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Vol 276 No 7401 p578
20 May 2006

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Leading Articles

Society is fit for the job more
Be vigilant about adverse drug reactions more


Society is fit for the job

Maybe Andy Burnham will turn out to be the best thing for the profession since Lord Hunt, who launched the Pharmacy Plan in 2001. One of the first decisions Mr Burnham, newly appointed minister in charge of pharmacy matters (among other things), has made has been to put on hold the need for primary care trusts to hold lists of employee and locum pharmacists — in addition to pharmacy contractors. The proposals would also have given PCTs powers to decide whether any health care professional on their lists was fit for practice.

This decision has been widely supported by all the major national pharmacy bodies (p581). Until Mr Burnham made the decision, pharmacists in England were faced with the prospect of having to let PCTs within whose boundaries they worked know by the end of June that they were fit for practice.

Whose muddled thinking led to this suggestion? First, it was not clear whether it would be sufficient to make a declaration to one PCT or, in the case of locums who might be engaged in a number, every PCT. Secondly, with the Section 60 Order and associated Rules (p587) already likely to have a historic impact on regulation by the Royal Pharmaceutical Society, the Department of Health could be accused of being over-zealous. Thirdly, if the as yet unpublished Foster review on the regulation of non-medical health professions also demands more, superfluous change, pharmacists might begin to feel they were back at school and being asked to tuck in their shirts or lengthen their skirts.

Mr Burnham has wisely “decided to defer the introduction of NHS supplementary list provisions for community pharmacists, pending the outcome of the consultation and consideration of future requirements for professional regulation as a whole”.

Let us hope that when he comes round to making a further announcement he will throw the whole idea away (along with the Foster review). Protecting the public is what the Government is after and the Society, with its proven track record, is the organisation fit for the job.

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Be vigilant about adverse drug reactions

Amorolfine, the latest POM-to-P switch, comes at the same time as the British Medical Association raised concerns about the need to report adverse drug reactions and the impact on increased patient access to medicines in general (p580).

This is a timely reminder that pharmacists are in the best position to ask patients about all medicines, remedies or supplements they are taking and to be vigilant about reporting any suspected reaction.

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