Developing consensus around the pharmaceutical public health competencies for community pharmacists in Scotland
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Objective The new community pharmacy contract in Scotland will formalise the role of pharmacists in delivering public health services. To facilitate assessment of education and training needs it is necessary to define the relevant public health competencies for community pharmacists. The objective of this research was to define and develop consensus around such competencies. Methods The “Skills for Health National Occupational Standards for Public Health Practitioners” was used to define an initial set of competencies. A two stage Delphi technique was undertaken to develop consensus. An expert panel, representing public health and pharmacy stakeholders, rated their agreement with the importance of each competency, with the agreement level set at 90%. Main outcome measures Level of agreement (%) with each public health competency; those competencies achieving more than 90% agreement with importance for community pharmacy practice. Results Ten organisations (83% of those invited) and a total of 30 members (88%) agreed to take part in the process. In round 1 of the Delphi, responses were received from 25 (83%) individuals and 22 (73%) in round 2, with consensus being achieved for 25/68 (37%) competencies in round 1 and a further 8/68 (12%) in round 2. Conclusion Public health competencies for community pharmacists achieving consensus predominantly focused on health improvement activities at individual and local community levels and ethical management of self rather than those relating to surveillance and assessment and strategic development. There is a need to research community pharmacists’ views of these competencies and to systematically assess their education and training needs
KeywordsPublic health Pharmacist Competency Delphi technique Qualitative research Scotland
The authors would like to acknowledge research funding provided by NHS Education for Scotland; the members of the expert panel for their interest and rapid responses; Laura Binnie for technical support; and Amber Bowbyes for administrative support.
Conflicts of Interest None declared.
- 1.Leon D, Morton S, Cannegieter S, McKee M. Understanding the health of Scotland’s population in an international context: a review of current approaches, knowledge and recommendations for new research directions. 2nd ed. London: London School of Hygiene & Tropical Medicine; 2003. ISBN 1-904196-11-X.Google Scholar
- 2.Scottish Executive. Designed to care: renewing the NHS in Scotland. Edinburgh: Scottish Executive; 1997. ISBN 0-10138112-3.Google Scholar
- 3.Scottish Executive. Rural development plan for Scotland. Scottish Executive; 2005. Available from: http://www.scotland.gov.uk/library3/misc/rdps-04.asp.
- 4.Scottish Executive. Review of the Public Health Function in Scotland. Edinburgh: Scottish Executive; 1999. Available from: http://www.scotland.gov.uk.
- 5.Scottish Executive. The right medicine: a strategy for pharmaceutical care in Scotland. Edinburgh: Scottish Executive; 2002. Available from: http://www.scotland.gov.uk.
- 6.Public Health Institute of Scotland. Pharmacy for health: the way forward for pharmaceutical public health in Scotland. Glasgow: Public Health Institute of Scotland; 2003. ISBN 1-904196-07-1.Google Scholar
- 7.Scottish Executive Health Department. Delivering for health. Edinburgh: Scottish Executive Health Department; 2005. ISBN 0-7559-4835-1.Google Scholar
- 8.Scottish Executive. [Need to change health behaviour]. Improving health in Scotland—The Challenge. Edinburgh: The Stationery Office Bookshop; 2003. ISBN 0-7559-0607-1.Google Scholar
- 9.Scottish Executive Health Department. Public Health Service (PHS) outline specification: SEHD Primary care division [cited May 2007]; 2006. Available from: http://www.communitypharmacy.scot.nhs.uk/docs/PHS%20SERVICE%20SPECIFICATION%20FINAL%20DRAFT%2020.03.06.doc.
- 10.Walker R. Pharmaceutical public health: the end of pharmaceutical care? Pharm J 2000;264(7085):340–341.Google Scholar
- 11.Anderson C, Blenkinsopp A, Armstrong M. The contribution of community pharmacy to improving the public’s health: Report 1: Evidence from peer-reviewed literature 1990–2001. Great Britain: PharmacyHealthLink & RPSGB; 2003. ISBN 0-9538505-1-X.Google Scholar
- 12.Blenkinsopp A, Anderson C and Armstrong M. The contribution of community pharmacy to improving the public’s health: Report 2: Evidence from non peer-reviewed literature 1990–2002 Great Britain: PharmacyHealthLink & RPSGB; 2003. ISBN 0-9538505-5-2.Google Scholar
- 13.Whiddett S, Hollyford S. The competencies handbook. 1st ed. London: Chartered Institute of Personnel and Development; 2000. ISBN 0-85292735-5.Google Scholar
- 14.Department of Health. The Report of the chief medical officer’s project to strengthen the public health function. London: Department of Health. [cited Feb 2007]; 2001. Available from: http://www.dh.gov.uk.
- 15.Department of Health. Choosing health through pharmacy—a programme for pharmaceutical public health 2005–2015. London: Department of Health. [cited Feb 2007]; 2005. Available from: http://www.dh.gov.uk.
- 16.Royal Pharmaceutical Society of Great Britain. Competencies of the future pharmacy workforce Phase 1. [homepage on the Internet]. London: Royal Pharmaceutical Society of Great Britain. [cited March 2007]; 2003. Available from: http://www.rpsgb.org.uk/pdfs/compfutphwfph1.pdf.
- 17.Department for Education and Skills: Sector Skills Council. Skills for health: public health practice national occupancy framework. Bristol: Department for Education and Skills [cited Feb 2007]; 2005. Available from: http://www.skillsforhealth.org.uk/ssa/.
- 18.Royal Pharmaceutical Society of Great Britain. Guidance on linking the NHS knowledge and skills framework and competencies for pharmacy. London: Royal Pharmaceutical Society of Great Britain; 2006. ISBN 0-9546776-5-X.Google Scholar
- 19.Armstrong M, Lewis R, Blenkinsopp A and Anderson C. The contribution of community pharmacy to improving the public’s health: Report 3: An overview of evidence base from 1990–2002 and recommendations for action. Great Britain: PharmacyHealthLink & RPSGB. [cited Feb 2007]; 2005. Available from: http://www.pharmacyhealthlink.org.uk.
- 22.NHS Education for Scotland. Flavours of pharmaceutical public health. Glasgow: NHS Education for Scotland. [cited Feb 2007]; 2006. Available from: http://www.nes.scot.nhs.uk.
- 23.Pharmacy Healthlink. The contribution of community pharmacy to improving the public’s health—Evidence from peer-reviewed literature (2004 update). [homepage on the Internet]. Pharmacy Healthlink. [cited May 2007]; 2004. Available from: http://www.pharmacyhealthlink.org.uk/.
- 24.Bissell P, Anderson C, Blenkinsopp A. Has community pharmacy a role in dealing with health inequalities? Pharm J 2001;267:880.Google Scholar
- 25.Royal Pharmaceutical Society of Great Britain. Achieving excellence through clinical governance: Royal Pharmaceutical Society in Scotland’s policy on clinical governance. [homepage on the Internet]. [cited May 2007]; 1999. Available from: http://www.rpsgb.org/pdfs/achiscot.pdf.
- 28.Sinclair HK, Bond CM, Stead LF. Community pharmacy personnel interventions for smoking cessation. Cochrane Database of Systematic Reviews; 2007, 2.Google Scholar