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Vol 273 No 7328 p814-815
4 December 2004

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Letters

· New contract (3)
· Oxygen
· Registration exam (3)
· Community pharmacy
· Complementary medicine
· CPD
· The Society (2)
· The Journal (2)


Letters to the Editor

Community pharmacy

Patients are being put at risk

From Mr S. J. Hadley, MRPharmS

In your item “Locums vote with their feet over poor conditions” (PJ, 13 November, p703) I note that Lynsey Balmer, head of professional ethics at the Royal Pharmaceutical Society, urges pharmacists to act on genuine concerns where the safety of patients and the public is at issue. Presumably this is instead of voting with their feet and not going back to pharmacies where poor conditions, lack of support staff and illegal activities are a problem.

In Chemist & Druggist (16 October, p22) there was an article by a locum, David Morgan, expressing just such concerns. I would urge you to read it. I would also urge you to read the letters pages of the subsequent four weeks’ issues for the views of many more locums on these matters.

I am also a locum and I agree with David Morgan and with all of those who have written in about his article. I have worked in places that have been recently inspected and given a clean bill of health. It is just as well I am not an inspector because I would have been tempted to close them down. Obviously there is no point in my reporting any specific concerns to the Society (when it has finished working on guidance to support me in so doing) if the Society’s own inspectors do not see any problems.

If the conditions reported in the article and subsequent letters are true then the safety of patients is at serious risk in a large number of British pharmacies. The introduction of standard operating procedures in such places will be pointless since no one will have the time even to read them. Application of the fruits of CPD will not happen in these places for the same reason nor will there be any extended roles undertaken.

As a locum I am able to work as a pharmacist, to use common sense and to concentrate on getting the work done (and voting with my feet of course). These are luxuries these days. Does the Society really not know why there is a workforce crisis?

Stephen John Hadley
Osbaldwick, York

 

JACKIE GILTROW, chief inspector, fitness to practise and legal affairs directorate, Royal Pharmaceutical Society, replies:

Although I cannot comment on this specific case, I am most concerned to hear that the author has been working in a pharmacy where conditions are such as to impose a serious risk to patient safety. The Society’s inspectorate take their duties seriously and routinely visit every registered retail pharmacy approximately every two years. Where there are serious concerns about the standards of pharmacy premises and serious public safety issues at stake, the inspectors will take relevant action, which may include issuing verbal or written advice and arranging a revisit ahead of schedule to check on progress. In extreme cases enforcement action is taken against pharmacists and/or owners of pharmacies and these cases are considered by the Society’s fitness to practise committees. The inspectors do not have the power to “close premises down” as the power to remove premises from the Register is one reserved for the Statutory Committee following a hearing.

I would encourage any pharmacist working in conditions which pose a serious risk to public safety to come forward and report the details to the Society, in order that appropriate action can be taken and I would be happy to discuss the particular details of this case with the author.

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