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n e w s r o u n d u p<br />

m e D I A v i e w<br />

New conference for<br />

new-look <strong>Society</strong><br />

Professional support for memebers<br />

Sam Lister, Health Editor, The Times<br />

Under pressure? - Look at the USA<br />

Obama’s healthcare plan <strong>in</strong> pieces<br />

In step with its chang<strong>in</strong>g face as<br />

a professional body, a brand new<br />

conference is be<strong>in</strong>g launched by the<br />

<strong>Royal</strong> <strong>Pharmaceutical</strong> <strong>Society</strong>, to be held at<br />

Imperial College <strong>in</strong> London on Sunday and<br />

Monday September 5 and 6.<br />

Carry<strong>in</strong>g the theme “Support<strong>in</strong>g Patient<br />

and Professional Decision-Mak<strong>in</strong>g”, the RPS<br />

Conference 2010 is replac<strong>in</strong>g the British<br />

<strong>Pharmaceutical</strong> Conference (BPC) and has a<br />

specialised focus on front l<strong>in</strong>e <strong>pharmacists</strong><br />

and practice.<br />

The RPS Conference 2010 will showcase<br />

how the <strong>Society</strong> as the new professional<br />

leadership body is support<strong>in</strong>g its members<br />

to develop their professional, practice and<br />

leadership skills. It will provide an important<br />

opportunity for <strong>pharmacists</strong> to learn about<br />

the latest practice developments from across<br />

Great Brita<strong>in</strong>, develop their skills and network<br />

with peers and leaders <strong>in</strong> the profession.<br />

It will also explore how <strong>pharmacists</strong><br />

can tackle issues professionally as their<br />

cl<strong>in</strong>ical role <strong>in</strong>creases and will provide an<br />

enlighten<strong>in</strong>g forum for <strong>in</strong>-depth and multiprofessional<br />

discussions that will br<strong>in</strong>g<br />

practical solutions to life.<br />

The science element of BPC will now be<br />

run at a separate conference held by the<br />

Academy of <strong>Pharmaceutical</strong> Sciences (APS)<br />

for pharmaceutical scientists, although the<br />

RPS conference will also ma<strong>in</strong>ta<strong>in</strong> a “science<br />

<strong>in</strong>to practice” element.<br />

“I’m delighted to officially announce our<br />

new conference, which is at an excellent<br />

London venue,” says RPSGB Chief Executive<br />

Jeremy Holmes.<br />

“The two-day programme focuss<strong>in</strong>g on<br />

professionalism and pharmacy practice has<br />

been developed to reflect the major changes<br />

<strong>in</strong> the profession and has a real emphasis on<br />

a pharmacist’s role as a public-fac<strong>in</strong>g health<br />

professional.”<br />

The programme will be led by Conference<br />

Chair, Professor Marjorie Weiss, Professor<br />

of Pharmacy Practice & Medic<strong>in</strong>e Use at the<br />

University of Bath, together with professional<br />

leads from the <strong>Royal</strong> <strong>Pharmaceutical</strong> <strong>Society</strong><br />

and its membership.<br />

Thought-provok<strong>in</strong>g<br />

sessions to empower<br />

your professional<br />

and leadership skills<br />

Marjorie says; “This is a not-to-be-missed<br />

event for <strong>pharmacists</strong> and will showcase<br />

the latest practice research. It will feature<br />

thought-provok<strong>in</strong>g sessions to empower<br />

your professional and leadership skills<br />

through network<strong>in</strong>g and workshops which<br />

will be both <strong>in</strong>spir<strong>in</strong>g and <strong>in</strong>teractive.”<br />

The <strong>Society</strong> is now call<strong>in</strong>g on contributions<br />

<strong>in</strong> any area of pharmacy practice research for<br />

the conference, either as an oral or poster<br />

presentation. Research and development <strong>in</strong><br />

cl<strong>in</strong>ical pharmacy and education will also be<br />

considered.<br />

Submissions should be either for the<br />

‘’practice development and audit’ or<br />

‘practice research’ category. It should<br />

relate to orig<strong>in</strong>al, previously unpublished<br />

work contribut<strong>in</strong>g to the understand<strong>in</strong>g,<br />

development or evaluation of pharmacy<br />

practice.<br />

Meanwhile, nom<strong>in</strong>ations or applications<br />

for the Practice Research Award at the<br />

<strong>Society</strong>’s Conference 2010 are be<strong>in</strong>g <strong>in</strong>vited<br />

for consideration by the conference Practice<br />

Research Panel.<br />

This prestigious award, sponsored by the<br />

Pharmacy Practice Research Trust, recognises<br />

<strong>in</strong>dividuals who have made a significant<br />

contribution to the field of pharmacy<br />

practice research and who have the potential<br />

to become a leader <strong>in</strong> the field.<br />

The 2009 award went to Dr Darren<br />

Ashcroft, Reader <strong>in</strong> Medic<strong>in</strong>es Usage<br />

and Safety, School of Pharmacy and<br />

<strong>Pharmaceutical</strong> Science at the University<br />

of Manchester for his work <strong>in</strong>to medic<strong>in</strong>es<br />

usage and <strong>in</strong> particular quality and safety.<br />

Dr Ashcroft said: “The Practice Research<br />

Award recognised my research and work<br />

over the last 10 years study<strong>in</strong>g drug related<br />

morbidity <strong>in</strong> the UK and its development<br />

<strong>in</strong>to a wider European context. W<strong>in</strong>n<strong>in</strong>g this<br />

award meant a lot to me.”<br />

Typically, applicants should be at the midpo<strong>in</strong>t<br />

of their career (e.g. Senior Lecturer<br />

or Senior Research Fellow). The w<strong>in</strong>ner will<br />

receive a cheque for £1000 and have the<br />

opportunity to deliver a 30-m<strong>in</strong>ute lecture at<br />

the <strong>Society</strong>’s Conference 2010 <strong>in</strong> September,<br />

based primarily on the applicant’s own<br />

research.<br />

Beth Allen, Act<strong>in</strong>g Director of the<br />

Pharmacy Practice Research Trust said: “The<br />

Trust is pleased to cont<strong>in</strong>ue its support for<br />

this award. It complements so well our<br />

objective of develop<strong>in</strong>g and promot<strong>in</strong>g<br />

academic excellence <strong>in</strong> pharmacy practice<br />

research. S<strong>in</strong>ce we started our support of<br />

this award the two recipients, Dr Margaret<br />

Watson and Dr Darren Ashcroft, have<br />

proved to be worthy w<strong>in</strong>ners through their<br />

cont<strong>in</strong>u<strong>in</strong>g significant contributions to<br />

pharmacy practice research.” n<br />

The clos<strong>in</strong>g date for receiv<strong>in</strong>g abstracts for<br />

the conference and/or applications for the<br />

award is 5pm on Tuesday April 13. For full<br />

details visit http://beta.pharmacyplb.com/<br />

events-and-courses/the-royal-pharmaceuticalsociety-conference-2010.asp<br />

The woes and warn<strong>in</strong>gs<br />

associated with<br />

healthcare <strong>in</strong> the UK<br />

may be troubl<strong>in</strong>g, but spare a<br />

thought for the Americans.<br />

The United States, the only<br />

<strong>in</strong>dustrialised nation that does<br />

not guarantee health coverage<br />

for all its citizens, is fast head<strong>in</strong>g<br />

for the critical list with its<br />

health system ailments. Some<br />

47 million people are without<br />

<strong>in</strong>surance, medical costs are<br />

ris<strong>in</strong>g, doctors’ bills cause most<br />

personal bankruptcies and its<br />

federal programme for the<br />

elderly is unsusta<strong>in</strong>able. For<br />

all its cl<strong>in</strong>ical <strong>in</strong>novation, the<br />

world’s most affluent nation can<br />

be a tough place to get ill.<br />

Barack Obama acknowledged<br />

as much <strong>in</strong> mak<strong>in</strong>g healthcare<br />

his top priority on enter<strong>in</strong>g the<br />

White House. He promised<br />

change, mak<strong>in</strong>g healthcare a<br />

fundamental right. Insurance<br />

would be mandatory, either<br />

through a person’s employer or<br />

a government scheme. There<br />

would be tighter regulation<br />

(stopp<strong>in</strong>g <strong>in</strong>surers refus<strong>in</strong>g<br />

to cover people with preexist<strong>in</strong>g<br />

conditions or dropp<strong>in</strong>g<br />

them when they get ill). New<br />

mechanisms would control<br />

treatment and drug prices,<br />

while a voluntary <strong>in</strong>surance<br />

programme would be offered for<br />

long-term care.<br />

Perfect storm<br />

It was a big wish-list, but all<br />

seemed to be go<strong>in</strong>g to plan.<br />

By the start of this year, the<br />

Obama adm<strong>in</strong>istration had<br />

sign-offs from the House of<br />

Representatives and the Senate.<br />

It looked like they could trip<br />

and still stumble over the f<strong>in</strong>ish<br />

l<strong>in</strong>e. And then, <strong>in</strong> a perfect<br />

storm of poor politick<strong>in</strong>g, the<br />

Democrats failed to quell ris<strong>in</strong>g<br />

anger over the cost and structure<br />

of the programme, added <strong>in</strong><br />

some cynical <strong>in</strong>surance caveats<br />

to please their union backers,<br />

and then contrived to lose<br />

Ted Kennedy’s Massachusetts<br />

Senate seat (and with it their<br />

all-important vot<strong>in</strong>g “supermajority”).<br />

A few months on,<br />

and Barack’s grand plan for<br />

healthcare is <strong>in</strong> pieces.<br />

Th<strong>in</strong>k-tanks<br />

argued over<br />

excessive<br />

federal control,<br />

and the<br />

government’s<br />

suitability to<br />

regulate quality<br />

and costs<br />

On a recent trip to<br />

Wash<strong>in</strong>gton DC, I met with<br />

legislators, pollsters and<br />

commentators from across the<br />

political spectrum who threw<br />

light on this extraord<strong>in</strong>ary turn<br />

of events. It also offered ideas<br />

on ways forward – and a lesson<br />

learnt from the country’s recent<br />

pills and pharmacy legislation.<br />

There was broad agreement<br />

that an overhaul of healthcare<br />

is a must. Tom Daschle, the<br />

Democrat former Senate majority<br />

leader, put it simply: the US does<br />

not have a healthcare system; it<br />

is an amalgam of market forces<br />

which do not prioritise quality.<br />

Republican congressman Charles<br />

Boustany, a cardiothoracic<br />

surgeon, po<strong>in</strong>ted to flaws <strong>in</strong> the<br />

way hospitals and doctors were<br />

paid – reward<strong>in</strong>g patient numbers<br />

over best practice. Th<strong>in</strong>k-tanks<br />

argued over excessive federal<br />

control, and the government’s<br />

suitability to regulate quality<br />

and costs, while some even<br />

questioned healthcare as a<br />

fundamental right. There is, as<br />

Newsweek columnist Robert<br />

Samuelson observed, an <strong>in</strong>tr<strong>in</strong>sic<br />

part of the American psyche that<br />

demands autonomy.<br />

An overarch<strong>in</strong>g theme was<br />

the sheer size of Obama’s<br />

legislation: it is too unwieldy,<br />

too all consum<strong>in</strong>g, too divisive<br />

and too poorly unpacked and<br />

expla<strong>in</strong>ed to the public. While<br />

Americans cont<strong>in</strong>ue to lose their<br />

jobs, sweep<strong>in</strong>g trillion-dollar<br />

healthcare reform is the wrong<br />

priority (a po<strong>in</strong>t acknowledged<br />

<strong>in</strong> its B-league position <strong>in</strong> the<br />

State of the Union address).<br />

However close th<strong>in</strong>gs came<br />

to be<strong>in</strong>g passed, those on the<br />

political frontl<strong>in</strong>e now doubt<br />

any great health overhaul will<br />

be signed with a s<strong>in</strong>gle stroke of<br />

the legislative pen.<br />

A lunch with Mark McClellan,<br />

a senior fellow of the Brook<strong>in</strong>gs<br />

Institution, offered clues<br />

as to what next. McClellan<br />

served both Cl<strong>in</strong>ton and Bush<br />

adm<strong>in</strong>istrations, most recently<br />

runn<strong>in</strong>g Medicare and Medicaid,<br />

the federal programmes cover<strong>in</strong>g<br />

the elderly, disabled and the<br />

poor. In this role, he oversaw the<br />

<strong>in</strong>troduction of a new benefits<br />

scheme for prescription drugs,<br />

designed to ensure patients could<br />

afford the treatments they need<br />

at their pharmacies. The scheme<br />

offered <strong>in</strong>itial coverage of up to<br />

$2,250, with extra allowances<br />

where required. Money that<br />

went unused was reabsorbed <strong>in</strong>to<br />

the patient’s benefits package,<br />

encourag<strong>in</strong>g sensible claims and<br />

spend<strong>in</strong>g.<br />

Generic drugs<br />

The legislation was big, but<br />

specific enough to avoid the<br />

reform-stall<strong>in</strong>g divisions that<br />

have scuppered past attempts<br />

to reshape healthcare. It got the<br />

votes needed. McClellan said<br />

that s<strong>in</strong>ce implementation <strong>in</strong><br />

2006, the use of generic drugs<br />

has risen from half to 70%,<br />

while the cost of prescription<br />

claims has dropped by 40%.<br />

Others backed his assertion that<br />

it had improved coverage and<br />

brought some sav<strong>in</strong>gs.<br />

As President Obama and his<br />

team chew over the healthcare<br />

year ahead, they might look to<br />

this lesson: dump plays at vast<br />

reform and go for <strong>in</strong>cremental<br />

shifts – or risk miss<strong>in</strong>g out<br />

entirely on the change so sorely<br />

needed.<br />

Food for thought across the<br />

pond too. For all its monolithic,<br />

multi-layered structures, the<br />

NHS can be a pleasantly simple<br />

place. n<br />

l Sam Lister is Health Editor of<br />

The Times. An award-w<strong>in</strong>n<strong>in</strong>g<br />

former health correspondent<br />

and news editor, he has covered<br />

the NHS and medical workforce<br />

through reformation and revolt<br />

and groundbreak<strong>in</strong>g advances<br />

<strong>in</strong> cl<strong>in</strong>ical practice and disease<br />

control.<br />

10 Pharmacy Professional | March 2010<br />

March 2010 | Pharmacy Professional<br />

11

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