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PJ Online homeThe Pharmaceutical Journal
Vol 273 No 7323 p641
30 October 2004

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Letters to the Editor

Education

Training and development needs of pharmacists in primary care

Important to combine management skills and therapeutics

Training and development needs of pharmacists in primary care

From Dr J. Loader, MRPharmS, and Dr P. J. Rogers, MRPharmS

We read with interest the original paper (PDF 100K) by Jesson et al (PJ, 16 October, pp564–9). The study, conducted during 2002, describes the core knowledge and skills for primary care trust pharmacists. It appears to conclude that, on the whole, postgraduate programmes surveyed do not meet future developments in primary care pharmacy nor support the management training needs of PCT pharmacists. The authors rightly state that PCT pharmacists are in need of rapid skills development, and that university-accredited short programmes that enable credit transfer could make an important contribution.

This need was identified by the workforce development confederations in the South West and, working in partnership with the local NHS, the University of Bath has developed a medicines management programme comprising two postgraduate modules. The first module is aimed at practice pharmacists or those providing operational support to PCTs. It focuses on medicines management in general practice and explains links to the PCT and secondary care in the context of NHS policy. The second module is aimed at those working in a more strategic role in PCTs and considers the broader context of the organisation and functioning of the NHS, particularly in respect of the governance and responsibilities the health service places on PCTs for medicines management. It looks at NHS modernisation in the context of priority policy areas such as the management of long-term conditions and public health and considers contracts, commissioning and finance.

The main aim of the programme is to be highly relevant to current NHS needs which means we are constantly updating the content. It uses a blend of work-based learning, web- or text-based study guides and face-to-face workshops, and has been designed by experienced PCT and health authority advisers for those newer to working in primary care. The programme provides transferable postgraduate credits that may be used to obtain an award and addresses many of the needs identified in Jesson et al’s paper.

Jill Loader
Medicines Management Programme Lead

Philip Rogers
Director of Studies
Department of Pharmacy and Pharmacology,
University of Bath


Important to combine management skills and therapeutics

From Mr B. A. Warner, MRPharmS, and Dr D. Gerrett, MRPharmS

We were interested to read the original paper (PDF 100K) by Jesson et al (PJ, 16 October, pp564–9) relating to the training and development needs of strategic level pharmacists in primary care.

This, perhaps, follows on from previous work in 20001 when we used a similar method specific to practice pharmacists. We can confirm the findings by Jesson et al that PCT pharmacists require management skills, but additionally we also found a need for therapeutic skills. This work led to the development of the Primary Care Pharmacy MSc course at the University of Derby ,which superseded the MSc in Community Pharmacy mentioned in the paper by Jesson et al.

We believe that this course does in fact address many of the management training issues identified by Jesson et al, but crucially places them in a pharmacy context. Lessons on financial structures in primary care, time management and developing bids, protocols and service specifications, for example, are included and we believe are best placed within the context of a pharmacy setting if they are to be seen as relevant to pharmacists working at a strategic level. The flexibility of the course at Derby allows management topics such as these to be combined with more clinical and therapeutic modules, which we feel strategic level pharmacists still find of value.

The uniqueness of pharmacists working in these posts is their ability to combine management skills with a sound knowledge of therapeutics and this is perhaps why they have been so successful. It is the option of this combination that the Derby course aims to achieve.

Bruce Warner
David Gerrett

Pharmacy Academic Practice Unit,
University of Derby

Reference

1. Warner B.A. A training needs analysis of practice pharmacists (MSc thesis). Derby: University of Derby; 2000.

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