Contribution of the critical care model

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In 2000, the modernisation agency produced a document entitled Compre-hensive Critical Care, which outlined how critical care should be provided over at least the following decade.


Contribution of the critical care model

 

In 2000, the modernisation agency produced a document entitled Comprehensive Critical Care, which outlined how critical care should be provided over at least the following decade. Crucially, it facilitated the set-up of clinical networks that focused multidisciplinary collaboration across a geographical area, creating the opportunity for consultant nurses, AHPs and pharmacists to influence the development of practice outside their base hospital.

 

In 2002 the Modernisation Agency followed up this report with a description of the functions of healthcare professionals who supported doctors and nurses, including the roles of AHPs and healthcare scientists. This was the first document to describe the activities of clinical pharmacists and provide a benchmark of staffing levels (0.1 whole-time-equivalent posts (WTE) per level 3 bed and 0.05 WTE per level 2 bed). The publication of this document triggered the UKCPA critical care pharmacists group, many of whom were leading in local critical care networks, to form an expert panel and convert the description of these roles into a list of competencies that were required to support critical care. The work was supported by the Department of Health lead for critical care and described what networks and trusts needed to com-mission from pharmacy. It also gave pharmacists a career development plan for working in critical care from new practitioner to higher levels of practice and a syllabus of knowledge that needed to be acquired. The competencies were described in a way that matched the ACLF and in the same format.

 

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