Council to take an urgent look at the draft Charter on 30 June
The new Council of the Royal Pharmaceutical Society has agreed to give urgent further consideration to the draft new Charter for the Society, but it but will leave the Charter petition with the Privy Council rather than seeking to withdraw it immediately.
At the June Council
meeting, the Council directed the Secretary and Registrar
(Ann Lewis) to inform the Privy Council forthwith that, without prejudicing
its ability to withdraw the petition, the Council wished to submit changes
to the draft Charter after further consideration by the Council and the
membership. Changes are to be considered at a Council strategy day on
30 June.
The decision was made through an amended version of one of six motions
put forward by Nicholas Wood. As a result of the decision, the Council
decided that three of the other motions should lie on the table until
after a Council strategy day about modernisation to be held on 30 June.
The Council also carried a motion requesting that a committee be set
up to establish the Government’s requirements for the Society’s
regulatory function. However, it was then decided that the Society’s
office would research the matter before the strategy day, when a decision
would be made on whether a committee was still needed.
Mr Wood withdrew a motion concerned with the legal action taken by members
of the Save Our Society group.
Mr Wood’s motions
The motions proposed by Council member Nicholas Wood are as follows:
1. That the Secretary and Registrar be directed to inform the
Privy Council forthwith that the Council wishes to withdraw
its petition
for a new Royal Charter pending further consideration by the
Council and members of the Society generally.
2. That a committee, the members of which are to be confirmed
by Council, be formed to review urgently all correspondence and
reports
of meetings between representatives of the Department of Health,
the Privy Council office, CRHP and the Society, to establish
the requirements of government in regard to the regulatory functions
of the Society, such a committee to provide an interim report
as
soon as possible and a final report by the December 2004 Council
meeting.
3. That the Secretary and Registrar be directed to seek expert
legal advice and subsequently to submit to Council for consideration
draft
Byelaws to provide for a regulatory board of the Society with
a lay membership in the region of 40 per cent, to which the regulatory
functions (in 2 above) would be delegated under the provisions
of
the Supplementary Charter of 1953.
4. That arrangements be made, prior to the final consideration
by Council of the draft Byelaws produced as a result of the above,
(in
3) for a general meeting of the members of the Society to be
convened to consider and approve these proposals.
5. That the Council resolve to open discussions with the appropriate
Government departments and the Clerk to the Privy Council to
ensure that the implementation of any Orders under Section 60
of the Act
is co-ordinated with the introduction of the Byelaws as above.
6. That in view of the support shown by the members for the policies
of the SOS campaign both in the recent election results and at
the AGM, the Council should, in the best long-term interests
of the Society
and without seeking the recovery of costs, resolve all proceedings
brought against it and individual members and former members
of Council in respect of the Council's decision to petition for
a new Royal
Charter. |
Opportunity to re-evaluate position
Introducing the debate on Mr Wood’s motions, the President (Gill
Hawksworth) said that, on the advice of the Department of Health, the
Council had submitted its Charter petition in December 2003 so that its
decisions could inform the drafting of the Section 60 Order under the
Health Act 1999 for consultation in early January. Since then, the Department’s
timetable had slipped and it was now expected that the draft Order would
be issued for consultation in the autumn. This timetable change gave
the Society an unexpected opportunity to re-evaluate its position. She
wanted the Council to use that opportunity.
In procedural terms there was nothing to be gained from withdrawing the
petition, which would unravel the whole process. It could take months
to approve a new draft, which would need to be gazetted and consulted
upon from scratch. If the Charter remained lodged with the Privy Council,
there would still be an opportunity to suggest amendments.
The Clerk to the Privy Council had advised that changes of substance,
such as a rewording of Object 3, would be possible, subject to consultation
with the Department. But for more significant changes, such as a new
Council composition or power to delegate to a regulatory board, the Society
would need to start the process afresh. Since Privy Council policy could
never be different from government policy, it was highly unlikely that
any proposal conflicting with the Section 60 Order would be approved.
Above all, the Society needed to maintain political credibility. Throughout
this process the Officers had always endeavoured to secure maximum benefit
for the profession as a whole. They recognised there was a fine balance
between achieving this and responding to the sincerely held views of
some members. The Council had to seize the moment before the Section
60 Order was sent out for consultation, and withdrawing the petition
could have disastrous impacts because there was insufficient time to
restart this process from the beginning. The best course of action was
to ask the Privy Council to await suggested minor modifications following
discussions on the 30 June strategy day. There would be time to consult
the whole membership on any proposed modification, possibly by a postal
ballot. Motion 1: withdrawing the petition
Moving his proposal to withdraw the Charter petition, Mr Wood said
that the Council election result indicated considerable support for the
policies of the Save Our Society group and a wish that the Council
would consider the petition again. A referendum on the Charter had
been denied.
Mr Wood was not impressed by the President’s arguments for leaving
the petition with the Privy Council and tinkering with minor changes.
He wished formally to propose the motion, which was: “That
the Secretary and Registrar be directed to inform the Privy Council forthwith
that the Council wishes to withdraw its petition for a new Royal Charter,
pending further consideration by the Council and members of the Society
generally.”
Serious step
Hemant Patel, seconding the motion, said that the proposed step was
a serious one, but getting it right was important. What concerned him
was that the Charter wording agreed at an “away day” in
December 2003 had been acceptable, but changes had been forced through
both the Officers and Council at the last minute. That was poor governance,
and the decisions needed to be reconsidered.
Nicola Gray said there was a broad misconception that the Privy Council
would accept whatever wording the Council proposed for Object 3. The
final wording was in the Privy Council’s gift. She commended the
SOS campaign for the fact that it had raised a lot of issues during the
Charter consultation, and many changes had been made. But SOS did not
have a monopoly on Object 3, and other members had equally sincere feelings.
Michael Schofield said that pharmacy was the last profession to address
the issue of modernisation. The report of the Shipman inquiry was due
in about two months and it would be a severe indictment of present regulatory
practices. For the Society to be sailing towards these rocks in a state
of total disarray was unwise. He had been told that the only reason why
pharmacy regulation had not been given to the Health Professions Council
was that it was too difficult. But it would not look difficult if the
profession were in disarray.
He was certain the Council should stick with the new Charter, pursuing
any concerns with the Privy Council. The Privy Council was not a group
of dignitaries sitting with the Queen in Windsor Castle. In reality,
it was the Department of Health.
Sultan Dajani said that making the same mistakes the Council had made
for the past two or three years did not mean those mistakes would go
away. If the Government wanted to impose upon the Society, capitulation
now would not prevent decapitation later. There was no firm guarantee
that self-regulation would stay in a few years’ time. The Council
needed to move forward, and it had to take the members with it.
Bob Michell said that the UK had a tradition of admiring gallantly conducted
catastrophes against overwhelming odds, which was what the Council was
being invited to repeat. As a Privy Council appointee, he had two priorities.
The first was whether what was proposed was consistent with the public
interest — “consistent” meaning not necessarily in
the public interest, but not against it either. He believed that the
motion was wholly against the public interest. If the Society lost the
government’s ear, regulation would not be through some board with
a broad majority of pharmacists, but through a consumer protection quango
with a few pharmacists as advisers to a huge majority of consumer representatives.
The Society had the ear of the Minister to a degree that was the envy
of other self-regulating professions.
The best ways to lose the ear of government were to appear divided among
the members and to demand what the government could not concede. The
SOS campaign managed to fulfil both. The real world was not interested
in the exact wording of how to represent pharmacists’ interests.
The real world was interested in seeing proper regulation and proper
redress when pharmacists made mistakes.
The new Charter that was before the Privy Council left pharmacists with
an enviable degree of independence and stronger input into regulation
of colleagues. Whether or not the Council threw this away depended on
whether it wanted the Society to operate in the real world of tough government
and antiprofessional bias or in a pharmaceutical Ambridge — an
everyday drama full of fascination for its enthusiasts but with no influence
on real events of importance.
His second priority was whether it represented due process. SOS claimed
to be the voice of a profession disenfranchised by the improper actions
of its professional body. But the actions of the Society were in no way
illegal or improper, as clearly reflected in the summary dismissal of
the High Court action. More importantly, an analysis of the Council election
results over recent years showed no evidence of massive support, as opposed
to apathy, either in the votes of the winning candidates or the increase
in those bothering to vote at all. If the Council withdrew its petition
rather than considering minor modifications, it would make fools of the
whole profession.
He was not a pharmacist, but he wished to end by reading from a recent
issue of The Pharmaceutical Journal the wise words of someone
who wrote: “The
risk we could face now, as a result of the Council election, is that
in the near future the Government may conclude that the Society is unable
to put in place a satisfactory form of self-regulation for the profession.
Should this occur we may find that our Society becomes a powerless representative
body, while the formulation and implementation of the regulations whereby
individual pharmacists practise will be set by an external body.” (PJ,
5 June, p704).
The Vice-President (Alison Ewing) said that she had been expecting to
hear Mr Wood give cogent reasons why the petition should be withdrawn.
Instead, all she had heard was that the membership did not want it. What
could be gained by withdrawing the petition that could not be gained
by amending it? Single issue
The Treasurer (Linda Stone) said that those Council members who had
been defendants in the SOS action had been constrained from debate on
the
Charter for six months. Now that the action had been dismissed they
were able to speak. Those who had been elected on an SOS ticket would
feel constrained by the fact they had been elected almost on a single
issue. It was always a little easier to organise a campaign against
an existing body, because when you are on the outside looking in you
can raise every criticism you want. But when you came into the body,
you realised the constraints you were working in made it more difficult.
The Society was an anomaly among health regulators. It had had a regulatory
role by law since the 1930s and de facto since about 1880. No other health
regulator in the world had that dual role. What was interesting was that
the first consultation on the modernisation issue was on that dual role
and the professional had overwhelmingly wanted to continue with a dual
role. There had never been any suggestion from the Government that the
Society could not continue with the dual role.
SOS had accused the Council of wanting the Society to be only a regulator.
But if the petition were to be withdrawn, it would be SOS that created
a separate regulator, because that is what would happen, and the Society
would be left with little in terms of its professional leadership role.
Hassan Argomandkhah said that there were no guarantees that any amendments
would be allowed if the Charter were left with the Privy Council. The
Society had been advised that if it sought major changes it would almost
certainly need to petition again. So they might as well have the damn
thing back and do it properly.
The President repeated that the time scale did not allow for the petition
to be withdrawn for substantial amendment. If it were withdrawn, the
Section 60 Order would overwrite the Charter. The Society’s powers
would be taken out of the 1953 Charter and put into the Section 60 Order.
She thought her proposal would satisfy most people who were concerned
about Object 3.
Andrea Robinson (chairman of the Society’s Welsh Executive) reminded
the Council that the Welsh Executive strongly supported the new Charter.
If it were withdrawn now, the Society would lose all the opportunities
it represented for strengthening both the roles.
Martin Astbury said that, when the Council had consulted on the Charter,
it was open for everybody to have their input, but it was debatable whether
they would have been listened to. A few titbits had been thrown at the
last minute — on the strategy day immediately before the third
draft was railroaded through. That was a shame, because if those titbits
had been thrown in before the original consultation, something could
have been sorted out.
If it was known that the draft Charter could be tweaked, why had amendments
not been prepared as soon as the election results came out, when the
writing was on the wall? Foreseeing problems at this meeting, the Officers
should have got together some of the key players to prepare amendments,
so that the meeting could have discussed amendments rather than withdrawal.
The President said that she took exception to some of the things Mr Astbury
had said. The “railroading”, as he called it, was part of
a long process of consultation during which the Council had listened
to the membership and changed things. There had been some last minute
alterations, but that was not “railroading” anything through.
It was part of due process.
She took Mr Astbury’s point about the Officers. But the roles of
the Officers were specific and did not extend to changing policy, which
was the direct prerogative of the Council. What she had done before the
meeting was to weigh up the situation, take advice and suggest a solution
that could be taken forward within the small window of opportunity that
had opened with the delay to the Section 60 Order.
Mr Astbury said his point was he thought there could have been some discussion
beforehand, maybe with the person who was putting the motions, to see
whether there was any sort of compromise that that could be reached.
The Treasurer said that the Council had strategy days when such issues
could be discussed, and the President had suggested that the matter be
taken to the next strategy day. Discussing the minutiae of potential
modifications within a Council meeting was difficult.
Digby Emson reminded the Council of the enormous amount of work already
undertaken. He did not believe that the views around the table were far
enough apart to throw all that work out. The President had made a good
suggestion, and he was happy to propose a motion that they consider the
matter at the strategy day.
His reading of the situation was that there was room for manoeuvre with
amendments, including Object 3, if they did not conflict with Government
policy, but there was no room for manoeuvre if they were to withdraw
the petition and start again with a two-board model.
His personal view was that there was a lot of strength in having a combined
Council that was both regulator and professional advocate. All the significant
issues that came before the Society involved both regulatory and professional
considerations. The Society was unique in having the ability to manage
both aspects carefully, balancing public interests and members’ interests
in the most appropriate way.
There was a convincing argument that withdrawing the Charter would in
effect be losing the Charter. At the moment the Society was still in
the driving seat. It had struck a good deal. It had a greater professional
majority on the proposed new Council than any other health care regulator.
All that would be at risk. A regulatory Charter
Maurice Hickey said that his worry with the Charter was that it had
such a focus on regulation. He knew it had been tweaked, and bits had
been
put in about representing the profession, and so forth, but it was
a regulatory Charter. The Society had had a regulatory role since 1933.
It was in the gift of government and could be taken away by government.
The Charter included a clause saying that, if the Society was wound
up, its assets would go to a similar body, which would have to be another
regulatory body. Effectively the government would win. It could legislate
the Society out of existence and gain control of its assets. That was
the danger he saw in the Charter.
It was all very well to for the President to recommend taking it to
a strategy day. But the members had been sold a pup again and again
in
the past year. Even in December 2003, the Council agreed one thing on
one day and another thing was forced on them the next. It was “take
it or leave it”, with 15 minutes to discuss it. He thought the
only way forward was to seek to withdraw the Charter. The Section 60
Order could be written in conjunction with possibly a variation of the
good Charter that was in existence and, perhaps, rewriting the Byelaws.
The Secretary and Registrar reminded the Council that regulation was
much wider than the Statutory Committee, which was only the disciplinary
arm of it. In a letter to her, Jim Smith, the chief pharmaceutical officer
for England, had made it clear that the basis for moving forward was
the Government’s response to the Kennedy report, which included
a broad definition of regulation that included training, assessing competence,
support for improvement — many of the things the Society already
did.
Clive Jackson had no doubt that everybody around the table had sincerely
held views and wanted the best for the profession. The Society was on
a long and difficult journey, and if he were to be convinced that it
should change direction by withdrawing the petition, he needed to see
a new destination that could be reached within the allotted time left.
As yet, he had not seen a clear new destination. All he could see were
various possible scenarios that would be fundamentally detrimental to
the profession’s medium and long-term development, leadership,
management and influence.
He was prepared to work hard to achieve a realistic and pragmatic way
forward, but not to spend time looking backwards into the dust of the
track they had already gone over. Get it right
Douglas Simpson said that he had listened recently to Steve Williams,
deputy chairman of the Pharmaceutical Services Negotiating Committee,
talking about the new contract for pharmacists. He had made the point: “Don’t
get it quickly; let’s get it right.” He thought the Society
went too quickly with perceived ideas of government pressure when government
had not been able to meet its own deadlines. The Section 60 Order could
only deal with regulation. That was quite clear from the Health Act.
The only part of the Charter that could be overridden was the part
concerned with regulation. In fact, there was nothing in the current
Charter about regulation at all. There was all the other activities
that the Society did, including representing pharmacists’ interests.
Mr Simpson said that the Government could not take regulation away
from the Society without primary legislation. It would need an Act
of Parliament.
If that was a threat, it was a hard one for the Government to achieve.
Personally, he did not think the Department of Health wanted to take
regulation away from the Society. Pharmacists had been regulated well
by the Society for many years, and setting up a new body to do it would
be difficult.
It was claimed that self-regulation was being preserved. But it was not
professional self-regulation. It was professionally led regulation with
public participation, which was quite a different animal. A board set
up to do that would not be the right kind of board to run a professional
association. That was the heart of the whole problem.
There had been talk about having the existing work thrown out if the
petition were withdrawn. But that valuable work would not be wasted.
All that was being asked was that the outcome of that work be changed.
There were more things about which members were dissatisfied than just
Object 3 in the Charter.
Letter from Dr Jim Smith, chief pharmaceutical officer for England
The following is the text of the 7 June letter to the Society
from Jim Smith, chief pharmaceutical officer for England:
I am writing to you in the light of the High Court judgement
on the Society’s petition for a new supplemental Charter and the Council
election, which returned new members opposed to the new Charter.
It is apparent from the debate in recent months that there has been
considerable misunderstanding of the Government’s policy
on professional regulation of pharmacy, despite clear exposition
of
our stance in official documents, correspondence, and Ministerial
speeches. It is important that the profession and the new Council
are clear about the position when making further decisions on these
issues. My purpose in writing is therefore to restate our policy
on self-regulation in pharmacy.
The Government’s policy on regulation of all health professionals
was set out clearly almost four years ago in the NHS Plan, which
stated that regulation of the clinical professions and individual
clinicians needed to be strengthened. The NHS Plan said that, as
a minimum, self-regulatory bodies must change so that they have
much greater patient and public representation in their membership,
have
faster more transparent procedures, and develop meaningful accountability
to the public and the health service.
This policy was restated in the Government’s response to the
Kennedy report in January 2002. We said that we wanted a strong system
of self-regulation that explicitly puts patients first and is open
and transparent and allows for robust public scrutiny. We also said
that professional regulation should properly be at arm’s
length from Ministers.
The Society’s Council therefore began to examine possible models
through which these requirements of Government could be met. It proposed
a solution that included, among other measures, a substantial increase
in lay membership of the Council. At the same time, the Department
of Health began work on a draft Order under section 60 of the Health
Act 1999 to provide statutory underpinning for the Society’s
new regulatory framework. Similar Orders have already been made
(or have been published) for the other large professions.
Opponents of this approach advanced an alternative model, in which
all the regulatory functions of the Society were discharged by
a board or committee. However, this could not form the basis of
a satisfactory
proposal from the Society. The Health Act 1999 allows for a broad
range of functions to be dealt with by the Order. These include,
among others, keeping the register of members admitted to practice;
determining standards of education and training before and after
admission to practice; giving advice about standards of conduct
and performance; and administering procedures (including making
rules)
relating to misconduct, fitness to practise and similar matters.
These functions together go to the heart of what the RPSGB does
and we see no coherent way in which they could be exercised other
than
under the authority of the Council. The proposal was therefore
unacceptable because it would have led to
confusion about which part of the RPSGB had authority over professional
regulation. This would fail the test of transparency since the
outside world would not be able to see where responsibility lay.
If the regulatory
board was subordinate to a Council that continued to have a professional
majority of 87 per cent as now, that would mean that the RPSGB
had not complied with the requirements of the NHS Plan.
The position was set out in a letter to The Pharmaceutical
Journal in August 2002. I also wrote on behalf of the Secretary of State
to Mr Noel Wicks (chairman of the Young Pharmacists’ Group,
which developed the “two-board model”) in October 2002.
Successive speeches by Ministers have also set out the Government’s
position on professional self-regulation and support for the Society’s
approach. For example, at the Society’s headquarters in February
2003, at last year’s British Pharmaceutical Conference, and
again at Lambeth earlier this year. All of these speeches were
extensively reported in the pharmacy press.
Our position on regulatory change at the RPSGB is therefore clear.
We strongly support the continuation of the Society’s roles
as an independent professional body providing strong leadership
and advocacy in relationships with Government, the public, other
professions
and the NHS, and also as a modern health regulator. We believe
that the Society has discharged these roles with distinction and
will
continue to do so, subject to the necessary changes set out above.
I would point out that the current proposal for a Council with
34 per cent lay membership, while meeting our requirement for enhanced
public involvement, would nevertheless maintain a substantial professional
majority. This would be higher than for any other health profession,
itself a recognition by Government of the unique combined role
of
the Society.
Strengthened self-regulation for all the health professions remains
a major Government priority. Real progress has been made with other
professions and it is important that we now press on with the necessary
changes for the pharmacy profession. It is especially important
that we ensure an effective framework at this time, when so many
new developments
in the role of pharmacists are being taken forward. We therefore
intend to proceed to formal public consultation on a draft Health
Act Order. This will contain, among other proposals, changes to
the constitution of the Society’s Council to provide the
necessary level of public and patient representation. |
Letter from Dr Smith
The President wished to read part of the letter sent on the previous
day by Jim Smith, chief pharmaceutical officer for England. In his
third paragraph, Dr Smith said that government policy “was restated
in the government’s response to the Kennedy Report in January
2002. We said that we wanted a strong system of self-regulation that
explicitly put patients first and is open and transparent and allows
for robust public scrutiny. We also said that the professional regulation
should be properly at arm’s length from ministers.”
He went on: “Opponents of [the Council’s] approach advanced
an alternate model in which all the regulatory functions of the Society
were discharged by a board or committee. However, this could not form
the basis of a satisfactory proposal from the Society. The Health Act
1999 allows for a broad range of functions to be dealt with by the Order.
These include, among others, keeping the register of members admitted
to practice, determining standards of education and training before and
after admission to practice, giving advice about standards of conduct
and performance and administering procedure, including making rules related
to misconduct, fitness to practise and similar matters.”
The President said she had read because she wanted it on public record
that two-board model, or something purporting to have a board or a committee,
would not be acceptable.
Mr Simpson suggested that the Society should try to negotiate on the
terms of the letter.
The President said that the Section 60 Order was practically complete
and the Government was only waiting to see what happened in the Council
chamber. The Government would not negotiate, and if the Council withdrew
the Charter, all the powers would go straight into the Section 60 Order
ready for consultation in the autumn. Charter will strengthen Society
Christine Glover said that the Society needed the Charter to strengthen
its position, to give it a degree of autonomy and to enable it to function
in a way it thought was right and not to be subject entirely to government
whim. It needed a Charter that was up to date and appropriate, and
that was why the Charter should change at the same time as the Section
60 Order was being laid. If the petition were withdrawn, the Order
would be laid on the assumption that the only Charter in existence
is the one the Society has already. That Charter would be superseded
through the Order because it is not appropriate for today. There was
not time to rebuild the Charter because by the time it had gone through
all the stages necessary to bring it to the point of being accepted
by the Privy Council, the Section 60 Order would be laid anyway.
She had never seen such a clear document from a government department
as the letter from Dr Smith. There could be no argument about what he
said. Withdrawing the petition was a no-no. If the Council wanted to
take the petition back, everything that Mr Hickey feared would come to
fruition, but it would have been at the doing of the SOS supporters.
Mr Wood suggested changing the word “withdraw” in his motion
to “resubmit” and change “pending” to “following”.
The President said that was putting into place what she had suggested.
Noel Wicks asked whether the letter from the chief pharmaceutical officer
for England was accompanied by similar letters from the other chief pharmaceutical
officers.
The Secretary and Registrar said that the legislation was UK-wide. The
Section 60 Order was formulated on behalf of all the health departments.
It was not devolved. Although his letter was on Department of Health
notepaper, Dr Smith was expressing the view of the UK Government. Amended Motion 1
After a break, Mr Wood said that he had an amended motion which he
believed would be generally satisfactory and which most the Council might
be
able to accept: “That the Secretary and Registrar
be directed to inform the Privy Council forthwith that, without prejudicing
its
ability to withdraw the petition, the Council wishes to submit changes
to its petition for a new Royal Charter after further consideration
by the Council and members of the Society generally.”
What he would like to do would be to seek confirmation from the Privy
Council office before taking a vote.
The Deputy Secretary and Registrar (Philip Green) then left the chamber
to telephone the Privy Council. On his return, he said that the amended
motion, would not be a problem. If the Council subsequently resolved
to withdraw the petition, that would not be a problem either. The Privy
Council would not pursue a Charter if the body responsible for the profession
did not wish to pursue it.
Mr Wood said that he was satisfied with that assurance.
Mr Argomandkhah asked for it to be put on the record that, in supporting
the amended motion, the Council was putting absolute trust in the advice
it had been given that afternoon.
Graham Phillips said that, on the basis of the advice Council had been
given, he would be happy to second the motion.
The Secretary and Registrar suggested that the proposed wording was wrong
in that it was the Charter that they wanted to change, not the petition.
It was a point of accuracy.
Mr Wood thought that was acceptable and asked to change the word “petition” to “draft
Charter”.
The President said that she had allowed a lot of debate and tried to
find a way forward. Mr Wood had listened to what she had recommended
and amended the motion. She asked the Council to vote on the motion.
They had had a helpful debate and she thanked the Council.
The Council then voted on the amended motion, which was carried unanimously.
The Treasurer said that, in view of the decision the Council had just
taken, she wished to recommend to Council that motions 2, 3, 4 and 5,
which were related in some ways to motion 1, be allowed to lie on the
table. They, and the issues around them, could be debated properly at
the strategy day, when the Council would have more time and more freedom.
Mr Wood said he was content for them to be discussed at the strategy
day, but thought that broadly they needed to be considered. The motions
were intended as a coherent whole in the main. He was still inclined
to say they needed to be considered. They could try to do them relatively
quickly.
The Secretary and Registrar could see no problem with motion 2, but motions
3, 4 and 5 were rather dependent on the outcome of the decisions on 30
June. They would probably be well informed by the discussions on 30 June,
bearing in mind Dr Smith’s letter.
Professor Schofield asked if Dr Smith would be willing to come to their
strategy day. That would make a difference.
The President said he would be at the Council dinner that night. It was
a good suggestion to ask him. Motion 2: setting up a committee
Mr Wood said that, if there was not an issue over motion 2, he could
simply put it. A review of some sort needed to take place, not least
to bring some information to the new members of Council.
Mrs Glover asked whether the committee would meet before the strategy
day or after.
The Secretary and Registrar said if the Council did require a report
on any aspect of the background, for example informing further discussions,
it could be produced most speedily by the office and in line with normal
practice. They would look to see what could be provided in time for the
meeting on 30 June. It did not prevent a committee being set up.
Mr Wood thought that might be helpful. If the Council were formally to
pass the motion, they could still have the review done by the office.
Then they could decide subsequently on a format of committee and what
further work might need to be done.
Mr Simpson said he was happy with that. It would help Council members
to have more information. He seconded the motion.
Mr Emson said that if it helped bring people up to speed on a complex
issue, he supported it.
Mrs Glover said that the motion was to have a committee, but by the end
of the strategy day they might not want one. They should let the motion
lie. If they needed a committee at the end of it, so be it.
The Treasurer suggested asking the office to do as much as they could
over and above what they had already done. When the Council saw what
had been produced on the strategy day, the decision could be taken then
whether or not to form a committee. The motion tied their hands.
Mr Jackson said that he was happy with the motion apart from “and
a final report by the December 2004 Council meeting”, because they
were probably all agreed that the timing of that was now far too late.
The President suggested they took the motion as it stood but without
the final bit. There would be a full stop after “possible” and
the rest would be deleted.
The President asked the Council to vote on motion 2, as amended, ie, “That
a committee, the members of which are to be confirmed by Council, be
formed to review urgently all correspondence and reports of meetings
between representatives of the Department of Health, the Privy Council
office, CRHP and the Society, to establish the requirements of government
in regard to the regulatory functions of the Society, such a committee
to provide an interim report as soon as possible.”
A vote was taken. The amended motion was carried. Motion 6: legal proceedings
The President said she would take motion 6 next.
Mr Wood said he intended to withdraw the motion, but he would speak first.
The Secretary and Registrar referred the Council to advice the Society
had received that the motion would be invalid and improper for a number
of reasons.
Mr Wood said that, because motions had to be tabled with 14 days’ notice,
he had had to draft the motion more than a fortnight ago, and things
had moved on since then. For that reason he was withdrawing it. Motions 3, 4 and 5: Byelaws
The President said that she wanted to turn to motions 3, 4 and 5, which
she considered interdependent. Members had received briefing notes
on the motions, including the letter from the Department of Health
and the note of previous government statements and report of Council
decision’s about the models.
The Secretary and Registrar drew the Council’s attention to paragraphs
5, 6 and 8 of Dr Smith’s letter. He had not been asked to comment
or advise on the motions, but his remarks should be borne in mind by
the Council before they discussed those motions.
Proposing motion 3, Mr Wood said that it asked for another look at what
could be viewed as an interim measure to provide for a regulatory board.
Investigating the possibilities of a regulatory board of this type would
dovetail in with the existing work that had been done to develop the
Section 60 Order. What he was asking for was another look at the way
in which a regulatory board might be set up under the existing Charter
while the proposed Charter was on ice.
John Jolley, seconding the motion, said that the Society was in danger
of underestimating the depth of feeling over the issue. It might be easy
to achieve a compromise solution and communicate it effectively to the
membership to put their minds at rest.
Professor Michell was bewildered that anyone who understood the direction
in which the Government was travelling could put such a motion. The motion
came from Disneyland. It had nothing to do with reality. He did not like
the current realities, but they were there.
The profession was in an enormously privileged position, with a huge
role to play. But if it submitted this kind of Disneyland stuff to government
it would lose the ear of government.
He wished to convey the extent to which the Society had the ear of government.
The Society’s President saw the Minister when she needed to and
frequently. It was an enormous privilege and other professions were envious.
The Royal College of Veterinary Surgeons had battled for at least seven
years to meet the Minister but the appointments were always cancelled — even
during the period of the foot and mouth outbreak, which was regarded
as the most expensive peacetime disaster to befall Britain.
Professor Schofield thought the Council had overcome two big hurdles
and made a lot of progress. It was in danger of falling over a lesser
hurdle when it did not need to. He proposed that the three motions lie
on the table until the strategy day, when the Council could discuss them
properly.
Mr Simpson thought that it would do no harm to do a paper exercise in
relation to motion 3, so that they had some clear model for the strategy
day to consider, with the chief pharmacist there, hopefully.
Mr Emson had sympathy with Professor Schofield’s amendment, and
would be prepared to support it. But he was conscious that they had spent
hours debating this already. If they could have found a way through it,
they probably would have done so by now.
Mr Dajani did not believe that it was Disneyland to look at alternatives
that could be moulded and worked into practical solutions. Leaving the
motion on the table would not give a steer for the strategy day.
The Treasurer said, speaking solely to Professor Schofield’s motion
that Mr Wood’s motions 3, 4 and 5 lie on the table, she thought
it interesting that motion 2 was all about trying to gather further information,
to reflect on existing information, to help to inform the decisions on
30 June. She would rather that the further debate was taken in light
of as much information as possible. She had no problem with that. She
did have a problem with diverting people to produce something that may
or may not be wanted in light of that further information. She supported
Professor Schofield’s motion that these motions lie on the table.
Mr Patel suggested that Council should leave the motion on the table
but in the meantime do some work, perhaps just digging up paperwork and
bringing it together. Something had to be done to win confidence and
unite the Council.
Mr Wood said he would be prepared to accept that, now he had heard the
debate.
The President said they would have the meeting in the assembly hall and
return to the Council chamber at the end of the day for a formal meeting. AGM motion
The Council moved on to consider the motion from Mark Walker that was
carried at the Society’s annual general meeting. The motion had
invited the meeting’s approval of a counter-petition to the petition
for a new Charter.
Mr Patel proposed that the AGM resolution should be left on the table
and considered when the rest of Mr Wood’s motions were considered.
Professor Schofield seconded the proposal, which was agreed.
Answering a question from Mr Phillips, the President assured him that
the Council’s decision and the reasons for it would be conveyed
to Mr Walker.
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