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Pharmacists in sport - Royal Pharmaceutical Society

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T H E V I E W F R O M E N G L A N D<br />

Stimulat<strong>in</strong>g times ahead<br />

Brian Curwa<strong>in</strong>, Chairman English Pharmacy Board<br />

AS I WRITE this, the Board<br />

elections are <strong>in</strong> progress and for<br />

the English Board at least, it is<br />

clear that there will be a fair number of<br />

new Board members. I was delighted to see<br />

so much <strong>in</strong>terest <strong>in</strong> this election and hope<br />

that with a large to field to choose from,<br />

members will at last have been stimulated<br />

to vote <strong>in</strong> large numbers. In this piece I will<br />

look at where we have got to and where we<br />

might be go<strong>in</strong>g.<br />

The General <strong>Pharmaceutical</strong> Council <strong>in</strong><br />

its shadow form cont<strong>in</strong>ues to develop. I<br />

know from conversations with the Chair,<br />

and the Chief Executive designate, and<br />

with those who have been appo<strong>in</strong>ted to its<br />

Council, that it fully <strong>in</strong>tends to understand<br />

all branches of pharmacy and the different<br />

environments with<strong>in</strong> which pharmacists<br />

practice.<br />

As part of their <strong>in</strong>duction process I was<br />

asked to describe the work of primary care,<br />

<strong>in</strong>dustrial and veter<strong>in</strong>ary pharmacists. I also<br />

heard great presentations from an em<strong>in</strong>ent<br />

hospital pharmacist and from the Pharmacy<br />

Technicians’ Association, APTUK. I raised<br />

with the organisers that perhaps they need,<br />

on a future occasion, to hear about groups<br />

such as those work<strong>in</strong>g <strong>in</strong> mental health,<br />

secure environments, and the military. This<br />

will be done.<br />

In the autumn, I was lucky enough<br />

to speak at the annual Defence Military<br />

Services (DMS) Pharmacy conference at an<br />

army base somewhere <strong>in</strong> Surrey. Apart from<br />

the pleasure of hav<strong>in</strong>g a soldier put <strong>in</strong>to my<br />

car to show me exactly where to park, and<br />

that of be<strong>in</strong>g conducted smartly across the<br />

parade ground to the venue, I heard about<br />

the truly ground break<strong>in</strong>g work that military<br />

pharmacy does, <strong>in</strong> all three services.<br />

Logistical challenges<br />

The 200 military pharmacy staff, are made<br />

up of service personnel, civilians and<br />

Territorials. Three quarters are technicians,<br />

led by pharmacists.<br />

Apart from the massive logistical<br />

challenges of gett<strong>in</strong>g medical supplies to<br />

very difficult places, pharmacy staff are<br />

<strong>in</strong>volved <strong>in</strong> everyth<strong>in</strong>g from car<strong>in</strong>g for<br />

those with massive and unusual traumatic<br />

<strong>in</strong>juries, susta<strong>in</strong>ed <strong>in</strong> tra<strong>in</strong><strong>in</strong>g and combat,<br />

to more normal primary care roles look<strong>in</strong>g<br />

after the service families <strong>in</strong> this country.<br />

Committed to change<br />

The armed services are rapidly learn<strong>in</strong>g<br />

to appreciate pharmacy’s place <strong>in</strong> military<br />

healthcare and, as announced rather<br />

briefly <strong>in</strong> the PJ, Hilary Toml<strong>in</strong>son has<br />

been awarded the Sir Harold Whitt<strong>in</strong>gham<br />

Memorial Prize by the RAF. This is<br />

awarded annually ‘to the member of the<br />

RAF Medical Services, uniformed or<br />

The theme is around<br />

reduc<strong>in</strong>g the barriers<br />

to fuller collaboration<br />

between community<br />

pharmacists and GPs<br />

civilian, of any rank, who has performed the<br />

most outstand<strong>in</strong>g or orig<strong>in</strong>al contribution to<br />

the practice of medic<strong>in</strong>e <strong>in</strong> the RAF’ <strong>in</strong> the<br />

previous year. Great stuff!<br />

The campaign to decrim<strong>in</strong>alise one-off<br />

dispens<strong>in</strong>g errors has gone well. Currently<br />

the MHRA is writ<strong>in</strong>g guidance for the<br />

Crown Prosecution Service which will say<br />

that it is not normally <strong>in</strong> the public <strong>in</strong>terest<br />

to prosecute. In due course both Labour<br />

and the Tories have committed to a change<br />

<strong>in</strong> the law but this does take time and the<br />

<strong>in</strong>terim guidance to discourage further<br />

prosecutions is an excellent step forward.<br />

What we call the snipp<strong>in</strong>g campaign<br />

(orig<strong>in</strong>al pack dispens<strong>in</strong>g) is also ongo<strong>in</strong>g,<br />

l<strong>in</strong>ked with the NPSA’s desire to see the<br />

use of the bar codes on packs of medic<strong>in</strong>es<br />

<strong>in</strong> the dispens<strong>in</strong>g process. This <strong>in</strong>volves<br />

several other pharmacy organisations<br />

and GP software suppliers as well as the<br />

<strong>Society</strong>.<br />

In my first piece for Pharmacy<br />

Professional I stated that when I qualified<br />

as a pharmacist the drugs were ‘not all that<br />

effective and …. not very dangerous’. A<br />

colleague rang me up to po<strong>in</strong>t out that I was<br />

wrong <strong>in</strong> terms of penicill<strong>in</strong> and diazepam<br />

respectively. Thanks Clive, you are right of<br />

course.<br />

I have great hopes and aspirations for<br />

the <strong>Society</strong> as the professional body for<br />

all pharmacists. We can be much stronger<br />

together than divided up <strong>in</strong>to sectors of<br />

practice. Also, demonis<strong>in</strong>g other health<br />

professions is never helpful and rarely<br />

reflects the reality. We all need to get out of<br />

our silos.<br />

By the time you read this, <strong>Society</strong> staff,<br />

the President and myself will have had a<br />

d<strong>in</strong>ner meet<strong>in</strong>g at the House of Commons<br />

with our colleagues at the <strong>Royal</strong> College of<br />

General Practitioners and a shadow health<br />

m<strong>in</strong>ister. The theme is around reduc<strong>in</strong>g<br />

the barriers to fuller collaboration between<br />

community pharmacists and GPs as a means<br />

of improv<strong>in</strong>g patient safety, quality of care<br />

and cost-effectiveness.<br />

This is a jo<strong>in</strong>t <strong>in</strong>itiative but from where I<br />

sit I am happy to report that the <strong>Society</strong> has<br />

made most of the runn<strong>in</strong>g to date! There are<br />

ways <strong>in</strong> which, even <strong>in</strong> difficult times, the<br />

NHS can facilitate such jo<strong>in</strong>t work<strong>in</strong>g and<br />

we are work<strong>in</strong>g hard to persuade politicians<br />

of all major parties about this.<br />

Safer journey<br />

My own experience of work<strong>in</strong>g with GPs<br />

tells me that they do clearly have the<br />

welfare of their patients at heart and are<br />

receptive to proposals focussed on this.<br />

Discussions need to move on from who<br />

provides what service to seek<strong>in</strong>g ways<br />

of provid<strong>in</strong>g, often jo<strong>in</strong>tly, a better, safer<br />

journey for our shared patients<br />

I would like to thank all the members<br />

of the English Board with whom I have<br />

worked s<strong>in</strong>ce its <strong>in</strong>ception. It has been a<br />

privilege and a pleasure to serve as member<br />

and chairman. We have gone through the<br />

usual processes of a new group, establish<strong>in</strong>g<br />

our role and ways of work<strong>in</strong>g.<br />

Wider profession<br />

It was quite hard at the outset with<br />

significant and understandable tensions<br />

with<strong>in</strong> Headquarters about how th<strong>in</strong>gs<br />

were arranged between the Boards and<br />

the Council. We are over that now, and<br />

the discussions here, and with the wider<br />

profession, about how the <strong>Society</strong> will be<br />

structured and governed <strong>in</strong> the future, have<br />

been exceed<strong>in</strong>gly helpful.<br />

I am most grateful also to those<br />

pharmacists who twice voted for me to<br />

be on the Board. I have been com<strong>in</strong>g to<br />

Lambeth for four out of my 40 years as a<br />

pharmacist and will be both sad and happy<br />

to move on. I will miss its excellent and<br />

dedicated staff, who have handled the recent<br />

changes very constructively, and my Board<br />

and Council Colleagues. I will be happy to<br />

spend more time with my family and as I<br />

approach retirement age, to have more time<br />

for me.<br />

F<strong>in</strong>ally, I wish the new English<br />

Pharmacy Board and its Scottish and Welsh<br />

counterparts all the very best for the future.<br />

You are important to all of us. n<br />

14 Pharmacy Professional | February 2010<br />

February 2010 | Pharmacy Professional<br />

15

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