Annex F: Consultation response form Health Care and Associated Professions: Setting standards – proposals for consultation Please fill in and/or tick the appropriate response. Completed forms should be sent to info@chre.org.uk Name East Sussex Local Pharmaceutical Committee Contact address 2 Nevill Ave, Hampden Park, Eastbourne Postcode BN22 9PT Contact telephone 07770 430186 Email vanessam.taylor@btopenworld.com Confidentiality: Information provided in response to this consultation, including personal information, may be published or disclosed in accordance with the access to information regimes (these are primarily the Freedom of Information Act 2000 (FOIA), the Data Protection Act 1998 (DPA) and the Environmental Information Regulations 2004). If you want the information that you provide to be treated as confidential, please be aware that, under the FOIA, there is a statutory Code of Practice with which public authorities must comply and which deals, among other things, with obligations of confidence. In view of this, it would be helpful if you could explain to us why you regard the information that you have provided to be confidential. If we receive a request for disclosure of the information we will take full account of your request, but we cannot give an assurance that confidentiality can be maintained in all circumstances. An automatic confidentiality disclaimer generated by your IT system will not, of itself, be regarded as binding on the CHRE. The CHRE will process your personal data in accordance with the DPA and, in the majority of circumstances; this will mean that your personal data will not be disclosed to third parties. The information you send us will be passed on to colleagues within the Department of Health and may also be passed on to colleagues within other Health Departments or published in a summary of responses to this consultation. I do not wish my response to be passed to other UK Health Departments I do not wish my response to be published in a summary of responses Please indicate all the countries to which your comments relate: X UK and/or Scotland X England Wales Northern Ireland Are you responding: as a member of the public as a health or social care professional X on behalf of an organisation If you are responding as a member of the public, please supply the following details: Profession If you are responding as a health or social care professional, please supply the following details: Profession Country of qualification Please indicate as appropriate: UK Other European Economic Area country Rest of world Area of work NHS Union Social care Pharmaceutical industry/company Private health Trade body Voluntary Other (please give details) Regulatory body Professional body Education If you are responding on behalf of an organisation, please supply the following details: Area of work NHS Social care Private health Voluntary Regulatory body Professional body Education Union Pharmaceutical industry Trade body X Other (please give details) East Sussex Local Pharmaceutical Committee represents all pharmacy contractors in three PCTs – Hastings and Roher, East Sussex Downs and Weald and Brighton and Hove City. Consultation questions DRAFT STANDARDS – GENERAL PRINCIPLES Question 1 Do you agree that overall the standards adequately reflect an outcome and patient focussed, broad and flexible approach? X Agree Disagree Unsure Comments: It is important that the GPhC works in tandem with other bodies that have an inspectorate role, to reduce the regulatory burden on pharmacists and pharmacies. Following the consultation process and agreement of the Standards it will be very important that the standards are clearly communicated to all stakeholders and pharmacists Question 2 Do you agree with the use and definition of the term ‘patients and public’? Agree Disagree X Unsure Comments The South East Forum is confused between the terms “patient” which refers to “a person receiving care or treatment from a health professional.” We feel that the term health professional should be more clearly defined. “Patients and public” seems to relate specifically to pharmacist and pharmacy technicians, this seems anomalous. Question 3 The GPhC is committed to embedding Equality and Diversity at the heart of everything it does. Do you think that the draft standards support this commitment? Agree Disagree X Unsure Comments With regards to equality and diversity we feel that this should be taken in to account when dealing with individual pharmacists as well as patients and the public ANNEX A - DRAFT STANDARDS - OWNERS AND SUPERINTENDENT PHARMACISTS Question 4 Do you think that the draft standards for owners of pharmacies and superintendent pharmacists are proportionate to the benefit they bring and the risk they are guarding against? Agree X Disagree Unsure Comments The SE Forum is unclear as to what relevance standards on both record keeping and waste management have as far as the GPhC is concerned. Question 5 Should there be specific standards for the systems in place within registered pharmacies to control and prevent healthcare related infections? Agree X Disagree Unsure Comments Patients and he public use community pharmacies as the first port of call, in great numbers and not just for pharmacy services and products. We appreciate the importance of infection control but feel that in a pharmacy the risks are outweighed by the benefits of not imposing an infection control regime on community pharmacies. We also do not understand how infection control measures could sensibly be applied. Question 6 There is no explicit prohibition on owners of pharmacies and superintendent pharmacists offering pharmacy medicines for self – selection. Instead there is a general requirement that ‘systems are in place to ensure the safe supply of medicines to patients and the public, in a manner that promotes their safe and effective use and appropriateness’. Do you agree with this approach? X Agree Disagree Unsure Comments Although we agree with this it should not mean abdication of responsibility by owners, pharmacy superintendents or pharmacists. We would respectfully suggest that the paragraph is misleading. Pharmacists are indeed responsible and a requirement should be made to ensure that a pharmacist is on the registered premises at all times to discharge their responsibilities. ANNEX B - DRAFT STANDARDS - CONDUCT, ETHICS and PERFORMANCE Question 7 Do you think that the draft code of conduct, ethics and performance adequately applies to registered pharmacists and pharmacy technicians in all sectors of practice? Agree X Disagree Unsure Comments We are concerned that Conduct and ethics do not have any outcome measures, however performance certainly does have outcomes. This needs to be explained fully in the guidance. Question 8 Do you agree that there should be provision within the Code which allows personal beliefs of registrants to prevent them from providing a particular professional service? (subject to ensuring that patients and the public are referred to alternative providers of the service they require)? Agree X Disagree Unsure Comments If a registered pharmacist or pharmacy technician agrees to work in registered premises when services are provided then they should provide the services. Of course individuals should have a choice, but that choice should be not to work where the service is provided that goes against their personal beliefs ANNEX C - DRAFT STANDARDS – PROFICIENCY Question 9 Do you think that the proficiency standards for pharmacists and pharmacy technicians are sufficient to ensure that they are able to practise safely, lawfully and effectively? Agree Disagree X Unsure Comments The question should include the word “registered” before pharmacists and pharmacy technicians. We agree with the statement as of today – for the future this may change. We are a little unsure as to why there is a job description for the role of the pharmacy technician. Question 10 Do you agree that the standards of proficiency for pharmacy technicians should require a broader range of knowledge and understanding? Agree X Disagree Unsure Comments The question should include the word “registered” before pharmacists and pharmacy technicians. Pharmacy technicians are trained to be accurate dispensers of medicines. Critical analysis and ethical considerations are the domain of the pharmacist. Question 11 Do you agree with the distinctions between the proficiencies of pharmacists and pharmacy technicians? Agree Disagree X Unsure Comments The question should include the word “registered” before pharmacists and pharmacy technicians. We feel this should be defined more specifically. ANNEX D - DRAFT STANDARDS - EDUCATION AND TRAINING Question 12 Do you agree that knowledge programmes for pharmacy technicians may continue to be delivered outside national frameworks provided that they have been accredited by the GPhC as delivering equivalent outcomes? Agree X Disagree Unsure Comments The question should include the word “registered” pharmacy technicians. If technicians are to be registered and treated in the same manner as pharmacists, then logic would dictate that their knowledge programmes should be delivered within a national framework. Question 13 Do you agree that pharmacy technicians must be able to apply a general knowledge of clinical and pharmaceutical science? Agree X Disagree Unsure Comments The question should include the word “registered” pharmacy technicians. The clinical and pharmaceutical science knowledge should be that needed as far as the dispensing process is concerned and should not be patient facing. Clear guidelines need to be developed to explain this concept. Question 14 Do you agree that undergraduate education and pre-registration should be integrated? X Agree Disagree Unsure Comments This approach is the ideal, however the funding and practicalities may be stumbling blocks. Question 15 Do you agree that the standards should be based on an increased clinical role for pharmacists? Agree Disagree X Unsure Comments Unless funding is assured for developing the clinical role for pharmacy the need to have standards that reflect this may be premature Question 16 Do you agree that delivering these standards will require changes to assessment at undergraduate level? Agree Disagree X Unsure Comments Any changes made should be in discussion and should be to meet the needs of the profession and not the standards ANNEX E - DRAFT STANDARDS - CONTINUING PROFESSIONAL DEVELOPMENT Question 17 Do you agree that together, the standards and framework provide a comprehensive approach to CPD, in line with the draft Pharmacy Order requirements? Agree X Disagree Unsure Comments We agree that CPD standards and a framework need to be put in place, however we have not reached that stage yet. We would respectfully suggest that CPD entries should be relevant to the registered pharmacists and technicians field of practice. Question 18 Do you agree that registrants, regardless of their scope of practice, should record some CPD that relates to their ability to practise according to the GPhC standards of conduct, ethics and performance? Agree X Disagree Unsure Comments Scope of practice should be the determining factor with regards to which CPD to record. Question 19 Do you agree that there should be a return to practice requirement after two years out of practice? X Agree Disagree Unsure Comments We would suggest that consideration should be given to the need to have continuous but reduced annual practice e.g. to equate to 6hr/month. Question 20 Do you agree with the proposed return to practice and updating requirements? Agree X Disagree Unsure Comments We would suggest that return to practice should be tailored to meet each returnee’s individual requirements. If you would like to make any other comments about the content of any of the consultation documents then please complete the box below: Other comments