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Vol 274 No 7345 p442
16 April 2005

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Contract 2005


Draft fitness-to-practise guidance for PCTs published by DoH

Draft guidance on how primary care trusts should interpret the fitness-to-practise provisions of the new pharmacy contract has been published by the Department of Health.

At present, the fitness-to-practise procedures, introduced on 1 April, apply only to contractors but they are expected to be extended to employees and locums later in the year. The guidance has been issued as a draft so that it can be amended in the light of experience as PCTs consider applications.

The document sets out the principles and, in some cases, procedures that PCTs should follow in order to make fair decisions that protect the interests of patients without being unfair to contractors and contract applicants. It states that each case must be dealt with according to individual circumstances and that PCTs must not impose preferences or prejudices or target particular businesses because they appear to fit a stereotype. All decisions should be procedurally robust and likely to be held to be lawful if subsequently subject to judicial scrutiny.

The draft guidance explains how PCTs should interpret the terms “efficiency”, “fraud” and “suitability” in the context of fitness to practise. Efficiency, it says, applies to issues of competence and quality of performance, and fraud to the obtaining of any benefit without entitlement. Suitability is less well defined but can apply to the consequences of decisions taken by professional bodies or courts, to the contents of references and to the absence of sufficient evidence of satisfactory qualifications or experience.

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