Plan for development of Pharmacist Independent Prescribing
complete all sections of this form electronically. Boxes will expand as you type.
provide information about your proposed service in conjunction with your supporting manager and/or clinician.
Applicant’s name:
1. How do you reflect on your performance and take responsibility for your CPD?
2. How will you develop support networks for CPD in your prescribing practice?
3. What is your proposed area of clinical or therapeutic practice for prescribing? What relevant clinical or therapeutic experience do you have in this area?
4. What is the service need for your independent prescribing role?
5. How will the service be designed and delivered?
6. What is the expected patient benefit?
7. How will the outcomes of the service be monitored?
Reflective learning worksheet
Please fully complete all sections of this form electronically. Boxes will expand as you type.
Please complete one reflective learning worksheet reflecting on, identifying and addressing a learning need in your proposed area for prescribing. This format is adapted from that used by the GPhC.
What are you planning to learn?
Describe what learning you are planning to carry out. What you need to learn may be new knowledge, skills, or a new attitude or approach – anything that you think will help to prepare you for your proposed area for prescribing. You should be as specific as possible.
You should explain why this learning is relevant for your proposed area for prescribing and how it will affect the people using your services.
Please take care not to disclose any confidential information about anyone without their consent.
How are you planning to learn it?
It is important for you to consider a range of options for achieving your learning across the breadth of your CPD entries. Focus your planned CPD on those activities that are relevant to, or likely to have the biggest impact on, the people who will be using your services.
Give an example of how this learning will benefit your development in your proposed area for prescribing.
Putting learning into practice is a good way to prove that you have actually learnt what you intended. Tell us what specific skills, attitudes and/or behaviours you have gained as a result of your learning.
Please describe how you will use what you have learned in your current practice and/or as a prescriber.
Do include any feedback about your practice that you have had from other people.
Adapted from the RPS Competency Framework for all prescribers
Please evaluate your present competence in prescribing or making recommendations in each of ten competencies below which have been adapted from the RPS Competency Framework for all Prescribers. This will provide a useful baseline for us and for you; we also recommend that you use it as a basis for discussions with your DPP.
Please complete all sections of this form electronically. Boxes will expand as you type.
Applicant’s name:
1. Assess the patient
Takes and documents an appropriate medical, psychosocial and medication history including allergies and intolerances.
2. Identify evidence-based treatment options available for clinical decision making
Considers both non-pharmacological and pharmacological treatment approaches.
3. Present options and reach a shared decision
Actively involves and works with the patient/carer to make informed choices and agree a plan that respects the patient’s/carer’s preferences.
4. Prescribe/ recommend
Prescribes/ recommends a medicine or device with up-to-date awareness of its actions, indications, dose, contraindications, interactions, cautions and adverse effects.
5. Provide information
Checks the patient’s/ carer’s understanding of the discussions had, actions needed and their commitment to the management plan.
6. Monitor and review
Establishes and maintains a plan for reviewing the patient’s treatment.
7. Prescribe/ recommend safely
Prescribes/ recommends within own scope of practice and recognises the limits of own knowledge and skill.
8. Prescribe/ recommend professionally
Ensures confidence and competence to prescribe/recommend are maintained.
9. Improve prescribing practice
Acts upon colleagues’ inappropriate or unsafe prescribing practice using appropriate processes.
10. Prescribe/ recommend as part of a team
Provides support and advice to prescribers or those involved in administration of medicines where appropriate.
Royal Pharmaceutical Society, 2021. A competency framework for all prescribers. London: Royal Pharmaceutical Society.
Applicant CV template
fully complete all sections of this form electronically. Boxes will expand as you type.
note that you must demonstrate at least two years’ appropriate patient-oriented experience post-registration in a relevant UK practice setting.
Applicant’s name:
Present job description and scope of practice:
Previous job description and scope of practice:
provide details of any pharmacy-related training courses undertaken in the last two years.
provide details of experiential exposure to pharmacist prescribing e.g. shadowing or working with a pharmacist prescriber