Thank you for your interest in applying to be a HRA-registered Pharmacy Assurance reviewer.

Please complete this form to tell us about your current employment and which research studies you are able to review through Pharmacy Assurance.

Please complete this form provide the following documents in an email to pharmacy.assurance@hra.nhs.uk:

a copy of your registration renewal confirmation with the General Pharmaceutical Council or Health Care Professions Council, as applicable;
a current CV (two-pages maximum);
a letter of support from your line manager and/or Chief Pharmacist confirming that they are happy for you to review in this capacity. The HRA will also take this as confirmation that appropriate payment processes are in pace at your trust or health board;
a covering letter describing how you meet the role requirements.
If you're applying to become a reviewer for the Experimental Cancer Medicines Centre Pharmacy Assurance Pilot, please ensure that you specify whether you intend to review ONLY for ECMC Pilot studies, or whether you would be happy to revie as part of the wide remit of Pharmacy Assurance.

The subject line of the email should be “Reviewer registration application”. You can find out how we use any personal data provided to us in our privacy notice.

If you work part time you should include information about your working pattern with your application. This helps us to communicate effectively and, if successful, only assign studies for review on your working days.

Pharmacy Assurance Reviewer Registration Form

Name – Please give us the name you wish to be addressed by and, if different, the name you would like to be addressed by in official documents

Job title

Employing organisation – Please include the work address to which any post could be sent if necessary.

Work email address – Please provide a secure work email address that you access regularly and is not liable to become full.

Work contact telephone number – Please provide a phone number on which you are happy to be contacted in work hours with voicemail which you will access regularly.

Line manager's name

Line manager's email address

Line manager's contact telephone number

Which studies will you review? – Please tick all that apply

HRA-managed

Self-managed

What specialisms can you review? – Please tick all that apply

Adult oncology

Adult non-oncology

Paediatric oncology

Paediatric non-oncology

Advanced therapy investigational medicinal products (ATIMPs)

Radiopharmacy

Other

If you selected "other" as a specialism, what additional areas can you review?

General Pharmaceutical Council registration number – Applicable for Pharmacist and Pharmacy Technician applicants in England, Scotland and Wales only

Pharmaceutical Society of Northern Ireland registration number – Applicable for Pharmacist applicants in Northern Ireland only

Health and Care Professions Council registration number – Applicable for Radiopharmaceutical Scientist applicants only

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