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Vol 280 No 7496 p385
5 April 2008

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The Clarke Inquiry Report


Clarke says Society will be part of professional body

The Royal Pharmaceutical Society should form an integral part of the future professional body for pharmacy, Nigel Clarke’s inquiry on the matter has concluded.

In its report published this week, the Clarke Inquiry says it agrees, on balance, with the many respondents who said the Society should form a major part, and describes it as “the only pragmatic solution if there is to be a new body in place by 2010 or for some years thereafter”.

However, it acknowledges that this was not the only view: “It is fair to say that feelings are strong and the timing of our consultation not ideal, following as it did the Society’s own consultation on a significant fee increase. There were some who, in anger at that fee increase, or a more longstanding disillusionment with the Society, wanted the Society to play no part, other than passing on its assets, in the new professional body.

“Others, including significant organisations, took the view that this enforced change was an opportunity for a radical rethink of what a professional body could be and that this should not be hampered by historical baggage.”

The inquiry recommends that the Society should set up a transitional committee —with an independent chairman and including major stakeholders — charged with overseeing the preparation for a new professional body. The inquiry believes that its proposals can be achieved within an amended Charter.

Additionally, the inquiry suggests distinct membership categories for pharmacists registered with the General Pharmaceutical Council, registered pharmacy technicians, pharmacy students, preregistration trainees, non-practising and retired pharmacists, pharmaceutical scientists, academics in related fields and overseas applicants with relevant qualifications.

“Much of the debate,” it says, “was principally about whether or not technicians should be part of the organisation, because in the main they do not have degrees and there is a potential conflict of interests. We take the view that a capable professional body could readily cope with such tensions and that the balance of advantage to the profession lies in an inclusive approach.”

The inquiry says that the degree to which the professional body would be involved, in partnership with the GPhC, in setting standards generally and for undergraduate, preregistration and post-registration education, as well as revalidation, would depend on how well it could demonstrate its own credibility.

“It should seek to be a central force for promoting education thinking in pharmacy and have sufficient capacity and expertise to engage and work with the key education stakeholders,” the inquiry report states.

However, in terms of revalidation, it says the organisation should “have no role in policing the system but should develop systems to give confidence and assistance to members”.

Society President Hemant Patel commented: “Nigel Clarke and his inquiry team are to be congratulated on consulting widely and reflecting the full range of views they received in a thoughtful and comprehensive report. They extended their consultation period to allow as many individuals and organisations as possible to take part.”

Future “can’t be dictated by Society”

Nigel Clarke

Nigel Clarke

Inquiry chairman Nigel Clarke said at the launch of the inquiry report in London this week that he was impressed by the care, thought and debate that went into people’s responses to inform the consultation. He said that his role was now over and that it was now for the profession to decide the way forward.

Notwithstanding the Royal Pharmaceutical Society’s now-ensured involvement, Mr Clarke said that the future professional body existing from 1 January 2010 would need to be a new entity.

“The fundamental thing is, the next stage can’t just be dictated by the Society. It has to actively involve, with a sense of ownership, a wider range of organisations within the profession coming together with the Society to create the new body,” he told the press.

“We heard at length from the profession about the need for leadership. We have made quite clear that needs to be a major part of the new professional body. We heard loud and clear that the profession do believe there has not been sufficient leadership in recent years.”

But he added: “It was suggested before we started that … if you had your professional body and regulator in the same organisation, the professional body inhibited the function of regulation. I’m afraid that our findings very clearly were the other way round — regulatory function inhibits the professional body. And that has been very difficult for the Society.”

Mr Clarke believes that “the new professional body will not succeed unless it achieves a significant level of membership from day 1”, adding that the organisation would need to be seen to be managed effectively as well as offer value for money to prospective members.

He made clear that the Society had not interfered with the inquiry process, pointing out that he would not have taken on the inquiry unless it had been independent and that the inquiry report was edited by no one outside the inquiry team.

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