STEP 1 OF 4 — SET THE CONTEXT
Choose the pathway for this 1:1
The pathway shapes the practice prompts in Step 3. Every meeting keeps the same shared core: wellbeing, commitments, development and agreed actions.
Clinical
Clinical judgement, patient care, medicines optimisation, safe decision-making, communication and supervision.
Operational
Safe supply, dispensing and checking, prioritisation, procedures, team coordination, handovers and service improvement.
Mixed
A balanced set of clinical and operational prompts, kept to a manageable length for one meeting.
Role & stage
Trainee/foundation or registered — or enter your own role.
Setting
Community, hospital, primary care — or a custom setting.
Meeting date
The date this conversation takes place.
Review period
The weeks or rotation this 1:1 looks back on.
Do not enter patient-identifiable information. Follow your employer’s information-governance and record-keeping requirements.
STEP 1 OF 4
Set the Context
Tell us who the conversation is with and where they work. The role, stage and setting shape the practice prompts in later steps. Use initials or an alias only.
No patient-identifiable information
This is a discussion and development aid, not an appraisal or competency sign-off. Follow your employer’s information-governance and record-keeping requirements.

STEP 4 · SECTION 1
Wellbeing Check-in
Start with the person, not the task list. Give space to talk about how they are and how their workload feels before moving on.
How are you, really?
Energy, confidence and anything affecting them at work.
Workload and pace
Is the workload manageable? Where are the pressure points?
Support needed
What would help right now, from you or the team?
WELLBEING & WORKLOAD NOTES
Record a brief, factual summary agreed with the staff member. Do not include patient-identifiable information, and follow your employer's information-governance and record-keeping requirements.
STEP 3 — SET PRIORITIES
Practice prompt library
Choose up to two priority prompts for this conversation. Prompts are grouped by pathway — clinical, operational or mixed — with foundation trainee prompts aligned to the four GPhC initial education and training domains. Edit or add your own to reflect local practice; shared default templates stay unchanged.
CLINICAL PATHWAY
Clinical judgement & patient care
- Talk me through a recent decision where the right answer wasn’t obvious.
- Where have you optimised a patient’s medicines this period?
- When did you seek advice or escalate, and how did it go?
- How are you adapting communication for different patients?
OPERATIONAL PATHWAY
Safe supply & team coordination
- How are dispensing and checking going under pressure?
- How do you prioritise when several urgent tasks arrive?
- Which procedures or competencies feel least secure?
- What would make handovers safer or clearer?
- One service improvement you’d like to lead?
MIXED PATHWAY
Balancing clinical and operational work
- How is your time split between patient-facing and supply tasks?
- Where does workflow pressure affect clinical decisions?
- What one change would help both patients and the team?
FOUNDATION TRAINEE
GPhC initial education & training domains
- Person-centred care & collaboration: a recent conversation that shaped a patient’s care?
- Professional practice: where did you practise safely within your scope?
- Leadership & management: how have you organised your own workload?
- Education & research: what are you learning, and from what evidence?
Prompts for reflection and development only — not scores, sign-offs or competency claims.
Your local prompts
Add or adapt prompts for your setting. Your edits are saved privately to your account. Never include patient-identifiable information; follow your employer’s information-governance requirements.
STEP 4 · AGREED ACTIONS & NEXT REVIEW
Action plan & review
Record the support needed and agree clear actions. Give every action one owner — staff member or manager — plus a deadline and a review date. Do not record patient-identifiable information; follow your employer’s information-governance and record-keeping requirements.
Priority challenge or support needed
Summarise the main challenge discussed and the support the manager will provide, including supervision and escalation routes where relevant.
ACTION
OWNER
DEADLINE / REVIEW
STATUS
Staff action: reflect on one escalation decision and bring notes to next 1:1
Staff member
Set date / review date
Open
Manager action: arrange protected supervision time and confirm escalation contacts
Manager
Set date / review date
Open
Meeting close: confirm the summary, agree the next review date, and save. Records are private to your member account. This is a development aid — not an appraisal, competency sign-off or GPhC assessment.