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PJ Online homeThe Pharmaceutical Journal
Vol 280 No 7498 p472
19 April 2008

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Letters

• The Society
• Council election (3)
• White paper (2)
• Professional body
• Combivent discontinuation
• Community pharmacy
• Medicines use reviews
• Controlled Drugs
• Workload
• Extended services
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Letters to the Editor

White Paper

Protect funding to realise the potential (Professor N. D. Barber)

Call for pharmacy to expand clinical practice (Dr C. A. Duggan)

Protect funding to realise the potential

From Professor N. D. Barber, MRPharmS

I welcome the findings of the Clarke Inquiry and the contents of the White Paper. The Clarke Inquiry team are to be congratulated on drawing together a wide range of views into a promising way forward.

My views (I wrote the School of Pharmacy submission to the inquiry) were a bit more radical, but I recognise the pragmatism of the inquiry solution. The professional leadership element of the Royal Pharmaceutical Society’s role may need to continue to maintain the important “Royal” title and to deal with assets.

However, to survive it will need to create a true partnership with the other leadership bodies. It will have to restructure and develop significantly if it is to hold the trust of members and be able to offer an acceptable membership fee.

The White Paper has been cannily written and bears close reading, as it contains a number of useful levers as well as future roles. Providing commissioners are effective, it should mark a significant development in community pharmacy’s clinical role.

The schools of pharmacy are recognised as being key to the development of the profession in both the Clarke Inquiry and the White Paper. It is pleasing to see from the Department of Health impact assessments that underpin the White Paper that research from my department and other schools has been used to vindicate some of the roles suggested; pharmacy practice has developed rapidly as an academic discipline since it started in the early 1990s.

The schools of pharmacy can form the basis of a network of education, communication and leadership round the countries. I, with Peter Noyce at the University of Manchester, have been in communication with colleagues in other schools and there is an appetite among them for a network of practice leads. I have had a verbal offer of funding to support a national meeting, and I am just waiting for confirmation of this before seeking dates.

Pharmacy suffers from underfunding of practice research when compared with other professions. In a climate of evidence-based health policy-making, this disadvantages us significantly. This is recognised in the White Paper and this week I will meet Sally Davies, director general of research and development for the DoH, to argue our case for ring-fenced funding.

The White Paper will stand a far greater chance of being effective if we have a vigorous leadership body; let us hope we can create one.

Nick Barber
Professor of the Practice of Pharmacy
The School of Pharmacy, London
Council Election Candidate


Call for pharmacy to expand clinical practice

From Dr C. A. Duggan, MRPharmS

Opportunities abound for us as a profession. The White Paper, “Pharmacy in England — building on strengths, delivering the future”, sets out a vision for our profession to meet health and social challenges with innovative, evidence-based services.

At the heart of the paper is a call for increased provision of clinical services across all sectors and specialisms in pharmacy. Dawn Primarolo states: “We need to ensure that pharmacists’ clinical skills and expertise are an integral part of delivering patient services and to tackle health inequalities and promote healthier lifestyles.”

Newly qualified pharmacists will be better able to apply pharmacy science in the practice of pharmacy at the point of registering through the move towards integrating clinical practice into the undergraduate degree.

Pharmacists will be able to deliver an appropriate level of care to patients regardless of sector of practice and be able to demonstrate their knowledge and skills, facilitated by integrated postgraduate programmes.

In addition, many of the specialist groups in our profession have been providing education and training study days and conferences for many years — the UK Clinical Pharmacy Association being a key example.

What we need now is to join forces through an effective leadership body to ensure all these efforts are combined and that the entire pharmacy workforce is enabled, equipped and supported to deliver general and advanced practice in all healthcare sectors, to meet the challenges laid out in the White Paper.

We need to harness the breadth of specialties in pharmacy across all sectors, together with a broad vision for our profession from a leadership body, a body that seeks to break down sectors and tribes so that we all work together for patients and the public.

We now have an opportunity to develop the recommendations of the Clarke Inquiry to develop the cornerstone of our leadership body. Let the profession work together to make the leadership body one that we want to join.

Catherine Duggan
Chairman, UKCPA
Council Election Candidate

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