If the cap fits, wear it:Assessment using the Advanced/ Consultant Level Framework

David WebbNZHPA ConferenceSeptember 30, 2007

Workshop?

Clusters Competencies

Expert professional practice Expert skills and knowledge,Patient care responsibilities,Reasoning and judgement,Professional autonomy.

Building working relationships Communication,Teamwork and consultation.

Leadership Vision, motivation, governance,Strategy, innovation,Service development.

Management Planning, performance, change,Priorities, resources, standards, Risk.

Education, training, development Mentorship, role model, delivery, CPD, practice linkage, policy.

Research and evaluation Critical evaluation, protocol review,

Evidence creation, development,Supervision, partnerships.

Self assessment using ACLF

□Practice levels□Specialist-in-

training□Experienced

practitioner□Leading-edge

practitioner

□Evidence□To substantiate

assessment

□Sample (n=390)□Cancer 69□Mental health 69□Critical care 36□Primary care 84□Paediatrics 53□MI 43□Other 36

0.0

0.5

1.0

1.5

2.0

2.5

3.0M

ean

clu

ster

score

Expert Practice

Working relationships

Leadership

Management

E&T and Development

Research & Evaluation

Specialist Experienced Leading-edge

Cluster Foundation F-E Excellence E-M Mastery

Expert Practice

Building Relationships Leadership

Management

E&T and Development

Research and Evaluation

0.9 3.5 0.8 1.3 0.8

10.0 2.5

16.0 5.1

26.5 15.5 47.6

2.8

4.6 0.8

12.7 0.8 12.5 2.5

15.9 16.4 22.9

21.1 50.7 14.3 56.9 43.2 60.7 50.4 58.3 58.5 52.3 40.0 24.8

15.8 21.5 23.3 20.3 9.6 6.0

15.1 8.3 10.2 3.8

11.8 1.9

62.3 21.5 61.7 17.0 45.6 10.7 31.1 4.9

23.7 1.5

16.4 2.9

Respondent percentage by subgroup

EP=155 LE=135

Dimension 1

Dim

ensio

n 2

F

E M

F

E

M

F

E

MF

E

M

F

E

M

Expert PPLeadershipManagementE & TR & E

Practice level

HOMALS Quantifications

F Foundation

E Excellence

M Mastery

Specialist in trainingSpecialist in training

Experienced practitionerExperienced practitioner

Leading-edgeLeading-edgepractitionerpractitioner

Competency profiles

□Applying consultant profile to sample□50 pharmacists

satisfy competency criteria (12.8%)

□21 (+/- 7) years post qualification (mean +/- SD)

□34% diploma, 40% MSc, 18% PhD

1. Member local or Trust committee

2. Member regional / national / international committee

3. Active teaching role4. Education development, design

& provision5. Active research participation6. Research development &

leadership7. Professional standing / Peer

status8. Documented expert practice9. Managing process & leadership

(local)10. Managing process & leadership

(national)11. Staff management12. Other appropriate

documentation

Evidence categoriesProportion of respondents citing differentevidence categories by subgroup

0.00

10.00

20.00

30.00

40.00

50.00

60.00

Evid

ence

1

Evid

ence

2

Evid

ence

3

Evid

ence

4

Evid

ence

5

Evid

ence

6

Evid

ence

7

Evid

ence

8

Evid

ence

9

Evid

ence

10

Evid

ence

11

Evid

ence

12

Potential Consultant (n=50)Non-Consultant (n=340)

Graham Davies Ian Bates Denise Farmer Duncan McRobbieLizzie Mills Sotiris AntoniouLaura Obiols Naomi Meadows Roger Fernandes

With thanks toDH Steering Group, GHP, UKCPA, CPP and E&SE England Specialist Pharmacy Services. Members of Specialist/Practice Interest Groups and CPP Faculties

FundingNWL WDC, NSC WDD and Department of Health (scoping higher level practice)