NMP Annual Declaration/

Scope of Professional Practice:

Using an eDeclaration to provide

assurance.

Barbara Bird

NMP Lead

25 April 2017

Overview of today’s session

• Background

• The journey so far…

• Evaluation of our results

About Lancashire Care

• Lancashire Care NHS Foundation Trust provides health and wellbeing services for a population of around 1.4million people.

• The services provided include community services as well as inpatient and community mental health services.

• The Trust covers the whole of the county and employs around 7,000 members of staff across more than 400 sites

NMPs in Lancashire Care

• 400+ qualified NMPs

• Independent/supplementary prescribers

• Community practitioner nurse prescribers

Scope of the Declaration

process• Encompasses all NMPs currently engaged in

clinical practice where there is a need for them to prescribe.

• Includes CPNP prescribers as well as Independent/ Supplementary prescribers.

Frequency

• Completion of the annual declaration is linked to continuance of prescribing

• Non-adherence results in the removal of prescribing rights

• Declaration is collected on appointment to the role, when the scope of practice changes and thereafter annually

The journey so far

• Originally used a paper-based system

• Now developed an electronic system in partnership with Optimum

• The new system was an opportunity to align practice to the BNF/NPF and to include other enhancements

The eDeclaration process

First Section - DemographicsClick to add text / image

• Right click over this slide in slide column bar (on left) and press duplicate slide to keep correct branding for next slide

• Use Arial font size of 24 to 34 for text

• If you are using headings make sure these are in bold

• Avoid using block capitals as these can be difficult to read, words can be emphasised in bold or italic text

• Avoid using underlining where possible as this can cause confusion with hyperlinks

Section A – Prescribing qualification details

Section A – and areas of prescribing practice

Section B – Frequency of Prescribing and how

prescriptions generated

Section C – Scope of Practice

Section C – Scope Specific for ISP

Section C – Scope Specific for CPNP

Section C – Drug Tariff Products

Section D – Maintaining Competency

Section D – Maintaining Competency

Section E - Declarations

Section E - Declarations

Completion of eDeclaration

Results are collated

The results so far…

• Full roll out will be achieved by August 2017

• Compliance rates are in excess of 93% across

the Trust

• An evaluation has been carried out

• Reporting is available to the Lead on the

Optimum website

Collation of results

How Prescriptions are issued

Review of effectiveness of

prescribing

Scope of prescribing

P-list development

Breakdown by NPF product

Breakdown by BNF chapter

eDeclaration Evaluation

• 167 NMPs that had completed between

July 2016 – March 2017

• Survey Monkey – 10 questions

• Survey carried out for 1 month.

• 69 responses = 41% response rate

eDeclaration Survey Results

18% 38% 28% 13% 3%

How easy is the eDeclaration tool to use?

44% 33% 17% 5% 0%

Was the range of questions asked relevant to highlight your scope of practice?

Was the range of questions asked relevant to highlight how competency has been achieved/maintained? 41% 0%0%17%42%

eDeclaration Survey Results

24% 56% 12% 8% 0%

44% 33% 17% 5% 0%

41% 0%0%17%42%

25%

46%

15%7% 6%

30 mins or less Up to 1 hour 1 - 2 hours 2 - 3 hours Over 3 hours

Time taken to complete the eDeclaration

Overall, how satisfied or dissatisfied with the eDeclaration are you?

eDeclaration Survey Results

24% 56%

44% 33% 17% 5% 0%

41% 0%0%17%42%Very satisfied 24%

Neither satisfied or dissatisfied

12%

Very dissatisfied 0%

What Changes would improve the

eDeclaration?more guidance on the level of detail required

and samples of completed declarations

would be useful

more specific to professional groups

21 Comments in total12 Suggested no changes required/fit for purpose6 Relating to clear guidelines for completion of the tool/the eDeclaration process.3 Relating to making more specific for different staff groups.

e-Declaration

“Very convenient and easy to use”

“Much easier and user friendly than the paper declaration, though more details required”

Thank you for listening.