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PJ Online homeThe Pharmaceutical Journal
Vol 278 No 7454 p642-643
2 June 2007

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Letters

• White Paper (4)
• Technicians
• Pseudoephedrine
• Community contract
• Substance misuse
• Dispensing errors


Letters to the Editor

White Paper

New body should not be just the Society rebadged (Mr A. Kershaw)

Let the Society continue in a new form (Mr S. H. Curtis and others)

Profession must decide (Mr J. W. Wood)

Let the Society be preserved (Mr O. A. Fasogbon)

Separating the Society's functions

New body should not be just the Society rebadged

From Mr A. Kershaw

Lord Hunt (PJ, 19 May, p583) is pushing at an open door. There is, to my knowledge, no member of the Royal Pharmaceutical Society’s Council who does not believe that the new leadership body must be broadly based, inclusive of all relevant interests and led by the undisputed leaders of the profession. We are not, as a group, interested in winners and losers, territorial disputes or any kind of land grab.

That the Society must have a leading role in helping the new body to emerge is to recognise not its pre-eminence but its obligations. Since the outset the Society has had both professional (promoting pharmacy) and regulatory (distinguishing between qualified and unqualified practitioners) functions. It is an authoritative — although not the only — voice for pharmacy, a recognised centre of excellence in its own right and the custodian of pharmacy’s heritage.

It has also, through its steadily modernising regulatory work, been a powerful protector of the public interest — driving educational and professional standards, maintaining the definitive Register and dealing effectively with dysfunction.

The challenge now is to move from a body that pharmacists have had to join to one they want to join. This is by no means easy and to say that the Society cannot achieve it alone is simply to state the obvious. It can happen only if all professional interests are fully engaged. That requires the Society and others to put aside sectional interests, catch a vision for the future and (dare I breathe it?) consciously exercise some collective amnesia about the disputes of recent years.

Of course the new body should not be just the Society rebadged. The new start must be plain for all to see. What is needed is the professional equivalent of a cabinet of all the talents. Outstanding professionals who have, for whatever reason, come to distrust the electoral process must be re-engaged. The wisdom of the Society’s fellows (manifest at last week’s inaugural fellows’ dinner) must be tapped ruthlessly. Trust managers must be helped to see that releasing high quality professionals for Society duties is in the interests of their local communities as well as of the public as a whole.

And, there is nothing to be gained by starting discussion on the basis of who should be kept out. Trench warfare would be outdated even on the Antiques Roadshow.

Lay members of the Society’s Council will bring to the table their experience of a wide range of professions and backgrounds. We will do our best to help the debate towards a wise outcome. We will do this in good faith and dispassionately, recognising always that decisions on all this are, ultimately, for the Society’s members.

Lord Carter’s report demonstrates his understanding of all this. Let us read his runes carefully.

Alan Kershaw
Member of Council
Royal Pharmaceutical Society


Let the Society continue in a new form

From Mr S. H. Curtis, MRPharmS, and others

In response to the letter from Lord Hunt (PJ, 19 May, p583), in which he attempts to clarify issues raised regarding the new General Pharmaceutical Council (GPhC) and a body akin to a royal college, my colleagues and I have a number of serious concerns that now arise as a matter of absolute importance.

Although we agree that removing the regulatory function from the Royal Pharmaceutical Society is both understandable and acceptable, we demand that, in addition to the Government funding every aspect of the GPhC, absolute figures are arrived at for costing this separate body. We would also ask where it would be housed, to what extent current staffing and pensions will be transferred and what compensation would be offered to the Society for the diminution of its best assets — its employees.

Furthermore, if the Society is replaced by two bodies (eg, the GPhC and a royal college) we are concerned that membership fees will increase considerably to sustain the function of two new bodies.

Lord Hunt includes the vitally important sentence: “But there should be no doubt that the royal college will be a new body”. This begs the question: What power does Lord Hunt hold that he can personally decree the removal of a royally chartered body, all of its assets, staff, pensions and property, and shut it down, forevermore? We are not sure that anyone can do this, barring perhaps the Queen and the Government together, but certainly not Lord Hunt alone without authority. We demand absolute clarification of this extremely important point: is he threatening the complete extermination of the Society, or are his words weighty but of intent more than authority?

Could Lord Hunt please explain precisely what is so wrong with the Society, without its regulatory role, metamorphosing its Royal Charter and Section 60 Order into a body fit for the new purpose, while retaining its history, its staff, its buildings and pensions and other assets? We accept it will need remarketing and changing by grand design from its core to its skin, but it has so much of value, and means so much to those who have been party to its machinations throughout its lengthy history. We, its members, choose not to destroy it so flippantly, and demand that the threat is rescinded, and the door opened for the Society, in all its glory, to continue its work supporting pharmacy and educating pharmacists, albeit as a new organisation inside an old building.

Steven Curtis
Stanmore, Middlesex
Stephanie Bancroft
Pinner, Middlesex
Shilpa Gohil
London
Shaheen Bhatti
Greenford, Middlesex
Suresh Hirani
Stanmore, Middlesex


Profession must decide

From Mr J. W. Wood, MRPharmS

Lord Hunt, in his letter (PJ, 19 May, p583) correctly points out that leadership of the profession is primarily a matter for the membership of the profession itself to decide. I am, therefore, concerned at his premature conclusion that much of the profession has decided that the royal college will be a new body.

As a young pharmacist I recognise the huge opportunities presented to the profession in the White Paper “Trust assurance and safety — the regulation of health professionals in the 21st century”. This finally gives pharmacy a chance to channel its energy into strong professional and clinical leadership, drawing on the talents of many within the profession.

I also recognise the need not to discard the 160 years of corporate memory, international reputation and intellectual ability of the Royal Pharmaceutical Society. Establishing a new body and destroying the core of pharmacy infrastructure and resources could cost the profession dearly and I do not believe this would be in the best interests of the public or the profession in the long term.

The Society is most definitely best placed to evolve by fundamentally changing structures, functions, identity and the way it is led if it is to fulfil the role of a body akin to a royal college. This process needs to be driven by all those in the profession who have something to bring, inclusive of generalists, specialists and members of the wider pharmacy family.

I share and welcome Lord Hunt’s passion for a “successful, prominent and influential” body to develop and lead the profession forward. However, I believe it is for the members of the pharmacy profession to decide how this is taken forward. I urge everyone to engage in the wide-ranging, ongoing and constructive discussions.

James Wood
Past President, British Pharmaceutical Students’ Association


Let the Society be preserved

From Mr O. A. Fasogbon, MRPharmS

The editorial in The Journal of 5 May (p512) points the way forward for the Royal Pharmaceutical Society. The Society seems to have specialised in cutting off its nose to spite its face, with the erroneous belief that people in the Government will protect its interest. It has consistently failed.

The profession has invested so much in the Society and we have a duty to make it survive.

Yet, I often wonder if the survival of the profession is paramount to our leaders. Their actions and thoughts seem to take our survival as a profession for granted and in the process they endanger our very survival. We have a right to guard jealously our survival as a profession.

Take a look at the pharmaceutical industry. This should be the pharmacists’ domain, we should be the soul of the industry. However, the role of the pharmacist today has been overtaken by others as Qualified Persons. In a recent discussion with a director of one of the big pharmaceutical manufacturers, who is also a pharmacist, he agreed that the pharmacist is the only one trained in every aspect of the plant’s manpower needs, but others have usurped the roles. He went further to say that his company has no direct input or need whatsoever for the Society and he wondered what will happen when an unsympathetic non-pharmacist occupies his position.

This scenario is about to repeat itself with the advent of the all important pharmacy technicians who now are sitting on the pharmacy board in Wales.

Our long-term survival may be in question if the current situation is not resolved in favour of the survival of the Society.

The British Medical Association describes itself on its website as:

• A voluntary professional association of doctors
• Speaking for doctors at home and abroad
• Providing services for its members
• An independent union
• A scientific and educational body
• A publisher
• A limited company funded by its members

The Society should be all of these and more. The only missing role is that of an independent union. Again our uniqueness means the Society has to find a way to represent the employer pharmacists as well as the employee pharmacists.

The Society needs to build on its proud achievements and develop many other areas that it could not develop because of the clog of regulation. The Society, I assure you, will not be short of members.

Pharmacy is a profession which could yet rise to the great heights of its destiny, but only if we recognise its potentials.

There are key areas that the Society has ceded to other bodies like the National Pharmacy Association, Pharmaceutical Services Negotiating Committee and Pharmacists’ Defence Association, the field is now level for the Society to take its rightful position.

Redefining and repositioning itself should not stop the Society from playing its natural key role in the founding of a royal college of pharmacy which will embrace other stakeholders.

Olu Fasogbon
Romford, Essex

 

DAVID PRUCE, director of practice and quality improvement at the Royal Pharmaceutical Society, responds:

The Government White Paper on the regulation of health professionals published in February proposes the creation of a General Pharmaceutical Council (GPhC) to carry out the regulatory functions currently undertaken by the Society. It also called for a body akin to a royal college to provide professional leadership.

Mr Fasogbon clearly feels passionately about the future of the Society and it is important that members engage with the debate and express their views as to what they think a future professional leadership body for pharmacy might look like.

The Society believes that the pharmacy profession must determine the future of its professional body. It is worth reiterating what we have said about what is necessary to underpin the formation of the GPhC and body akin to a royal college.

The new arrangements ought to improve on current structures, leading to both improved public and patient safety and stronger professional leadership for pharmacists.

The transition to a GPhC and the possible establishment of a body akin to royal college needs to be properly managed and resourced.

Structures for both regulation and professional leadership need long-term financial sustainability.

Strong and transparent governance arrangements will be needed for both the regulation and professional leadership of the pharmacy profession. The pharmacy profession and other stakeholders ought to be fully considered and consulted during the process of change.

A great deal of discussion and debate has to take place in order to canvas the profession’s opinion on the White Paper proposals. The Society has hosted a series of stakeholder meetings to discuss the key issues, the most recent being the Society’s branch representatives’ meeting in May.

Latest information on the White Paper discussions

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