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PJ Online homeThe Pharmaceutical Journal
Vol 276 No 7396 p442
15 April 2006

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· Palliative care
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Letters to the Editor

The Society

Why may I not use my PhC title? (Mrs D. M. Apps)

Fitness-to-practise agenda could be damaging to the public and the profession (Mr M. Koziol)

Why may I not use my PhC title?

From Mrs D. M. Apps, MRPharmS

I have been in correspondence with the legal department of the Royal Pharmaceutical Society and I have been advised that, should I retire from membership of the Society, I will be unable to use the title “PhC” because it is a restricted title under The Medicines Act 1968.

Although I can accept that I would no longer be able to use the title “MRPharmS” (unless I remain on the Register as a non-practising member and I qualify the title), I find it difficult to understand why the title “PhC” should be any more restricted than that of my colleagues with degree qualifications, eg, BPharm or BSc (Pharm), which I understand can be used with no restrictions, whether or not the holder remains on the Register.

I believe that either all the pharmaceutical qualifications should be similarly restricted or the conditions of the Medicines Act 1968 should be reviewed so that the title of “pharmaceutical chemist” is no longer a restricted one. Without membership of the Society and the title “MRPharmS”, surely the qualification of PhC would only be recognised by those who are aware of its existence, and the general public, whom the Medicines Act sought to protect, would not make any association with a practising pharmacist.

The legal department has been unable to offer any satisfactory explanation for the anomaly and gave no reason why the degree qualifications should not be similarly classified as “restricted”.

I realise that the number of members with my qualification is dwindling, but I would be interested to hear the opinions of others who may agree with me that their Society would appear to be penalising those members who hold the Society’s own qualification.

Diana M. Apps
Weymouth, Dorset

 

PHILIP GREEN, deputy secretary and registrar, Royal Pharmaceutical Society, replies:

The Medicines Act 1968, Section 78, restricts the use of certain titles. Section 78(5)(a) states that no person who is not a pharmacist shall take or use any of the following titles, that is to say, pharmaceutical chemist, pharmaceutist, pharmacist, member of the Pharmaceutical Society and Fellow of the Pharmaceutical Society. As Mrs Apps states, the PhC is not a degree which would have a free standing status. PhC is a recognised abbreviation of pharmaceutical chemist — as such it is a designation, not a degree, is encompassed by the Medicines Act, and cannot be used by anyone who is not on the Register.


Fitness-to-practise agenda could be damaging to the public and the profession

From Mr M. Koziol, MRPharmS

Graham Southall-Edwards (PJ, 18 March, p322), Gordon Appelbe (PJ, 4 March, p264) and others have expressed concern about the relentless focus on what has become known as the fitness-to-practise agenda. The idea seems to be that if the Royal Pharmaceutical Society can be a tough regulator, then not only will it be seen in a good light by the Council for Healthcare Regulatory Excellence, but it will also benefit patients throughout the land.

In some respects this focus on regulation may actually be against the public interest and could yet prove to be the undoing of the Society for a number of reasons:

· While the inspectorate is spending so much of its time on formal PACE (Police and Criminal Evidence Act) interviews and heavy-duty investigations of so many less-than-serious matters, few of them are finding the time to advise, support and generally help pharmacists in the practice of their profession as they used to only a few years ago. This is surely to the detriment of the profession and the public.

· These days, increasing numbers of pharmacists who have previously had an unblemished record are being embroiled in unpleasant and lengthy Society investigations. Often, this is motivated by nothing more than a patient who is pursuing a compensation claim or even because the patient considers that the pharmacist has been rude to him. Worryingly, this process has the effect of creating a disproportionately high level of stress on the professional and personal lives of these pharmacists. We are aware that subsequently some of these pharmacists choose to cease practising or even to leave the profession altogether. This results in the loss of decent, hard working and experienced practitioners at a time when they are desperately needed by the profession and public alike.

· It may be that the Society will split into two — one side membership and the other side regulation. If this were to occur, and if the Government were to take on regulation, then membership of the Society could become voluntary. In such an instance, I wonder how many pharmacists would contemplate joining a body that hitherto took them to task so severely?

The Society would serve the public’s interest much more effectively if it focused on helping pharmacists to improve their practice. There are plenty of areas where the Society’s attention would deliver immediate benefits to the public, such as tackling the dangers of inadequate staffing levels in community pharmacies or, in our view, lobbying the Government to stop the Health Act proposal to allow a pharmacy to operate in the absence of a pharmacist. These are the types of issues that will make an immediate and tangible difference to patients.

Many of the health care professional bodies have, rather like rabbits caught in headlights, been unable to challenge some of the less sensible aspects of the Government’s tough stance on regulation due largely to the impact of the actions of one man — Harold Shipman.

I hope that it will not take too long for them to galvanise their thinking and articulate a simple truism — a tough regulatory mantra is no substitute for a well-developed, supportive and positive practice support agenda.

Mark Koziol
Chairman
Pharmacists Defence Association

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