Lister Hospital Pharmacist Training Programme Overview
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Overview of the Trust
Foundation training places
Location
Our ICS
Our Values
The Pharmacy Department
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Why Lister Hospital?
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What we are looking for?
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Our Designated Supervisors and
Programme Managers
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Structure of the Foundation Training
year
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HEE training to ICS trainees
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Working Hours
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What is expected of you ?
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Interim Learning outcomes and
recording evidence
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The registration assessment
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Pharmacist Retention
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ORIEL recruitment system
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Contact Information
7 Foundation Trainee pharmacist places :
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5 full hospital places
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Hailey View Surgery,
Hoddesdon
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Where are we ?
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Semi rural location close to Stevenage town centre.
Close to historic towns – St Albans, Hitchin and Hertford
20 Minutes from central London, regular trains to Kings Cross and St Pancras
Easy access to London, Cambridge, Oxford and M1, M25 and M11
Hertfordshire
East & North Hertfordshire NHS Trust - Lister Hospital
730 bed Acute Trust
Renal specialist centre & dialysis
unit
Urology – robotic surgery
160 pharmacy staff
60 Pharmacists
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Hertfordshire & West Essex
Integrated Care System
(ICS)
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Lister Hospital
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Princess Alexander Hospital
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Watford General Hospital
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All PCN’s
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Community Trusts
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Mental Health Trusts
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Named after Joseph Lister
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Pioneer of antiseptics in
surgery
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Listerine mouthwash
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Listeria genus
Pharmacy Department – 160 staff
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6
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Clinical Specialists
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Education & Training
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Antimicrobial
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Medicines Information
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Aseptics & Oncology
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Formulary
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Patient Safety
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EMPA
TEAMWORK
COMMUNICATION
COLLABORATION
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Medicines management pharmacy
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Patient safety
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Procurement
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Discharge Planning
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Dispensary
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Aseptics & Oncology
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Medicines Management –on wards
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Dispensary
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Aseptics and Oncology
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Stores
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MPharm
University of Nottingham
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Foundation Trainee at Glaxo Welcome &
Princess Alexandra Hospital
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Lloyds Pharmacy Manager 2008
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Rotational Pharmacist ENHT 2008
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PGDip Pharmacy Practice
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Specialist Medicines Information /Education &
Training pharmacist
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Independent Prescriber
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Foundation Trainee year at UCH and Roche Products
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Resident at Westminster/Chelsea & Westminster Hospital
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PGCert Pharmacy Practice
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Assistant Dispensary Manager/Resident UCH
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Medicine Information Manager Chelsea & West Hospital
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Prescribing Advisor in Primary Care
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PGDip in Prescribing Sciences
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Formulary pharmacist 2004 ENHT
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Gastroenterology directorate pharmacist 2008
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Foundation Trainee manager /Education & Training/
Academic Link with University of Hertfordshire
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Post Graduate Certificate Education (HE)
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Independent Prescriber
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NHS Leadership Academy – Mary Seacole
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56 learning outcomes, organised into four domains:
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Person-centred care and collaboration
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Professional practice
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Leadership and management
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Education and research
Greater emphasis on DOES in Millers Triangle
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Can act independently and consistently in a complex but defined situation. Evidence for this level is provided when a student pharmacist demonstrates the learning outcomes in a
complex, familiar or everyday situation repeatedly and reliably. Assessments may require objective structured clinical examination (OSCEs) or other observed assessments.
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Group A: Clinical and patient-facing
activities
1.Medicines optimisation
2.Medicines reconciliation
3.Consultations on medicines use
4.Consultation on diagnoses / assessment
/recommendation
5.Patient safety activity
6.Patient focused health intervention
7. Medicines Query
Group B: Healthcare quality and
improvement
audit, teaching & mentoring,
PH eg WAAW
Group C: Supplying medicines activities
legal aspects, dispensing (inc Aseptic prep),
accuracy checks
Group D: Mandatory and specific training
first aid , safeguarding, H&S, digital
systems, advanced therapy
Group E: Personal Development &
Progression
LNA/PDP, multisource
feedback eg 360, other
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Assessment tools
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MiniCEX,
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DOPS,
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MRCF,
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CBD,
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Contribution to care logs,
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Peer assessment,
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Reflective evidence,
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dispensing, screening, checking
and medicines reconciliation logs,
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CPD
E-portfolio
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HEE eportfolio
Further Resources
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Health Education England
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https://www.hee.nhs.uk/our-
work/pharmacy/trainee-pharmacist-foundation-
year-programme
Must be passed in order to register as a pharmacist
Allows the GPhC to protect the public by ensuring that registered pharmacists are:
Safe
Have sufficient knowledge and understanding to practice
Allowed three attempts
June and September sittings
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In order to be entered for the exam, a trainee must:
Achieve ‘satisfactory’ performance rating at 39 week appraisal
Not be absent from work for more than 40 days (bank holidays, annual leave and
sickness combined)
Submit registration assessment entry form signed by tutor
Payment of assessment fee
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40 calculations in 2 hours
Calculators allowed (specific model)
Space for rough working
Enter answers by hand
Units are likely to be provided
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120 questions in 2.5 hours
Multiple choice questions
Some calculation questions calculator not required (number sense)
2 types of MCQs:
90 x single best answer
30 extended matching type
BNF not allowed but excerpts of the BNF/SPC provided for open book questions
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Mr B who is 62 years old is suffering from an acute attack of gout. My B had a myocardial infarction 3 years ago
and suffers from mild osteoarthritis, but is otherwise well. He is on the following medication:
Aspirin 75mg once daily
Atorvastatin 40mg once daily
Ramipril 10mg once daily
Co-codamol 30/500 two tablets up to four times a day as required.
He has no known drug allergies
What is the most suitable choice of drug for his acute attack of gout?
A
allopurinol
B
colchicine
C
diclofenac
D
etoricoxib
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febuxostat
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Codeine phosphate liquid
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Diclofenac suppositories
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Ibuprofen liquid
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Morphine sulphate tablets
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Oxycodone injection
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Paracetamol tablets
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Pethidine injection
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Tramadol tablets
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A four year old boy, who has no long term medical conditions, has sprained his ankle earlier in the day and
is experiencing mild pain. An ice pack was used immediately after the injury. The ankle is slightly swollen.
The boy is allergic to penicillins
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Around 70%
Based on difficulty of the paper
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Constitute approximately 20% of questions
Trainee tip: become familiar with BNFc- body surface area, mean body weights and
heights, general prescribing guidance, information at start of chapters and sections,
licensing
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For further information or to arrange a visit please contact
Surinder Bhatia via email
surinder.bhatia@nhs.net
or
Rachel Holland via email
rachel.holland2@nhs.net
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Trust website
https://www.enherts-tr.nhs.uk/services/pharmacy/
for more information
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Twitter @pharmacyENHT for Trust news and events
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Lister Hospital, part of East & North Hertfordshire NHS Trust, offers a comprehensive Foundation Trainee Pharmacist Training Programme. Led by Directors Surinder Bhatia and Rachel Holland, the programme includes details on training, working hours, learning outcomes, and assessment. It provides insights into the trust's values, the pharmacy department, and why Lister Hospital is an ideal training ground. The hospital's location in Hertfordshire offers easy access to various amenities and historic towns. The pharmacy department comprises 160 staff, including 60 pharmacists, specializing in various clinical areas and patient safety. The team focuses on teamwork and effective communication to deliver high-quality care.
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Foundation Trainee Pharmacist Training Programme Lister Hospital Programme Directors Surinder Bhatia and Rachel Holland
Contents HEE training to ICS trainees Working Hours What is expected of you ? Interim Learning outcomes and recording evidence The registration assessment Pharmacist Retention ORIEL recruitment system Contact Information Overview of the Trust Foundation training places Location Our ICS Our Values The Pharmacy Department Why Lister Hospital? What we are looking for? Our Designated Supervisors and Programme Managers Structure of the Foundation Training year
Foundation Trainee Pharmacists Places 7 Foundation Trainee pharmacist places : 5 full hospital places 2split hospital/GP place with 13 weeks in a local GP practice Hailey View Surgery, Hoddesdon Stort Valley & Villages Locality Group, Bishops Stortford Salary - Band 5 - 25,655 Trainees ranked us top out of 21 sites in East of England in a recent survey of hospital training sites (April 2019).
Where are we ? Hertfordshire Stevenage Semi rural location close to Stevenage town centre. Close to historic towns St Albans, Hitchin and Hertford 20 Minutes from central London, regular trains to Kings Cross and St Pancras Easy access to London, Cambridge, Oxford and M1, M25 and M11
East & North Hertfordshire NHS Trust - Lister Hospital Hertfordshire & West Essex Integrated Care System (ICS) Lister Hospital Princess Alexander Hospital Watford General Hospital All PCN s Community Trusts Mental Health Trusts 730 bed Acute Trust Renal specialist centre & dialysis unit Urology robotic surgery 160 pharmacy staff 60 Pharmacists FUN FACTS Named after Joseph Lister Pioneer of antiseptics in surgery Listerine mouthwash Listeria genus
Pharmacy Department 160 staff 60 pharmacists Clinical Specialists Education & Training Antimicrobial Medicines Information Aseptics & Oncology Formulary Patient Safety EMPA Pharmacy Technicians Medicines management pharmacy technicians - on wards Patient safety Procurement Discharge Planning Dispensary Aseptics & Oncology Assistants Medicines Management on wards Dispensary Aseptics and Oncology Stores TEAMWORK COMMUNICATION COLLABORATION +++++++
Why choose us? Dedicated support from programme directors with regular meetings Training provided in each rotation by highly experienced specialists Friendly supportive department Excellent team of clinical pharmacists An interesting rota through different departments, specialities and placements Exposure to a broad range of clinical specialities at a large training site One to One support from Designated Supervisors Opportunities to attend national and local courses We think of it as YOUR year, and allow you to influence the programme
Excellent learning opportunities In-house patient consultation course Regular bite-sized training sessions Regular lunchtime learning sessions A chance to work with lots of different people, in lots of different clinical settings In house mock exams and training sessions Calculations practice and mock papers
Clinical Specialities at Lister Medicine Acute, respiratory, gastroenterology, endocrinology, cardiovascular Paediatrics and Neonatology Obstetrics and Gynaecology Surgery general, orthopaedic, vascular, urology, plastics Renal Medicine Oncology & Haematology Palliative care Critical Care
Attributes of a good Foundation Trainee pharmacist Dedicated to patient care Ability to work under pressure Highly organised Be open to receiving feedback and actively seek it Be able to take advantage of every learning opportunity Ability to work in a team
Our Designated Supervisors Fadia Alsheikh Emily Ah- Moye Amaia Martinez Tasia Somers DavidRoberts Mark Brooks Emily Clifford
Foundation Training Manager - Rachel Holland MPharm University of Nottingham Foundation Trainee at Glaxo Welcome & Princess Alexandra Hospital Lloyds Pharmacy Manager 2008 Rotational Pharmacist ENHT 2008 PGDip Pharmacy Practice Specialist Medicines Information /Education & Training pharmacist Independent Prescriber
Foundation Training Manager - Surinder Bhatia BPharm Kings College London University Foundation Trainee year at UCH and Roche Products Resident at Westminster/Chelsea & Westminster Hospital PGCert Pharmacy Practice Assistant Dispensary Manager/Resident UCH Medicine Information Manager Chelsea & West Hospital Prescribing Advisor in Primary Care PGDip in Prescribing Sciences Formulary pharmacist 2004 ENHT Gastroenterology directorate pharmacist 2008 Foundation Trainee manager /Education & Training/ Academic Link with University of Hertfordshire Post Graduate Certificate Education (HE) Independent Prescriber NHS Leadership Academy Mary Seacole
Layout of the Foundation training year Duration Clinical Induction 8 weeks Clinical Longitudinal placement on one ward 13 weeks Clinical Medical & Surgical wards 5/6 weeks each Medicines Information 4 weeks Aseptics & Oncology services 2 weeks Dispensary including dispensary manager for one week 2 weeks & throughout year Audit 2 weeks Community Pharmacy Placement 2 weeks Renal Medicine 1 week Paediatrics 1 week World Antimicrobial Awareness Campaign (WHO) 1 week Quality Control /Procurement, Stores & Distribution 1 week HEE training taught sessions 8 hours per month Study time for self study /evidence collation for eportfolio /teaching Every Wednesday afternoon sessions within ICS
Health Education England training programme East of England region Hertfordshire & West Essex ICS - Foundation Training Facilitator taught sessions 8 hours per month Trainee guided/self-directed 5 hours per month Workplace teaching/support 1 hour per month BUT will be significantly more
Working hours Working hours 9am-5pm 30 minute lunch break 2 x 15 minute tea breaks, morning and afternoon One late shift per week 9am -730pm 30 minute lunch break 1 x 15 minute morning break and 1 x 30 minute break at 430pm One early shift per week 9am 3pm 1 in 8 Saturday and Sundays REST DAY 1 full day off after working a weekend
Our Expectations of you Transitional year Gradually take on the mindset of a pharmacist Steep learning curve with lots of private study/paperwork Be open to feedback and flexible (prepared to do anything) Do not do anything that you are not competent/signed off to do it. As a full time paid NHS employee, you will be expected to have an all hands on deck attitude Clinical pharmacy happens everywhere and can be applied in all rotations.
Learning contract - Trainee's undertaking Abide by the GPhC Foundation Trainee scheme requirements & familiarise yourself with the learning outcomes required Take responsibility for your own learning and development Adhere to the rules and regulations Admit to not knowing, understanding or being comfortable Be honest in your interactions with your colleagues Receive feedback and use it to help you to develop further
Learning Contract- tutor undertaking Provide and arrange training that will enable you to develop so that you abide by the GPhC Foundation Trainee scheme requirements Enable you to have access to off-the-job study days and training events Work with you to identify your individual learning needs Inform, support and confer with others involved in your training Assess a range of evidence which you provide, taking account of feedback from other people involved in your training Set aside time to review your progress regularly, informally & formally Provide you with constructive and honest feedback Assess you objectively - in all the GPhC Learning Outcomes
Interim Learning Outcomes & Recording Evidence 56 learning outcomes, organised into four domains: Person-centred care and collaboration Professional practice Leadership and management Education and research Greater emphasis on DOES in Millers Triangle Level 4 Does is defined as : Can act independently and consistently in a complex but defined situation. Evidence for this level is provided when a student pharmacist demonstrates the learning outcomes in a complex, familiar or everyday situation repeatedly and reliably. Assessments may require objective structured clinical examination (OSCEs) or other observed assessments.
Assessment Activities (21) Group B: Healthcare quality and improvement audit, teaching & mentoring, PH eg WAAW Group A: Clinical and patient-facing activities 1.Medicines optimisation 2.Medicines reconciliation 3.Consultations on medicines use 4.Consultation on diagnoses / assessment /recommendation 5.Patient safety activity 6.Patient focused health intervention 7. Medicines Query Group C: Supplying medicines activities legal aspects, dispensing (inc Aseptic prep), accuracy checks Group D: Mandatory and specific training first aid , safeguarding, H&S, digital systems, advanced therapy Group E: Personal Development & Progression LNA/PDP, multisource feedback eg 360, other
Assessment Strategy E-portfolio HEE eportfolio Assessment tools MiniCEX, DOPS, MRCF, CBD, Contribution to care logs, Peer assessment, Reflective evidence, dispensing, screening, checking and medicines reconciliation logs, CPD Further Resources Health Education England https://www.hee.nhs.uk/our- work/pharmacy/trainee-pharmacist-foundation- year-programme
Registration Assessment Must be passed in order to register as a pharmacist Allows the GPhC to protect the public by ensuring that registered pharmacists are: Safe Have sufficient knowledge and understanding to practice Allowed three attempts June and September sittings
Entry for the Registration Assessment In order to be entered for the exam, a trainee must: Achieve satisfactory performance rating at 39 week appraisal Not be absent from work for more than 40 days (bank holidays, annual leave and sickness combined) Submit registration assessment entry form signed by tutor Payment of assessment fee
The Registration assessment Paper 1- Morning paper 40 calculations in 2 hours Calculators allowed (specific model) Space for rough working Enter answers by hand Units are likely to be provided Paper 2- Afternoon paper 120 questions in 2.5 hours Multiple choice questions Some calculation questions calculator not required (number sense) 2 types of MCQs: 90 x single best answer 30 extended matching type BNF not allowed but excerpts of the BNF/SPC provided for open book questions
Single best answer Mr B who is 62 years old is suffering from an acute attack of gout. My B had a myocardial infarction 3 years ago and suffers from mild osteoarthritis, but is otherwise well. He is on the following medication: Aspirin 75mg once daily Atorvastatin 40mg once daily Ramipril 10mg once daily Co-codamol 30/500 two tablets up to four times a day as required. He has no known drug allergies What is the most suitable choice of drug for his acute attack of gout? A allopurinol B colchicine C diclofenac D etoricoxib E febuxostat
Extended matching questions A B C D E F G H Codeine phosphate liquid Diclofenac suppositories Ibuprofen liquid Morphine sulphate tablets Oxycodone injection Paracetamol tablets Pethidine injection Tramadol tablets For the patients described, select the most suitable analgesic from the list above. Each option may be used once, more than once, or not at all A four year old boy, who has no long term medical conditions, has sprained his ankle earlier in the day and is experiencing mild pain. An ice pack was used immediately after the injury. The ankle is slightly swollen. The boy is allergic to penicillins.
The Registration assessment Pass mark Around 70% Based on difficulty of the paper Paediatric Questions Constitute approximately 20% of questions Trainee tip: become familiar with BNFc- body surface area, mean body weights and heights, general prescribing guidance, information at start of chapters and sections, licensing
Retention of trainees as band 6 pharmacists We hope you will want to stay at Lister after your training year In last 4 years 100% of trainees offered a band 6 with us after qualifying Postgraduate Diploma in Pharmacy Practice opportunity available Career progression opportunities post diploma available
Oriel Recruitment Key Dates Foundation pharmacist training programme information available on Oriel 8 June 2022 Oriel applications open 8 June 2022 (12:00 GMT) Oriel applications close 22June 2022 (12:00 GMT) Preferencing window opens 27 July 2022 Invitation to SJT/numeracy selection centre opens 3August 2022 Invitation to SJT/numeracy selection centre closes 17 August 2022 SJT/Numeracy selection centre held (Pearson Vue test centres) 26 September - 7 October 2022 Preferencing window closes 31 October 2022 First iteration of offers made Early November Offers upgrade deadline End of November Programmes commence July/August 2023
Contact Information For further information or to arrange a visit please contact Surinder Bhatia via email surinder.bhatia@nhs.net or Rachel Holland via email rachel.holland2@nhs.net Trust website https://www.enherts-tr.nhs.uk/services/pharmacy/ for more information Twitter @pharmacyENHT for Trust news and events
