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The Pharmaceutical Journal
Vol 274 No 7333 p94-95
22 January 2005


Society summary


The retention fee process for 2005: addressing members’ concerns

Pharmacists are successfully dealing with the new requirements for registering with the Royal Pharmaceutical Society. Ann Lewis, the Society’s Secretary and Registrar, considers progress

This year, for the first time, members of the Society have had to make a decision on whether they should register as practising or as non-practising pharmacists.

Already, some 28,000 members have completed the 2005 registration process. Some 500 members have taken advantage of advice from the Society’s practising helpline before completing their registration.

It is true that some concerns have been raised about new aspects of registration. Some members have made it clear that they are considering the impact of the new requirements of registration on their work as pharmacists and on their continued membership of the Society.

A fee structure to support effective leadership and development

The Society’s financial future depends on a secure income stream and a realistic fee structure, says the Treasurer, John Jolley

A substantial increase in the Society’s expenditure is necessary if it is to fulfil its roles both in the new regulatory framework and in effective development and leadership for the profession. No longer can we expect the surplus generated by Pharmaceutical Press publications to subsidise these costs to the extent that it has done in the past. It is for this reason that we have decided to apply a substantial increase in retention fee for 2005. We have not made this decision lightly and are reviewing all costs over the next five years to ensure the continued financial viability of the Society and underpin effective development and leadership of the profession.

We are currently in the early stages of a five-year financial strategy and while we believe that the fee increase is realistic to maintain the Society, we will be increasingly dependent on fee income to support our activities.

We will keep retention fees increases as low as possible but have to ensure that income from whatever source is sufficient to cover essential expenditure. Only by the efficient management of the Society’s funds and the effective use of resources will we ensure that we deliver the best value in leadership and regulation of our profession.

Help with CPD

I understand that some pharmacists — particularly older members — may initially be uncomfortable with the requirements of the new register and with continuing professional development. The Society is committed to helping members acclimatise to this and our CPD facilitators are working to this end through the branch network. We are addressing pharmacists’ needs through tailored presentations. I, for one, am looking forward to running a session for “mature” pharmacists in Liverpool next month.

Importance of CPD

All practising members who wish to continue working — whether they work part-time or full-time and whatever their age group — will have to come to terms with the requirements for continuing professional development. Some members have expressed their disagreement with aspects of the Society’s CPD framework. However, the importance to the profession of CPD cannot be overestimated and it is vital, therefore, to understand the principles underlying the introduction and implementation of CPD for pharmacists.

Members may be aware that the decision by the Council to introduce mandatory CPD was based on the outcome of a consultation with the profession as part of the Pharmacy in a New Age strategy in 1996. CPD was, and still is, a profession-led initiative.

CPD is now also a Government requirement which arose from the Kennedy report into events at the Bristol Royal Infirmary. The Government is still in the process of making CPD a legal obligation for the pharmacy profession. But the willingness of the profession to embrace CPD is in no doubt, confirmed as it was by a further consultation with the membership in March 2003.

That consultation generated one of the largest ever responses from the profession, of whom a clear majority agreed that there should be:

· Division of the membership register into practising and non-practising sections
· A requirement for non-practising pharmacists to refrain from practice
· A requirement for practising pharmacists to undertake CPD

The principle underlying the new registration requirements is clear and simple — the protection of the public. All practising members seeking registration this year are required to commit to providing evidence of having successfully undertaken CPD. For many, this is not new, except that a record of CPD will have to be submitted to the Society for review. After three to five years, the Society will review evidence of CPD from all practising members in order to confirm their eligibility to practise.

The CPD that a member needs to undertake has to be relevant to his or her occupation and does not have to include clinical practice if this is not part of a pharmacist’s work.

The CPD framework adopted by the Society takes the need for relevance to occupation into account and has been designed for use by practising members whatever their occupation or sphere of pharmacy activity. So, pharmacists working in industry, academia or government should all be able to maintain their CPD records using the Society’s format.

Where a member has to record CPD for the benefit of more than one organisation, it may not be necessary to keep duplicate sets of CPD records if the information can be presented in a way that matches the Society’s requirements.

Non-practising members

Members who responded to the Society’s 2003 consultation on CPD agreed with the principle that pharmacists who have retired or have taken a career break should be able to remain members of the Society and call themselves pharmacists. The Council agreed and the introduction of the “non-practising” category of membership is a direct result.

Non-practising members are not required to undertake CPD and it is therefore not possible for the Society to state with any certainty that a non-practising member maintains his or her professional competence. This is the reason why the Society now requires non-practising members to refrain from engaging in practice and to sign a declaration to that effect.

This requirement has created concerns among some members, particularly some who are in semi-retirement. A number of pharmacists who have retired wish to continue making a contribution to society by giving advice in a personal capacity. In such a case, the distinction between practising and non-practising roles may not be clear and careful consideration will be necessary to ensure that a non-practising member does not stray into practising territory. Pharmacists should consider whether the role is effectively a continuation of practice, in which case their professional responsibility to the Society and to the public requires that they undertake CPD.

Returning to practice

Another concern that has been expressed by members is that it should be possible for pharmacists on the non-practising register to return to practising membership of the Society.

It is anticipated that pharmacists who have been non-practising for up to one year will be able to return to practice on the basis that they have assured themselves of their own competence. But after a year or more out of practice, pharmacists are likely to need to complete a personal development plan relevant to the length of time they have been out of practice and the work that they intend to undertake.

Although it is not possible to be definitive, for many returnees, the personal development plan is likely to include a short period of mentored practice in an appropriate setting.

Revalidation

In future, it is likely that practising pharmacists — like other health professionals — will need to undergo revalidation to demonstrate that they remain competent and fit to practise.

Plans for the revalidation of doctors have been put on hold following a Department of Health announcement in December of a review of the General Medical Council’s proposals for the revalidation of doctors. The decision was triggered by Dame Janet Smith’s comments in the fifth Shipman Inquiry report, in which she voiced concern that the latest GMC proposals for the revalidation of doctors did not adequately cover fitness to practise. This view is bound to have an impact on the shape of revalidation for all health professionals.

A commitment to competence

With this background, it is important for all members to realise that the commitment of the profession to demonstrating the maintenance of individual competence far outweighs the small additional effort involved in recording our CPD.

The Society retains a network of facilitators who are working with branches to support the introduction of CPD. Contact your branch for details of meetings with a CPD focus

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