If the cap fits wear it Assessment using

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If the cap fits, wear it: Assessment using the Advanced/ Consultant Level Framework David If the cap fits, wear it: Assessment using the Advanced/ Consultant Level Framework David Webb NZHPA Conference September 30, 2007

Workshop? Workshop?

Clusters Expert professional practice Building working relationships Leadership Management Competencies Expert skills and knowledge, Clusters Expert professional practice Building working relationships Leadership Management Competencies Expert skills and knowledge, Patient care responsibilities, Reasoning and judgement, Professional autonomy. Communication, Teamwork and consultation. Vision, motivation, governance, Strategy, innovation, Service development. Planning, performance, change, Priorities, resources, standards, Risk. Education, training, development Mentorship, role model, delivery, CPD, practice linkage, policy. Research and evaluation Critical evaluation, protocol review, Evidence creation, development, Supervision, partnerships.

Self assessment using ACLF □ Practice levels □ Specialist-in-training □ Experienced practitioner □ Leading-edge Self assessment using ACLF □ Practice levels □ Specialist-in-training □ Experienced practitioner □ Leading-edge practitioner □ Evidence □ To substantiate assessment □ Sample (n=390) □ Cancer 69 □ Mental health 69 □ Critical care 36 □ Primary care 84 □ Paediatrics 53 □ MI 43 □ Other 36

Expert Practice 3. 0 Working relationships Leadership 2. 5 Mean cluster score Management E&T Expert Practice 3. 0 Working relationships Leadership 2. 5 Mean cluster score Management E&T and Development 2. 0 Research & Evaluation 1. 5 1. 0 0. 5 0. 0 Specialist Experienced Leading-edge

Respondent percentage by subgroup Cluster Foundation F-E Excellence E-M Expert Practice Building Relationships Leadership Respondent percentage by subgroup Cluster Foundation F-E Excellence E-M Expert Practice Building Relationships Leadership Management E&T and Development Research and Evaluation 0. 9 3. 5 0. 8 1. 3 0. 8 10. 0 2. 5 16. 0 5. 1 26. 5 15. 5 47. 6 2. 8 4. 6 0. 8 12. 7 0. 8 12. 5 15. 9 16. 4 22. 9 21. 1 50. 7 14. 3 56. 9 43. 2 60. 7 50. 4 58. 3 58. 5 52. 3 40. 0 24. 8 EP=155 15. 8 21. 5 23. 3 20. 3 9. 6 6. 0 15. 1 8. 3 10. 2 3. 8 11. 8 1. 9 Mastery 62. 3 21. 5 61. 7 17. 0 45. 6 10. 7 31. 1 4. 9 23. 7 1. 5 16. 4 2. 9 LE=135

HOMALS Quantifications F Foundation E Excellence M Mastery F Dimension 2 Expert PP Leadership HOMALS Quantifications F Foundation E Excellence M Mastery F Dimension 2 Expert PP Leadership Management E&T R&E Practice level Specialist in training F F E EE E E Experienced practitioner M MM M Leading-edge M practitioner Dimension 1

Competency profiles □ Applying consultant profile to sample □ 50 pharmacists satisfy competency criteria Competency profiles □ Applying consultant profile to sample □ 50 pharmacists satisfy competency criteria (12. 8%) □ 21 (+/- 7) years post qualification (mean +/- SD) □ 34% diploma, 40% MSc, 18% Ph. D

Evidence categories Proportion of respondents citing different evidence categories by subgroup 60. 00 50. Evidence categories Proportion of respondents citing different evidence categories by subgroup 60. 00 50. 00 40. 00 30. 00 20. 00 10. 00 e 1 id en ce Ev 2 id en ce Ev 3 id en ce Ev 4 id en ce Ev 5 id en ce Ev 6 id en ce Ev 7 id en ce Ev 8 id en ce Ev 9 id en ce Ev 10 id en ce Ev 11 id en ce 12 0. 00 Ev id en c Member local or Trust committee Member regional / national / international committee 3. Active teaching role 4. Education development, design & provision 5. Active research participation 6. Research development & leadership 7. Professional standing / Peer status 8. Documented expert practice 9. Managing process & leadership (local) 10. Managing process & leadership (national) 11. Staff management 12. Other appropriate documentation Ev 1. 2. Potential Consultant (n=50) Non-Consultant (n=340)

Graham Davies Denise Farmer Lizzie Mills Laura Obiols Roger Fernandes Ian Bates Duncan Mc. Graham Davies Denise Farmer Lizzie Mills Laura Obiols Roger Fernandes Ian Bates Duncan Mc. Robbie Sotiris Antoniou Naomi Meadows With thanks to DH Steering Group, GHP, UKCPA, CPP and E&SE England Specialist Pharmacy Services. Members of Specialist/Practice Interest Groups and CPP Faculties Funding NWL WDC, NSC WDD and Department of Health (scoping higher level practice)




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