EEA pharmacists preparing to work in Great Britain

This fact sheet is for pharmacists from the EEA, who have joined, or are preparing to join the GPhC register, and are planning to work as a pharmacist in GB. Newly qualified pharmacists may also find some of the information about advanced services useful.

In light of the EU referendum, the GPhC has released the following statement:

“It is too early to say what, if any, are the legal implications for pharmacy regulation of the vote to leave the European Union. Current arrangements, including for EU pharmacy professionals already registered or training in Britain, and for those seeking to register or train in Britain, remain in force. This will continue to be the position unless and until the law is changed.”

The GB job market

In some areas of the country competition for jobs may be high. Finding work as a pharmacist is not easy for pharmacists who have no GB experience and registration with the GPhC is no guarantee of work. Pharmacists will need to ensure that they are up-to-date with the kind of advanced services that GB pharmacists are expected to deliver, for example, medicines use reviews (MURs). Without these skills, EEA pharmacists will find that they do not match the person specification requirements set out by most employers.

Advanced services

There are currently five advanced services within the NHS community pharmacy contractual framework (CPCF). Community pharmacies can choose to provide any of these services and many employers will expect pharmacists to deliver at least some of them. The advanced services are as follows:-

  • medicines use reviews (MUR)
  • new medicine service (NMS)
  • appliance use reviews (AUR)
  • stoma appliance customisation (SAC)
  • flu vaccination service.

Training

EEA pharmacists might want to consider taking some courses to help them to prepare for practice in the UK and also to enhance their chances of gaining employment.

Return to practice training course

The Centre for Pharmacy Postgraduate Education (CPPE) has a course called Return to practice that EEA pharmacists may find useful. This is a four day residential course and pharmacists who wish to attend this course will need to sign a declaration stating that they intend to practice in a community pharmacy providing NHS services in England within six months of starting the course. Please note, there is a charge for this course. For further information, see the CPPE website.

Pharmacist medicines use review accreditation 

MUR accreditation enables pharmacists to undertake structured adherence-centred reviews with patients on multiple medications, in particular for patients who have long term medical conditions.

There are a number of providers offering training and competency assessments for the MUR service. Candidates should check in advance with the course provider to see if re-sits are possible if the first attempt results in failure.

Please note, pharmacists cannot offer this service unless they have been accredited.

For further information about MURs, see the PSNC website.

Medway School of Pharmacy and Pharmaceutical Services Negotiating Committee (PSNC): Skills for MURs

This is a PSNC endorsed distance learning course. Successful completion of this course will allow pharmacists to conduct MURs.

For further information, see the Medway School of Pharmacy website.   

Welsh Centre for Pharmacy Postgraduate Education (WCPPE) and Cardiff University

The Cardiff University assessment tests both the theory and practice aspects of MUR via submission of a structured portfolio of evidence which is divided into two parts. Accreditation is awarded on successful completion of the portfolio.

For further information, see the Cardiff University website.

Keele University MUR module

Keele University offers an online MUR module. The online learning material is available free of charge, however, there is a charge for the assessment and accreditation. Accreditation is awarded on successful completion of the assessment. This module is also worth 5 academic credits at master’s level and can be used towards achieving a postgraduate award through the Keele CPD Plus+ pathway if desired.

For further information, see the Keele University website.

Postgraduate courses which include MUR assessment

EEA pharmacists who are considering taking a postgraduate course might want to ensure that an MUR module is included in their study programme.

University of Bath

The postgraduate courses offered by Bath meet the needs of early and mid-career pharmacy professionals. As well as studying for a degree, pharmacists can also study individual units for Continuing Professional Development (CPD). EEA pharmacists should note that CPD is an essential element of GPhC registration.

For further information, see the University of Bath website.

Queen’s University

Queen’s University is offering an MSC in Advanced Clinical Pharmacy Practice. This course is open to local, national and international applicants. They also offer a number of advanced practice courses that are open to pharmacists who live and work in Northern Ireland.

For further information, see the Oueen’s University website.

University of Leeds

The University of Leeds offers a range of post-graduate courses. These include diplomas and MSc’s in pharmacy practice and also a prescribing course.

For further information, see the University of Leeds website.

Assessments only and courses without assessments

Some providers offer the final stage of MUR accreditation (assessment) without the courses and others will provide courses but not the final assessment. Pharmacists can, if they wish, study with one provider and then pick another for the actual assessment and accreditation.

University of Manchester and CPPE Online assessment

The University of Manchester MUR assessment is an online-only assessment and is hosted by CPPE. The CPPE recommend that pharmacists access the CPPE MUR services guide before working through the assessment.

For further information, see the CPPE website.

New Medicine Service (NMS)

The NMS provides support for people with long-term conditions who have been prescribed new medicine/s in order to improve medicines adherence. The PSNC reports that since the introduction of the NMS in October 2011, more than 90% of all community pharmacies in England have provided this service to their patients and EEA pharmacists would be expected to help with the provision of NMS.

For further information about NMS, see the PSNC website.

CPPE NMS open learning programme

This programme aims to provide pharmacists with an understanding of the purpose and scope of the service. Learning materials consist of an open learning programme, a local solutions workshop and a CPPE e-learning video wall.

For further details about this course, see the CPPE website.

NMS self-assessment form

NMS can only be delivered by pharmacists who have the necessary skills and knowledge. Pharmacists who are suitably skilled can sign the NMS self-assessment form.

The NMS self-assessment form is available to download on the PSNC website.

Appliance Use Review (AUR)

Pharmacists who are presented with a prescription for a ‘specified appliance’ will need to ensure that the patient can consult with somebody in order to obtain expert clinical advice about the appliance. This can be another suitably qualified person, for example, a suitably trained nurse or the original prescriber; alternatively, a trained pharmacist can offer the patient an AUR.

AURs can be carried out by a pharmacist in a pharmacy setting or in a patient’s home. Whilst the directions which establish the AUR service do not require pharmacists to undertake a Disclosure and Barring Service check, pharmacists should note that many employers will require this as standard.

For further information about AURs, see the PSNC website.

Disclosure and Barring Service checks (DBS)

An employer will ask you to fill in an application form and provide proof of identity. The employer will then submit the completed form for the DBS check. If you are registered with an agency they will ordinarily arrange for a DBS check for you.

For further information about DBS, contact the DBS customer services department on 0870 909 0811 or see the government website. In Scotland, see the Disclosure Scotland website.

Stoma Appliance Customisation (SAC)

The requirements for providing SAC are much the same as those set out for AUR. Pharmacists must be trained to an appropriate standard. Appropriate training must cover knowledge of what the appliances are used for, the importance of proper fitting and hygiene.

For further information about providing SAC, see the PSNC website.

CPPE: stoma management module

The CPPE offers an e-learning programme that has been developed and provided by the Northern Ireland Centre for Pharmacy Learning and Development (NICPLD). This programme should help pharmacists to provide practical advice to people and detail the various types of appliances and accessories available to patients with stomas.

For further information, see the CPPE website.

Flu vaccination service

All pharmacists providing this service have to demonstrate that they have the skills needed to do so. The national minimum standards for immunisation training and the associated core curriculum for immunisation training set out the knowledge and skills needed. For further details on minimum standards, see the government website.

For further information about the flu vaccination service, see the PSNC website.

Declaration of Competence (DoC)

The Declaration of Competence has been developed to enable pharmacists to demonstrate that they are service-ready and have the appropriate knowledge, skills and behaviours to deliver high-quality consistent services. A DoC will be needed in order to provide the flu vaccination service. DoCs can also be used for a range of additional services.

For further information, see the CPPE Declaration of Competence fact sheet.

False declarations

Pharmacists should note that signing a DoC based purely on the fact that this is a service they have already provided, for example, in another country, would constitute a false declaration. The GPhC would view a false declaration as a breach of its standards and this would become a GPhC disciplinary matter. Even the most experienced pharmacists should work through the DoC to assure themselves that they are competent.

Flu vaccination training providers

The following organisations provide flu vaccination courses:-

If you are a training provider who offers flu vaccination courses and you are not included in list, please e-mail info@pharmacistsupport.org to be added to the list

Proof of English language proficiency

Under a new rule all pharmacists will have to declare that they have the necessary knowledge of English for safe and effective practice. Pharmacists who are registering for the first time will be required to provide proof. This applies to all pharmacists, regardless of country of origin. Competence must be demonstrated in:-

  • reading
  • writing
  • listening
  • speaking.

Proof must also be recent (within the last two years), objective and independent.

Pharmacists who do not automatically meet the requirements, for example, have not graduated with an MPharm from a UK university and have not undertaken a pre-registration placement and assessment in the UK, can use any of the following as proof of English language proficiency:-

  • a recent pass of the academic version of the IELTS test with an overall score of at least 7 in each in each of the four areas of reading, writing, listening and speaking at one sitting of the test. Please note, the GPhC may accept test results that are more than two years old but it will depend entirely on circumstances such as if a pharmacist has been working in a majority English speaking country and spent at least 75% of their day interacting with other patients and staff in English.
  • a recent pharmacy qualification that has been taught and examined in English in a majority English speaking country
  • recent practice for at least two years as a pharmacy professional in a majority English speaking country.

For further information about language requirements, see the GPhC guidance.

English language courses

If you wish to develop your language skills, you could consider taking a course.

BBC

The BBC offers free language courses. Pharmacists can choose from Learning English as a foreign language or Improving your English. For further information, see the BBC website.

International English Language Testing System

The International English Language Testing System (IELTS) is the exam needed to comply with the GPhC regulations. Pharmacists must achieve a score of at least 7 in the International English Language Testing System (IELTS).

For further information on tests and sample questions, see the IELTS website.

English for speakers of other languages 

English for speakers of other languages (ESOL) courses cover basics including speaking, reading, writing, spelling and grammar. To find English courses in your local area you can use the National Careers Service website search facility. For further information, visit the National Careers Service website.

Professional indemnity insurance

All pharmacists who are applying to join the register must have professional indemnity insurance in place before they start to practise. This can be:-

  • a personal insurance policy
  • an arrangement made by an employer for indemnity cover
  • an arrangement though a professional body or trade union
  • any combination of the above.

This cover needs to be appropriate to the individual pharmacist’s role and it will also need to take into account the nature and extent of the risks involved. For example, a pharmacist who is also an independent prescriber will need more cover than a community pharmacist offering standard services.

The GPhC will not give advice about the level of cover an individual pharmacist will need. Pharmacists should seek advice from their insurance provider to ensure that their level of cover is adequate.

Pharmacists must inform the GPhC within seven days if they cease to have indemnity cover. Pharmacists do not need to inform the GPhC about routine changes, such as switching provider.

For further information on professional indemnity insurance requirements, see the GPhC guidance.

Patient consultation skills

Pharmacists might want to consider developing and improving their consultation skills.

Consultation Skills for Pharmacy Practice

This website has been developed by CPPE and NHS Health Education England for pharmacists and pharmacy technicians. It includes a learning pathway, a range of training formats, for example, e-learning and printed workbooks and an assessment framework. For further information, see the Consultation Skills for Pharmacy Practice website.

Other pharmacy related training

The CPPE also offers a range of other short training courses. If you have not yet registered with the GPhC, you can still register with the CPPE and access some of their programmes. For further information, see the CPPE website.

Employment offers

All employment contracts should be carefully checked before signing. If the salary being offered is very low, pharmacists might want to seek advice before accepting a job offer. Bear in mind that the cost of living in the UK can be very high, in particular in South East England and London. Pharmacists who are offered a role as a dispenser might want to get a list of their duties from a prospective employer to ensure that it would not involve any work that forms part of the role of the responsible pharmacist. The rate of pay and level of responsibilities given to a pharmacist are far greater than that of a dispenser.

Trade unions

Pharmacists might want to consider joining a union. Unions can offer advice about contracts, in particular around pay and conditions. They can also help if something goes wrong, for example, if a pharmacist becomes involved in a dispute with an employer or is subject to a GPhC investigation. The two specialist unions for pharmacists are the:-

Pharmacists could also opt for a trade union that supports health care professionals in general, for example, UNISON.

Employment advice from Pharmacist Support

If you are faced with issues at work and are unsure of your rights, Pharmacist Support can help by referring you to our specialist CAB employment adviser. If you wish to use this service please contact us on 0808 168 2233 or email info@pharmacistsupport.org.

Royal Pharmaceutical Society services

The Royal Pharmaceutical Society (RPS) offers members a range of services that may be useful to newly registered pharmacists. In some circumstances, the RPS offers a reduced membership fee to pharmacists. For further details, see the RPS website.

RPS mentoring

The RPS mentoring service can put you in touch with an experienced pharmacist who can help you to develop a better understanding of practising in GB. Pharmacists can choose from a one-off session focusing on a specific issue, or opt for a long term relationship that will enable them to build confidence and enhance their skills. The RPS online mentoring database helps to match mentor and mentee. For further information, see the RPS website.

RPS networks and Local Practice Forums

The RPS offers a number of networking opportunities, including events, conferences and forums. These will enable you to communicate with other pharmacists and possibly provide an opportunity to link up with other EEA pharmacists. For further information, see the RPS website.

Working as a locum

Working as a locum can give pharmacists the opportunity to practice pharmacy in a wide range of settings. For further information about working as a locum, see our Locum fact sheet.

Alternative careers

Pharmacists who are having difficulty in finding work as a pharmacist might want to consider other career options. Our Careers advice and options for pharmacy graduates fact sheet contains a list of suggestions for alternative careers including working as a teacher or a pharmacy technician.

For further information, see the Careers advice and options for pharmacy graduates fact sheet.

Pharmacist Support

While someone is unable to find work Pharmacist Support can provide specialist advice on benefits entitlement. If you would like to speak to a specialist benefits adviser to ensure that you are receiving any benefits to which you are entitled, contact us on 0808 168 2233 or email info@pharmacistsupport.orgIn cases of real financial hardship, we may be able to provide limited financial assistance.

Turn2us benefits calculator

Turn2us have an online benefits calculator that can help people find out the benefits to which they may be entitled. The calculator is free, anonymous and easy to use.

For further details about the benefits calculator, including a checklist of the information needed in order to use the calculator, see the Turn2us website.

Other useful information

We have compiled a series of short fact sheets on the subject of career guidance. These fact sheets will help applicants to complete application forms, create CVs and use LinkedIn; guidance is also provided for job interviews.

Career guidance: completing a job application form fact sheet

Career guidance: creating a CV fact sheet

Career guidance: job interviews fact sheet

Career guidance: using LinkedIn fact sheet

See also our Looking for work: job vacancy sites fact sheet