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The Pharmaceutical Journal
Vol 273 No 7312 p234
14 August 2004


Society summary


New Council will have no sectoral reserved places

The Society’s new Council is not to have reserved places for specific fields of practice, the Council confirmed at the August Council meeting.

The Council acknowledged that, with or without reserved places, supporting structures would be needed to ensure that specialist advice and expertise is fed into the new Council and that it is kept aware of the circumstances and concerns within all sectors of the profession.

The Council made its decisions after considering a document setting out the options for reserved sectoral places. The Council had agreed at its October 2002 meeting that the new Council should not have reserved places for fields of practice, but at its June 2004 reserve day it had decided to re-examine the matter because of the importance of ensuring that the new Council engages with and is informed by all sectors of the profession in its deliberations and decision-making.

Alison Ewing said that defining a sectoral interest could be a minefield. She strongly advocated having no reserved places for sectors.

Gerald Alexander also strongly advocated that there be no sectoral choice. He suggested creating different groups within the supporting structure.

The Treasurer said that for many years there had been no representation on the Council from industrial pharmacists. As a consequence, there had been a progressive decline in the operations carried out by pharmacists within industry. The Council was supposed to have global responsibility, but as chairman of the Industrial Pharmacists Group for many years, he had been frustrated by the lack of communication.

Without doubt, the Council’s single most significant failure had been its failure to recognise the opportunity for pharmacy in “the qualified person”. Pharmacists now accounted for less than 5 per cent of those registering as qualified persons. Of late, there had been some somewhat controversial issues as far as the Industrial Pharmacists Group was concerned, such as the demise of the Industrial Pharmacist journal and arrangements for preregistration training in the industry.

The Treasurer also asked why it was all right for a pharmacist in Scotland and Wales to have a preferred place on the Council, but not for a pharmacist working in a particular sector.

Sultan Dajani, agreeing with the Treasurer, said that the Government was forcing the Council to have an academic on the new Council. This could place more importance on that sector and diminish the importance of the other sectors. The Council had a commitment to the other sectors and, if it was not going towards sectoral representation, then it needed at least to draw up a firm proposal on commitment and representation.

Maurice Hickey said that there should be no representation on the Council of any sort of group. The draft Charter allows the Society to have a Council that deals with the regulatory issues. Below that would be other bodies. One would be a professional representation body on which there could be sectoral representation. The bodies for Scotland and Wales could have their own sectoral representation. That was where that type of member might be appropriate.

Noel Wicks said that he was against sectoral places on the Council but not against having sectoral representation feeding into the Council from committees and working groups.

Nicola Gray said that battle lines would be drawn if people were elected from different sectors. It would reinforce the feeling of representation rather than pan-professionalism. Although it was inevitable that election candidates would appeal to certain sections of the electorate, the electorate had to recognise what a Council member’s responsibilities were. Any sectoral representation had to be at the next level. That would be more flexible.

Gill Hawksworth reminded the Council of its previous decision that reserving places on sectoral grounds would be wrong in principle, in that it would not encourage a corporate approach and it could also undermine the Council’s ethic of collective responsibility.

Bob Michell said that to him as a patient it was clear, whether one liked it or not, that hospital pharmacists had been the torchbearers for progress in working relationships with, for example, the medical profession and in gaining access to patient records. From a public interest point of view, it was preposterous that the Council was capable of not having a single hospital pharmacist on it. As it currently stood, it had only one.

He had experience of a different body, namely, the British Veterinary Association, which was a purely representative body. It did not have direct election but had a mix — a majority representing geographical areas and a minority from specialist societies. The specialist groups brought their expertise and vision, but they did not bang the drum of their own small constituency. If they did, they would be ignored and outvoted every time. There was therefore scope to consider whether there were some areas of pharmacy that the Council could not afford to be without.

Christine Glover, supporting Professor Michell, suggested that the Council needs hospital pharmacists on board — and the scientists/industrialists. However much sectoral information was available, what happens in real life is that suddenly a bit of expertise is dropped into the middle of a debate and it shifts the dynamics. The present Council was all the better for having a hospital pharmacist and an industrial pharmacist, for having a range of skills around the table. She said that she had moved her position on this and now thought that some appointed places would be beneficial in the public interest.

Linda Stone said that the reasons why there would be reserved places for Scotland and Wales was that the Government wanted it on every health regulatory body. The reserved place for an educationalist was because education was seen as having a pivotal role in determining the route of continuing professional development and lifelong learning. The Society differed from some other bodies in that the reserved place for an educationalist would be for a pharmacist. This was a bonus that should not be lost.

Council members were responsible for, and accountable to, the profession as a whole. Corporately, the Council had a responsibility to ensure that it was properly advised and informed across the board. Because of the diversity of the profession, that could not adequately be achieved through reserved places. It had to be achieved by ensuring that the underpinnings were correct.

The Vice-President said that there was more than one way of achieving sectoral representation. People with ideas should be invited to send them in so that the Council could consider all of the ideas together and see how it could adequately represent all the different sectors in the profession.

Clive Jackson said that the Society had a once-in-a-generation opportunity to set up a professional leadership configuration, to allow it to grow and develop effectively in the 21st century. The Council needed to consider how best to restructure the profession’s expert influence and input across the whole of the health and social care sectors, not just within the profession. Attempting to put sectoral representation on the Council would, at best, be a presentational sop. It would not guarantee appropriate and effective input. It would undermine the Council’s overarching strategic responsibility. What was needed was a new structure that not only delivered cohesive, continuous and effective expert input into the Council and the Society’s decision-making process but also learnt from other professions in terms of increasing pharmacy’s influence overall in terms of policy development within the health and social care sectors.

Martin Astbury said that there were serious problems with having reserved places for Scotland and Wales. He would like people to be able to stand for the Council and the representative place simultaneously.

The President then put the matter of sectoral places on the Council to a vote. There was a clear majority against sectoral places.

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