(ID: 205) Exploring barriers and facilitators to developing multi-sector foundation trainee pharmacist placements using a self-completion questionnaire

Abstract Introduction As the NHS moves towards integrated care, multi-sector training for foundation trainee pharmacists is becoming essential to building a flexible workforce that can meet evolving healthcare needs. National guidance and forthcoming legislation support this transformation, with multi-sector placements set to become a requirement for professional registration [1,2]. However, implementing such models poses challenges including funding, workforce capacity, and operational coordination. These issues must be explored to enable successful roll-out aligned with priorities such as the NHS Long-Term Workforce Plan [3]. Aim To explore barriers and facilitators to implementing multi-sector foundation trainee pharmacist placements. Methodology A cross-sectional self-completion questionnaire was disseminated to pharmacists across Birmingham and Solihull (BSol) and extended nationally via SurveyMonkey®. The survey included open and closed questions assessing awareness of mandated multi-sector placements, current training provision, perceived benefits, barriers, and enablers. Responses were analysed both quantitatively and thematically. As this was a service evaluation, ethics approval was not required. Results Of 45 respondents, 25 worked in primary care, 12 in community pharmacy, and 7 in secondary care. Nine reported no familiarity with multi-sector placements, while only seven were very familiar; most (29) were somewhat familiar, reflecting a significant knowledge gap. Reported barriers included low awareness, unclear funding, limited numbers of Designated Prescribing Practitioners (DPPs), and increased operational workload. Facilitators included strong local leadership, system-level strategic direction, and collaborative cross-sector networks. Respondents highlighted the value of structured frameworks, resource provision, and shared templates to reduce administrative burden. The preferred model was a 52-week 50:50 split-week placement, balancing exposure across sectors. Discussion The mandatory multi-sector foundation year will begin in 2027/28, yet current awareness among pharmacists remains limited. Targeted communication and education are essential, with Integrated Care Systems (ICSs) expected to lead planning and coordination. Respondents called for a system-wide framework to standardise placements and promote consistency, but sustainable implementation will require national funding solutions. Collaborative leadership at ICB level, alongside workforce leads and project managers, was seen as critical. Practical tools such as shared document templates could reduce duplication and support engagement across organisations. Limitations include the small sample size; however, responses were consistent with national themes, suggesting findings are transferable. While questionnaires provided breadth, future qualitative interviews may offer richer insights. In BSol, raising awareness through the Pharmacy Faculty and NHS Futures platform [4] could support preparation and alignment with wider NHS reforms. This study highlights knowledge gaps, funding concerns, and workforce constraints as barriers to implementing multi-sector placements, while strong leadership, collaboration, and structured frameworks are key facilitators. A coordinated system-wide approach, underpinned by national support, will be essential for successful delivery of this mandatory training reform.