Core Advanced Pharmacist e-portfolio

Leadership Assessment Skills (LEADER) example

Purpose

Evaluates the individual’s leadership and teamworking capabilities.

Examples of when it can be used

  • Holistic review of the candidates role in leading a significant project or service implementation e.g. developing a new service, implementing a pathway change
  • Holistic review of the candidate role in leading guideline development involving multiple stakeholders/teams with differing views

Instructions

  • The situation chosen may cover capabilities in several of the core advanced pharmacist curriculum domains but is likely to be most aligned to those in the leadership and management domain:  
    • Promotes pharmacy services and develops the profession
    • Recognises opportunities for change, innovation and quality improvement
    • Demonstrates self-awareness, resilience and adaptability
  • Provide feedback on what the pharmacist did well and areas for development.
  • The overall rating should reflect the expected level of an advanced pharmacist as defined in the curriculum.

LEADER

Title *

Development of a Trust wide DOAC guideline and decision aid

Date of assessment *

10/10/2022

 

Collaborator Details

Collaborator name *

A Smith

Collaborator email

Only required for sending ticketed invitations

[email protected]

Collaborator position *

Lead pharmacist for cardiology

Collaborator profession *

Pharmacist

Collaborator declaration *

I can confirm I have read the RPS collaborator guidance and have the appropriate experience to complete this assessment. I confirm I have completed the assessment objectively and independently.

Yes

 

Details of Situation

Summary of situation *

 

The pharmacist recognised that colleagues from both the medical and pharmacy teams were struggling with choosing the correct anticoagulant at the correct dose dependent on patient co-morbidities and interacting medicines.

He contacted relevant medical/pharmacy teams, haematology, cardiology, and acute medicine, as well as the medicines governance team.

He convened a meeting to discuss the layout, format, and content of the document, and identified a lead supervisor (a consultant haematologist).

He developed the guidance document over the next few months (incorporating feedback from a range of clinical staff), and navigated the required medicines governance processes, in order to publish the guidance.

 

Collaborator Assessment

Leadership in a team

Responsibilities and roles in team, managing performance, influencing colleagues, different leadership styles for different situations, anticipating & overcoming challenges

Summary of discussion *

The pharmacist took the lead on creating the content but collaborated with a wide range of stakeholders throughout the process. This involved engaging a number of senior stakeholders (consultants, clinical directors). In developing the guidance, some areas of contention arose – the pharmacist had to navigate these, influencing the clinicians from different teams to reach a consensus.

The other challenge the pharmacist faced was getting responses from stakeholders in a timely fashion. This led to issues with overall delivery of the guidance document. However, as the project progressed, the pharmacist introduced approaches that helped to keep the project on track (regular stakeholder meetings, and firm deadlines).

The pharmacist demonstrated their ability to influence other colleagues (including a broad range senior colleague), managing contentious issues to reach a consensus, and successfully deliver a Trust wide project.

Effective services

Delivering high-quality care; constraints, targets, safety, risk management, governance, resource use and efficiency.

Summary of discussion *

The pharmacist recognised an issue that was arising regularly and had led to a number of prescribing errors. Recognising that it was a challenging area, with complex information to navigate, the pharmacist decided to take action and develop the guidance document.

They used their clinical expertise and ability to analyse data from a range of sources in order to draft guidance that was clear and applicable, and which met the needs of the broad range of teams that would have to access it.

Acting in a team

Team working, respect for others, integrity, contribution to meetings, delegating or accepting work/responsibilities, conflict resolution.

Summary of discussion *

The pharmacist demonstrated their commitment to team working, bringing the working group together, respecting the viewpoints of others, and working collaboratively to develop the guidance.

They contributed significantly to meetings, leading the direction of both collaborative meetings, and the work overall.

One area for development that was identified was the ability to delegate tasks to others. The pharmacist took on all the responsibility for creating and revising the guidance, when they could have benefited from delegating some actions to others.

Direction setting

Decision making, judgement, implementing new practices/guidelines, prioritisation.

Summary of discussion *

The pharmacist showed leadership in setting a strategy to develop an intervention to address an unmet need that had the potential to cause harm to patients.

They successfully implemented a new guideline within and across their organisation.

Enabling improvement

Service benchmarks, audits, guidelines, innovation, problem solving, managing change, incident and complaint feedback

Summary of discussion *

Not discussed.

Reflective practice

Challenging ideas, taking a critical view, adapting and changing approach

Summary of discussion *

The pharmacist demonstrated their commitment to improving practice, recognising an issue, and taking action to address.

They challenged the current protocol and developed and implemented a new resource to support safer use of medicines across their organisation.

 

Summary of Assessment

Overall rating *

Based on your discussion, rate the overall level at which the pharmacist has shown that they are performing

 

Below the level expected of an advanced pharmacist

Working towards the level expected of an advanced pharmacist

Meets the level expected of an advanced pharmacist

What went well in terms of leadership? *

The pharmacist recognised an issue and demonstrated leadership in addressing it. They demonstrated resilience and persistence in seeing the project through to completion.

Suggestions for development of leadership skills *

The only development area identified was the pharmacist’s ability to successfully delegate elements of the project to others.

In future projects, the pharmacist should take opportunities to delegate elements of the work to others.

Agreed action(s)

None

Learner's reflection

Describe what you have learned. How will it change your practice in the future?

 

This was a large and challenging project to undertake.

I was incredibly proud that I managed to bring senior stakeholders together and reach consensus. I was equally proud of navigating the complex medicines governance processes to get the guidance published and implemented.

This was my first experience leading a large Trust wide project and I am happy that I was able to deliver a project that will help prevent harm from anticoagulants for our patients.

 

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