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Vol 280 No 7502 p593
17 May 2008

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Letters

• Professional body (2)
• Terminology
• Ophthalmology
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Letters to the Editor

Professional body

What next? (Mr G. S. Phillips)

Time line poses a risk (Professor H. McNulty)

What next?

From Mr G. S. Phillips, MRPharmS

We should be grateful to Nigel Clarke and his team for an excellent report against a difficult background and in a short timescale. It provides a helpful platform for debate as the Royal Pharmaceutical Society moves towards demerger.

However, Clarke inevitably failed to achieve “the Heineken effect” (reaching out to the width and depth of our profession). I understand that fewer than 150 pharmacists in total attended his road shows. So he heard from the great and the good (and the vested interests) but not the silent majority.

This will not deliver a professional body that enough grassroots pharmacists will feel inspired to join, and pay for, voluntarily. A high (>70%) membership by pharmacists is crucial. If that is not achieved how will the professional body be financially viable or remotely credible as the voice of pharmacy.

The Society’s Council has no plans to simply go ahead and implement Clarke’s 60-plus recommendations. This is clearly recognised in the five-minute guide, “Plans for new professional body pick up pace” (PDF 260K), sent out with last week’s PJ. So the next step is to inform and then listen to the members.

Pharmacists need to debate, to argue, to discuss, to conclude and, ultimately, to vote on what Clarke recommends and the process has already begun. The Society has all the tools for the job: branches, regions, special interest and sector groups and, carefully enshrined within the 2004 Charter, the democratic process that must be followed for changes on the scale proposed.

The use of technology, such as the Society’s website, and pharmacist discussion groups, such as Private-Rx, mean that not one of the Society’s 48,000 members should be excluded from playing a part in the debate or, finally, from voting on the proposals.

As I noted in the Council discussion, (PJ, 3 May 2008, p543) one of the notable absences in Clarke’s report is any consideration of alternative options to a chartered body. This, too, must be discussed and agreed with the members.

But time is short: the creation of two shadow bodies (a regulator and a professional body) must be achieved by the end of 2009 if we are to meet the planned timetable of formal demerger of the Society in January 2010. So we must move forward with the process of transition, in parallel with consultation.

This is a professional matter and is, therefore, for pharmacists alone and, logically, must be led by the democratically elected pharmacist members of Council, working with other stakeholder bodies from within the profession.

It will be crucial, while simultaneously consulting the broad membership, to include bodies like the UK Clinical Pharmacy Association, the College of Pharmacy Practice and the Institute of Pharmacy Management International, which have committed themselves to merge with the new professional body. Council must also ensure the Society’s national boards play their key role here.

To give the process credibility and to ensure transparency it will be crucial to appoint a neutral chair. Nigel Clarke, and no criticism is intended here, cannot perform this role since, otherwise, the transition process will be seen simply to rubber stamp the Clarke report.

There is an interesting parallel here with the Carter report. Lord Carter’s helpful recommendations have been the basis for further debate within and without the profession.

But it is Ken Jarrold, not Lord Carter, whom the Government chose to chair the current Pharmacy Regulation and Leadership Oversight Group, which is overseeing the establishment of the new regulator for pharmacy, the General Pharmaceutical Council.

The Society is working hard to get closer to its members. This is a golden opportunity to help achieve this crucial objective.

Graham Phillips
Member of Council and Chairman, Public Affairs Planning Group
Royal Pharmaceutical Society


Time line poses a risk

From Professor H. McNulty

The Institute of Pharmacy Management (IPM) has some suggestions to help the transitional committee take the Clarke report recommendations forward. The following need to be considered by or under the jurisdiction of the transitional committee in addition to the development of a prospectus:

• The business plan and strategy for the new body

• Implementation and project management arrangements and timelines

• Option appraisals of potential models for different income streams

• Risk assessment of these

• New governance and managerial arrangements

IPM believes that given the above, the time lines proposed for establishing the new body pose significant risk to members, to the regulator, to the professional body and to the public. It can take many months to recruit to senior positions and the plans, structure, governance, titles, duties and function of the posts have to be developed and agreed.

IPM Council is very pleased to see that the Clarke report believes “that the case that management advice is a legitimate area for consideration by the professional body is a compelling one”. IPM suggested a broader role than the management advice.

IPM Council proposes a modification of recommendation 26 for consideration by the transitional committee: “The professional body should work closely with IPM (which might become an integral part of the organisation) to ensure that its members have better access to management qualifications, appropriate standards, education, training, CPD support and advice.”

IPM Council recognises there are organisations interested in or providing management support and would be pleased to hear from groups that share a similar vision. IPM looks forward to working with the transitional committee, The Royal Pharmaceutical Society and other organisations to help meet the challenges and demanding targets for both business planning and the management proposal.

Howard McNulty
General Secretary
Institute of Pharmacy Management International

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