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Vol 276 No 7401 p581
20 May 2006

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Suspension of supplementary list widely welcomed

Pharmacy groups have welcomed the Department of Health's decision to suspend plans for primary care trusts in England to set up registers of pharmacists who work in community pharmacies (PJ, 13 May, p555).

John D’Arcy, chief executive of the National Pharmacy Association, said that last week’s decision was a sensible move.

“The forthcoming Section 60 Order will be fundamental to how we think about competence as part of a fitness-to-practise regime. It would be sensible for this to be the starting point. Otherwise we risk having two different sets of FTP requirements from PCTs and the Royal Pharmaceutical Society. It would be sensible to look at them together to try to get commonality in the over-arching principles.”

The Pharmaceutical Services Negotiating Committee, too, is pleased that last week’s announcement has put to rest confusion about whether pharmacists should send their details to PCTs that have asked for them.

PSNC head of regulation Steve Lutener said: “We are pleased that the minister has issued this statement which removes the current uncertainty about whether a pharmacist must make his fitness-to-practise declarations by 30 June. Both the Section 60 consultation and the Foster reports are matters that are highly relevant to pharmacists’ fitness to practise provisions, and we believe that it is appropriate to defer any proposed Regulations until those matters have been considered carefully.”

Mandie Lavin, director of fitness to practise and legal affairs at the Royal Pharmaceutical Society, said: “The Society had serious concerns about the planned supplementary lists regulations, which were communicated to the DoH. The main concerns related to potential duplication of effort, lack of clarity about information flow in the event of a fitness-to-practise issue arising and increased bureaucracy at PCT level. The other significant issue was that there appeared to be no evidence that these arrangements would better safeguard the public. The Society will continue to work with the DoH to ensure that patient and public safety is the primary focus of regulation.”

Legislation enabling the registration by PCTs of all pharmacists involved in providing NHS primary care pharmaceutical services was contained in the Health and Social Care Act 2001. The purpose was to enable trusts to take action against pharmacists whose poor or inadequate performance put the public at risk. Similar proposals were made in relation to doctors, dentists and opticians.

Since then, the primary regulatory machinery for each of those professions has come under review through proposed Orders in Council to be made under Section 60 of the Health Act 1999. There has also been an unpublished report on the General Medical Council by chief medical officer Sir Liam Donaldson and one on all the other health regulators by former DoH director of workforce Andrew Foster.

Because of this, health minister Andy Burnham said last week: “We have decided to defer the introduction of NHS supplementary list provisions for community pharmacists, pending the outcome of the [Section 60] consultation and consideration of future requirements for professional regulation as a whole. I will make a further announcement when we have completed this work.”

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