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Vol 273 No 7318 p418-419
25 September 2004

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Letters

· Patients' own drugs
· APPS
· CHRE
· Homoeopathy
· Retention fee
· The register
· The Society
· The Journal


Letters to the Editor

Retention fee

Members should be provided with budgeted levels of expenditure

Not too late to change its mind

Key points need to be addressed

Take a long hard look at the administration

Members should be provided with budgeted levels of expenditure

From Mr S. A. Wheatley, MRPharmS

I have followed the recent correspondence concerning the proposed increases in the levels of retention fees with great interest. I find myself empathising with those who have written in protest.

However, the fundamental issue has not been addressed. How is it intended to spend the extra revenue? The members need to be provided with the details of the budgeted levels of expenditure from which the proposed fee increases are derived. Can we be assured that all possible concomitant economies have been implemented? Only then will we be able to judge whether or not these swingeing increases are justified.

Stan Wheatley
Blandford Forum, Dorset


Not too late to change its mind

From Mr D. R. Thomas, MRPharmS

The editorial in the PJ (14 August, p208) remarked that The Journal was bracing itself for an onslaught of correspondence. Since that date the PJ has been swamped with letters from members expressing their vociferous dissent and dismay at the Council’s decision to remove the part-time category within registration.

After 40 years on the Register I am aghast at this short-sighted decision. It is totally detrimental to the workforce numbers which will be required with the initiation of the new NHS contract and additional services to be supplied. The independent pharmacy contractor requires the help and assistance of part-time pharmacists to fill those odd days and holiday time to recharge the batteries and alleviate stress.

I wish to refer those Council members who voted for the change in the Byelaws to read and study the research work of Karen Hassell of Manchester University. At a community pharmacy conference on 23 November 2003 at which Dr Hassell presented her findings, one concern raised was how pharmacists could take on extended roles in the future if there is a supply problem in the workforce today (PJ, 29 November 2003, p731). Further evidence of concern is concluded in the paper “The National Workforce Census: (3) The part-time pharmacy workforce in Britain”, (PDF 75K) published in the PJ (12 July 2003, p58).

I sincerely hope that a rethink on this catastrophic decision is not too late and that Council members will revise their decision. When once questioned, Winston Churchill said that there was nothing wrong in changing your mind; that showed that you were still thinking.

David R. Thomas
Feltham, Middlesex


Key points need to be addressed

From Mr C. Polwart, MRPharmS

I have read with interest the deluge of letters, which I am sure the Council expected, following the announcement of a 25 per cent increase in pharmacist retention fees (PJ, 14 August, p209). It strikes me that a number of key points have, however, not yet been addressed:

· The Council has stated its reason for increasing the fee is that it is “not prudent to depend to such a large extent on surplus income from publishing activities, which operate in a risk market (PJ, 14 August, p233). The Council needs to explain why it was previously acceptable to rely on income from a risk market, and why this is no longer prudent to do this, otherwise this sounds like financial white-wash.

· Why is the Society able to register technicians at an annual rate of £85 per annum (PJ, 4 September, p329), while it will cost the same organisation £256 per annum to register their colleagues? It is not unreasonable that registration fees should be scaled to take account of income, however, if the increase in pharmacist fees is to compensate for the additional costs of registering technicians the Society needs to be open and honest about this.

· Many pharmacists in the community sector are able to claim their registration fee back from their employer, while few in the managed sector are able to do this. Has the hike in fees resulted from the reduction in pharmacists from the managed sector on the Society’s Council?

· Many of the correspondents have been overseas pharmacists or retired pharmacists who have stated their intent not to renew their registration due to a combination of the rise in fees and the introduction of compulsory continuing professional development. Is the rise in fees to compensate for the expected drop in numbers of pharmacists resulting from the requirement to participate in CPD?

· The Society’s Council is required to have a 60-day period of consultation on changes to the Byelaws (which includes the retention fee.) At the end of the consultation period the Secretary to the Council is required to “report any observations received by him upon the said proposal”. Are letters to The Pharmaceutical Journal reported to the Council as observations, or should the correspondents be addressing their communications to the Secretary of Council?

· According to the report of the Council meeting in The Pharmaceutical Journal, the Council “decided that over the next five years the retention fee will need to be increased” (PJ, 14 August, p233). Should the Council not be setting out its plans for this increase over the next five years? Perhaps a 25 per cent increase would be slightly less of a bitter pill to swallow if the Council was reassuring the membership that increases in the following four years would not exceed a certain level. Or are we to see 25 per cent increases in the retention fee each year for the next five years — which would see the retention fee rise to over £600.

Calum Polwart
Durham


Take a long hard look at the administration

Miss A. D. Pritchard, MRPharmS

I am sure that I share the views of many older, retired pharmacists who have found themselves in my position and who have been called on to provide cover for emergency situations where a pharmacist is urgently required. I am appalled at the changes which are to take place next year. The discontinuation of the part-time fee will mean that many will either opt for non-practising registration or will end their membership. This will create an even greater problem than exists at present.

The statement that pharmacists registered as non-practising cannot give advice I believe will be an even greater incentive for ceasing registration. Having trained as a pharmacist, and worked for many years in various capacities building a considerable background of knowledge and always keeping abreast of developments, one cannot suddenly wipe the slate clean and forget. I believe that the answer will be to cease registration and I shall certainly be considering the position carefully.

I suggest that the Council also considers the implications. If more money is required to run the Society perhaps a long hard look at the administration should be taken. With so many new directors are we not emulating the NHS where there are so many chiefs and not enough indians.

A.D Pritchard
Tarporley, Cheshire

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