Consultation Skills Assessment (CSA)

Foundation assessment tool

The Consultation Skills Assessment (CSA) is a reflective tool that can be used to support the development of your consultation behaviours and skills, and particularly helps you to develop and demonstrate competencies in cluster 1 of the FPF – Patient and Pharmaceutical Care.

This tool provides a structured approach to reviewing a patient’s medicines to identify any problems they may have, including how the patient adheres to their treatment. This assessment can take between 10-30 minutes (this will depend on the patient in question).

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When can it be used?

There are many formal and informal opportunities where this tool can be of use. These include consulting with patients:

  • On admission, during their stay or upon discharge from hospital
  • Day care cases (such as patients attending for renal dialysis units)
  • Out-patient clinics (such as anti-coagulant clinics)
  • Medicines Use Review service (MUR, in England and Wales), New Medicines Service (NMS, in England) and Discharge Medication Review (DMR) service (in Wales) and the Chronic Medication Service (in Scotland)
  • Managing minor ailments
  • Supply of emergency hormonal contraception (EHC)
  • Medication reviews with patients in GP surgeries
  • Specialised pharmacist-led clinics (such as hypertension or heart failure clinics)
  • Pharmacists using their independent prescribing skills.

How it should work?

  • The consultation skills assessment can be used as a reflective tool or as a peer assessment tool.


Completing the CSA assessment

Flu Vaccination

How to use the CSA in practice

Community example

Completing the CSA assessment

Community example


Useful resources

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