In the United Kingdom, a Pharmacy Technician now must complete a recognised accredited training programme with vocational training to SVQ/NVQ level 3 in Pharmacy Services as well as an underpinning academic knowledge programme such as BTEC or National Certificate (NC) Pharmacy Services. A period of time of working as a trainee Pharmacy Technician is needed before final qualification and compulsory registration is required before commencing work as a Pharmacy Technician. The period of on-the-job training is usually done concurrently whilst completing the course and typically over a two-year period. Pharmacy Technicians may counsel patients on their medication (under the supervision or direction of a pharmacist, though counselling is not one of the learning outcomes for pharmacy technician training) as well as general dispensing of prescriptions. In community pharmacy, it has been recognised that the role is difficult to distinguish from that of a dispensing assistant with an NVQ2 qualification. Additional training is available to qualified Pharmacy Technicians and can include accuracy checking of dispensed prescriptions (though there is no legal requirement that a person be qualified as a pharmacy technician before undertaking an accuracy checking course), Medicines Management (Hospital or PCT), participation in the running of hospital clinics such as anticoagulant clinics, dosing Warfarin patients under dose banding guidance, or other higher duties traditionally done by Pharmacists.