Pharmacy Technician Registration, General Pharmaceutical Council 129 Lambeth Road, London SE1 7BT
Pharmacy Technician Registration, General Pharmaceutical Council 129 Lambeth Road, London SE1 7BT [email protected] www.pharmacyregulation.org tel: 0203 365 3560 GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Introduction On 1 July 2011 registration will become mandatory (compulsory). You will need to apply to register before registration becomes mandatory to continue working as a pharmacy technician or call yourself a pharmacy technician. After mandatory registration starts there will be different entry requirements to register and you may need to complete further qualifications before you can register. The General Pharmaceutical Council (GPhC) is the regulator for pharmacists, pharmacy technicians and pharmacy premises. The Association of Pharmacy Technicians UK (APTUK) is the professional body for pharmacy technicians – www.aptuk.org GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application What is registration for? Protection of title. Registration is your licence to practise as a pharmacy technician. Only those who meet and maintain recognised professional standards will be able to register and practise as pharmacy technicians and use the title. Professional recognition We approve new qualifications and set other criteria for entry onto the register. We define the standards for the training and education of pharmacy technicians. Upholding the reputation of pharmacy technicians The reputation of an entire professional group can be compromised by a few individuals who, through poor performance or misconduct, do not keep the same high standards as the rest of the group. We have powers to bring proceedings against any registered pharmacy technician who is considered to be practising in a way which puts the public at risk. Defined standards of professional conduct All registered pharmacy technicians must comply with the GPhC’s Code of Ethics which sets out our expectations regarding the professional conduct of pharmacists and pharmacy technicians. Once registered you will need to have indemnity insurance in place. You may already be covered by your employer’s insurance but it is your responsibility to check that you are appropriately covered! Maintaining professional competence Keeping up to date in your role as a pharmacy technician is vital. All pharmacy technicians, on the GPhC Register, must undertake continuing professional development (CPD). See website www.uptodate.org.uk. CPD enables registered pharmacy technicians to demonstrate to employers, the NHS and patients that they are maintaining and building on their capabilities. CPPE provide online study packages and workshops throughout the UK, to help pharmacy technicians stay up to date. These are free to registered pharmacy technicians. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Preparing and completing your application 1. Read all the guidance carefully. 2. Use a black ball point pen, WRITE IN BLOCK CAPITALS and mark boxes clearly to answer the questions on the application form. 3. Check the guidance if you are not sure how to answer a question. Additional guidance documents are listed below. Contact us if you are still not sure how to answer a question. 4. Using the Registration application checklist, collect together all your certificates and passport. See below for alternatives to current passports. 5. If you are applying with an overseas qualification there are additional documents you will need to send. 6. Check that all the names on your documents are spelt the same way and any changes in name can be tracked. If there are variations see below for advice. 7. Arrange to visit a UK practising solicitor to obtain certified photocopies of the original documents you need to submit 8. Arrange for your photograph and section 9 of the form to be signed (your countersigning pharmacist or pharmacy technician can sign if they have known you for at least 2 years). 9. Arrange to meet with the pharmacist/pharmacy technician who will countersign your application form. 10. Provide your pharmacist with a copy of the guidance for countersigning pharmacists/pharmacy technicians in advance. 11. Before meeting your pharmacist, check you have answered all the questions in the application form. Using the checklist, check you have provided all the necessary copies of documents. 12. Your countersigning pharmacist pr pharmacy technician should check your application thoroughly before signing section 8 of your form. 13. Send your completed application to us as instructed on the checklist. 14. It is important that your application is double checked before sending it to us. 15. If any information or documents are missing we will return your application and your registration will be delayed. We will charge £46 if we have to return applications for missing information more than once. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Additional guidance documents and forms The following documents can be downloaded from our website www.pharmacyregulation.org Guidance: Standards of conduct, ethics and performance Standards for continuing professional development Criteria for the initial registration as a pharmacy technician Guidance on registration with the GPhC and Fitness to Practise. Advises how to answer the questions on the fitness to practise form. Good character assessment framework. This lists the areas we will take into consideration when you have declared a conviction or police caution. Health assessment framework. This lists all the relevant points we will take into consideration when you have declared matters concerning your health. Additional forms: Fitness to practise form. To be completed if you have declared a conviction, caution or health matter. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Registration application checklist Application form (including photograph certification) Payment form Birth certificate – certified copy (and/or statutory declaration) Marriage certificate/s (if you are married) – certified copy (or statutory declaration) Qualification certificate (s)– certified copy Passport – certified copy or alternative documents Photograph – attached to section 9 of the application form Stamped self addressed postcard for confirmation that we received your application All overseas (non-EEA) applicants must also send Supplementary application form - for overseas (non EEA) Current curriculum vitae Detailed curriculum (syllabus) of your qualification * Academic transcript from your awarding body (college/university) * Letter of good standing from your registration body * Your academic transcript and letter of good standing must be sent directly from the issuing body to our address as below. If we consider that they have been supplied by either you or a third party, they will be rejected and you will have to arrange for new documents to be sent. We will keep your documents safely if they arrive before your application form and match them up with your form. All overseas (non-EEA) pharmacy technicians must also send Underpinning knowledge checklist Assessment of competence Please contact us for these two documents Send your completed forms and other documents to Pharmacy Technician Registration, General Pharmaceutical Council 129 Lambeth Road, London SE1 7BT We will not accept liability for any loss as a result of completed applications not reaching us. Recorded delivery is recommended. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Keep a copy of your application in case the original does not reach us. A stamped addressed postcard must be enclosed with your application for us to acknowledge receipt. Wait at least four weeks before contacting us about the progress of your application. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Guidance for filling in the application form Section 1 Personal details Questions 1.2 and 1.3 Names The name you register under must be the same as the name you intend to practise under. If you wish to be registered in a different name to that printed on birth certificate you must provide: A certified copy of your marriage certificate or other acceptable documentation (for instance a Deed Poll or Certificate of Civil Partnership), or A statutory declaration completed in front of a solicitor. Please contact us for a statutory declaration form. Your name on all the documents you submit must be exactly the same – letter for letter, word for word. If there are any variations in your name within or between documents you must provide a declaration of those variations on the Statutory Declaration form, sworn before a solicitor in the United Kingdom or authorised British Embassy official in your home country. Please tell us if you change your name. If you change your name whilst we are processing your application, you must notify us in writing and send a certified photocopy of the relevant document (for instance a statutory declaration or marriage certificate). If you change your name after you are registered, you must notify us in writing within one month of the date of change with a certified copy of the relevant document. Question 1.5 Your address You must keep your contact details up to date. If you change your address you must notify us within one month of the date of change. Your registered address must be the address where you live, as this is the address we will use when we write to you. We will not publish this address on the publicly available Register. Please provide us with an e-mail address. We will contact you by e-mail if we require additional information or documents. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Section 2 Application type When you apply to register with us you must have an approved qualification and relevant work experience Acceptable UK qualifications Refer to section 4 of this guidance – only the qualifications on this list are acceptable, for those applying for registration before 1st July 2011. If you apply on or after this date you will need to undertake additional education and training to meet our registration requirements. Relevant work experience This is work during which you have been carrying out the roles and responsibilities of a pharmacy technician in the United Kingdom, Isle of Man or Channel Islands under the supervision, direction or guidance of an accountable pharmacist. You can include work experience during your pharmacy technician course but not before the start of your course. Refer to our Guidance on Relevant Work Experience for more information. The type and amount of work experience you have will determine whether you should apply via route a or b. What type of applicant are you? Apply via route a if you have Acceptable UK qualification and Relevant work experience as a pharmacy technician of at least 28 hours a week for 2 out of the last 4 years OR 14 hours a week for 4 out of the last 8 years Apply via route b if you have Acceptable UK qualification and Completed 2 years relevant work experience as a student or qualified pharmacy technician and have worked for at least 14 hours a week during that time. You will also need at least one months relevant work experience in the last 12 months, so you can answer the questions in section 6. This can be in a voluntary or paid job. Apply via overseas (non-EEA) route if you have Overseas pharmacist or pharmacy technician qualification and Relevant work experience as a pharmacy technician of at least 28 hours a week for 2 out of the last 4 years OR 14 hours a week for 4 out of the last 8 years GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application If you are applying via route b or overseas (non EEA) route you must answer the questions in section 6 of the form. This information is then assessed by our evaluators to confirm you meet our requirements. Section 3 Fitness to Practise Question 3.1 Previous applications You must tell us if you have previously: registered with the Royal Pharmaceutical Society of Great Britain (RPSGB) or the GPhC in the past as a pharmacist or pharmacy technician applied for registration with the RPSGB or GPhC as a pharmacist or pharmacy technician undertaken or applied to RPSGB or GPhC for pre-registration training. If any of the above applies, you must also tell us: the date of your application the type of application (for instance, was it made through transitional provisions, as an international application or were you applying to register as a pharmacist) any previous registration or pre-registration or application numbers you may have had any other information you think is relevant (for instance, if you began an application but then withdrew). Questions 3.2 and 3.3 Registration with other health regulatory bodies You must tell us if you are, or have been, registered with any other regulatory bodies either in the UK or overseas. If you are registered with more than one body please provide details on a separate sheet. Questions 3.4 to 3.9 Legal and disciplinary proceedings We define a ‘conviction’ as a finding, in criminal proceedings in the UK (or elsewhere), that a person has committed the offence alleged. You do not need to include road traffic offences where you were offered the option of paying a fixed penalty. This is even if you refused the option of paying the fixed penalty and were convicted of the offence by a court. You must tick either yes or no for questions 3.4 to 3.10. If you have answered yes to any of the questions you must complete the Something to Declare form. You must tell us if you have been involved in any legal or disciplinary proceedings including any that have resulted in a caution or if you have any problems with your physical or mental health that may impair your ability to practise. Failure to do so may result in misconduct allegations at a later stage. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application If you are registered with more than one body please provide details on a separate sheet. Section 4 Education and training If you have an overseas qualification, leave this section blank. If you have a UK qualification, fill in this section. We accept the following UK qualifications: Pharmacy Services NVQ level 3 (City & Guilds) Pharmacy Services NVQ level 3 (Edexcel) Pharmacy Services SVQ level 3 (Scottish Qualifications Authority) BTEC National Certificate in Science (pharmaceutical) BTEC National Certificate in Applied Science (pharmaceutical) BTEC National Certificate in Pharmacy Services SCOTEC National Certificate in Pharmaceutical Science SCOTEC Pharmacy Technicians Certificate (2 year) SANCAD Pharmacy Technicians Certificate (2 year) SCOTVEC National Certificate in Pharmaceutical Science SQA National Certificate in Pharmaceutical Science City & Guilds of London Institute, Dispensing Technicians Certificate Certificate of the Society of Apothecaries Dispensing Certificate of the Royal Army Medical Corps or the Royal Air Force NPA 2-year Dispensing Technicians correspondence course completed prior to 1998 Boots 2-year dispenser training course completed prior to 1993 Boots 1 year dispenser training course completed after 1993 but before March 2005 plus accredited top-up training module plus assessment of competence Current or recent UK registration as a pharmacist National Certificate in Pharmaceutical Science, Stow College 1984-1992 National Certificate in Pharmaceutical Science, Aberdeen 1990-1991 National Certificate in Pharmaceutical Science, Dundee 1985-1987 National Certificate in Pharmaceutical Science, James Watt College 1991-1992 National Certificate in Pharmaceutical Science, Edinburgh Telford College 1984 – 1992 GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application BTEC National Certificate in Pharmaceutical Sciences, University of Sunderland 1994 -1998 For each qualification you should write the title of the qualification, the date you started your course and the date you were awarded your qualification. If you have more than two qualifications please continue on a separate sheet. If you have the Boots Dispensers Training course completed after 1993 and the Boots Top Up Module, list these qualifications separately. Only include the qualifications listed above not pharmacy/dispensing assistant or medicines counter assistant qualifications. Section 5 Career History Only include work experience from the date you started your pharmacy technician course, even if you were working in pharmacy before you started your course. Provide information on your work experience as a pharmacy technician and student technician, including main responsibilities and duties. Only include work experience that is pharmacy-related. If there are gaps between jobs because e.g. you have been travelling you will need to give a brief explanation in a covering letter. Include any maternity leave dates and changes in hours or responsibilities as appropriate. Applying via route a - only include jobs covering the last 8 years. If you qualified less than 8 years ago, give details from the date you started your pharmacy technician training. Applying via route b or overseas – include all your jobs from the date you started your training. Continue on a separate sheet if necessary. Section 6 Statement of practice (overseas and route b applicants only) Please provide details of your professional practice within the United Kingdom, Channel Islands or Isle of Man, demonstrating that you work within the GPhC’s Standards of conduct, ethics and performance for pharmacy professionals and that your practice embraces a range of the generic competencies defined for pharmacy technicians. The information you provide must be your own and written independently. Any applicant found to submit another applicant’s work may have their application refused. Sections 4 to 6 of your form will be sent to 2 evaluators, who will assess the information you have given. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Write in BLOCK CAPITALS or type your answer on an additional sheet. Answer each question as fully as you can, the evaluators only have the information you provide to decide if you meet our requirements for registration. If you have more than one job or recently changed jobs - write down, for each example – the job it relates to. Continue on an additional sheet if necessary. All additional sheets must be signed and dated by your countersigning pharmacist. On each page the countersigning pharmacist must write “I certify that to the best of my knowledge, the evidence provided is true, accurate and relates to the applicant”. 6.1 What are the key responsibilities within you role? Refer to your job description; list all the responsibilities within your job that are relevant to the role of a pharmacy technician. 6.2 What do you do to improve the wellbeing of patients? Describe what you do that has a direct or indirect impact on patients’ healthcare, to ensure that they receive the best possible care. Think about your role (not the role of the whole department). Explain what you do for a patient that helps them get better. You can give a recent example to support your statement. If you are in an administrative or education and training role you may not have direct contact with patients so you need to think about how your role impacts on others, and how that enables them to do a better job as a healthcare professional. 6.3 Give examples (with approximate dates and/or duration of the course where applicable) of when you have had to update your knowledge to keep up to date in your area of work. You should ensure that your knowledge, skills and performance are up to date and relevant to your area of practice. Your answers must relate to work experience as a student or qualified pharmacy technician within the UK, Channel Islands and the Isle of Man. Give details of any professional associations or networks that you have regular contact with e.g. The Association of Pharmacy Technicians UK. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Describe at least 5 examples from the last 12 months of how you have updated your knowledge and how this has benefited your work. For each of your examples you must include: Date of your learning (at least month and year). The duration of the learning (e.g. time you took reading or length of the course). What you learned (one sentence summary) or the activity you did. How you were able to use your learning in your role or reason you went on the training. Examples could include: reading an article, learning by doing, dealing with a recent problem, participating in staff meetings or working groups, projects and professional audits, preparing a presentation, work shadowing, study days, lunchtime lectures. For more ideas check our continuing professional development website www.uptodate.org.uk Good example from an applicant in a non dispensing role. Date: March 2010 Duration: 3 hours Activity: I have read the guidance information on the RPSGB website about pharmacy technician registration. How I have used my learning: I am now confidently able to undertake my role at the RPSGB and answer calls and emails about registering as a pharmacy technician. A pharmacy technician asked which route they should apply by. They had trained for 2 years in a hospital but had been working in industry for the last 5 years. There were no pharmacists working on their site. I explained that their application could be countersigned by a pharmacist working at a different site for the same company, as long as the pharmacist has a professional relationship with their supervisor or line manager. They would also have to apply via route b. 6.4 How do you ensure confidentiality in your area of work? This should relate to verbal, written or computerised information. Read the GPhC’s Standards of conduct, ethics and performance, think about situations in your role as a pharmacy technician where you have had to ensure confidentiality. Give recent examples demonstrating that you respect and protect the confidentiality of information that you acquire in the course of your role as a pharmacy technician. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 6.5 Tick boxes relating to the generic competency reference codes for pharmacy technicians you think your practice covers, covering as wide a range as possible. Read your job description and think about the competencies each area of your role covers. Tick the boxes you think are appropriate to your role. Discuss this with your pharmacist or manager if you are unsure. Generic competencies: TG1 Interacting and working with people. TG2 Managing your work and self-development. TG3 Managing a team or a service TG4 Maintaining and improving the quality of your service. TG5 Helping others to learn and develop. TG6 Making decisions and solving problems. TG7 Working with information. TG8 Participating in research and development TG9 Ensuring health and safety TG10 Dispensing medicines and products TG11 Controlling stock of pharmaceutical materials and equipment TG12 Undertaking specialised activities. TG13 Working with other professions in healthcare and with other sectors TG14 Managing risks TG15 Producing, using and maintaining records, using information technology TG16 Maintaining an awareness of issues affecting pharmacy and pharmacy technicians For instance, the Standards of conduct, ethics and performance for pharmacy professionals 6.6 Please describe up to three recent events or situations from your workplace that demonstrate that you are competent in at least five of the generic areas of competence outlined above. State the reference codes that relate to each example e.g. TG1, TG2. Think of events or situations you have been involved in which demonstrate your competency as a pharmacy technician. Talk to your supervising pharmacist or manager for guidance. Your examples must: GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Have occurred within the last 12 months. Be your own and relate to your role as a pharmacy technician (not as a counter assistant). Show how you comply with our Standards of conduct, ethics and performance and SOP’s from your work. Show a wide range of generic competencies. Some of your examples may be relevant to only one competency, others may demonstrate several. Include sufficient detail to fully demonstrate the competencies you are claiming. For each example include: date of the situation or event. background information, e.g. who was involved - job titles only actions you took to resolve the problem. final outcome(s) – a summary will be fine. The relevant generic competency codes demonstrated by your example – see question 6.5 Good examples - from a pharmacy technician in a non dispensing role. Example 1 Date: October 2009 Competencies demonstrated: TG12, TG7. Background: I was asked to adapt the CPD guide ‘Plan and Record’ written for pharmacists in order to create a version for pharmacy technicians (evidence of TG12). Actions: I have reviewed the CPD system for pharmacists. I identified sections that required updating and researched additional information that should be included in the pharmacy technicians’ version (TG7). Final outcome: My manager agreed that the draft version I produced for pharmacy technicians, was up to date and relevant (TG7). Example 2 Date: December 2009 Competencies demonstrated: TG1, TG5, TG6. Background and staff involved: I have set up a working party to review the draft version of the CPD guide for pharmacy technicians (setting the scene). The working party includes pharmacy technicians working in the main fields of practice, the head of support staff section and the CPD manager at RPSGB (evidence of TG1). Actions: I have sought their views and advice on the CPD documentation ‘Plan and Record for Pharmacy Technicians’ and agreed changes to reflect their ideas and input (TG6). GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Final outcome: I have liaised with the printing staff to ensure the documentation is well presented and straightforward to use (TG1, TG5). Example 3 Date: March 2010 Competencies demonstrated: TG16 Background: I attended 3 steering group meetings on the regulation of pharmacy technicians which covers the implementation of statutory and voluntary registration for pharmacy technicians (background information). Action: I have reviewed and commented on the content of policies, procedures, application packs and other documentation relating to registration (TG16). Final outcome: Some of my comments and suggestions were included in the revised versions. Competencies demonstrated in total equals 6. (TG1, TG5, TG6, TG7, TG12, TG16). Section 7 Declaration by applicant You must sign and date the declaration. The GPhC register is divided into parts. Part 2 is for registration as a pharmacy technician. Fraudulently procuring an entry in the pharmacy technicians’ register will be treated as misconduct and may result in removal from the Register. Section 8 Declaration by countersigning pharmacist or pharmacy technician Pharmacists/pharmacy technicians must read the Guidance for countersigning before countersigning application forms. This guidance explains their responsibilities; copies can be downloaded from our website. This section must be completed by a practising pharmacist/pharmacy technician with current UK registration who is in good standing. The pharmacist’s/pharmacy technician’s registration number must be provided so we can verify their details. The countersignatory is asked to declare that to the best of their knowledge the information given in the application and in any supporting information is true and accurate, and relates to you. Section 9 Photograph certification guidance You must provide one recent passport sized photograph. This must be signed on the back by an appropriate official. The photograph must be attached to the photograph certification page of your application form. The person who signs the photograph (the counter signatory): GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Must be a professional person, or a person of standing in the community. Examples include a pharmacist, registered pharmacy technician, a UK registered solicitor or a licensed Medical Practitioner. If you have any questions about who is an appropriate official contact us. Must have known you for at least 2 years Must not be related to you by birth or marriage. Neither should they be in a personal relationship with you e.g. husband and wife, nor live at your address. Must write on the back of the photograph the words ‘I certify that this is a true likeness of (give full name of the applicant)’ They must also sign and date the back of the photograph. They must also complete the photograph certification page of the application form giving their full name, occupation and sign and date the form. Photograph Certification Requirements for the photograph The photograph must be: Taken within the last month In colour Against an off-white, cream or light grey plain background so your features are clearly distinguishable Printed on low-gloss, plain-white photo-quality paper Undamaged, for example, by creases from paperclips Of you on your own In sharp focus and clear Have a strong definition between the face and background The photograph must show: No shadows You facing forwards, looking straight towards the camera A neutral expression, with your mouth closed (no obvious grinning, frowning or raised eyebrows) Your eyes open and clearly visible (no sunglasses or heavily tinted glasses and no hair across your eyes) No reflection or glare on your glasses, and the frames should not cover your eyes Your full head, without any head covering, unless it is worn for religious beliefs or medical reasons GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Nothing covering your face. Please ensure that nothing covers the outline of your eyes, nose or mouth. Section 10 Equality Monitoring Form You are not required to provide this information if you do not wish to do so. Section 11 Payment for application for registration as a pharmacy technician When you apply to register with us you need to pay the following fees The application fee. This covers our costs for checking the documents you have provided The scrutiny fee. This covers our costs for evaluating your qualification against the national requirements for registration. The entry fee. This covers our costs for putting and maintaining your name on the register. Route a applicants You need to submit both the application fee and the first entry fee with your application. The application fee is taken when we receive your application, the first entry fee when your name is entered onto the Register. Route b and overseas applicants You need to submit just the application and scrutiny fee with your application. We will contact you for the first entry fee once the evaluation of your application has been completed if your application has been successful. Please note: The current application, scrutiny and first entry fees are provided on the payment form. You must make your payment by credit or debit card as we no longer accept cheque payments. You should complete the Payment Form included with this pack providing your card details. You will not be registered as a pharmacy technician until we have taken the first entry fee payment. If you send in your application without the correct fees your application will be returned to you. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Guidance on providing supporting documents Certified copies We recommend you send certified copies (not the originals) of the following documents: Birth certificate Marriage certificate or other acceptable document(s) (where appropriate) Passport. If you do not have a passport, see advice below. Qualification certificate(s) Only UK registered solicitors can certify your documents. The official must write on each photocopy: “I certify that I have seen the original document and that this is a true copy”, sign, date and provide an official solicitors stamp. If a document is not in English, you must provide a certified translation in English, and the certified copy of the original language document. No liquid paper amendments or alterations of any other kind are permitted to certified copies. Changes in name All the names on your birth certificate, passport, qualification certificate and application form must be exactly the same, that means word for word, letter for letter. This includes any middle names or initials you may have and any changes in spelling or order. You must provide documentation to support all changes to your name, for instance a marriage certificate, Deed Poll or Certificate of Civil Partnership. If you are not able to do this, you must see a solicitor and complete the relevant section of the statutory declaration form. Translations for documents not in English Any document that is not written in the English language MUST be accompanied by a translation. You must provide the original translation together with a solicitor certified copy of the document which is not in English. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Translations must be carried out by a professional translator. The translator must sign and date the translation and provide their name and business address. The translator must also certify that they are authorised to translate from the particular foreign language into English, and that the translation produced is true and accurate. The certification must be on the same page as the translation or be attached to the translation. The translation must be a literal translation NOT an interpretation of the original document. All certifications and ink stamps on the original document must also be translated. Contact your embassy for a list of official translators. Applicants without passports If you do not have a current passport you can send a certified copy of your: UK driving licence plus NHS card or National Insurance card. Both the photo card and paper part of the driving licence must be provided. The driving licence must be current. If you do not have a photo card driving licence you can send: NHS card or a National Insurance card (certified copy) plus three of the following original documents (we will return them to you by recorded delivery) o Bank/building society, credit card or financial statement (such as a pension statement) o P45/P60 o Utility bill o TV licence o Addressed payslip o Council tax or benefit statement o CRB disclosure certificate All documents must be dated within the last 12 months. The details on the document (including address) must be the same as the details on your application form. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 1. Personal details 1.1 Title Mr Mrs Ms Miss Other (please specify) 1.2 Surname(s) 1.3 Forename(s) 1.4 Date of birth 1.5 Address including postcode 1.6 Country 1.7 Nationality 1.8 Home phone 1.9 Work phone / mobile 1.10 Email address GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 2. Type of application 2.1 Which application process applies to you Please tick one box Route a Applicant with a recognised UK qualification meeting route a work experience requirements Route b Applicant with a recognised UK qualification meeting minimum work experience requirements Overseas (non EEA) Applicant with a non-UK qualification meeting UK work experience requirements 3. Fitness to practice 3.1 Have you ever applied previously for registration with the Royal Pharmaceutical Society of Great Britain (RPSGB) or the General Pharmaceutical Council (GPhC), either as a pharmacy technician or as a pharmacist or undertaken preregistration training with the RPSGB or the GPhC? Yes No If you have answered ‘yes’ to question 3.1 please provide details, including your application, registration or preregistration number 3.2 Are you currently or have you previously been registered with any UK statutory health regulatory body (any member body of the Council for Healthcare Regulatory Excellence) or a health regulatory body outside Great Britain? Yes No If you have answered ‘yes’ to question 3.2 please provide name of body and registration number By virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and the Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003, you are exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974. Therefore you are not entitled to withhold information about convictions which for other purposes are spent under the provisions of the Act and failure to disclose such convictions could result in disciplinary action 3.3 Has a determination ever been made against you by a regulatory body in the United Kingdom responsible under any enactment for the regulation of a health or social care profession to the effect that your fitness to practise as a member of a profession regulated by that body is impaired, or a determination by a regulatory body elsewhere to the same effect? GPhC Sept 2010 Yes No UK and Overseas (non EEA) Pharmacy Technician application 3.4 Do you currently have any problems with your physical or mental health that may impair your ability to practise safely and effectively or which otherwise impairs your ability to carry out your duties in a safe and effective manner? Yes No 3.5 Have you previously been convicted or cautioned for a criminal offence in the British Islands or elsewhere (which, if committed in England, Scotland or Wales would constitute a criminal offence) or have you previously agreed to be bound over to keep the peace by a Magistrates’ Court in England or Wales? Yes No Please note that Road Traffic offences in which the person committing the offence has been offered the option of paying a fixed penalty (e.g. certain speeding offences etc) will not be treated as a conviction for the purposes of renewal in the Register and need not be declared. 3.6 Have you previously agreed to pay a penalty under section 115A of the Social Security Administration Act 1992 (penalty as alternative to prosecution)? Yes No 3.7 Are you currently under investigation by any regulatory body (other than the GPhC) or criminal enforcement authority (e.g. police or NHS Counter Fraud Service) in the British Islands or elsewhere? Yes No 3.8 Have you previously accepted a conditional offer under section 302 of the Criminal Procedure (Scotland) Act 1995 (fixed penalty: conditional offer by procurator fiscal) or have you previously been subject to an order under section 246(2) or (3) of the Criminal Procedure (Scotland) Act 1995 discharging you absolutely (admonition and absolute discharge)? Yes No 3.9 Have you previously been included by the Independent Safeguarding Authority (also known as the Independent Barring Board) barred list (in England, Wales or Northern Ireland) or the children’s list or adult’s list maintained by the Scottish Ministers? Yes No If you have answered ‘yes’ to any of the questions above you are required to submit a ‘something to declare’ form with your application. The ‘something to declare’ form is available on our website www.pharmacyregulation.org by email at [email protected] and by telephone on 0203 365 3600. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 4. Education and training Applicants should provide details of pharmacy technician qualification(s) gained in the United Kingdom. Only qualifications listed in the guidance document should be included. Overseas qualified applicants should provide details of their qualification(s) on their Supplementary Application Form. Applicants with more than two qualifications should continue on a separate sheet. Applicants with the Boots Dispenser Training Course completed after 1993 and the Boots Top-Up Module should list these qualifications separately. 4.1 Title of first qualification 4.2 Date commenced (month and year) 4.3 Date awarded (month and year) 4.4 Title of second qualification 4.5 Date commenced (month and year) 4.6 Date awarded (month and year) GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 5. Career history Provide information on your work experience as a pharmacy technician and student. Start with your most recent role. Applying via route a - only provide information on jobs from the last 8 years. If you qualified less than 8 years ago, give details from the date you started your pharmacy technician training. Applying via route b or with an overseas qualification – include all your jobs from the date you started your training. Gaps in career history - you must tell us if there are any gaps in your work experience, e.g. maternity leave, long term sick leave. On a separate sheet or covering letter, give a brief reason for the gap and start / end date. A. Most recent job title / position Name and address of organisation Hours worked per week Start date (dd/mm/yy) End date (if applicable) (dd/mm/yy) Main responsibilities / duties GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Name and job title of most recent line manager / supervising pharmacist and registration number Contact number of most recent line manager / supervising pharmacist B. Job title / position Name and address of organisation Hours worked per week Start date (dd/mm/yy) End date (if applicable) (dd/mm/yy) Main responsibilities / duties Name and job title of most recent line manager / supervising pharmacist and registration number GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application C. Job title / position Name and address of organisation Hours worked per week Start date (dd/mm/yy) End date (if applicable) (dd/mm/yy) Main responsibilities / duties Name and job title of most recent line manager / supervising pharmacist and registration number Please continue you career history on separate sheets if necessary GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 6. Statement of practice (route b and overseas applicants only) This section must be completed by overseas qualified applicants and applicants applying under route b. Route a applicants should leave this section blank and should continue with Section 7. Please provide brief details of your professional practice within the United Kingdom, Channel Islands or Isle of Man, demonstrating that you work within the GPhC’s Standards of conduct, ethics and performance for pharmacy professionals and that your practice embraces a range of the generic competencies defined for pharmacy technicians. Answers can be typed on a separate sheet. All additional sheets must be signed and dated by your countersigning pharmacist, on each sheet they must write - “I certify that to the best of my knowledge, the evidence provided is true, accurate and relates to the applicant” and provide their registration number. 6.1 What are the key responsibilities within you role? 6.2 What do you do to improve the wellbeing of patients? 6.3 Give examples (with approximate dates and/or duration of the course where applicable) of when you have had to update your knowledge to keep up to date in your area of work? Overseas qualified applicants must provide this information in addition to information about knowledge not covered in their initial qualification on the Supplementary Application Form. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 6.4 How do you ensure confidentiality in your area of work? 6.5 Click the generic competency reference codes for pharmacy technicians you think your practice covers, covering as wide a range as possible. TG1 TG2 TG3 TG4 TG5 TG6 TG7 TG8 TG9 TG10 TG11 TG12 TG13 TG14 TG15 TG16 6.6 Please provide details of up to three events from your practice as a pharmacy technician that demonstrate you are competent in at least five of the generic areas of competence listed in 6.5. State the TG codes that relate to each example. Include the date that each event occurred. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 7. Declaration by applicant I declare that 7.1 I am applying for registrationl in Part 2 of the Register and I hereby declare that, in accordance with Article 20(3) of the Pharmacy Order 2010, I intend to practise as a pharmacy technician in Great Britain, the Channel Islands or the Isle of Man. 7.2 The information that I have provided in this application for registration is complete, true and accurate. I am also aware that I am under a duty to notify the Registrar of any changes to my name, home address or other contact details within one month starting on the day on which the change occurred. 7.3 I will adhere to the standards relating to conduct, ethics and performance and continuing professional development published by the General Pharmaceutical Council. 7.4 I have in place appropriate indemnity arrangements. 7.5 I accept that I am under a duty to notify the Registrar if there is any change in the circumstances relating to the fitness to practise declaration that I have made within 7 days starting on the day on which the event occurred. I understand that 7.6 If I am found to have given false or misleading information in connection with my application for registration in the Register, this may be treated as misconduct, which may result in my removal from the Register. Signature Date GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 8. Declaration by countersigning pharmacist or pharmacy technician This section must be completed by a practising pharmacist or pharmacy technician with current UK registration who is in good standing. I declare that 8.1 I am on the GPhC Register 8.2 I am in good standing with the GPhC 8.3 I have checked the documents to be submitted and confirm that they are all present and have been enclosed with this application form 8.4 To the best of my knowledge the information given in this application and in any supporting documents is true, complete and accurate and relates to the applicant 8.5 I know of no reason why this applicant would not be a fit and proper registered pharmacy technician Name Registration number Signature Date GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 9. Photograph certification This section must be completed by the person who signs the back of the photograph 9.1 Name 9.2 Address 9.3 Country 9.4 Phone 9.5 Email address By countersigning this application, you agree that the General Pharmaceutical Council (GPhC) may contact you to verify the information that you have provided. I declare that I have signed the photograph enclosed and that I have known for years and the information I have provided is correct. Signature I certify this is a true likeness of Give applicants full name and title Date Signature of certifying person and date certified Attach photograph here by one corner All writing must be visible GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 10. Equality monitoring 10.1 What is you ethnic group? Please tick one White British Irish Other African Other Black or Black British Caribbean Mixed White and Black Caribbean White and Black African White and Asian Other Mixed (please specify) Asian or Asian British Indian Pakistani Bangladeshi Other Asian (please specify) Other ethnic group If other please specify 10.2 What is you gender? Male Please tick one Female 10.3 What is your sexual orientation? Heterosexual Please tick one Lesbian / Gay Bisexual 10.4 What is your religion? Please tick one None Christian Buddhist Hindu Jewish Muslim Sikh Other If other please specify 10.5 Do you consider that you have a disability? Yes GPhC Sept 2010 Please tick one No UK and Overseas (non EEA) Pharmacy Technician application GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application 11. Payment for application for registration as a pharmacy technician 11.1 Name of applicant 11.2 Type of card Please tick one Mastercard Visa Maestro Solo Visa Purchasing Visa Delta 11.3 Card number 11.4 Issue date (mm/yy) 11.5 Expiry date (mm/yy) 11.6 Issue number (for Solo and Maestro cards only) If your card does not have an issue number please enter ‘NA’ in the box 11.7 Name of card holder (exactly as it appears on the card) 11.8 Please charge this card with the sum(s) Application fee £100 Scrutiny fee route b £158 Scrutiny fee overseas application £190 We will process your application fee and scrutiny fee payment when we validate your application First entry fee £142 Signature of cardholder Date (dd/mm/yy) GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application Route a applicants You need to submit both the application fee and the first entry fee with your application. The application fee is taken when we receive your application, the first entry fee when your name is entered onto the Register. Route b and overseas applicants You need to submit just the application and scrutiny fee with your application. We will contact you for the first entry fee once the evaluation of your application has been completed if your application has been successful. The first entry covers the costs of maintaining your name on the register of pharmacy technicians for twelve months from the date of first entry. The fee of £142 is the first entry fee for applicants entered on the register up to and including 15 September 2012. The fee for entrance onto the register after this date will be the subject of a GPhC fees consultation in 2011 and may be higher. Please note Fees are non-refundable. The GPhC will not accept cheque payments You are required to provide two payments, the application fee and the scrutiny fee with your application. The application fee and scrutiny fee covers the cost of processing you application. The first entry fee covers the costs of maintaining your name on the register of pharmacy technicians for twelve months from the date of first entry. We will process the first entry fee payment when your name is put on the register. The first entry fee is required to enter you onto the Register of Pharmacy Technicians and you will not be registered until this payment has been processed. An additional £46 administration fee will be levied in the event of an application for registration having to be returned to the applicant more than once. GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application GPhC Sept 2010 UK and Overseas (non EEA) Pharmacy Technician application
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