Peer Discussion examples

  • Care Homes (GPhC)
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    Describe how this peer discussion changed your practice for the benefit of your patients or service users.

    I decided to have peer discussion with my line manager regarding the pharmacy services provided to an off-site elderly care ward. I chose my line manager because of her experience at the Trust, understanding of clinical pharmacy on the wards and her awareness of the challenges of working on an off-site ward. My line manager would be able to provide useful guidance and advice.

    My peer discussion focused on how pharmacy services to the off-site elderly ward could be improved. This involved reviewing current practice and how changes could be made to improve quality, efficiency and safety. I was also able to reflect on what had been tried before and what went well and what went not as well including feedback from the ward Medicines Management Technician, Assistant Technical Officer and nursing staff.

    I found the discussion very insightful and have used it to guide changes to my own practice and review areas for further learning and development. For example, communication and handover to fellow pharmacy colleagues was identified as an issue and I now ensure that a clear handover of patients is left in the pharmacy handover folder on the ward. It provides a useful method to communicate with each other as we don't visit the ward at the same time but if something needs to be completed or followed up, this is all communicated via this method.

    I have shared my learning with other members of the team who work on the off-site ward so that they are aware of the changes made and I have also highlighted the need for continual review and feedback. I have received good feedback from the nursing staff especially with regards to better stock management so patients have access to medicines in a timely manner.

    As a result of the peer discussion and speaking to the ward consultant I have decided to enrol on a nonmedical prescribing course.

  • Independent Prescriber (GPhC)
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    Describe how this peer discussion changed your practice for the benefit of your patients or service users.

    I chose to have a peer discussion with X as we have both headed up 'Teach and Treat' programmes for independent prescriber pharmacists within our health board. I wanted to reflect on what has worked well and what hasn't worked so well with my own cohort and also gain from the learning and experience from X's cohort.

    We focused on the outcomes from our services and how we could improve the programmes next time around. I detailed the feedback from the pharmacists that had completed my training programme and discussed some of the problems I had encountered and how these could be overcome.

    We also reflected on how we have worked together over the past 6 months and how we both adapted our approach to meet the needs of the other. The discussion has shown me the value of understanding a colleague's working style and adapting my ways of working to achieve the best outcomes when working together and I will make this an integral part of my groundwork when starting out on a project with a colleague.

    I have already put this into practice for a piece of work on continence I have commenced with a nurse colleague and from the outset we are making fast progress. I have used the reflections from the discussion to inform the design of the next 'Teach and Treat' programme to make it more person-specific and avoid wasted time for participants going over areas where they are already competent and confident, so making the programme more valuable to them.

  • Community (GPhC)
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    Describe how this peer discussion changed your practice for the benefit of your patients or service users.

    I chose another pharmacist store manager to be my peer as I have a good relationship with her and she has more experience in the role. My peer discussion helped me think about prioritising my workload, in order that I am in a good position to support patients' with services.

    I was feeling that I did not have time to complete asthma LES reviews and CMS interventions with patients that I felt would have benefitted from these services. This was partly due to the manager workload I was juggling and it was taking away from spending quality time with my patients.

    As a result of the discussion, I now know how another store manager prioritises workload. X sets aside specific time periods where she will focus on her managerial tasks every day. As she knows her business well, she knows when is appropriate to carry out her managerial tasks in order that her patients do not suffer.

    In addition, she has coached her team to adopt the healthcare people model, advocated by X (Pharmacy company), in order that her team support her and she is free to speak with her patients. This made me reflect on my own working environment and I realised that I was perhaps doing too many things myself and not coaching and then worrying about when I would do all the tasks rather than planning in the time.

    Having identified a need to change to benefit my patients, I have since set aside a time frame where I look at managerial related jobs. I am also now coaching my healthcare assistant with her dispenser training and have support from my registered technician.

    The aforementioned will most definitely have a direct benefit to my patients as I will be more available and my team will be trained to a higher level. Already, I have had time to talk to one of my patients about his inhaler technique through the new asthma LES and have documented several CMS new medication interventions.

  • Pharmacist in a GP Practice (RPS)
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    Describe how this peer discussion changed your practice for the benefit of people using your services

    I chose my clinical mentor (a GP) as my peer because I work in a General Practice and wanted feedback from someone who is aware of the types of patients I manage. As part of my role I have to participate in monthly clinical mentoring meetings to discuss my knowledge, skills and clinical practice (including prescribing).

    My peer discussion (held as part of a clinical mentoring meeting) focused mainly on my clinical role. We ran through examples of complex patients that my team has dealt with, clinical protocols and latest guidance particularly for those patients with dementia.

    The feedback received is helping to guide and advance my knowledge. It has also given me the opportunity to reflect on what my strengths and limitations are.

    I have for example, revised our guidelines for prescribing anti-psychotics in dementia patients and updated them so they follow the NICE guidelines.

    I have provided support and advice as well as promoting the updated guidelines to colleagues working at the practice (GPs and nurse prescribers) about prescribing antipsychotics in dementia patients. Following an audit we have seen a reduction in the prescribing of these medicines and feedback from carers has shown that this the care of these patients has improved.

  • Academia/Education and Training (RPS)
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    Describe how this peer discussion changed your practice for the benefit of people using your services

    I chose another pharmacist who is a pre-registration trainee pharmacist training manager in a neighbouring region as she has a similar role to me and has recent experience of implementing ePortfolios. In my role as the pre-registration trainee pharmacist training manager I have an objective to implement the ePortfolio system that we have recently purchased for use by the next cohort of pre-registration trainee pharmacists and this was the focus of the peer discussion.

    My peer discussion helped me to reflect on how I could approach implementation of the ePortfolio system. In the past I have rushed such work and tried to implement objectives as quickly as possible. My peer helped me think through a more planned approach with time lines and factors to consider.

    During the discussion I realised I had to consult with all stakeholders including employers, pre-reg supervisors, students and colleagues at our education and training provider that delivers the pre-registration training programme about the change to an ePortfolio as it would involve stopping using a paper-based system.

    Following the discussion I read about project management and I created a project plan for implementing the ePortfolio system. My peer and I had also talked through which stakeholders I needed to communicate to and what the best methods of communication might be (this supported the creation of a communications plan within the project planI subsequently planned training sessions for all involved about how to use the ePortflio. I also created some guidance and FAQs for our website and emailed stakeholders regular updates about progress with implementation.

    Taking this approach was beneficial to service-users as the implementation of the ePortfolio happened smoothly and on time without too many hiccoughs. This means that pre-registration trainee pharmacists, their supervisors and tutors can record their evidence against the pre-reg standards in a timely way and time isn’t wasted trying to understand how the ePortfolio system works.