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Requirements for theeducation andtraining of pharmacysupport staffEffective fromOctober2020
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ContentsAbout the GPhC . 4Who we are .4What we do.4Introduction . 5Pharmacy teams and the GPhC .5The role of pharmacy support staff .6How these requirements relate to our standards .6Structure of these requirements .7Part 1: GPhC requirements for pharmacy support staff . 8Requirements .8Responsibilities for meeting requirements . 15Ongoing training and development of pharmacy support staff . 16Part 2: information for course approval . 18Approval: recognition and accreditation . 18Criteria for approval: . 19Appendix 1: Historic exemptions . 22Glossary. 23
Effective from October 2020About the GPhCWho we areWe regulate pharmacists, pharmacy techniciansand pharmacies in Great Britain.We work to assure and improve standards ofcare for people using pharmacy services.What we doOur role is to protect the public and give themassurance that they will receive safe andeffective care when using pharmacy services.We set standards for pharmacy professionalsand pharmacies to enter and remain on ourregister.We ask pharmacy professionals and pharmaciesfor evidence that they are continuing to meetour standards, and this includes inspectingpharmacies.We act to protect the public and to upholdpublic confidence in pharmacy if there areconcerns about a pharmacy professional orpharmacy on our register.Through our work we help to promoteprofessionalism, support continuousimprovement and assure the quality and safetyof pharmacy.4Requirements for the education and training of pharmacy support staff
IntroductionPharmacy teams and the GPhCEach pharmacy – in community, secondary care,GP or anywhere else - will have a team toprovide services. This team usually consists ofregistered professionals (who are accountableto us and must meet professional standards) and pharmacy support staff (who are notregistered with us but accountable to theiremployer for the performance of their role).Pharmacy support staff have many differentroles in many different contexts. What they allhave in common is that they play a key part inmaking sure people receive safe and effectivepharmacy services.For example, pharmacy support staff oftenassist pharmacy professionals with dispensingand supplying medicines and devices as well asproviding information and advice aboutmedicines and pharmacy services. Making surethe supply of medicines to patients is safe andeffective is a vital pharmacy service: if theseroles are not performed well, they can risk thesafety of pharmacy users and the ability of thewhole pharmacy team to meet the standardswe set. This is why it is important that allpharmacy support staff have the appropriateeducation and training for their particular role.We have set requirements for the educationand training of pharmacy support staff since wecame into operation in 2010. In 2017 and 2019we consulted on whether we should continue toset requirements for pharmacy support staffand what these requirements should be.We heard from patients and the public,pharmacy support staff and the pharmacysector that they want us to continue to seteducation and training requirements forpharmacy support staff.By setting regulatory requirements for theeducation and training of support staff, andthen checking these are met, we are providingassurance to everyone that pharmacy supportstaff have the training they need to do theseimportant roles safely and effectively.We have now updated our education andtraining requirements for pharmacy supportstaff based on what we heard during ourconsultation and engagement, including how weshould reflect developments in pharmacypractice and the role of pharmacy support staffin our requirements.This new policy replaces our Interim policy onminimum training requirements for unregisteredpharmacy staff – September 2018.Requirements for the education and training of pharmacy support staff5
Effective from October 2020The role of pharmacy support staffSupport staff are a major part of the pharmacyworkforce.1 They do not have theresponsibilities or accountability of registeredpharmacy professionals but play a key role insupporting the work of pharmacy professionalsin providing safe and effective pharmacyservices. Their accountability to their employer,who must meet our standards, also means theymust perform their role in a way that meets ourstandards for registered pharmacies. New rolesare appearing in different sectors of pharmacyand the boundaries between different supportstaff roles are becoming more fluid. Whiledifferent settings will require different skills,they will all contribute to the safe and effectivesupply of medication to the public and requirecompetent and knowledgeable staff.These requirements are designed to make surethat support staff in any sector or setting havethe generic skills required to provide a safe andeffective pharmacy service, and the technicalskills necessary to perform their particular rolesafely and effectively. This means that: all support staff, no matter what theirsetting, will need to be able to understandhow their role contributes to personcentred care and effective collaborationwith patients, members of the widerpharmacy or healthcare team, and thepublic, and be able to carry out their role in1In 2017, they accounted for more than half ofthe community pharmacy workforce in England,see The Community Pharmacy Workforce inEngland 2017, HEE (2018:13-14) (accessedDecember 2018). The NHS WorkforceStatistics - October 2018 shows a smaller but6a way that maintains trust in pharmacyservices all support staff should have skillsappropriate for the activities they performand the setting in which they work. Thismight include dispensing a prescription in acommunity pharmacy, making upspecialised medicines in a hospital,delivering pharmacy services to a carehome or in a GP surgery, or advising apatient about their medication remotelyHow these requirements relate toour standardsThe priority for any pharmacy is to ensurepatient safety. Our standards for registeredpharmacies explain that anyone involved inproviding pharmacy services must becompetent and empowered to safeguard thehealth, safety and wellbeing of patients and thepublic. Non-registrant pharmacy support staffare expected to undergo training so they canmeet this standard.Our standards for registered pharmaciesrequire that: staff have the appropriate skills,qualifications and competence for their roleand the tasks they carry out, or are workingstill significant proportion of the hospitalpharmacy workforce is made up of supportstaff- around 4,000 staff from a total workforceof 21,500- almost 20% of the hospital pharmacyworkforce in England.Requirements for the education and training of pharmacy support staff
under the supervision of another person2while they are in training (standard 2.2) staff can comply with their own professionaland legal obligations and are empowered toexercise their professional judgement in theinterests of patients and the public(standard 2.3)The purpose of these requirements is tosupport the standards above by making surethat the supply of medication and medicaldevices to the public is safe and effective. Theydo this by setting out education and trainingrequirements for pharmacy support staff sothat they: are competent and knowledgeable in thetechnical requirements of their role demonstrate the skills and behavioursrequired for safe and effective pharmacypractice and person-centred carecomply with their own professional and legalobligationsThese requirements should be read alongside:Standards for registered pharmacies (2012)Guidance to ensure a safe and effectivepharmacy team (2018)Structure of these requirementsOur requirements for the education andtraining of support staff are in two parts:Part one: requirements for the education andtraining of pharmacy support staffPart two: criteria for the approval of supportstaff courses - setting out how we will approvethose providing training for support staff tomeet our requirements provide appropriate support for the work ofpharmacy professionals.The principles of these requirements areapplicable to all pharmacy settings. They applyto all staff working in, or providing servicesfrom, GPhC registered pharmacies.Providers of pharmacy services not registeredwith us and whose regulation is carried out byanother regulator (such as the Care QualityCommission (CQC) in England, HealthImprovement Scotland (HIS) in Scotland,Healthcare Inspectorate Wales (HIW) in Wales)can make use of these principles to assist thedelivery of safe and effective pharmacy services,and to support pharmacy professionals to2This could be a registrant or anotherappropriately qualified or experiencedindividual. See the standards for registeredpharmacies for more information.Requirements for the education and training of pharmacy support staff7
Effective from October 2020Part 1: GPhC requirements for pharmacysupport staffapproval of apprenticeships for supportstaff by us will depend on whether they aredelivered through a regulated qualificationrecognised by us, or by another meanswhich we have accredited as meeting ourrequirements. Pharmacy support staffapprentices must pass the apprenticeship’send point assessment (EPA)RequirementsContextThe appropriate minimum level of knowledgeand competence for pharmacy support staff isRegulated Qualifications Framework (RQF) level2, or Scottish Credit and QualificationsFramework (SCQF) level 5. The RQF and SCQFare national frameworks that define differentlevels of knowledge which an employer canexpect from an individual who has completed acourse at that level. We will approve coursesthat contain the required content at this level asmeeting our requirements for support stafftraining.There are several ways in which courses of thislevel can be delivered, including as: a regulated qualification, which is the casefor most provision in Scotland and Wales,and much of the training carried out insecondary care in England; the GPhCrecognises these qualifications as approvedand meeting our requirements for contentand delivery a course accredited by us as meeting anequivalent level of quality in terms ofcontent and delivery and demonstrated atminimum RQF level 2 or SQCF level 5. Thisincludes freestanding support staff coursespredominantly used by communitypharmacy across Great BritainGPhC requirements for the educationand training of pharmacy support staff1.Support staff roles vary widely, and thevariation is increasing. Our 2005requirements identified traditional rolesinvolving dispensing prescriptions andselling medicines ‘over the counter’. Inrecent years, the range of support roles hasexpanded, with staff working to provideservices in ‘hub and spoke’ pharmacies,stocking and supplying medicines,manufacturing and preparing medicines(often in specialised conditions), providingdelivery services, advising pharmacy usersremotely, and assisting pharmacyprofessionals to provide other services.Regardless of their role, we require that thestaff involved in: all stages of the dispensing or supply ofmedicines and medical devices toindividuals advising individuals about the use ofmedicines and medical devices the level 2 apprenticeship for pharmacysupport staff, in England. The method of8Requirements for the education and training of pharmacy support staff
a nationally recognised pharmacyservices qualification at minimum RQFlevel 2 or SCQF level 5 in Scotland assisting pharmacy professionals toprovide pharmacy servicesmust meet our education and trainingrequirements.2. a course accredited by us as covering therequired learning outcomes at a levelequivalent to RQF level 2 or SCQF level 5Examples of staff with roles of this kindinclude those who: provide advice about medicines, medicaldevices or health remotely via callcentres or the internet; prepare prescriptions in a ‘hub’pharmacy which are then issued at a‘spoke’ pharmacy; provide collection or delivery services topatients in their own home or in care ornursing homes; in England, an apprenticeship forpharmacy support staff that includeseither of the above4.Support staff must be enrolled on a trainingcourse as soon as practically possible andwithin three months of starting their role.5.They must complete the course promptly,normally within three years, at a pace whichis compatible with safe practice. If it takeslonger, providers should consider thereasons for the delay and whether or not anextension is appropriate. They shouldrecord their decision and the reasons for it.This is particularly relevant where health oremployment issues have contributed to thedelay.6.These requirements apply to all staffinvolved in the dispensing or supply ofmedicines and medical devices toindividuals from a registered pharmacy. Theprinciples of this guidance can also beconsidered in relation to staff who supportthe activities of pharmacy professionalsworking in or from non GPhC-registeredpharmacies (usually hospital pharmacieswhose regulation is carried out by another prepare medicines to be delivered to apatient by someone else; and/or support pharmacy professionals whoprovide additional services (for examplethose designed to promote healthylifestyles) from a registered pharmacy.3.Meeting our education and trainingrequirements means demonstrating therelevant knowledge, understanding, abilitiesand behaviours for these roles at minimumRQF level 2 or SCQF level 5 (in Scotland) or alevel accredited as equivalent to this. This isdefined as achieving the outcomes below.These outcomes may be demonstrated bysuccessfully completing or working towardscompleting:Requirements for the education and training of pharmacy support staff9
Effective from October 2020regulator – the CQC in England, HIS inScotland and HIW in Wales).Entry requirements7.To start support staff training, an individualmust be employed, either full-time or parttime, in a pharmacy.This is because the training is vocationaland requires knowledge to bedemonstrated in practice.The entry requirements for the course aredetermined by the individual courseprovider.Exemptions8.9.10Previously, we have allowed students onMPharm degrees and OSPAP programmesand pre-registration pharmacy trainees towork as support staff without furthertraining. This exemption still applies, withthe additional safeguard that thesupervising pharmacist must check thecompetency of the student or trainee andact on any learning needs they identify. Thisis to allow individuals training to becomepharmacy professionals to have access toexperience of working in a pharmacy.These requirements do not applyretrospectively. Individuals who havealready met our requirements underprevious versions of this policy do not haveto do so again. This includes those whowere exempted from training by previousversions of this policy (see appendix 1 for alist). If an individual’s role or place of workhas changed, they may require additionaltraining.10. No new exemptions are provided by theserequirements.11. Individuals who have previously beenregistered as pharmacy professionals, butwho are not currently registered are notexempted from these requirements. In ourguidance on working in pharmacy whennot on the register, we advise thatindividuals who are no longer on ourregister should have the appropriate skills,qualifications and competence for their roleand the tasks they carry out.Education and training activities in apharmacy12. Individuals who are participating ineducational placements, traineeships, workexperience or carrying out other tasks foreducational purposes under appropriatesupervision are not required to completeadditional training. For example, studentscompleting placements as part of anMPharm degree, pre-registrationpharmacist training, or pre-registrationtrainee pharmacy technicians are exemptfrom these requirements.Students and trainees employed as supportstaff13. Students on MPharm or OSPAPprogrammes and pre-registration traineeswho are employed as support staff maycontinue to work in support staff roleswithout completing specific support stafftraining. This is because they will be eitherparticipating in an educational programmerecognised by us, or working in a trainingenvironment regulated by us. In this case,their employer should:Requirements for the education and training of pharmacy support staff
arrange for a registered pharmacyprofessional to carry out an assessmentof the student’s knowledge, skills andexperience which are relevant to the rolethe student is carrying out identify any further learning orexperience required by the student tocarry out the tasks within the role make arrangements to provide thestudent with any further skills,knowledge and experience, and thesupervision required to work safely intheir role. This may be carried out by theemployer themselves ‘in house’, orthrough an approved training course make and keep clear records of thisassessment in line with our Guidance toensure a safe and effective pharmacyteam. We provide a template for thisassessment on our website.Recognition of prior learning14. Employers and course providers shouldalso consider recognising the previouslearning of individuals who already haverelevant knowledge, experience or trainingso that they do not need to repeat learningand can transfer their existing learning tonew roles efficiently.Required outcomes15. This section sets out our required learningoutcomes for pharmacy support staffcourses. We have developed theseoutcomes so that they relate to ourstandards for pharmacy professionals, inorder to: make sure that support staff areaware of the core knowledge, skills,behaviours and values that underpinperson
pharmacy services. For example, pharmacy support staff often assist pharmacy professionals with dispensing and supplying medicines and devices as well as providing information and advice about medicines and pharmacy services. Making sure the supply of medicines to patients is safe and effective is a vital pharmacy service: if these
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