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Vol 279 No 7471 p353
29 September 2007

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Letters

• Retention fees (12)
• CPD (2)
• The profession (2)
• Drug misuse
• Community pharmacy


Letters to the Editor

The profession

Do not forget to lobby other local politicians (Mr A. G. B. Jones)

Locums' and employees' views should be heard (Mrs L. K. Gilpin)

Do not forget to lobby other local politicians

From Mr A. G. B. Jones, MRPharmS

Tom Moberly’s article on lobbying politicians (PJ, 22 September, p321) gave many excellent pointers. However, from my perspective, it had a clear omission: the need to lobby local as well as national politicians.

Unless they are in government members of Parliament are restricted to influencing rather than making decisions. However local politicians may well be in a position to make decisions important to pharmacy. Three areas relevant to pharmacy that will see the influence of local politicians increase are “health scrutiny”, “local strategic partnerships” and the development of “seamless care” between primary care trusts and the community care departments of local authorities.

Health scrutiny has become a function of local government since the demise of the community health councils. The role is to monitor local health services and to make recommendations as to how services can be improved.

Local strategic partnerships have been set up to deliver services across the statutory, business and voluntary sectors. They are led by the local authority. Funding and targets come from central government through a mechanism called the local area agreement. Many of the targets are health-related and relevant to pharmacy.

The development of seamless care will lead to more pooled budgets between PCTs and councils and more joint working. As pressure mounts to keep patients at home rather than go into care there is potential for pharmacy to develop and market services in this arena.

Pharmacist intent on lobbying politicians should add their local councillor(s), the chairman of the health scrutiny panel, the chairman of the local strategic partnership (often the leader of the local authority) and the portfolio holder for community care to their lists.

Graham Jones
Leader
West Berkshire Council


Locums' and employees' views should be heard

From Mrs L. K. Gilpin, MRPharmS

Since the new community pharmacy contract was put in place in 2005, it has appeared that many pharmacists are less happy in their work and more stressed than before. This impression was based on anecdotal evidence, together with comments from the postings on pharmacy forums and individual letters in The Journal. Now, however, I believe that evidence is coming together to support this.

A letter from a director of the Pharmacists’ Defence Association drew attention to a pharmacist facing disciplinary proceedings for failing to undertake enough medicines use reviews (PJ, 8 September, p258). Another, from the Listening Friends Scheme, highlighted that many calls to them were from pharmacists experiencing highly stressful work cultures (PJ, 15 September, p292).

At the British Pharmaceutical Conference, Alison Blenkinsopp said that she had found that the new contract had contributed to a substantially increased workload for pharmacists and that 30 per cent of pharmacists reported decreased job satisfaction related to their roles since the introduction of the new contract, to remuneration and to respect received from GPs (PJ, 15 September, p280).

Bearing in mind that employee and locum pharmacists had no vote over the terms of this new contract, I now believe that it has been a source of great stress to many pharmacists and is contributing to the disaffection which many now feel towards their profession.

The high number of pharmacists who responded to the online petition about retention fees is not, I contend, just a message about money but is in some cases a message of an underlying unhappiness with the practice of pharmacy as a whole.

Pharmacists feeling unhappy, disenfranchised and remote from the decision-making apparatus of pharmacy does not bode well for pharmacy in the long term. Every opportunity to include pharmacists from the grass roots in decision-making bodies should be taken.

A letter, however, regarding the inclusion of such pharmacists in the Professional Regulation and Leadership Oversight Group that I wrote to Dawn Primarolo and copied to Keith Ridge, has so far not had the benefit of a reply, which I fear reflects official attitudes.

At every step towards the future, be it the White Paper consultation or plans for the long term, great effort should be made to contact and include the views of employee and locum pharmacists.

Lindsey Gilpin
English Pharmacy Board
Royal Pharmaceutical Society

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