non-medical-prescribing non-medical-prescribing

Course Summary

We offer a Non-Medical Prescribing course which employs a learning approach that is perfect for the busy healthcare professionals of today. 

We aim to ensure that the course delivers outcomes which meet the Royal Pharmaceutical Society (RPS) Competency Framework for all Prescribers (2021) adopted by the Nursing & Midwifery Council (NMC), Health & Care Professions Council (HCPC) and General Pharmaceutical Council (GPhC). 

The academic course team is multi-professional and made up of NMC, HCPC and GPhC registrants, some of whom are lecturer practitioners which adds to the clinical currency of the Non-Medical Prescribing course at the University of Chester. 

Key to our learning approach is the University’s excellent library and IT facilities – you’ll be able to access the learning materials provided in an electronic format at places and times that fit around your work and lifestyle. 


What you’llStudy

This 40-credit course consists of one 40-credit module. The programme employs shared learning by nurses (Level 1), midwives, pharmacists, and allied health professionals (currently physiotherapists, radiographers, podiatrists, paramedics and dieticians). The content follows the curriculum recommendations of all three professional bodies and the Royal Pharmaceutical Society Competency Framework for all Prescribers (2021).

Module content:

The RPS (2021) generic Prescribing Competency Framework forms the basis of the curriculum and has been used to inform the design and delivery of the programme acting as a contextual framework to structure learning and assessment for all students regardless of their professional background.

THE CONSULTATION (COMPETENCIES 1-6)

1: ASSESS THE PATIENT
Undertakes an appropriate clinical assessment, including a medical, social and medication history including allergies and intolerances and refers to or seeks guidance from another member of the team, a specialist or a prescribing information source when necessary.

Accesses and interprets all available and relevant patient records including relevant investigations necessary to inform treatment options by systematically considering a working or final diagnosis. Understands the condition(s) being treated, their natural progression and how to assess their severity, deterioration and anticipated response to treatment including adherence to and effectiveness of current medicines.

2: CONSIDER THE OPTIONS
Considers both non-pharmacological (including no treatment) and pharmacological approaches to modifying disease and promoting health, including pharmacological treatment options such as optimising doses as well as stopping treatment (appropriate polypharmacy, de-prescribing). Assessing the risks and benefits to the patient/service user of taking or not taking a medicine or treatment. Applies understanding of the mode of action and pharmacokinetics of medicines and how these may be altered taking into account any relevant patient factors and the potential impact on route of administration and formulation of medicines.

Identifies, accesses, and uses reliable and validated sources of information and critically evaluates other information. Stays up-to-date in own area of practice and applies the principles of evidence-based practice, including clinical and cost-effectiveness, taking into account the wider perspective including the public health issues related to medicines and their use and promoting health and understanding of antimicrobial resistance and the roles of infection prevention, control.

3: REACH A SHARED DECISION
Works with the patient/carer in partnership to make informed choices, agreeing a plan that respects patient preferences including their right to refuse or limit treatment, identifying and respects the patient/service user in relation to diversity, values, beliefs and expectations about their health and treatment with medicines.

Routinely assesses adherence in a non-judgemental way and understands the different reasons non-adherence can occur and how best to support patients/carers. Building a relationship which encourages appropriate prescribing which explores the patient/service users/ carers understanding of a consultation and aims for a satisfactory outcome for the patient/carer and prescriber.

4: PRESCRIBE
Prescribes a medicine with up-to-date awareness of its actions, indications, dose, contraindications, interactions, cautions, and unwanted effects. Understands the potential for adverse effects and takes steps to avoid/minimise, recognise and manage them. Prescribes within relevant frameworks for medicines use as appropriate. Prescribes generic medicines where practical and safe for the patient and knows when medicines should be prescribed by branded product.

Understands and applies relevant national frameworks for medicines use to own prescribing practice. Accurately completes and routinely checks calculations relevant to prescribing and practical dosing. Considers the potential for misuse of medicines, Uses up-to-date information about prescribed medicines. Only prescribes medicines that are unlicensed, ‘off-label’, or outside standard practice if satisfied that an alternative licensed medicine would not meet the patient’s clinical needs.

Electronically generates or writes legible unambiguous and complete prescriptions and contemporaneous records and clinical notes of prescribing decisions. Communicates information about medicines and what they are being used for when sharing or transferring prescribing responsibilities/ information.

5: PROVIDE INFORMATION
Checks the patient/service user/carer’s understanding of and commitment to the patient’s management, monitoring and follow-up giving clear and accessible information about their medicines, and how to identify reliable sources of information about their medicines and treatments.

Ensures that the patient/service user/carer knows what to do if there are any concerns about the management of their condition, if the condition deteriorates or if there is no improvement in a specific time frame and where possible, encourages and supports patients/service users/carers to take responsibility for their medicines and self-manage their conditions.

6: MONITOR AND REVIEW
Establishes and maintains a plan for reviewing the patient’s/service user treatment, ensuring that the effectiveness of treatment and potential unwanted effects are monitored. Detects and reports suspected adverse drug reactions using appropriate reporting systems, adapting management plans in response to on-going monitoring and review of the patient’s/service users condition and preferences.

PRESCRIBING GOVERNANCE (COMPETENCIES 7-10)

7: PRESCRIBE SAFELY
Prescribes within own scope of practice, recognising any limitations of own knowledge and skill including common types and causes of medication errors and how to prevent, avoid and detect them. Identifies the potential risks associated with prescribing via remote technology taking steps to minimise risk to support safe prescribing. Reporting prescribing errors, near misses and critical incidents, reviewing practice to prevent recurrence.

8: PRESCRIBE PROFESSIONALLY
Maintains confidence and competence to prescribe, accepting accountability and responsibility for prescribing, understanding legal and ethical implications including regulatory frameworks.

Makes prescribing decisions based on the needs of patients, recognising and dealing with factors that might unduly influence prescribing by working within the NHS/organisational/regulatory and other codes of conduct when interacting with the pharmaceutical industry.

9: IMPROVE PRESCRIBING PRACTICE
Reflects on own and others prescribing practice, and acts upon feedback and discussion, including colleagues’ inappropriate or unsafe prescribing practice using appropriate mechanisms. Understands and uses available tools to improve prescribing.

10: PRESCRIBE AS PART OF A TEAM
Acts as part of a multidisciplinary team to ensure that continuity of care across care settings is developed and not compromised, establishing relationships with other professionals based on understanding, trust and respect. Negotiates the appropriate level of support and supervision for role as a prescriber and provides support and advice to other prescribers or those involved in administration of medicines.


Module aims:

The aim of this module is to enable the autonomous professional to attain the competencies as identified by the Royal Pharmaceutical Society (2021) Framework for safe effective prescribing practice.

How you'll Learn

Students will experience a flexible blend of teaching and learning methods designed to facilitate the achievement of all learning outcomes at degree or MSc level using a student-centred approach. 

The summative assessment methods are mapped against the national professional and governing bodies’ regulation and education standards and include: 

  • Objective Structured Clinical Examination (OSCE) 
  • Numeracy exam 
  • Pharmacology exam 
  • Competency assessment 

The required 90 clinical hours learning allows students to gain experiences from varied clinical areas. 

Beyond the Classroom

On this course, you’ll spend time out on placement where you’ll apply what you have learnt to real scenarios in the workplace, giving you genuine experience and insight that will prepare you for your future career. 

Entry Requirements

2:2 honours degree

The applicant must: 

  • be registered with the Nursing and Midwifery Council (nurses and midwives), or the General Pharmaceutical Council (pharmacists), or the Health and Care Professions Council (relevant allied health professionals) 
  • be professionally practising in an environment where there is an identified need for the individual to regularly prescribe 
  • be able to demonstrate support from their employer/sponsor/designated clinical assessor 
  • have the required relevant post-qualification experience as set by your professional governing body 
  • have up-to-date clinical, pharmacological knowledge relevant to the area of prescribing 
  • have a valid Disclosure and Barring Service (DBS) disclosure. 

This course is not open to international students.

Where you'll Study Wheeler, Chester

Fees and Funding

£1,890 per year (2024/25)

Guides to the fees for students who wish to commence postgraduate courses in the academic year 2024/25 are available to view on our Postgraduate Taught Programmes Fees page.

Your course will involve additional costs not covered by your tuition fees. This may include books, printing, photocopying, educational stationery and related materials, specialist clothing, travel to placements, optional field trips and software. Compulsory field trips are covered by your tuition fees.

If you are living away from home during your time at university, you will need to cover costs such as accommodation, food, travel and bills.

The University of Chester supports fair access for students who may need additional support through a range of bursaries and scholarships.

Full details, as well as terms and conditions for all bursaries and scholarships can be found on the Fees & Finance section of our website.

Your future Career

Job prospects

After successful completion of the Non-Medical Prescribing course, students should register their prescribing qualification with the NMC, HCPC or GPHC to enable them to legally prescribe within their clinical roles. 

Careers service

The University has an award-winning Careers and Employability service which provides a variety of employability-enhancing experiences; through the curriculum, through employer contact, tailored group sessions, individual information, advice and guidance.

Careers and Employability aims to deliver a service which is inclusive, impartial, welcoming, informed and tailored to your personal goals and aspirations, to enable you to develop as an individual and contribute to the business and community in which you will live and work.

We are here to help you plan your future, make the most of your time at University and to enhance your employability. We provide access to part-time jobs, extra-curricular employability-enhancing workshops and offer practical one-to-one help with career planning, including help with CVs, applications and mock interviews. We also deliver group sessions on career planning within each course and we have a wide range of extensive information covering graduate jobs .