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Fiona Culley discusses Improving non-medical prescribing

Fiona CulleyFiona Culley

Fiona opened her presentation by saying the expansion of non-medical prescribing presents individuals and organisations with clearly defined responsibilities, along with new challenges. 

These include identifying, assessing and managing areas for improvement, through monitoring compliance with standards and regulatory requirements. 

Fiona presented the delegates with some key issues to consider when driving and measuring quality in prescribing. Issues covered are supporting prescribers, developing new roles, co-ordinating, planning and developing services, and developing post qualifying practice. Each topic will be considered in the context of professional and systems regulation. 

Key points discussed included:

"These question are important to think in the role of a prescriber:

  • What Does good prescribing looking like?
  • What is going well?
  • What needs to change? – What is on your wish list
  • How will you make this happen?
  • By When?" 

"Prescribing improvement requires shared accountability"

"The CQC have a new inspection model which asks whether a service is safe, caring, effective, responsive and well-led"

"The NMC has consulted on The Code (closed 11 August 2014 ) and has included specific requirements for prescribing and medicines management as well as leadership within the draft Code"

"Commissioning guides for non-medical prescribing are available to help develop policy"

"Post qualifying practice will be further defined by revalidation as well as the NPC Single Competency Framework"

Useful links:
Association for Nurse Prescribing www.anp.org.uk
British National Formulary www.bnf.org
Care Quality Commission  www.cqc.org.uk
Department of Health www.dh.gov.uk
NICE medicines and prescribing centre www.nice.org.uk/mpc/index.jsp
NMC www.nmc-uk.org
Statutory instruments www.legislation.gov.uk

Please note the new Code for nurses and midwives will be published by the NMC in Dec 2014 and new standards for revalidation are expected to be implemented in Dec 2015

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As a registered nurse, Fiona has over 32 years’ experience in a number of operational and strategic roles in the NHS, independent health care, higher education and regulatory sectors, and has extensive experience of clinical governance, professional and systems regulation and complaints adjudication. She has been actively involved with medicines management and nurse / non-medical prescribing education and policy and standards development since 1998. Fiona successfully completed a master’s degree in medical law for which she completed a dissertation on legal aspects of non-medical prescribing.

Fiona currently works as an independent consultant in health and social care providing a range of services relating to continuing improvement and compliance, professional and systems regulation, learning and development, coaching, and complaints resolution. She is currently a bank inspector and specialist adviser for the Care Quality Commission (CQC) in England across all sectors. Fiona also works as an associate lecturer at a number of approved education institutions on topics relating to health care law and ethics, regulation, prescribing and medicines management. She is a qualified performance coach working with individuals, teams and organisations to consider their options and achieve their goals.

Fiona was a member of the British National Formulary Nurse Prescribing Advisory Group from 2010 – 2012, and the Department of Health external reference group for the Single competency framework for prescribers in 2011 and 2012. Fiona formerly worked at the Nursing and Midwifery Council (NMC) in Fitness to Practise, and then as a professional adviser for non-medical prescribing and medicines management until 2012. 

Events of interest:

Delivering 7 day services in Hospital Pharmacy
Tuesday 13 January 2015 London

Reducing Medication Errors
Tuesday 27 January 2015 London

Advancing IV Therapy
Thursday 29 January 2015 London

Electronic Prescribing In Hospitals: Moving Forward
Wednesday 22 April 2015 London


Download: Fiona Culley Presentation

5 December 2014

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