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Vol 278 No 7456 p717
16 June 2007


Society summary


Council members query DoH claims for Carter report

Members of the Royal Pharmaceutical Society's Council have raised questions about Department of Health claims concerning the report of the DoH working party on professional regulation and leadership in pharmacy (the Carter report).

At the June Council meeting, members queried the Department’s description of the working party as independent and its claim that the working party had endorsed the Department’s proposed changes to the regulation of the pharmacy profession.

Members also queried an implication that the working party had been set up with defined terms of reference when in fact the terms of reference had not emerged until the working party had nearly completed its work.

Bob Michell commented on the report’s statement that: “A working party was established under the chairmanship of Lord Carter of Coles with the following terms of reference.” That suggested, he said, that at the first meeting the terms of reference were clear. But, as a matter of historical accuracy, it should be made clear that the terms of reference appeared ad hoc and retrospectively. They did not finally emerge until either the last or last-but-one meeting.

The President said that Professor Michell was correct. Discussion about terms of reference took place from the beginning of the series of meetings and continued until the last meeting.

John Hanlon said that it was important to confirm and minute the fact that the Council had raised that point with the Department of Health.

Douglas Simpson said that the Department of Health press release had claimed: “Historic changes to the regulation of the pharmacy profession announced earlier this year have been endorsed by an independent working party.” He wondered if the President could enlarge on the word “endorsed”. The President and other Council members had been nominees on the working party and he wondered how they felt about the word “endorsed” being used in the Department’s press release.

The President said that the Society had been invited to nominate four people to sit on the working party. It was specified that the President and a lay Council member were part of that group, together with two other Council members. The four had contributed on the basis of that invitation and discussions took place over a number of meetings.

The Secretary and Registrar said that it was a matter for the Department to confirm what it meant by “endorse”, although the Society’s news release had welcomed the publication of the report.

Alan Kershaw said that he was concerned about the use of the word “endorsed” but he was even more concerned about the word “independent”. Of whom was the working party independent, he asked.

The President said that, again, clarification was needed from the Department of Health.

The Council members’ concerns were expressed after the Council had received a verbal account of the Carter report from the Secretary and Registrar, Ann Lewis. She said that the working party report had been published on 15 May, together with the executive summary of an economic evaluation by NERA Economic Consulting and the report of the Department of Health’s seminar at the King’s Fund. The President had indicated that the Society was already working with others to develop a professional leadership body and had stated that the formation of this body should be led by the profession.

The Secretary and Registrar said that the Society wanted several assurances:

• That any new arrangements would bring increased benefit to the public and to the profession

• That any transition would be properly managed and resourced and that there would be no increased risk

• That sustainable and long-term funding arrangements would be in place for both the regulatory and professional leadership functions and that the pharmacy profession and key stakeholders would be fully informed and consulted

• That strong, transparent governance arrangements would be put in place for both regulation and the professional leadership body

The Secretary and Registrar said that, because the Council had not received the working party’s final report in advance of publication, Council members would wish to give it careful consideration. There would be an opportunity to do this when the Council discussed it later in confidential business.

The President said that he wanted to assure the profession that the future of the Society would be determined not by the Secretary of State or any other minister, not by the President or the Officers, not by the Council, not by a general meeting or a branch representatives’ meeting, not by some group of 130 or 140 other bodies but by the Society’s membership. Whatever might happen, members should remember that.

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