who sets an example through their All pharmacists should behave in a
behaviour and values. professional manner that their colleagues and
trainees would be expected to emulate.
A team is a group of professionals working The team may comprise all the pharmacy
together and mutually accountable for the staff working within a location or in a larger
delivery of a common purpose or goal. organisation may be a sub group of pharmacy
staff providing a service to a defined area.
Team Within the context of the framework Team
refers to the group (pharmacy or Where the pharmacist predominately works
multidisciplinary) with which the pharmacist directly with other professionals in delivering
works most closely and regularly. a service they would comprise the „team‟.