Development of consensus guidance to facilitate se

Authors: Antonella Tonna Dorothy McCaig Lesley Diack Bernice West Derek Stewart

Publish Date: 2014/08/10

Volume: 36, Issue: 5, Pages: 1069-1076

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Abstract

Background The last decade has seen a drive towards nonmedical prescribing in the United Kingdom UK However there is a dearth of any published literature on applying the principles of service redesign to support pharmacist prescribing in any sphere of practice Objective To develop consensus guidance to facilitate service redesign around pharmacist prescribing Setting UK hospital practice Methods The Delphi technique was used to measure consensus of a panel of expert opinion holders in Scotland Individuals with key strategic and operational roles in implementing initiatives of pharmacy practice and medicines management were recruited as experts An electronic questionnaire consisting of 30 statements related to pharmacist prescribing service redesign was developed These were presented as fivepoint Likert scales with illustrative quotes Main outcome measures Consensus defined as 70  of panel members agreeing ranked strongly agree/agree with each statement Results Responses were obtained from 35/40 875  experts in round one and 29 725  in round two Consensus in round one was achieved for 27/30 of statements relating to aspects of generic ‘service development’ eg succession planning multidisciplinary working quality evaluation practice development and outcome measures and ‘pharmacist prescribing role development’ eg education and future orientation of service Issues of disagreement were around targeting of pharmacist prescribing to clinical specialities and financial remuneration for prescribing in the hospital setting Conclusion Consensus guidance has been developed to facilitate service redesign around hospital pharmacist prescribing

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