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PA30327: Medicines optimisation and prescribing in complex patients 1

[Page last updated: 05 August 2021]

Academic Year: 2021/2
Owning Department/School: Department of Pharmacy & Pharmacology
Credits: 12 [equivalent to 24 CATS credits]
Notional Study Hours: 240
Level: Honours (FHEQ level 6)
Semester 2
Assessment Summary: CW 25%, EX 50%, PR 25%
Assessment Detail:
  • Clinical Management Plan and Reflective Commentary (CW 25% - Qualifying Mark: 40)
  • Clinical Skills Assessment (PR 25% - Qualifying Mark: 40)
  • Examination (EX 50% - Qualifying Mark: 40)
Supplementary Assessment:
Like-for-like reassessment (where allowed by programme regulations)
Requisites: While taking this module you must take PA30324 AND take PA30325 AND take PA30326 AND take PA30328
Description: Aims:
The aim of this unit is to enable students to apply the principles of learned knowledge to high fidelity simulated scenarios improve understanding of physiological, pharmacological and clinical responses in context. This unit draws on knowledge from the specialised integrated units and builds confidence and competence in managing patients with multi-morbidities and complex healthcare needs by applying the principles of medicines optimisation. It also introduces the theory of non-medical prescribing in a clinical context.

Learning Outcomes:
After successfully completing this unit, the student pharmacist will be able to:
1. Demonstrate an understanding of the underlying theory (legal and professional) in relation to supplementary and independent prescribing and the factors which influence prescribing decisions
2. Develop and document a clinical management plan within the context of a prescribing partnership and apply this to a simulated scenario
3. Undertake patient centred consultations using clinical examination and communication skills techniques to produce safe and effective patient outcomes
4. Identify and utilise appropriate diagnostic screening processes and ongoing disease and drug monitoring to optimise prescribing
5. Demonstrate an understanding of the complex needs of patients with long term conditions, multi-morbidities and co-morbidities
6. Demonstrate effective team working, clinical leadership, problem solving and complex decision making
7. Reflect on learning in clinical practice.


* Planning & organisation (T/F)
* Handling information (T/F/A)
* Written communication (T/F/A)
* Working with others (F)
* Clinical skills (T/F/A)
* Improving learning & performance (T/F/A)
* Information & communication technology (ICT) (T/F/A)
* Problem solving and complex decision making (T/F/A).

This unit is structured around high fidelity simulated clinical scenarios using SimMan 3G and elements of Augmented Reality. The students complete a lecture series and in parallel work in small groups to solve real time clinical scenarios which include a structured debrief.
* Lecture Series / Web based learning materials - Clinical exam skills, Leadership, Complex decision making, Managing multi-morbidities, Medicines Optimisation, Legal and ethical aspects of supplementary & independent prescribing, influences upon prescribing, tools to support prescribing decisions
* SimMan 3G Simulations - A series of complex cases covering the key areas of multimorbidity (Siobhan Dumbreck et al. BMJ 2015;350:bmj.h949) and reflective debrief
* Fishbowl Communication sessions - to support the simulations.

Programme availability:

PA30327 is a Designated Essential Unit on the following programmes:

Department of Pharmacy & Pharmacology
  • USPA-AFM03 : MPharm(Hons) Pharmacy (Year 3)
  • USPA-AKM03 : MPharm(Hons) Pharmacy with integrated pre-registration year (Year 3)


  • This unit catalogue is applicable for the 2021/22 academic year only. Students continuing their studies into 2022/23 and beyond should not assume that this unit will be available in future years in the format displayed here for 2021/22.
  • Programmes and units are subject to change in accordance with normal University procedures.
  • Availability of units will be subject to constraints such as staff availability, minimum and maximum group sizes, and timetabling factors as well as a student's ability to meet any pre-requisite rules.
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