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Vol 277 No 7419 p366
23 September 2006

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Letters to the Editor

The Society

Future of the regions

From Mr M. Bland, FRPharmS

At the June meeting of the Royal Pharmaceutical Society’s Wessex region, one of our designated Council members, Jonathan Buisson (member for England, Isle of Man and the Channel Islands), while giving Council meeting feedback, clarified progress on the formation of the English National Board (ENB). Following questions on the structure and the electoral process, he declared that he was agnostic as to whether the current regional structure should continue. This would introduce four tiers of organisation (Council, board, region and branch) into the hierarchy of Lambeth instead of the existing three tiers. We were given to understand that, although no decision on the future of the regions had been made, it was for the regions to work to justify their continued existence.

Since that time, I have waited for some indication that any form of consultation might take place on the subject. At the 2005 regional secretaries’ meeting, some discussion took place on the subject and we were led to believe that those regions that wished to have an active existence would be supported while those of a different opinion had the freedom to make alternative arrangements.

The Wessex committee has often and regularly expressed the wish to continue its activity and members believe that they are a useful sounding board and conduit of communication between the branches and Lambeth. They believe that it gives Council members the opportunity to explain policy more easily and receive feedback from the branches and members. In addition, the regions are the only organisations that regularly arrange local conferences which, in Wessex, are valued and would be a loss to members.

The committee believes that the ENB might be scheduled to replace the regions but at what cost? In 2007, fee increases have been announced (practising members 6 per cent, premises 9.3 per cent) with the costs partially attributed to the formation of the boards (PJ, 17 August 2005, p199) and it was indicated that there would be five elected pharmacist places from specific areas of practice. It has been confirmed that the 12 members of the board will be able to claim full attendance allowances at existing Council member rates.

It appears from the report of the August Council meeting that there might be diminishing enthusiasm for the structure of the ENB from some members and we are being provided with an additional administrative tier to bring us in line with our colleagues in Scotland and Wales. Ordinary Society members who have never been enthusiastic about the introduction of the ENB will be even less convinced once they appreciate that it could become an additional resource pressure leading to greater than inflation fee increases over future years.

So what is the future of the regions? We have a proven local organisation of regions, the members of which are drawn from their constituent branches where they are active, and are aware of local issues and concerns. The feedback that we have received indicates that these may be allowed to wither on the vine and either be replaced by a more bureaucratic ENB less receptive to local opinion or the ENB will become an extra administrative tier performing some of the existing duties of Council but at an additional cost. In no way will the board replace the regions and one would question whether it was ever intended that it should.

It may be that some branch members might agree that the regions need to disappear or change. I would support a re-examination both of their function and for their boundaries to be redrawn more in line with health service organisations. However, to expect the board to replace them without a full and open discussion would appear to be a step into the unknown.

Mike Bland
Wessex Regional Secretary
Royal Pharmaceutical Society

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