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6ER-025 Pharmacist clinicians in hospitals – transforming the workforce with new models of patient care
  1. M Aiello1,
  2. V Wilkie2,
  3. E Hughes3
  1. 1NHS Health Education England, West Midlands Office, Birmingham, UK
  2. 2University of Worcester, Institute of Health and Social Science, Worcester, UK
  3. 3NHS Health Education England, London and Southeast Director of Education and Quality, Birmingham, UK


Background There are concerns about maintaining appropriate clinical staff levels in Emergency Departments (ED) in the UK. Pharmacist clinicians can support the multi-professional team in a range of clinical services.

The programme team developed a model training pathway for pharmacist clinicians, with a start point being an innovative Clinically Enhanced Pharmacist Independent Prescriber (CEPIP) programme to equip pharmacists with prescribing rights and advanced clinical skills. CEPIP is underpinned by the world-first PIED-Eng study conducted by the same team (‘Pharmacists in Emergency Departments,’ 49 sites, 18 613 cases)1 evaluating the role of advanced clinical pharmacists in ED in England.2

The team would like to present outcome data from their UK study, to demonstrate the impact that pharmacist clinicians are now known to have on the Emergency Department workforce and the training pathway that has been developed to support them.

Purpose To ensure that training needs identified during PIED-Eng were included in CEPIP courses and extent of training coverage.

Material and methods CEPIP Programme Directors of three universities in the West Midlands were sent a list of the 494 training needs identified by the PIED-Eng study in the four categories:

  • Clinical examination and assessment=218.

  • Diagnostic skills=89.

  • Medical management=183.

  • Training course component=4.

Participants were asked to identify if courses covered each training need, and rank training on a linear scale (1–5):

1=minimal coverage, 5=maximum coverage.

Results For the three universities:

#1: 150/494 of PIED training needs.

#2: 242/494.

#3: 83/494.

Training needs with the highest coverage (all 4. 33/5) were: abdominal examination, cranial nerve examination, throat examination, history taking, stethoscope use (chest) and auriscope use.

Conclusion CEPIP courses cover elements of the training needs identified by the PIED study. CEPIP is a bridging mechanism for pharmacists to (confidently and competently) progress to advanced clinical training.

References and/or Acknowledgements 1. Aiello M, Terry D, Selopal N. Examining the emerging roles for pharmacists as part of the urgent, acute and emergency care workforce. Clinical Pharmacist 2017;9:2. doi:10.1211/CP.2017.20202238

2. Hughes E, Terry D, Huynh C, et al. Future enhanced clinical role of pharmacists in emergency departments in England: multi-site observational evaluation. Int J Clin Pharm2017;39(4):960–968.

No conflict of interest

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