Safe Prescribing - Information for Foundation Faculty

Assessing prescribing skills on induction for foundation doctors 2015452.08 KB
STFS SCRIPT User Guide 2016.pdf316.79 KB
STFS SCRIPT User Guide 2015886.32 KB
SCRIPT V3 Admin Access for Managers v1 2015383.13 KB
SCRIPT Modules 2017.pdf186.86 KB
SCRIPT Implementation Second Year Update1.17 MB
Remediation letter for failed PSA.pdf55.29 KB

Safe Prescribing - Information for Trust

  1. Foundation Doctor Prescribing Assessment

    Over the past few years many NHS trusts have introduced prescribing assessments for trainee doctors, partly because of concerns raised by several studies, including the EQUIP study1 which found a 9% error rate in 125,000 prescriptions written by foundation trainees. Additionally, organisations such as the Care Quality Commission2 set requirements so that trusts could be assured that staff handling medicines had the competency and skills needed to do so safely.

    The Prescribing Safety Assessment

    From 2016 all Foundation Doctors are required to pass the Prescribing Safety Assessment (PSA) by the end of their first year of training. Trainees who successfully completed it at medical school will not be required to repeat it (unless it was passed more that 2 years before the start of foundation training).

    Trainees who have passed the PSA will still be required to undertake a practical prescribing assessment on induction, as this tests the application of prescribing using local drug charts and prescribing systems.

    Information on the PSA in foundation can be found on the UKFPO website.

    More information on the practical prescribing assessment can be found on the Safe Prescribing – Information for Foundation Doctors page.

    Standard Computerised Revalidation Instrument for Prescribing and Therapeutics (SCRIPT)

    SCRIPT is an innovative e-Learning programme that provides trainees with a series of modules to explore prescribing and therapeutics. SCRIPT is an easily accessible web based programme comprising  over 40  modules, divided into 7 units covering competencies defined by the GMC and those required within the Foundation curriculum. The modules contain interactive videos, graphics and exercises. Each module is expected to take 30-90 minutes to complete.

    The SCRIPT implementation guide for 2015, STFS SCRIPT User Guide  2016 and SCRIPT V3 Admin Access for Managers v1 2015 can be downloaded from the right hand side of the page.

    Trusts are required to decide which modules to mandate for trainees in both year one and year two of the foundation programme. To help trusts they should refer to the SCRIPT Implementation Second Year Update v2 available on the right hand side of the page.

    A SCRIPT list of modules  2017 is also available for use by administrators and trainees.


    1. Dornan et al. 2009. An in depth investigation into causes of prescribing errors by foundation trainees in relation to their medical education. EQUIP study. Available online at 
    2. Care Quality Comission Essential standards of quality and safety Outcome 9B Management of Medicines