Trainee support request form

Pharmacy

Request for support from NES FTY team by trainee pharmacist

Please complete this form if you request additional support from a member of the NES Pharmacy FTY team.

You can use this form if you have a concern, that is not whistleblowing, relating to your Foundation Training Year. This may include concerns related to your health and wellbeing, current training arrangement, supervision or progression in training.

We encourage that requests and concerns are discussed with your employing organisation in the first instance. This will allow us to provide greater support and may aid earlier resolution. If you have not discussed with them prior to submitting this form, we will encourage you to do so as part of our initial response.

Your request will be received by our administrator who will review it and pass to an appropriate member of the Foundation Training Year team for action. You will receive an initial response from a member of the team within 20 days of your submission.

To allow us to deal with your request efficiently, please ensure you complete all questions below and provide as much detail as you can. You may be contacted by the team if further information is required to allow us to assign your request appropriately.

GPhC training number (we ask for this as a unique identifier, we will not share information with the GPhC without your consent)

Full name

Email address

Telephone number

What is the reason for your request for support?

If you selected other above, please provide details

Have you discussed this request/concern with your Designated Supervisor? If you have not, the first step we will take is to support you to do so.

Yes

Please provide detail of action(s) taken to address this request/concern with your employing organisation (e.g., detail of discussions with Designated Supervisor, contact you have made with local services such as Occupational Health, Human Resources, Education and Training team)

Do you consent to the NES Foundation Training Year team sharing information relating to your request/concern with your Designated Supervisor and employing organisation?
Please note if you do not consent this will restrict the support we will initially be able to offer, however we will discuss this with you when we contact you.

Yes

Is there any other relevant information that you believe would assist us in dealing with your request?
(e.g., your availability, other factors which may be relevant to your request, your personal circumstances)