About · Performance Supervision

Auditing, supervision and the human side of every PCN contract.

Performance Supervision is the BCS department that audits the work, develops the pharmacists and acts as the day-to-day bridge between our hubs, GP practices and PCN Clinical Directors. Dashboard-led, PDP-driven, CPPE-trained.

What the department does

Audit, supervise, develop — every pharmacist, every PCN.

Performance Supervision exists to make sure every BCS pharmacist is delivering against clinical and operational standards — and growing as a clinician while they do it. The team audits and reports on pharmacist activity, supervises new and existing pharmacists, identifies training needs and runs the structured development pathways that turn good pharmacists into highly skilled primary care clinicians.

A typical week is a mix of one-to-one PDP catch-ups, supervision of new starters, background development of dashboard reporting and templates, review meetings with PCNs and practices, internal team meetings and live troubleshooting for clinical and system queries from pharmacists on the ground.

  • Auditing and reporting on pharmacist activity
  • Supervising new and existing pharmacists
  • Identifying training needs and closing them
  • Running Personal Development Plans (PDPs)
  • Implementing performance monitoring per domain
  • Direct clinical and system troubleshooting

How we support practices & PCNs

Direct support — clinically and contractually.

  • PDPs built directly off the back of practice concerns or specific PCN needs
  • Ongoing service development for new national initiatives — QOF, BeCCOR and beyond
  • Creating protocols and training material so pharmacists can deliver new workstreams quickly
  • Reporting and auditing tied to contract requirements
  • Helping GP practices and PCNs review their pharmacist workforce and identify development areas

Performance & QA

Quantitative + qualitative. Quarterly + annual.

BCS runs performance monitoring on two tracks. Quantitative review happens quarterly through Power BI dashboards — medication reviews, total encounters, letters actioned, CQC work, QOF work and practice projects, visualised per pharmacist, per practice and per PCN. Qualitative review happens annually and examines how the work is actually completed within consultations.

A utilisation rate above 100% on the dashboard isn't an error — it's the signal we're aiming for. It means the pharmacist is doing multiple things in one encounter, making every contact count, exactly as primary care pharmacy should be delivered.

  • Quarterly quantitative review via Power BI dashboards
  • Annual qualitative review of consultation quality
  • Read-code based clinical activity tracking
  • Utilisation analysis — making every contact count
  • Ad-hoc reporting available where concerns require it

Clinical supervision

CPPE-trained supervisors. Structured from week one.

  • Weekly allocation support for at least 8 weeks for every new pharmacist or new placement
  • Weekly or fortnightly PDP catch-ups for pharmacists on a development plan
  • CPPE-trained supervisors across both hubs
  • No artificial cap on pharmacist numbers — supervision scales to PDP and allocation need
  • Common topics: long-term condition reviews, polypharmacy, chronic disease alignment, project work
  • Documented in Asana, OneDrive, email and the BCS workspace

Handling underperformance

Structured support, not blame.

Where performance or clinical concerns arise, the response is structured. Time is invested to understand the underlying issue, a Personal Development Plan is created with the pharmacist, and weekly or fortnightly catch-ups are scheduled until the issue is resolved and the pharmacist is back on track.

Practices and PCNs are kept in the loop where appropriate, with ad-hoc reporting available on a temporary basis until service delivery is re-established and the partner is comfortable transitioning back to the standard quarterly cadence.

The bit nobody puts in a KPI

Morale, relationships and being the bridge.

A huge part of what Performance Supervision does doesn't fit neatly into a department purpose or an objective. The team builds morale around the hubs, acts as the bridge between pharmacists and senior management, and is consistently available — in any capacity — to colleagues across the business.

Relationships with the pharmacists on the ground and with external PCN and practice staff are the work. They take time and effort, they sit outside any KPI, and they are the reason BCS services hold together at scale.

  • Bridge between pharmacists and senior management
  • Always-available support for clinical and non-clinical issues
  • Builds and protects morale across both hubs
  • Direct relationships with PCN and practice teams
  • The relationship layer behind every contract

How the four departments fit together

One service. Four departments. Joined-up by design.

BCS is organised around four departments that overlap on every PCN we support. Operations recruits, onboards and rosters the pharmacists. Training & Development takes them through CPPE, IP and ongoing CPD. Performance Supervision audits the work, runs PDPs and owns the BCS Impact Dashboard. Service Development sits above all three — turning DES, IIF and QOF priorities into the services we actually deliver in practice.

No single department is the service. The overlap is the service — and that is what allows BCS to deliver consistent, outcomes-led medicines optimisation across 50+ PCNs from two hubs.

  • Operations — workforce, recruitment, compliance, cover
  • Training & Development — CPPE, IP, supervision, CPD
  • Performance Supervision — audit, PDP, dashboard, QA
  • Service Development — strategy, redesign, DES alignment

Talk to our Service Development team

30-minute discovery call. We'll show you how BCS maps to your PCN's specific priorities.

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