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Integrate and synthesise diverse knowledge, evidence, concepts, theory andpractice which inform prescribing practice and promote understanding and/orgood practice and solve foreseen and unforeseen problems.Challenge orthodoxy and formulate new/alternative hypotheses or solutionsrelated to prescribing practice.Demonstrate achievement of the regulatory bodies’ standards of proficiency asapplied for independent and supplementary prescribing.Demonstrate the ability to manage the implications of ethical dilemmas whilstrecognising the contributions of the multidisciplinary team involved inprescribing, supplying and administering medicines.Demonstrate a systematic and critical understanding of the clinical decisionmaking strategies which underpin autonomous prescribing practice in effectivecommunication, consultation/assessment, diagnosis and treatment, which caninclude over the counter, alternatives and complementary health therapies.Demonstrate a comprehensive and critical understanding of the skills requiredto prescribe safely, appropriately and cost effectively taking into accountindividual choice and wishes.Operate ethically within a framework of clinical governance, and have a criticalunderstanding of the issues governing professional accountability andresponsibility.Develop and document a Clinical Management Plan within legislativerequirements and within the context of a prescribing partnership.Demonstrate the ability to monitor response to medicines and modify treatmentor refer as appropriate.Demonstrate a systematic and critical understanding of the importance ofrecord-keeping in the context of medicines management including: accuraterecording in patient notes, reporting of near misses, adverse reactions, abilityto access patient records and clinical management plans.When working with children and young people take an appropriate history,undertake a clinical assessment, and make an appropriate diagnosis, havingconsidered the legal, cognitive, emotional and physical differences betweenchildren and adults.Act autonomously in implementing a response to potential risks associated withprescribing of unlicensed medicines.Collaborate effectively with independent prescribers, the wider multidisciplinaryteams and organisations to influence and enhance prescribing practice.Competent in the numeracy skills commensurate with the demands of researchand scholarship in ways appropriate to prescribing practice.Demonstrate the independent learning ability required for continuingprofessional development.The practice outcomes are detailed in Appendix 2.5

5THE MODULE STRUCTURESYour students are required to complete 12 supervised practice days with you(minimum 78 hours for nurses, 90 hours for AHP’s). It will be necessary to ensurethat you and your student are able to work together for sufficient time for youto be able to confidently assess that they have met the practice outcomes. It isexpected and very useful that a programme of experience will allow the student towork with other team members who can prescribe in order to experience a variety oflearning opportunities. You must be the person responsible for assessing andverifying that they have met the practice outcomes.Students will have 24 theoretical days which will include taught days in the Universityand self-directed study.6RESPONSIBILITIESThe Nominated PersonThe Nominated Person is a named individual for each ward/department area. TheNominated Person will be nominated by the ward/department manager as appropriatefor the role. The role of the Nominated Person is to provide a link between theward/department, the University and the Practice Placement Facilitator. They willcomplete the education audit with the university representative and will overseedevelopment of the placement information/education resources. The NominatedPerson has a knowledge of the Practice Assessors and Practice Supervisors currentin their practice area. They understand the course and support infrastructure withinthe practice environment and University setting. The nominated person is the firstpoint of contact for students and offer support and advice for students who haveconcerns.The Nominated Person will ensure that students have had an induction to the area,have been allocated off duty prior to the start of the placement and have access to thelearning resources available and have been allocated to a Practice Assessor and theirPractice Learning Team/Practice Supervisors as appropriate. The Nominated Personwill ensure that students have had an induction to the area and have access to thelearning resources available. The Nominated Person, in liaison with the PracticeLearning Team will make students aware of the support and opportunities available tothem within the learning environments, thereby ensuring that students are empoweredto be proactive and to take responsibility for their learning.Practice Supervisor Is a Registrant with the relevant qualification in prescribingEstablishing a Learning Contract identifying objectives for the period ofsupervision.Documenting progress of supervision on the Practice Supervisor Feedbackform.Facilitating learning by encouraging critical thinking and reflection.6

Supervising students as they carry out consultations and suggest clinicalmanagement and prescribing options, which are then discussed with thePractice Assessor.Taking opportunities to allow in-depth discussion and analysis of clinicalmanagement using a random case analysis approach, when patient/client careand prescribing behaviour can be examined further.Facilitating, observing, and reporting performance over the period of supervisedpractice.Facilitating the opportunity to gain service user/carer feedback using thepractice-based 360 interpersonal skills assessment tool (one fully completedassessed tool).Identify and document any ‘cause for concern’, e.g. concerns regardingcompetence acquisition, or conduct, or unsafe practice, and discuss at theearliest possible stage with the Practice Assessor and programme team.Ensuring regular feedback to the Practice Assessor through the provision ofPractice Supervisor Feedback forms.As NMP Practice Assessor or DPP is responsible for: Establishing a Learning Contract in partnership with you.Documenting progress on three occasions during supervised practice andproviding any additional opportunities if required to achieve outcomes in atimely manner.Planning a learning programme which will provide the opportunity for you tomeet your learning objectives and gain competency in prescribing.Facilitating learning by encouraging your critical thinking and reflection.Providing dedicated time and opportunities for you to observe how you conducta consultation/interview with patient/clients and/or parents/carers and thedevelopment of a management plan.Allowing opportunities for you to carry out consultations and suggest clinicalmanagement and prescribing options, which are then discussed with you.Helping ensure that you integrate theory with practice.Taking opportunities to allow in-depth discussion and analysis of clinicalmanagement using a random case analysis approach, when patient/client careand prescribing behaviour can be examined further.Facilitating, observing, and assessing your performance over the continuousperiod of supervised practice.Ensuring feedback from other prescribing practitioners and supervisors whofacilitate learning experiences.Facilitate the opportunity to complete three episode of care and prescriptionwriting.Facilitating the opportunity to gain service user/carer feedback using thepractice-based, 360 interpersonal skills assessment tool (one fully completedassessed tool with three episodes of service user or carer feedback). Thisshould be completed alongside the episodes of care.Facilitate the opportunity to complete the SCEP’s in practice at a formative andsummative level.7

Assessing and verifying that, by the end of the module, you are competent toassume the prescribing role. It is the NMP Practice Assessor or DPP’sresponsibility to decide whether you are making satisfactory progress towardsmeeting your practice outcomes for non-medical prescribing. This decision willbe based upon whether the practice outcomes have been met. If during thepractice days, the student is deemed by the NMP Practice Assessor or DPP tobe failing to make sufficient progress towards achievement of these outcomesyou should inform both student and a member of the programme team toconsider if strategies can be put in place to support you. Working in collaboration with LME to support midwife students. Identify and document any cause for concern, for example concerns regardingcompetence acquisition, or conduct, or unsafe practice, and discuss at theearliest possible stage with the programme team. Unsafe practice can forexample include repeated episodes of making an incorrect diagnosis,recommending incorrect treatment options or incorrect completion ofprescriptions. A cause for concern form should be completed. If your studentdemonstrate any concern relating to patient safety you should be aware thatthe SOHLS consider the Fitness to Practise process. Details of this processcan be found in your SOHLS Student Essential Guide. Reconfirming and verifying competence has been maintained should thestudent interrupt, require reassessment or delay your studies.The contribution of the NMP Practice Assessor in relation to providing supervision,support, and opportunities to develop competence in practice is therefore crucial. Thecriteria for fulfilling this role is dictated by the Nursing and Midwifery Council Standardsfor Prescribing programmes (2018) The NMP Practice Assessor must be a registered healthcare professional Be an experienced active prescriber with suitable equivalent qualifications forthis Non Medical Prescribing programme and at least 3 years experience.The contribution of the DPP in relation to providing you with supervision, support, andopportunities to develop competence in practice is therefore crucial. The criteria forfulfilling this role is dictated by the Department of Health and are that the DPP: Has normally had at least three years’ recent clinical experience for a group ofpatient/clients in the relevant field of practice.Works within a GP practice and is either vocationally trained or in possessionof a certificate of equivalent experience from the Joint Committee forPostgraduate Training in General Practice Certificate or is a specialist registrar,clinical assistant or a consultant within a NHS Trust or other NHS employer.Has the support of the employing organisation or GP practice to act as the DPPwho will provide supervision, support and opportunities to develop competencein prescribing practice.Has some experience or training in teaching and/or supervising in practice.Normally works with the student prescriber. If this is not possible (such as innurse-led services or community pharmacy), arrangements can be agreed foranother doctor to take on the role of the DPP, provided the above criteria aremet and the learning in practice relates to the clinical area in which the studentprescriber will ultimately be carrying out their prescribing role.8

Examples of SupervisionYour contribution in relation to providing supervision, support and opportunities todevelop competence in practice is crucial. Dedicated time and opportunities for your student to observe how you conducta "consultation/interview" with patients and/or their carers, and the developmentof a subsequent management plan.Opportunities to allow in-depth discussion and analysis of clinical managementusing a random case analysis approach, when patient care and prescribingbehaviour can be examined further.Facilitate student learning by encouraging critical thinking and reflection withthe use of their Practice Portfolio or Learning Logs.Allow opportunities for your student to carry out consultations and suggestclinical management and prescribing options, which are then discussed withyou.Academic AssessorThe Academic Assessor is a member of the teaching staff at the University, is aRegistered Nurse and has a relevant registration as a prescriber. The role of theAcademic Assessor is to offer objective, evidence-based decisions on conduct,proficiency and achievement and make recommendations for progression providingassurance of student achievements and competence. The Academic Assessor hasan understanding of the student’s learning and achievement in practice throughworking in partnership with the Practice Assessor to gather feedback regardingachievement and progression. The Academic Assessor in partnership with thePractice Assessor /DPP confirm the achievement of the student and eligibility forregistration as a prescriber with the NMC or HCPC with completion of the SummativeAssessment formThe StudentThe student’s role is to take responsibility for their own learning and demonstrate awillingness to develop both academically and in practice. They will be expected todiscuss their own learning needs with you and they should undertake honest selfassessment, articulate their learning needs, seek and accept formative feedback fromyou. Your student will need to recognise and appraise their own abilities andlimitations.Programme TeamDebbie Osborne as Programme Leader, has overall responsibility for both modulesand will provide general information related to the modules, guidance and supportwhere necessary. Debbie will be your first point of contact for any queries or concernsand provide academic and pastoral support or referral to central support services orother relevant staff where appropriate. Discipline-specific tutorials will be offered byspecialist Academic Assessors in order to enable students to identify individuallearning needs and to develop a Learning Contract to guide and facilitate academiclearning. The LME works with the module team and supports midwifery students ifyour student is a midwife you will be introduced to the LME at the Assessor preparationworkshop.9

It is recognised that the demands of the modules are challenging and that the intensityof the assessment is demanding. The module team will provide substantial support tostudents both in an academic and pastoral capacity. Students who require additionalsupport will be signposted to the most appropriate student support.7HOW IT WILL WORK IN PRACTICE Supervised learning in practice will comprise a total of 12 days of the student’stime (minimum 78 hours for nurses, 90 hours for AHP’s). You should bewilling and able to devote a sufficient part of your time during this period ofsupervision to provide appropriate guidance for your student.Learning in practice will be related to the medical conditions and circumstancesin which the student is likely to prescribe.The NMP Practice Assessor must be a registered healthcare professional andbe an experienced prescriber with 3 years suitable equivalent qualifications forthis Non Medical Prescribing programmeThe DPP may be a doctor with whom the student normally works. However,arrangements can be agreed where another suitable doctor acts as supervisor. 8GUIDELINES FOR COMPLETING THE PRACTICE PORTFOLIOYour student is required to use a Practice Portfolio as a framework through which toacquire and demonstrate competency. The purpose of the portfolio is to provide yourstudent with a framework through which they can record and demonstrate theirprogress and achievements whilst studying the modules. It will also provide you witha framework through which to monitor student progress and achievement of practiceoutcomes.The Practice PortfolioIn order to demonstrate achievement of the module outcomes, your student is requiredto keep a Practice Log. This should provide a documentary record illustrating thenature of individual learning. Included within this document is a complete list of all themodule outcomes as well as the practice outcomes. This will enable you to see thepractice element of the module within the context of the whole module.The portfolio-keeping process includes: Reflection upon existing knowledge and skillsExploration of the module outcomesIdentification of learning needsIdentification of learning opportunities in the practice areaMatching learning opportunities to learning needsDevelopment of a plan or Learning Contract to meet learning needs10

Implementation of the plan/Learning Contract and collection of supportingevidencePractice Supervisor Feedback FormsKeeping a Practice LogCritical reflection upon learning and achievement of practice module outcomesUndertaking a service user/carer assessment through feedback using the 360 interpersonal skills assessment tool (three user carers and one full assessedtool).Facilitate the opportunity to complete the SCEP’s in practice at a formative andsummative level.Presentation of the portfolio at the end of the moduleHow students will compile the portfolioStage 1 - Identifying Learning NeedsThe first step is to look at the practice outcomes and assess what your student needsto learn to achieve each one. You must set time aside at the beginning of the practiceplacement and review the practice outcomes, consider how these can be achievedand encourage your student to consider their own self-assessment and how learningneeds can be met. A Learning Contract will be developed to show how theseoutcomes can be achieved. This contract can also be used as a framework for thecritical reflection of learning. This meeting must be documented on the initial meetingform in Appendix 4. The Learning Contract template can be found in Appendix 5.Stage 2 - FeedbackYou must both set aside time to review progress and provide feedback on progress.This should be undertaken regularly and should involve discussing cases from practiceexperiences and reflecting upon and critically analysing. It is important that theoreticalconcepts are used to inform these discussions. This stage also includes assessmentof your student’s progress towards competence in relation to practice outcomes andyou must document this using the intermediate meeting form in Appendix 4. Serviceuser/carer feedback is required using the assessment tool (Appendix 8) and must bediscussed at the final meeting.Stage 3 – Verifying AchievementAt the end of the module, your student will submit their portfolio for verification of theaward. You must sign and date the practice outcomes have been met. Summa

registrants (nurses or midwives) this equates to a minimum of 78 hours for AHPs this is 90 hours. Independent prescribing is becoming a widely integrated feature of health service delivery, with nurses, physiotherapists, podiatrists, radiographers, dieticians and paramedics qualified to prescribe in nearly all Trusts in England.