NES Pharmacy are undertaking work to ensure delivery of the new GPhC initial education and training (IET) standards for pharmacists
By the 2025-26 FTY training year commencing in July 2025. NES is working with the GPhC and key stakeholders in Scotland through the Foundation Training Year (FTY) Group to develop and implement plans to achieve this. This page will be updated regularly as proposals are agreed and finalised.
Our Foundation Training Year Update November 2024 is the first of our monthly newsletters where we aim to outline key information and events to support learners, supervisors and the wider pharmacy workforce with understanding the changes that are coming.
Are there any exceptions to this?
What is a DPP and why does a trainee pharmacist need one?
What is the Period of Learning in Practice (PLP)?
Assessment of prescribing related learning outcomes
Record of period of learning in practice
What are the Criteria and Training Requirements for Trainee Pharmacists DPPs
From July 2026, new pharmacists will join the GPhC pharmacist register as independent prescribers. They will not be required to undertake a post-registration qualification at a Scottish School of Pharmacy. To facilitate this, the underpinning knowledge elements required will be delivered within Years 1-4 of the MPharm degree and the ‘Period of Learning in Practice’ (PLP), where the knowledge is applied in practice, will occur during the Foundation Training Year .
N.B. The standalone independent prescribing qualification will continue to be provided by the two Scottish Schools of Pharmacy for qualified pharmacists.
As a result of these new standards there is some new terminology and role names, the following figure below gives some detail to help with the understanding of these.
Previous Titles | New/Current Titles |
---|---|
Pre Registration Trainee | Foundation Training Year (FTY) Trainee Pharmacist |
Pre Registration Tutor | Designated Supervisor (DS) |
Experiential Learning (EL) pharmacy student | Experiential Learning (EL) student pharmacist |
Experiential Learning (EL) responsible pharmacist | EL Facilitator |
New programme - training & development programme for newly qualified pharmacists | Post Registration Foundation Programme (PRFP) |
New role - Pharmacist enrolled on PRFP | Foundation Pharmacist (FP) |
New role - professional involved in SLEs across pharmacy training programmes | Collaborator |
New role - practitioner who supports trainee IPs to develop their prescribing skills and completes the final assessment and sign off on the competencies required to become an IP. | Designated Prescribing Practitioner (DPP) |
New role - active prescriber with at least 6 months experience who works alongside trainee IP and DPP to provide supervision during Period of Learning in Practice (PLP). Can be 'stepping stone' to DPP. | Prescribing Supervisor |
The PLP (a minimum of 90 hours) can take place throughout the entire Foundation Training Year or may be restricted to a particular timeframe according to the individual training plan. The PLP must involve direct patient contact (including remote consultations) and be in an area related to prescribing. This should be discussed at the start of FTY and incorporated into the FTY training plan for each individual trainee pharmacist.
All 55 GPhC learning outcomes, including the 19 prescribing related learning outcomes must be achieved by the student/trainee pharmacist throughout their 5 years of initial education and training (4 years of MPharm + 1 year FTY). Within their FTY, trainee pharmacists must gather a portfolio of evidence to demonstrate they have met all the GPhC IET learning outcomes.
The first cohort undertaking the new learning outcomes, including the prescribing related learning outcomes will sit their GPhC common registration assessment in summer 2026.
There may be some exceptions to this new system. These include:
These trainee pharmacists will not work towards the prescribing elements of the learning outcomes and will not complete the PLP during their training year; following successful completion of their FTY, they will apply to the GPhC to register as non-prescribers. Any trainee pharmacist affected by these restrictions will be highlighted to their employer and DS.
Trainee pharmacists starting their FTY from July 2025 will require both, a designated supervisor (DS) and a designated prescribing practitioner (DPP) during their PLP when the GPhC prescribing learning outcomes will be assessed. The DS may also be the DPP if appropriately qualified.
Initially for the 2025-26 FTY training year cohort, NES is proposing that any trainee pharmacist who is linked to a DS who is not a DPP, will also be linked to a separate DPP. The DPP does not have to be a pharmacist but could be a medical or nursing DPP. The trainee pharmacist should have a named DPP at the start of the FTY even if the PLP does not begin till later in the year. It is anticipated the PLP could be completed within a 3–6-month period if necessary but the trainee pharmacist would require support and mentorship for the full 12 months if possible. The DPP induction meeting must occur by the week 26 appraisal point.
The DS and DPP (where working jointly) must discuss trainee pharmacist progression in relation to prescribing competency regularly and jointly sign off completed prescribing learning outcomes. They must also discuss and agree before the final sign off point for the trainee pharmacist. This supervision relationship is shown in Figure 1 below.
Please note the DPP role is a voluntary role with no associated funding
Designated Prescribing Practitioner (DPP)
NES
Designated Supervisor (DS)
In an attempt to increase the number of available pharmacist DPPs, Scotland is increasing the number of opportunities for pharmacists to undertake their prescribing qualification including adding prescribing into the NES Post Registration Foundation Programme. Pharmacy stakeholders in Scotland have also started a marketing campaign to encourage active pharmacist prescribers to become DPPs.
DPPs do not always need to be pharmacist prescribers and in some cases a medical or nursing colleague is well placed to support a trainee pharmacist prescriber. In particular there can be benefits to those who require to gather evidence of their experience of supervising others, such as medical speciality trainees (ST3s)
The 90 hours minimum of PLP within the FTY does not need to be completed in any specific ‘block’ of time, it can occur throughout the full 52 weeks. The PLP must involve direct patient contact (including remote consultations) and be in an area related to prescribing. The DS and DPP (where working jointly) should agree, as part of the training plan for FTY, the best model for the trainee pharmacist. A number of templates for Prescribing Supervision plans are available:
The DPP is NOT required to directly supervise the trainee pharmacist for the entire PLP, but they must ensure that appropriate clinical supervision is in place at all times to ensure patient safety. They may delegate some of the PLP supervision to other appropriately qualified members of the healthcare team, but they must conduct sufficient direct supervision and assessment of the trainee pharmacist to enable them to make an informed assessment decision relating to the trainee pharmacist. The trainee pharmacist must have undertaken sufficient supervised learning events to demonstrate appropriate progress towards the prescribing-related learning outcomes by the week 39 appraisal point.
The DS must also complete 13-week appraisals which are submitted to NES for monitoring of progression. All 13-week appraisals must have documented progress from the DPP.
From the 2025-26 training year, the DPP will be required to:
DPPs will require to co-sign off the 19 GPhC IET prescribing related learning outcomes, which were identified by the Prescribing into Foundation Training Year reference group following mapping to the RPS Competency Framework for all Prescribers.
By meeting these learning outcomes, trainee pharmacists will demonstrate their competence as a pharmacist prescriber. Their portfolio will complement the GPhC registration assessment to enable the trainee pharmacist to dual register as a newly qualified pharmacist and an independent prescriber. Trainee pharmacists do not need to meet additional competencies or learning outcomes on top of the GPhC IET learning outcomes to become a prescriber.
As preparation for post-graduate career frameworks, trainee pharmacists will collate a portfolio of evidence on TURAS Portfolio that builds an overall picture of their performance. Trainee pharmacists demonstrate they meet the prescribing related learning outcomes through supervised learning events (SLEs) supplemented by documentary evidence and reflections to triangulate evidence.
There is no minimum number of supervised learning events to be completed; DPPs will determine if the SLEs within the portfolio demonstrate the trainee consistently meets each prescribing learning outcome. However, trainees must use a mix of supervised learning events:
SLE Type | Used to evidence | Mandatory/optional |
---|---|---|
Direct Obervation of Procedural Skills (DOPS) | Physical assessment skills | Mandatory |
Mini-Clinical Examination (mini-CEX) | Consulatation and shared decision-making skills | Mandatory |
Case based Discussions (CbD) | Appropriate prescribing choices, clinical and non-clinical management | Mandatory |
Case presentation | History taking /data gathering, clinical reasoning and appropriate safety netting/monitoring/follow up | Mandatory |
Acute care assessment tool (ACAT) | Workload prioritisation and decision making under pressure | Optional |
In line with portfolio good practice[1], trainee pharmacists are encouraged to seek a wide range of SLE assessors from both the wider pharmacy team (including accuracy checking technicians and dispensing technicians) and other healthcare professionals within the multi-disciplinary team.
At least one assessor should undertake SLEs at multiple timepoints throughout FTY to ensure appropriate progression and to ensure learning points identified earlier in the FTY have been actioned.
[1] C. P. M. van der Vleuten, L. W. T. Schuwirth, E. W. Driessen, J. Dijkstra, D. Tigelaar, L. K. J. Baartman & J. van Tartwijk (2012) A model for programmatic assessment fit for purpose, Medical Teacher, 34:3, 205-214, DOI: 10.3109/0142159X.2012.652239
Trainee pharmacists will maintain an editable logbook of their time spent during the 90 hours minimum of their period of learning in practice. The log will consist of:
All activities must involve direct patient contact (including remote consultations) and be related to prescribing.
The log will be reviewed by the DPP as part of the co-sign off of the prescribing-related learning outcomes.
Trainee pharmacist employers are responsible for providing a suitable Foundation Training Year (FTY) DPP and commit to this as part of the FTY recruitment process. The DPP can be an employee or external healthcare prescribing professional with the defined levels of knowledge and experience. Arrangements for DPP support provided by non-employees should be agreed between parties. eg local GP or advanced nurse practitioner.
During FTY recruitment employers will be asked to notify NES of FTY DPP details for each trainee pharmacist prior to them commencing their role. Timelines will align with the current process for notifying the identified DS. Employers will be asked to provide:
Criteria to be a FTY DPP aligns with the GPhC requirements[1],[2].
*Active can be defined as, consulting with patients, using clinical assessment and diagnostic skills and making prescribing decisions based on clinical assessment with sufficient frequency to maintain competence. Reflects and audits prescribing practice to identify developmental needs.
IN ADDITION, FTY DPPs will be asked to:
[1] General Pharmaceutical Council. (2021). Standards for initial education and training of pharmacists. Standards for the initial education and training of pharmacists January 2021 final v1.4.pdf (pharmacyregulation.org)
[2] General Pharmaceutical Council. (2022). Standards for the education and training of pharmacist independent prescribers. Standards for the education and training of pharmacist independent prescribers (pharmacyregulation.org)
[3] Royal Pharmaceutical Society. (2021). Prescriber Competency Framework. Prescribing Competency Framework | RPS (rpharms.com)
FTY DPPs must complete:
Once these are complete, NES will assign new FTY DPPs this role on the training management system for a 3-year period. This aligns to the current process for Designated Supervisors (DS).
NES will continue to offer support that aligns to current DS provision. It is expected an online DPP peer group will be established as an additional support mechanism.