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Vol 274 No 7352 p669
4 June 2005

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Society issues response to the fifth Shipman report

The Royal Pharmaceutical Society has issued its response to the Fifth Report of the Shipman Inquiry chaired by Dame Janet Smith.

The Society broadly welcomes the report’s recommendations, many of which it believes have implications for the regulation of all health care professionals. In particular, it supports the view of the principles and aims that should underpin a health care regulator’s fitness-to-practise procedures. These are that the procedures must be: capable of scrutiny; transparent; thorough, careful and of high quality; properly resourced in every aspect; performed by persons who are suitably qualified and properly trained to carry out the procedures.

The Society’s response does, however, raise a number of concerns about the recommendations. For instance, the Society believes that the wider implications of the recommendations need to be considered, in particular their implications for secondary care and the impact that any changes will have on arrangements in Scotland and Wales.

The Society is also concerned about the regulations not being flexible enough, creating a risk-adverse culture that would curtail innovation and creativity in the pharmacy profession. The Society also rejects the report’s suggestion that provisions should be subject to primary legislation and rules, since this is, the Society argues, contrary to the aims of trying to achieve simple and flexible legislation and reserving operational matters to guidance documents. The recommendation that primary care trusts should be able to issue warnings to GPs and impose financial penalties on them also raises concern from the Society, which argues that clinical judgements that are in an individual patient’s interest may be at variance from disseminated guidance and that any complaints system needs to recognise this.

The Society disagrees with the report’s recommendation that consideration should be given to appointing a body of full-time, or nearly full-time, panellists who could sit on fitness-to-practise panels of all the health care regulatory bodies. “Having professionals from similar professional backgrounds as part of the judgement process provides an important safeguard for both the public and the professional,” the Society argues.

The response is available via the fitness-to-practise section of the Society’s website.

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