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Vol 278 No 7443 p296
17 March 2007

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Leading Article

What should a new body do?

Differences of opinion are beginning to emerge among pharmacists about how the Royal Pharmaceutical Society should evolve, as our report of a meeting organised by the Society to discuss the implications of the Government establishing a General Pharmaceutical Council reveals (p297).

Concerns were raised about whether the Society — in royal college mode — should be inclusive or exclusive. Clearly pharmacists at the meeting had different views about what “inclusive” might mean. Some thought the organisation should embrace the spectrum within pharmacy and include pharmacy technicians and pharmaceutical scientists; others thought it should just be open to pharmacists, while yet others suggested membership should be restricted to specialists.

Some of these interpretations may stem from the idea that the Society could be like a medical royal college — but that concept may be muddying the water. Most of these are highly specialised and examinations must be passed, not only for full membership to be obtained but also to be able to apply for senior posts in the NHS. These organisations are largely focused on education and, to that end, are charitable institutions.

Most pharmacists are, in contrast, generalists: there are relatively few specialist pharmacists in practice and even fewer in posts that require a higher qualification. Those few pharmacists might like to see the Society become like the medical royal colleges but it would be unrealistic for most pharmacists to want to join such a body or even aspire to its membership. Indeed, there may be lessons to be learnt from the Royal College of General Practitioners, which struggled in its early years to attract members.

There is some consensus that the body should be sustainable, in which case it needs to be attractive enough for people to want to join if membership is not compulsory. Basic membership might, for example, allow members to attend branch meetings (in future focused on supporting continuing professional development and, in due course, revalidation), to receive The Pharmaceutical Journal and to have access to the library. Pharmacists with a special interest might be able to join a designated group where they would be offered additional services. There might be room for faculties as well, where membership could be conferred through examination or assessment and there could be further benefits for these members. The profession would probably want to find room for students and retired pharmacists as well. Pharmacists might find that pharmacy technicians and pharmaceutical scientists fitted naturally into the fold and, moreover, the profession’s voice might be stronger and louder for having all on board.

So what kind of body might emerge? Instead of worrying who should be in or who should be out, the Council and the profession should ask what they want a professional leadership body to do. Only once the core functions are agreed should the structure be considered. There are many different permutations to be considered but if the profession starts the process of determining its future by excluding groups from the beginning it could find itself failing to grasp all the opportunities.

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