Role of the Independent Prescribing Pharmacist and Medicines Related Consultation Framework

Question 1

roles of a pharmacist

Answer 1

1. responding to patients symptoms and providing advice
2. providing services
3. working with other hcps
4. roles in the pharmaceutical industry on discovery and prep if meds
5. legally and professionally supplying meds

Question 2

A range of non-medical healthcare professionals can prescribe medicines
for patients as what types of prescribers

Answer 2

Independent or Supplementary Prescribers.

Question 3

what is an independent prescriber (bnf 2023)

Answer 3

practitioners responsible and accountable for the assessment of patients with previously undiagnosed or diagnosed conditions and for decisions about the clinical management required, including prescribing.

Question 4

pharmacist VS pharmacist independent prescriber - what they can do

Answer 4

independent prescriber can do everything pharmacist can, as well as prescribe even certain ads + anything within their level of experience and competence

Question 5

why do we have independent prescribers

Answer 5

• delivery of high-quality clinical care.
• Pharmacists’ in-depth knowledge of medicines and ability to prescribe independently is a valuable asset, improving patient access and easing pressure on the healthcare system.

Question 6

why are consultations key in practice

Answer 6

To effectively communicate with patients
* To demonstrate skills and behaviours associated with healthcare professionals
* To efficiently structure the conversation
* To discuss and make appropriate decisions with the patient
* All within a set time!

Question 7

Medicines Related Consultation Framework (MRCF) was designed by

Answer 7

a group of professionals, experts and academics.

Question 8

what is the mrcf

Answer 8

The Royal Pharmaceutical Society defines as:
“A reflective tool to support the development of
consultations skills for pharmacy practitioners”

Question 9

where do we use the mrcf in practice

Answer 9

Upon admission in hospital
* Out patient clinics
* Day care cases
* New Medicines Services (NMS)
* Discharge Medication Review services (DMR)
* Managing minor ailments
* Supplying emergency hormonal contraception
* Medication reviews with patients in GP Practices
* Specialist pharmacist-led clinics
* Using your independent prescribing skills in practice!

Question 10

• objectives of MRCF

Answer 10

A study to develop and test a framework for evaluating the consultation skills of practitioners undertaking medication-related consultations.

Question 11

methods of the MRCF

Answer 11

• key components of medication-related consultations identified through literature review
• Compiled to form an initial consultation skills framework
• Refined through consultation with experts to develop = MRCF

Question 12

results of the MRCF

Answer 12

• Consisted of 46 consultation behaviours, grouped into 5 sections
• Performance rated at individual behaviours, framework section and global consultation levels.
• Able to discriminate between good, satisfactory and poor consultations

Question 13

Conclusions:

Answer 13

MRCF demonstrated good psychometric properties at the
global and section rating levels.

Question 14

Implications for practice?

Answer 14

Provides healthcare professionals with a patient- centred consultation structure
➢ to identify medication-related needs
➢ Potentially support adherence

Allows the quality of a practioner’s consultation to be evaluated

Question 15

The key purpose of a medicines-related consultation tool such as that of the MRCF is to:

Answer 15

Conduct a therapeutic review with the aim of assessing a patients pharmaceutical care needs

Question 16

how many sections does the MRCF have

Answer 16

5

Question 17

what are the MRCF sections

Answer 17

1. Introduction
2. Data collection and problem identification
3. Actions and solutions
4. Closing
5. Consultation behaviours

Question 18

what happens in section 1:

Answer 18

introduction:
- confirming identify, discussing the purpose and structure of the consultation, negotiating a shared agenda, inviting the patient to discuss the meds or health related issue

Question 19

what happens in section 2:

Answer 19

data collection an problem identification e.g. patients day and social history and concerns about treatment, establishing any non adherence

Question 20

what happens in section 3

Answer 20

actions and solutions:
- relate the info to their beliefs and illness, and give advice, making a plan together or referring them

Question 21

what happens in section 4

Answer 21

closing
explain what happens if they have problems, giving them a contact point after, letting them ask further q’s

Question 22

what is section 5

Answer 22

consultation behaviours e.g if you were listening actively, explaining jargon, whether u did everything right basically