A Designated Prescribing Practitioner (DPP) is a qualified healthcare professional who supervises, supports, and assesses trainee non-medical prescribers during their period of learning in practice. They provide guidance and oversight to ensure trainees develop the necessary skills and knowledge to prescribe safely and effectively within their professional scope once qualified.
Since 2019, any healthcare professional who is an experienced independent prescriber can become a Designated Prescribing Practitioner. This includes pharmacists, nurses, physiotherapists, paramedics, and other allied health professionals who have been qualified prescribers for at least three years, actively prescribing in their practice area, and completed appropriate training for the DPP role. This expanded eligibility replaced the previous requirement for Medical Practitioners only.
Designated Prescribing Practitioners in Primary Care have several key responsibilities: providing regular supervised practice sessions for trainees; assessing prescribing competencies against the relevant framework; offering constructive feedback; creating learning opportunities relevant to the trainee's future prescribing role; maintaining appropriate documentation of the trainee's progress; liaising with academic institutions; and ultimately determining whether the trainee has achieved the required competencies to prescribe safely.
The Designated Prescribing Practitioner role, introduced in 2019, represents a significant evolution from the previous Designated Medical Practitioner role. The key difference is that DPPs can be any qualified independent prescriber with appropriate experience, not just doctors. This change was implemented to address workforce challenges, increase training capacity for non-medical prescribers, and recognize the expertise of experienced non-medical prescribers in supervising others. The fundamental responsibilities of supervision and assessment remain similar.
To become a Designated Prescribing Practitioner in a PCN, individuals must complete specific preparation for the role, which typically includes: understanding the DPP framework published by the Royal Pharmaceutical Society; training in assessment of competence; knowledge of relevant prescribing competency frameworks; supervision skills; feedback techniques; and understanding the academic requirements of non-medical prescribing courses. Many higher education institutions offer dedicated DPP training courses, and PCNs may provide additional support for this professional development.
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