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Reaccreditation 2011/12 - General Pharmaceutical Council

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<strong>Reaccreditation</strong> of an Overseas Pharmacists’ Assessment Programme<br />

(OSPAP)<br />

University of Brighton<br />

Report of a reaccreditation event, 26‐28 June 20<strong>12</strong><br />

Introduction<br />

The <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> (GPhC) is the statutory regulator for pharmacists and pharmacy technicians and is the accrediting body for pharmacy education in<br />

Great Britain. The GPhC is responsible for setting standards and approving education and training courses which form part of the pathway towards registration for<br />

pharmacists. The UK qualification required as part of the pathway to registration for pharmacists who have qualified overseas (non‐EEA) is a GPhC‐accredited Overseas<br />

Pharmacists’ Assessment Programme (OSPAP), which is a one‐year post graduate diploma. The GPhC’s right to check the standards of pharmacy qualifications leading to<br />

annotation and registration as a pharmacist is the Pharmacy Order 2010. It requires the GPhC to ‘approve’ courses by appointing ‘visitors’ (accreditors) to report to the<br />

GPhC’s <strong>Council</strong> on the ‘nature, content and quality’ of education as well as ‘any other matters’ the <strong>Council</strong> may require.<br />

This accreditation event was carried out in accordance with the GPhC’s <strong>2011</strong> OSPAP Accreditation Methodology and the course was reviewed against the GPhC’s <strong>2011</strong><br />

education standards ‘Standards for the education and training of non‐EEA Pharmacists wanting to register in Great Britain.’<br />

Background<br />

The University of Brighton OSPAP course was initially accredited by the then regulator, the Royal pharmaceutical Society of Great Britain (RPSGB) in 2005, with<br />

subsequent re‐accreditations in 2006 and 2009. As a result of the 2009 visit the then accreditation team agreed to recommend to the Education Committee of the<br />

RPSGB that the University’s OSPAP course be reaccredited for a full period of 3 years. There was one recommendation, namely that the course team consider whether or<br />

not the assessment for Advanced Drug Delivery was optimal.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

1


Documentation<br />

The provider submitted submission documentation to the GPhC in line with agreed timescales and a pre‐visit took place at the University on 14 May 20<strong>12</strong>. During the<br />

pre‐visit the schedule of meetings and timings for the reaccreditation event were confirmed.<br />

The following documents were submitted by the university in advance of the event:<br />

• Completed GPhC submission template ‘<strong>Reaccreditation</strong> of an OSPAP’ inc. module descriptors and staff CVs<br />

• Course monitoring and evaluation report 2008‐09<br />

• Compact disk of evidence.<br />

The following documents were submitted during the event:<br />

- Reflective diaries for health promotion exercise<br />

- Medicines Use Reviews – did they meet their expectations?<br />

- Sample examination scripts<br />

- 2 x publications on pharmacy teaching<br />

- Module Handbook – Applied Therapeutics<br />

- Coursework on patient interviews<br />

The event<br />

The event began with a private meeting of the accreditation team and GPhC representatives on 26 June 20<strong>12</strong>. The remainder of the event took place on site at the<br />

University of Brighton on 26 June 20<strong>12</strong>, and comprised a series of meetings with staff and OSPAP students of the University and included a tour of the University<br />

facilities.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

2


Accreditation team<br />

The GPhC’s accreditation team (‘the team’) comprised:<br />

Name Designation at the time of accreditation event<br />

Mrs Linda Stone* Accreditation team leader, Pharmacy consultant, community pharmacy background<br />

Prof Brenda Costall Accreditation team member (Academic), Professor of Neuropharmacology, former Head of School, University of Bradford<br />

Prof Larry Gifford Accreditation team member (Academic), Professor of Pharmacy Education, Keele University<br />

Mr Surinder Bassan Accreditation team member (Pharmacist),Chief Pharmacist, Southampton University Hospitals<br />

Mr Alan Kershaw Accreditation team member (Lay), Chair of ILEX Professional Standards Ltd<br />

along with:<br />

Name Designation at the time of visit<br />

Ms Joanne Martin Quality Assurance Manager (Education), <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong><br />

Mr Hugh Simpson Director of Policy and Communications, <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> (28 June only ‐ observer)<br />

Dr Ian Marshall Rapporteur, Emeritus professor of pharmacology, University of Strathclyde<br />

*attended pre‐visit meeting on 14 May 20<strong>12</strong>.<br />

Declaration of potential conflicts of interest<br />

No potential conflicts of interest were declared.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

3


Meeting the accreditation standards<br />

Standard 1 – Patient and public<br />

safety<br />

There must be clear procedures to<br />

address concerns about patient safety<br />

arising from initial pharmacy education<br />

and training. Concerns must be<br />

addressed immediately.<br />

Standard 2 – Monitoring, review<br />

and evaluation of an OSPAP<br />

The quality of pharmacy education and<br />

training must be monitored, reviewed<br />

and evaluated in a systematic and<br />

developmental way.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

Accreditation team’s commentary<br />

The team was confident that the one criterion to meet this standard will be met.<br />

The team was told that the avoidance and reporting of unsafe practice will be dealt with in the simulated pharmacy sessions<br />

in which students will be required to maintain a log book and reflect on any unsafe practices. Students maintain a portfolio<br />

which, if problems do arise, allows the student to express themselves in the portfolio and discuss issues with tutors. OSPAP<br />

students were said to find the ethics teaching challenging due to cultural differences although students interviewed<br />

appeared comfortable with the UK interpretation of ethics. The team was told that OSPAP students receive lectures on<br />

whistleblowing. The team was told that there was a very variable response from students to the concept of fitness to<br />

practise, a fact that the accreditation team confirmed during the meeting with students. The team was told that a solicitor<br />

gives examples of real‐life scenarios in which pharmacists have run foul of disciplinary issues. It was also stated that the<br />

sequelae of dispensing errors are discussed in the dispensing classes.<br />

The team was told that the hospital placement is supervised by the School’s hospital teacher‐practitioners who are academic<br />

team members. For community pharmacy placements the team was told that 2 staff members are members of the LPF and<br />

therefore have contact with local community pharmacists. There is a placement officer who will visit pharmacies that the<br />

School selects; such pharmacies will receive all the learning materials that the students have to complete. However,<br />

pharmacies that are selected by students themselves do not receive information or support from the School. The<br />

accreditation team, although agreeing that the arrangement satisfied the relevant criterion, also agreed that the<br />

arrangement represented a weak element of the OSPAP provision.<br />

The team was confident that the one criterion to meet this standard will be met.<br />

The accreditation team was told that the OSPAP course leader reports to the team leader for pharmacy practice who holds a<br />

budget for postgraduate taught provisions. Strategic issues would be discussed at the School Management Group and<br />

strategic funding could be applied for through this group or directly from the Faculty or University initiatives. The course<br />

leader was content with the resources available for the OSPAP course.<br />

The team was told that although there is stakeholder input to the School’s pharmacy provision overall, there is no specific<br />

stakeholder input into the OSPAP course. The School confirmed that it has a large complement of patients available for<br />

student contact and that these patients do not differentiate between OSPAP and undergraduate students in terms of attitude<br />

and behaviour.<br />

4


Standard 3 – Equality, diversity and<br />

fairness<br />

OSPAPs must be based on principles of<br />

equality, diversity and fairness. It must<br />

meet the requirements of all relevant<br />

legislation.<br />

Standard 4 – Selection of students<br />

Selection processes must be open, fair<br />

and comply with relevant legislation.<br />

Processes must ensure that students are<br />

fit to practice at the point of selection.<br />

Selection includes admissions.<br />

Standard 5 – Curriculum delivery<br />

and Student experience<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

The team noted from the documentation that OSPAP students are expected to organise their own community pharmacy<br />

placements. As many of the students work in pharmacies, such pharmacies, although often not local or known to the School,<br />

are usually chosen for the placement experience. Although the School supplies the students with reflective forms to help<br />

them ask questions during the placement, the School representatives admitted that the placement experiences were likely to<br />

be very different. The School attempts to achieve some standardisation through preferring placements where the providers<br />

already have pre‐registration students. The accreditation team, although agreeing that the arrangement satisfied the<br />

relevant criterion, also agreed that the arrangement represented a weak element of the OSPAP provision. The School intends<br />

to use the simulated pharmacy process, an in‐house replication of a busy community pharmacy, to provide appropriate<br />

community pharmacy experience, an idea that emanated from the pre‐visit.<br />

The team was confident that the two criteria to meet this standard will be met.<br />

The team noted from the documentation that the University’s policy on equality and diversity dated from 2009 and therefore<br />

did not encompass the demands of the Equality Act (2010). The team was told that the University equality and diversity team<br />

is currently updating the documentation. It was confirmed to the team that equality and diversity training is mandatory for<br />

all staff. The team was told that the OSPAP students represent a very multicultural group with a range of different beliefs.<br />

This was described as a source of enrichment for the School.<br />

The team was confident that the three criteria to meet this standard will be met.<br />

Applicants have to pass an on‐line calculations test, not have any indicators of inappropriate behaviour as evidenced by a<br />

police report from their own country (or a CRB check if based in the UK) and sign a fitness to practise declaration. The<br />

difficulty for the School in guaranteeing the identity of applicants taking the on‐line calculations test was described. The team<br />

was told that the School compares the result of the on‐line test with that achieved in the diagnostic calculations test in the<br />

induction week. The team learned that applicants have been rejected on the basis of the on‐line calculations test and was<br />

assured that this would continue to be the policy even if applicant numbers fell. The team was told that the School did not<br />

anticipate receiving requests for recognition of prior learning, but it was said that theoretically it would be possible for a<br />

student wishing to transfer from another UK OSPAP course to be considered for the Brighton course.<br />

The team was confident that the twelve criteria to meet this standard will be met.<br />

The team was told that the OSPAP represents a part of an MSc Pharmacy (OSPAP) degree course. Students undertake the<br />

PGDip for the OSPAP qualification and then perform a research project over the summer months to achieve the MSc degree.<br />

This arrangement is designed to overcome the current visa restrictions experienced by overseas students. The arrangement<br />

5


The curriculum for OSPAPs must deliver<br />

the outcomes in Standard 10. Most<br />

importantly, curricula must ensure that<br />

students practice safely and effectively.<br />

To ensure this, pass criteria must<br />

describe safe and effective practice.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

has the disadvantage of OSPAP students graduating later than MPharm students and hence having to commence pre‐<br />

registration training late. The team emphasised to the School that the GPhC was concerned only with the OSPAP (PGDip)<br />

element of the programme and would require that students were awarded this qualification in addition to the MSc degree.<br />

The team was told that the University organises an international orientation week that OSPAP students are encouraged to<br />

attend. Students interviewed who had attended had found the programme very useful. Although the general orientation<br />

week is optional, the School OSPAP induction week is mandatory.<br />

The teaching and learning week is divided into independent learning (from Monday to Wednesday inclusive) and formal face‐<br />

to‐face teaching, with lectures on Thursdays and workshops on Fridays. Students interviewed told the team that although<br />

they had been attracted by the 2‐day contact time structure of the course, hence reducing travel costs, they had found it<br />

extremely demanding. The independent learning period includes modules on the scientific basis of pharmacy practice with 5<br />

domains: chemistry, applied physiology and pharmacology, microbiology, nutrition and research methods and ethics, all with<br />

tutorial support. Placements (half days in both community and hospital) also take place in the independent learning segment<br />

of the provision. The Friday sessions will include first aid, physical examination, the use of the simulated pharmacy, and<br />

interprofessional learning consisting of problem‐based learning with physiotherapy, occupational therapy and podiatry<br />

students. The accreditation team explored the integration of the programme in two separate subgroup sessions, science to<br />

practice, and practice from science. Both subgroups agreed that science and practice were well‐integrated in the<br />

programme.<br />

The team was told that the teaching and learning strategy used a variety of delivery methods, including lectures, group work,<br />

independent learning, and interprofessional learning to match different learning styles. It was stated that the School was<br />

aware of the Standard 10 learning outcomes and attempts to develop more challenging material as the course progresses.<br />

This will involve the demonstration of appropriate relevance and level. There will be a strong emphasis on group work to<br />

encourage peer support and feedback. An innovation was a presentation on the place of psychology in pharmacy education<br />

in which the application of psychology to the achievement of several of the outcomes in Standard 10 was highlighted.<br />

The team was told that the hospital placement takes place in a podiatry clinic at Leaf Hospital in which OSPAP students get<br />

the opportunity to talk to and interview patients, upon which they are required to produce a pharmaceutical care plan which<br />

forms an assessed part of their portfolio. In the community placement OSPAP students write a reflective piece on their<br />

experience in the pharmacy, with emphasis on team work, attributes of the pharmacist and SOPs. The teaching team<br />

admitted that the community pharmacy placement was a variable experience for the students and in future will not be<br />

assessed, community pharmacy experience being dealt with in the simulated pharmacy environment in the University.<br />

The team was told that a range of assessment tools is used for the OSPAP course, their use depending on the learning<br />

6


Standard 6 – Support and<br />

development for students<br />

Students must be supported to develop<br />

as learners and professionals during<br />

their OSPAP<br />

Standard 7 – Support and<br />

development for academic staff<br />

Anyone delivering an OSPAP should be<br />

supported to develop in their<br />

professional roles.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

outcome being tested. The team’s examination of the learning outcomes in Standard 10 gave it confidence that appropriate<br />

assessment methods were being used. The team was told that outcomes at the “know how” level are examined by MCQs and<br />

written questions, whereas “shows how” outcomes are tested by OSCEs, the reflective learning log and presentations. The<br />

teaching team stated that pass marks reflect safe practice and that there are “red flag” elements in the assessments. Causing<br />

potential harm to a patient will lead to failure of, for example, an individual OSCE station. The failure would be discussed by<br />

the module team and would lead to failure of the entire OSCE. The pass mark for each station is at the “minimal level for a<br />

pass” and students must “show how” in order to achieve a pass. Students may re‐sit the OSCE up to a maximum of 3<br />

attempts. Performance in dispensing is assessed by making judgements around patient safety. Students receive feedback on<br />

their performance in practice sessions. Questions from past papers of the registration examination are used in formative<br />

calculations tests. Students are required to achieve 90% and may take the tests repeatedly until the 90% is achieved.<br />

The team was told that the University’s recruitment strategy aims to recruit REF‐suitable staff but that it was paramount that<br />

staff with professional experience was appointed particularly with respect to pharmacy practice. It was stated that 90% of<br />

the practice staff is research‐active. Students interviewed confirmed that members of the teaching staff speak<br />

enthusiastically about their research during their teaching.<br />

The team was confident that the one criterion to meet this standard will be met.<br />

Students interviewed told the team that staff members were easy to contact and provided timely responses to queries. All<br />

staff members were described as friendly, approachable and giving strong support to students. Students were content with<br />

the on‐line feedback from assignments plus timely back‐up feedback from tutors. Tutors were said to explain why answers<br />

were wrong rather than simply giving the correct answer.<br />

Students described an on‐line survey and feedback exercise that they had undertaken. It appeared that there was not a<br />

formal staff‐student liaison committee for OSPAP students but had attended one meeting to discuss the course; they opined<br />

that further meetings would have been useful.<br />

The team was confident that the three criteria to meet this standard will be met.<br />

The team was told that there is a short, fast‐track teaching course for new teachers as well as the University’s PGCertEd. The<br />

latter course was said to contain much material pertaining to cultural differences. The University also has an MA degree in<br />

education for experienced teachers; one of the staff is currently taking this course. There is also a staff development<br />

programme that includes tuition on Turnitin, MCQs, PowerPoint etc. There is a University generic workload model and the<br />

School’s average contact time for staff members is around <strong>12</strong>5‐130 hours per year. It was confirmed that part‐time staff are<br />

eligible to undertake the University’s PGCertEd teaching course and that there is also a shorter fast‐track teaching course<br />

7


Standard 8 – Management of an<br />

OSPAP<br />

An OSPAP must be planned and<br />

maintained through transparent<br />

processes which must show who is<br />

responsible for what.<br />

Standard 9‐ Resources and capacity<br />

Resources and capacity are sufficient to<br />

deliver outcomes.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

available. The teaching team emphasised that teaching the OSPAP course is very different from teaching an undergraduate<br />

course as much of the course involves team‐teaching and the OSPAP students are confident and ask many questions.<br />

The team was confident that the one criterion to meet this standard will be met.<br />

The team noted that the course requires two days per week attendance by students on Thursdays and Fridays. Thursdays are<br />

devoted to lectures and it is University policy that attendance at lectures is not mandatory; as a result no record of<br />

attendance is maintained. Fridays consist of tutorial/workshop teaching at which attendance is monitored. It was stated that<br />

although the two days of intensive back‐to‐back teaching is difficult for the OSPAP students, all students have met the<br />

attendance requirements.<br />

The team was confident that the one criterion to meet this standard will be met.<br />

The Dean told the accreditation team that the University operated a devolved resource allocation model such that resources<br />

are allocated directly to Schools rather than to the Faculty. It was also explained that the University can apply a strategic<br />

cross‐subsidy if required. The income allocated to the School on the basis of the OSPAP course is calculated on the basis of 36<br />

OSPAP students, down from 50 in the previous year, although the portents suggest that an intake of 50 will be achieved for<br />

the 20<strong>12</strong> intake. The team was told that the minimal number of OSPAP students for continued viability of the course is 10‐15<br />

students. The accreditation team had the opportunity to observe facilities relevant to the OSPAP course. These included a<br />

dividable seminar room, a lecture theatre annex area for the display of poster presentations, a 300‐capacity lecture theatre,<br />

the School office area and the 60‐capacity dispensary. The dispensary contained 60 workstation positions all with internet<br />

access and labelling provisions. There was a wet preparation bench area, locked drug cupboards and an open OTC area, along<br />

with an information resource area. In terms of information resource, the team was told that the School provides OSPAP<br />

students with several core texts for the course. The team also saw a series of interview rooms suitable for OSCEs and had a<br />

brief demonstration of the manikin, SimMan.<br />

The team was told that there had been several meetings to discuss the new OSPAP course in parallel with meetings<br />

discussing the newly‐designed MPharm course. All staff members that teach on the OSPAP also teach on the MPharm and<br />

the meetings included both pharmacist and non‐pharmacist staff. It was stressed that all staff members, no matter of what<br />

professional background, work well together. Non‐pharmacist staff members told the team that contact with the teacher‐<br />

practitioners was useful in orientating their teaching to pharmacy. Such staff members also have the opportunity to visit<br />

community and hospital pharmacies to observe real‐life scenarios.<br />

8


Standard 10 ‐ Outcomes<br />

Outcomes for non‐EEA pharmacists<br />

wanting to register in Great Britain<br />

Indicative Syllabus<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

The team attempted to scrutinise the learning outcomes by discussions with the teaching staff in two parallel sessions<br />

comprising a ‘science to practice’ session and a ‘practice from science’ session. In each session the team attempted to drill<br />

down into the course to understand how various themes are developed and how science and practice elements within the<br />

themes are linked across the year. The aim was to explore course themes in depth to establish how they are developed from<br />

simply ‘knowing’, through ‘knowing how’, ‘showing how’ and ‘doing’, while accepting that for an OSPAP graduate, there are<br />

relatively few outcomes that demand that the graduate ‘does’ (See Appendix 1, standard 10). Rather than checking every<br />

outcome in these discussions, several were sampled and discussed with teaching staff. For each of the eight outcomes<br />

scrutinised in detail, the evidence provided by the discussions with the staff, along with other evidence provided with the<br />

documentation, gave the team confidence that these outcomes would be met at the required level. As this selection<br />

represented approximately 14% of the total outcomes, the team was confident that all other outcomes would be similarly<br />

met. This view was supported by the documented material for each of the other outcomes, which had also been scrutinised<br />

by the team. Thus, the team is confident that standard 10 will be met.<br />

The team scrutinised the curriculum and, following discussions with teaching staff, agreed that the curriculum addressed all<br />

of the items covered by the Indicative Syllabus.<br />

9


Summary and conclusions<br />

The team agreed to recommend to the Registrar of the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> that University of Brighton OSPAP should be reaccredited for a full period of<br />

three years. There are no conditions or recommendations.<br />

As a result of this event, a private record and a public report will be prepared and sent to the University for comment on matters of factual accuracy. Once agreed by the<br />

Registrar, both documents will be sent to University for its records and the report, along with a formal response from the University, will be posted on the <strong>Council</strong>’s<br />

website for the duration of the accreditation period.<br />

There is a standing condition for all course providers, which is that documentary references to the pharmacy regulator must be to the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>. If<br />

any other amendments are required to be made to documents for accuracy or completeness, they will be detailed in the record. The University must confirm that<br />

changes have been made but the GPhC does not require documents to be submitted for its approval.<br />

Please note all accredited providers are required to inform the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> annually of changes to the curriculum and/or resources.<br />

Please note that the team’s recommendations are not binding on the Registrar, who may accept, modify or reject them. The accreditation team’s feedback is<br />

confidential until it has been ratified by the Registrar of the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> but it may be shared with staff and students internally.<br />

The full record includes other comments from the team and the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> regards the record in its entirety as its formal view on provision.<br />

Providers are required to take all comments into account as part of the accreditation process.<br />

Standing conditions of accreditation:<br />

These are the conditions which will apply in all circumstances of OSPAP accreditation:<br />

1. The school or department of pharmacy always seeks approval from the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> for curriculum amendments and always at least informs<br />

the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> of significant changes to pharmacy undergraduate student numbers or resources for their teaching, learning support and<br />

assessment, including any change from internal to teaching, learning and assessment from outside the school or department;<br />

2. The school or department of pharmacy produces and submits to the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> annually requested data on student numbers and<br />

progression and OSPAP awards;<br />

3. The school or department of pharmacy produces and submits to the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> annually requested information about the extent of human<br />

and physical resources it enjoys for the delivery and support of the OSPAP;<br />

4. The school or department of pharmacy or the university makes students and potential students aware of the existence and Internet address where they can<br />

view the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>’s summary reports of OSPAP accreditation exercises, main after‐actions therefrom and of the timetable for future<br />

accreditation exercises.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

10


The Pharmacy Order 2010 states:<br />

Part 5 Education, training and acquisition of experience and continuing professional development, Information to be given by institutions or other providers, 46. ...<br />

(3) Whenever required to do so by the <strong>Council</strong>, any institution or other provider to which this article applies must give to the <strong>Council</strong> such information and assistance as<br />

the <strong>Council</strong> may reasonably require in connection with the exercise of its functions under this Order.<br />

(4) Where an institution or other provider refuses any reasonable request for information made by the <strong>Council</strong> under this article, the <strong>Council</strong> may, in accordance with<br />

article 47 (‘Refusal or withdrawal of approval of courses, qualifications and institutions’), refuse to approve or withdraw approval from, any course of education or<br />

training, qualification, test or institution or other provider to which the information relates.<br />

It is a requirement of accreditation that institutions or other providers provide the GPhC proactively and in a timely manner with any information which is, or has the<br />

potential to be, material to the delivery of an accredited course. This includes, but is not limited to: changes in staffing, changes in funding, and/or substantial changes<br />

in curriculum or delivery.<br />

Reference: http://www.legislation.gov.uk/uksi/2010/231/contents/made<br />

Caution: Preregistration and employment as a pharmacist:<br />

• In respect of all students, successful completion of an accredited course in not a guarantee of a placement for a pre‐registration year or of future employment<br />

as a pharmacist.<br />

Following the above reaccreditation event, the Registrar of the <strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong> agreed with the accreditation team’s<br />

recommendation and approved the reaccreditation of the University of Brighton’s Overseas Pharmacists’ Assessment Programme (OSPAP) for a<br />

further period of three years. <strong>Reaccreditation</strong> will be due in the 2014/2015 academic year.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

11


Appendix 1 ‐ Standards for the education and training of non‐EEA pharmacists wanting to register in Great Britain<br />

Standard 1 – Patient and public safety<br />

1. There must be clear procedures to address concerns about patient safety arising from pharmacy education and training. Concerns must be<br />

addressed immediately.<br />

1.1. There must be effective systems in place to ensure that students:<br />

1.1.a do not jeopardise patient safety;<br />

1.1.b only do tasks for which they are competent, sometimes under supervision;<br />

1.1.c are monitored and assessed to ensure they always practice safely. Causes for concern should be addressed immediately;<br />

1.1.d have access to support for health, conduct and academic issues;<br />

1.1.e must not be awarded an OSPAP if they might pose a risk to patients or the public;<br />

1.1.f understand what is and what is not professional behaviour and are familiar with the GPhC’s Code of Conduct for Pharmacy Students (2010)Standards of<br />

conduct, ethics and performance (2010);<br />

1.1.g understand what fitness to practise mechanisms apply to them. All schools of pharmacy must have fitness to practise procedures to deal with student<br />

causes for concern;<br />

1.1.h undergo required health and good character checks;<br />

1.1.i understand that it is an offence to impersonate a pharmacist. Pharmacists are registrants of the GPhC.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

<strong>12</strong>


Standard 2 – Monitoring, review and evaluation of an OSPAP<br />

2. The quality of an OSPAP must be monitored, reviewed and evaluated in a systematic and developmental way.<br />

2.1 There must be systems and policies in place covering the following:<br />

2.1.a information about roles & responsibilities and lines of accountability;<br />

2.1.b university information on:<br />

i. entry requirements;<br />

ii. the quality of teaching, learning and assessment;<br />

iii. the quality of placements and other practice learning opportunities;<br />

iv. appraisal and feedback systems for students;<br />

v. supervision requirements;<br />

vi. educational resources and capacity;<br />

These must be monitored, reviewed and evaluated systematically. When an issue is identified it must be documented and dealt with promptly;<br />

Standard 3 – Equality, diversity and fairness<br />

3. OSPAPs must be based on principles of equality, diversity and fairness. It must meet the requirements of all relevant legislation.<br />

3.1 systems and policies for capturing equality and diversity data. Concerns should be documented, addressed and disseminated;<br />

3.2 strategies for staff training in equality and diversity<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

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Standard 4 – Selection of students<br />

4. Selection processes must be open, fair and comply with relevant legislation. Processes must ensure students are fit to practise as students at the<br />

point of selection. Selection includes admissions.<br />

4.1 Selection processes must give applicants the information they need to make an informed application.<br />

4.2 Selection criteria must be explicit. They should include:<br />

4.2.a meeting the GPhC’s adjudication requirements;<br />

4.2.b meeting academic and professional entry requirements;<br />

4.2.c meeting numeracy requirements;<br />

4.2.d recognising prior learning, where that is appropriate.<br />

4.3 Selectors should apply selection criteria fairly. They should be trained to do this. Training should include equality and diversity awareness.<br />

Standard 5 – Curriculum delivery and the student experience<br />

5. The curriculum for OSPAPs must deliver the outcomes in Standard 10. Most importantly, curricula must ensure students practise safely and<br />

effectively. To ensure this, pass criteria must describe safe and effective practice.<br />

5.1 Curricula must be integrated. By this the GPhC does not mean that an OSPAP and pre‐registration training must be delivered as single two tear course, but that the<br />

component parts of an OSPAP must be linked in a coherent way.<br />

5.2 Curricula must be progressive, dealing with issues in increasing more complex ways until the right level of understanding is reached.<br />

5.3 An OSPAP must be delivered in an environment which places study in a professional and academic context and requires students to conduct themselves<br />

professionally.<br />

5.4 An OSPAP must be delivered in an environment informed by research. This means that whether or not all staff are engaged in research, their teaching must be<br />

informed by current research.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

14


5.5 An OSPAP teaching and learning strategy must set out how students will achieve the outcomes in Standard 10. Learning opportunities must be structured to<br />

provide:<br />

5.5.a an integrated experience of relevant science and pharmacy practice;<br />

5.5.b a balance of theory and practice<br />

5.5.c independent learning skills<br />

5.6 The OSPAP curriculum must include practical experience of working with patients, carers and other healthcare professionals. We are not suggesting that off‐site<br />

placement visits are the only way to achieve this. Schools should articulate their strategy for meeting this criterion, which may include off‐site placement visits,<br />

using patients, carers and other healthcare professions in‐class and simulations.<br />

5.7 There must be a clear assessment strategy for the OSPAP. Assessment methods must measure the outcomes in Standard 10.<br />

5.8 The OSPAP assessment strategy should include:<br />

5.8.a diagnostic assessments;<br />

5.8.b formative assessments;<br />

5.8.c summative assessments;<br />

5.8.d timely feedback.<br />

5.9 Academic regulations must be appropriate for a postgraduate qualification that is both academic and professional and may lead to further professional training.<br />

As a general principle, all assessments must be passed. This means that condonation, compensation, trailing, extended re‐sit opportunities and other remedial<br />

measures should be extremely limited, if they are permitted at all. Course academic regulations may be more stringent than university norms. This may include<br />

higher than usual pass marks for assessments demonstrating knowledge and skills essential to safe and effective pharmacy practice.<br />

5.10 Marking criteria must be used for all assessments and all pass criteria must reflect safe and effective practice.<br />

5.11 Patient safety must be paramount in assessments: any evidence of an assessment demonstrating unsafe practise must result in failure.<br />

5.<strong>12</strong> OSPAPs must include an induction programme orientating students to study in the UK. The programme should include diagnostic testing.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

15


Standard 6 – Support and development for students<br />

6. Students must be supported to develop as learners and professionals during their OSPAPs.<br />

6.1. A range of mechanisms must be in place to support students to develop as learners and professionals.<br />

Standard 7 – Support and development for academic staff<br />

7. Anyone delivering an OSPAP should be supported to develop in their professional roles.<br />

7.1. There must be a range of mechanisms in place to support anyone delivering an OSPAP to develop in their professional role.<br />

7.2. Induction programmes are provided for tutors and university staff as appropriate. This should include induction programmes for non‐pharmacists working on an<br />

OSPAP.<br />

7.3. Everyone involved in delivering the curriculum should have:<br />

7.3.a effective supervision;<br />

7.3.b an appropriate and realistic workload;<br />

7.3.c effective personal support;<br />

7.3.d mentoring;<br />

7.3.e time to learn;<br />

7.3.f continuing professional development opportunities.<br />

Standard 8 – Management of an OSPAP<br />

8. An OSPAP must be planned and maintained through transparent processes which must show who is responsible for what.<br />

8.1. All OSPAPs must be supported by a defined management plan with:<br />

8.1.a a schedule of responsibilities;<br />

8.1.b defined structures and processes to manage the delivery of an OSPAP.<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

16


Standard 9 – Resources and capacity<br />

9. Resources and capacity are sufficient to deliver outcomes.<br />

9.1 There must be:<br />

9.1.a robust and transparent mechanisms for securing an appropriate level of resource for delivering an OSPAP;<br />

9.1.b sufficient staff from relevant disciplines to deliver the curriculum to students. Staff must be appropriately qualified and experienced. The staffing profile<br />

must include:<br />

9.1.b.i sufficient numbers of pharmacists – registrants of the GPhC – with experience of teaching in higher education to ensure that an OSPAP can<br />

produce students equipped to enter pharmacist pre‐registration training in Great Britain.<br />

9.1.b.ii sufficient numbers of pharmacists to act as tutors and professional mentors at university and in pre‐registration. Not all personal tutors must<br />

be pharmacists.<br />

9.1.b.iii pharmacists who are leaders in the profession and in their university, who can influence university policy relevant to pharmacy<br />

9.1.b.iv non‐pharmacist academics who can influence school and university policy relevant to pharmacy<br />

9.1.b.v staff who are sufficiently experienced to supervise research. It would be unusual for anyone to supervise research at a particular level unless<br />

they had researched to that level or beyond. New research supervisors must be mentored and signed off as being fit to supervise after a<br />

period of mentoring<br />

9.1.b.vi science academics who understand the relevance of their discipline to pharmacy and deliver their area of expertise in a pharmaceutical<br />

context<br />

9.1.b.vii academic pharmacists and other experienced pharmacy staff who are able to act as mentors to non‐pharmacist colleagues<br />

9.1.c career pathways in universities for all staff teaching on OSPAPs, including pathways for practice staff;<br />

9.1.d clear lines of authority and responsibility for the strategic organisation and day‐to‐day management of placements;<br />

9.1.e training and ongoing support for all non‐pharmacists involved in the delivery of OSPAPs, which must help them understand:<br />

9.1.f.i help and understand the relevance of their work to pharmacy<br />

9.1.f.ii how to deliver their area of expertise in a pharmaceutical context<br />

9.1.f appropriate learning resources<br />

9.1.g accommodation and facilities that are fit for purpose<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

17


Outcomes for non‐EEA pharmacists wanting to register in Great Britain<br />

10.1 Expectations of a pharmacy professional<br />

Note: Not all outcomes will be met on an OSPAP. In designing the course, providers make a judgement about which outcomes will have been met<br />

previously by their students, who will have trained to be pharmacists outside the EEA.<br />

Learning outcome<br />

OSPAP Pre‐reg<br />

(for reference<br />

only)<br />

a. Recognise ethical dilemmas & respond in accordance with relevant codes of conduct and behaviour Shows how Does<br />

b. Recognise the duty to take action if a colleague’s health, performance or conduct is putting patients or public at risk Knows how Knows how<br />

c. Recognise personal health needs, consult and follow the advice of a suitably qualified professional, and protect patients or public Does Does<br />

from any risk posed by personal health<br />

d. Apply the principles of clinical governance in practice Knows how Does<br />

e. Demonstrate how the science of pharmacy is applied in the design and development of medicines and devices Shows how Knows how<br />

f. Contribute to the education and training of other members of the team, including peer review and assessment Shows how Does<br />

g. Contribute to the development of other members of the team through coaching and feedback Knows how Shows how<br />

h. Engage in multidisciplinary team working Knows how Does<br />

10.2 The skills required in practice<br />

10.2.1 Implementing health policy<br />

Learning outcome<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

OSPAP Pre‐reg<br />

a. Promote healthy lifestyles by facilitating access to and understanding of health promotion information Shows how Does<br />

b. Access & critically evaluate evidence to support safe, rational & cost effective use of medicines Shows how Does<br />

c. Use the evidence base to review current practice Shows how Shows how<br />

d. Apply knowledge of current pharmacy‐related policy to improve health outcomes Shows how Shows how<br />

e. Collaborate with patients, the public and other healthcare professionals to improve patient outcomes Knows how Does<br />

18


f. Play an active role with public and professional groups to promote improved health outcomes Knows how Knows how<br />

g. Contribute to research & development activities to improve health outcomes Knows how Knows how<br />

h. Provide evidence‐ based medicines information Shows how Does<br />

i. Respond appropriately to medical emergencies, including provision of first aid Knows how Shows how<br />

10.2.2 Validating therapeutic approaches and supplies prescribed and over‐the‐counter medicines<br />

Learning outcome<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

OSPAP Pre‐reg<br />

a. Identify and employ the appropriate diagnostic or physiological testing techniques in order to promote health Knows how Shows how<br />

b. Identify inappropriate health behaviours and recommend suitable approaches to interventions Shows how Does<br />

c. Instruct patients in the safe and effective use of their medicines and devices Shows how Does<br />

d. Analyse prescriptions for validity and clarity Shows how Does<br />

e. Clinically evaluate the appropriateness of prescribed medicines Shows how Does<br />

f. Provide, monitor and modify prescribed treatment to maximise health outcomes Shows how Does<br />

g. Communicate with patients about their prescribed treatment Shows how Does<br />

h. Optimise treatment for individual patient needs in collaboration with the prescriber Shows how Does<br />

i. Record, maintain and store patient data Shows how Does<br />

j. Supply medicines safely and efficiently, consistently within legal requirements and best professional practice.<br />

NB This should be demonstrated in relation to both human and veterinary medicines.<br />

Shows how Does<br />

10.2.3 Ensuring safe and effective systems are in place to manage risk inherent in the practice of pharmacy and the delivery of pharmaceutical services<br />

Learning outcome<br />

OSPAP Pre‐reg<br />

a. Ensure quality of ingredients to produce medicines and products ‐ Shows how<br />

b. Apply pharmaceutical principles to the formulation, preparation and packaging of products Shows how Shows how<br />

c. Use pharmaceutical calculations to verify the safety of doses and administration rates Does Does<br />

d. Develop quality management systems including maintaining appropriate records Shows how Shows how<br />

e. Manage and maintain quality management systems including maintaining appropriate records<br />

Shows how Does<br />

19


f. Procure and store medicines and other pharmaceutical products working within a quality assurance framework Knows how Does<br />

g. Distribute medicines safely, legally and effectively Knows how Does<br />

h. Dispose of medicines safely, legally and effectively Knows how Does<br />

i. Manage resources in order to ensure work flow and minimise risk in the workplace Knows how Shows how<br />

j. Take personal responsibility for health and safety Knows how Does<br />

k. Work effectively within teams to ensure safe and effective systems are being followed Knows how Does<br />

l. Ensure the application of appropriate infection control measures Shows how Does<br />

m. Supervise others involved in service delivery Knows how Does<br />

n. Identify, report and prevent errors and unsafe practice Shows how Does<br />

o. Procure, store and dispense and supply veterinary medicines safely and legally Knows how Knows how<br />

10.2.4 Working with patients and the public<br />

Learning outcome<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

OSPAP Pre‐reg<br />

a. Establish and maintain patient relationships while identifying patients’ desired health outcomes and priorities Shows how Does<br />

b. Obtain and record relevant patient medical, social and family history Shows how Does<br />

c. Identify and employ the appropriate diagnostic or physiological testing techniques to inform clinical decision making Knows how Shows how<br />

d. Communicate information about available options in a way which promotes understanding Shows how Does<br />

e. Support the patient in choosing an option by listening and responding to their concerns and respecting their decisions Shows how Does<br />

f. Conclude consultation to ensure a satisfactory outcome Shows how Does<br />

g. Maintain accurate and comprehensive consultation records Shows how Does<br />

h. Provide accurate written or oral information appropriate to the needs of patients, the public or other healthcare professionals Shows how Does<br />

10.2.5 Maintaining and improving professional performance<br />

Learning outcome<br />

OSPAP Pre‐reg<br />

a. Demonstrate the characteristics of a prospective professional pharmacist as set out in relevant codes of conduct and behaviour Does Does<br />

b. Reflect on personal and professional approaches to practice Does Does<br />

20


c. Create and implement a personal development plan Does Does<br />

d. Review and reflect on evidence to monitor performance and revise professional development plan Does Does<br />

e. Participate in audit and in implementing recommendations Knows how Shows how<br />

f. Contribute to identifying learning and development needs of team members Knows how Does<br />

g. Contribute to the development and support of individuals and teams Knows how Does<br />

h. Anticipate and lead change Knows how Shows how<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

21


Indicative syllabus<br />

A1.1 How medicines work<br />

Therapeutics<br />

• Routes of administration<br />

• New therapeutic advances<br />

• Infection control<br />

• Complementary therapies<br />

• Clinical therapeutic uses of drugs<br />

Applied Physical, Chemical and Biological sciences<br />

• Sources and purification of medicinal substances<br />

• Physicochemical characteristics of drugs and biological systems<br />

• Thermodynamics and chemical kinetics<br />

• (Bio)Analytical principles and methods<br />

• Drug design and discovery<br />

• Cell and molecular biology<br />

• Biochemistry<br />

• Genetics<br />

• Microbiology<br />

• Immunology<br />

• <strong>Pharmaceutical</strong> chemistry<br />

• Drug identification<br />

• Drug synthesis<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

22


Pharmacology, pharmacokinetics & pharmacodynamics<br />

• Contraindications, adverse reactions and drug interactions<br />

• ADME<br />

• Prediction of drug properties<br />

• Pharmacogenetics and pharmacogenomics<br />

• Drug and substance misuse<br />

• Clinical toxicology and drug‐over‐exposure<br />

• Molecular basis of drug action<br />

• Metabolism<br />

<strong>Pharmaceutical</strong> technology including manufacturing & engineering science<br />

• Biotechnology<br />

• Manufacturing methods<br />

• Quality assurance processes<br />

• Sterilisation and asepsis<br />

• Environmental control in manufacturing<br />

Formulation and material science<br />

• Materials used in formulations and devices<br />

• Biopharmaceutics, developmental pharmaceutics, pre‐formulation and formulation studies<br />

• Design and standardization of medicines<br />

• Microbiological contamination<br />

• Contamination control<br />

• Product stability<br />

• Medical devices<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

23


A1.2 How people work<br />

Normal & abnormal structure & function<br />

• Nutrition<br />

• Physiology<br />

• Pathology<br />

• Infective processes<br />

Sociology<br />

• Social and behavioural science<br />

Health psychology<br />

• Health promotion<br />

• Disease prevention<br />

• Behavioural medicine<br />

Objective diagnosis<br />

• Differential diagnosis<br />

• Symptom recognition<br />

• Diagnostic tests<br />

Epidemiology<br />

• Aetiology and epidemiology of (major) diseases<br />

A1.3 How systems work<br />

Healthcare management<br />

• Public health<br />

• Organisations: NHS,DH, govt priorities<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

24


• Other professionals<br />

• Health care systems<br />

Evidence‐based practice<br />

• Health information systems/ resources<br />

• Health policy and (pharmaco)economics<br />

Professional regulation<br />

• Legislation<br />

• Professional ethics and fitness to practise<br />

• Sale and supply of medicines<br />

• CPD<br />

• Political and legal framework<br />

Medicines regulation<br />

• Evaluation and regulation of new drugs and medicines<br />

• Pharmacopoeial specifications and biological standards<br />

• Medicines licensing<br />

• Product quality, safety and efficacy<br />

• The supply chain<br />

• Packaging, labelling and patient information<br />

Clinical governance<br />

• SOPs<br />

• Research methodology / research ethics<br />

• Risk & quality management<br />

• Good manufacturing/dispensing practice<br />

• Good clinical practice<br />

• Health policy, clinical and science research methods<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

25


Clinical management<br />

• Disease management<br />

• Chronic medicines management<br />

• Medicines use review<br />

• Care planning<br />

Workplace Regulation<br />

• Health & Safety<br />

• Sexual boundaries<br />

• Independent Safeguarding Authority<br />

• Data protection<br />

• FOIA<br />

• Consumer protection incl. complaints procedures<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

26


A1.4 Core and transferable skills<br />

Professionalism<br />

Research and research methods<br />

Critical appraisal<br />

• Audit and learning from errors<br />

Problem solving<br />

• Study skills<br />

• Team‐working skills<br />

Clinical decision making<br />

• Leadership skills<br />

Accurate record keeping<br />

Reflective practice (incl. continuing professional development)<br />

Effective communication<br />

• Interpersonal skills<br />

• Medical terminology<br />

Interpret & interrogate clinical data<br />

Analyse & use numerical data<br />

<strong>Pharmaceutical</strong> numeracy<br />

Technological literacy<br />

A1.5 Attitudes and values<br />

See the GPhC Code of Conduct for pharmacy students (2010) and Standards of conduct, ethics and performance (2010)<br />

<strong>General</strong> <strong>Pharmaceutical</strong> <strong>Council</strong>, OSPAP reaccreditation report<br />

University of Brighton, 26-28 June 20<strong>12</strong><br />

27

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