Strategic Plan A Further Step 2014 – 2017 Contents Forward by the President Introduction Our Objectives Our Context Key Strategic Themes Forward by the President In the last 12-18 months the Executive Council of CPA, in recognition of the importance and value of CPA to individuals, organisations and Governments in delivering better health care and, in particular, improved medicines management, has developed a new strategy. This strategy is designed enable the organisation to better respond to the challenges of the 21 st century, to build its membership and offer a greater level of support to its members, particularly to those in the developing world; also to seek to strengthen and extend its collaborative networks in the interests of synergistic working. This document is an elaboration of our strategy to give further rationale and definition to the work on which we are now embarked. It sets out 4 strategic themes: organisational development, governance and sustainability, organisation promotion and membership, education and training provision and advocacy and representation. Already we have made some good progress but the success of the strategy will not be simply what we can do from the centre but what can be done with collaborative support from our member organisations and individuals. The implementation of the strategy will, of course, demand resources, for example, to allow for investment in promoting the organisation through its website, in developing resource and training materials to meet members’ CPD requirements, building collaboration with partner organisations and to support countries in pharmaceutical policy and strategy planning. Our membership fees coupled with a generous 2 year grant from the Royal Pharmaceutical Society will contribute to these developments but with further grant aid from external organisations and individuals I believe we can make an even more significant contribution to pharmaceutical development in our member countries. So do join me and my Executive Committee colleagues as we seek to progress this work. I am confident that in its implementation it will significantly contribute to pharmaceutical development across the Commonwealth, the individual status of pharmacists as health care providers and , most importantly, the health and welfare of the communities we serve. Yours sincerely Raymond Anderson President Introduction Background The Commonwealth is a voluntary association of 53 countries (Table 1) that support each other and work together towards shared goals in democracy and development. It is home to over 2 billion people, approximately 30 per cent of the world’s population, half of whom are 25 and under with a quarter under 5 years of age. Commonwealth countries occupy a quarter of the earth’s landmass. The Commonwealth Pharmaceutical Association (now the Commonwealth Pharmacists Association (CPA)) was inaugurated in 1970 and for the last 44 years has worked to meet its major objective, namely, to establish, develop and maintain the highest possible professional standards of pharmacy throughout the Commonwealth in order to achieve better health outcomes within communities. Its approach has involved educational provision through distance learning, workshops, travelling fellowships, as a partner in various projects e.g. malaria awareness, the provision of specific resources e.g. the British National Formulary (BNF), and supporting pharmaceutical policy development in member countries. These activities have been carried out directly with members or in collaboration with other international organisations, for example, WHO and the Commonwealth Foundation. Currently CPA has 33 member Associations (Appendix 1) drawn from across six regions of the Commonwealth Europe, Eastern and Southern Africa, Western Africa, Pacific, Americas and Central Asia. Each member Association nominates a representative to sit on the CPA Council. While the Council is concerned mainly with policy, the Association is managed by an Executive Committee comprising the President, the Immediate Past President and one member from each of six regions, elected regionally by the Council members concerned. Table 1. Member Countries of the Commonwealth Antigua and Barbuda Australia The Bahamas Bangladesh Barbados Belize Botswana Brunei Darussalam Cameroon Canada Cyprus Dominica Fiji Island Ghana Grenada Guyana India Jamaica Kenya Kiribati Lesotho Malawi Malaysia Maldives Malta Mauritius Mozambique Namibia Nauru New Zealand Nigeria Pakistan Papua New Guinea Rwanda St Kitts and Nevis St Lucia St Vincent and the Grenadines; Samoa Seychelles Sierra Leone Singapore Solomon Islands South Africa Sri Lanka Swaziland Tonga Trinidad and Tobago Tuvalu Uganda United Kingdom United Republic of Tanzania Vanuatu Zambia. Our Objectives The purposes of the Association are to promote and disseminate the pharmaceutical sciences throughout the Commonwealth and to improve the quality and range of services offered there by professional pharmacists, in particular by: Promoting high standards of professional conduct amongst pharmacists, having due regard to the honour and traditions of the profession; Effecting close links between members of the profession in Commonwealth countries and facilitating personal contacts between pharmacists and students; Encouraging the creation of a national professional pharmaceutical association in any Commonwealth country where none exists; fostering high standards of pharmaceutical education at all levels; fostering high standards of practice in all branches of the profession; holding Commonwealth Pharmaceutical Conferences; Facilitating the dissemination of knowledge and information about the pharmaceutical sciences and the professional practice of pharmacy; Fostering high standards of control over the quality and distribution of drugs, wherever appropriate by professional means, and to that end encouraging suitable legislation and its implementation; Liaising with similar associations or allied health professional groups within and outside the Commonwealth to assist in attaining the aforementioned objectives. These are challenging objectives placed against the background of the range of unique and sometimes complex issues facing each of the six member regions. In that respect CPA’s work is primarily facilitative and supportive to aid professional capacity building i.e. the activities, resources and support that strengthen the skills, abilities and confidence of pharmacists to benefit the communities they serve as well as being able to meaningfully engage with Governments and other organisations. Our Context Global Health Challenges Reference has already been made to the global scope of the Commonwealth and the individual differences characterising member countries that pose particular challenges to an organisation like CPA. in respect of health-related demographics there is considerable variation across member countries. 1 Most of the 53 countries of the Commonwealth are in the developing world and these nations bear a heavy burden of disease including 60% of global HIV/Aids cases, 40% of infant deaths and 90% of pregnancy related deaths of women. Vector-borne diseases are major health issues in Commonwealth Africa and South Asia. Malaria, in particular, continues to threaten the lives of mainly pregnant women and children under five years of age. Non-communicable diseases, mainly diabetes, cancers, chronic respiratory and cardiovascular diseases, impact all regions of the Commonwealth. Diabetes, for example, affects 65 million Commonwealth citizens. In at least 16 Commonwealth countries, less than 90% of the population has access to clean water. Twenty-two Commonwealth countries have less than 90% population access to adequate sanitation facilities. Considerable variation is also seen in the levels of health provision exhibited through the availability of healthcare personnel. The Commonwealth Secretariat has highlighted 5 significant global health challenges that require concerted action from commonwealth nations (Table 2). 2 Table 2 Global health challenges facing Commonwealth nations Infant and maternal mortality: Prevalent rates of mat ernal and infant mort ality and morbidity (illness and dis ability) remain high in many Commonwealth countries in Sub -Saharan A frica, Asia and the South Pacific. The top 10 highest prevalence rates - maternal deaths per 100,000 - are Sierra Leone, Nigeria, Malawi, Cameroon, Lesotho, Tanzania, Zambia, Gambia, Bangladesh and Kenya (S ourc e: ‘Mat ernal mortality in 2005’) Financial and human resource s: While effective int erventions are known to address immunization, reduce maternal mortality, or reduce the risk of HIV infection, many health systems lack the financial and human res ourc es required for sustained delivery or high quality services, particularly in poor communities. 1 Sourced from: www.commonwealthhealth.org/facts-and-figures/ Commonwealth Sec retariat. Sourced from: http://secretariat.thecommonwealth.org/Int ernal/190698/190852/our_challenges/ 2 Growing HIV prevalence: HIV prevalence among women continues to grow and the stigma surrounding A IDS limits the implementation of effective interventions. Lifestyle s and diets: Lifestyle and dietary changes have led to both countries in the Caribbean and Pacific - which have seen a reduction in communicable diseases - and countries in Asia - in which a high burden of communicable diseases continues - see a rapidly increasing morbidity and mortality associated with diabetes, hypertension and cancer. These changes are a result of: an increase in available transport and more sedentary lifestyle with less physical activity; an increase of tinned or fatty foods with less fresh produce; and an increase in the accessibility of cigarettes resulting in more smoking-related diseases. Demand for health workers: Globally, a changing epidemiological and demographic profile has increased the demand for health work ers. This has been a key factor in causing health worker shortages, particularly in s ub-S aharan Africa, as they migrate to seek opportunities abroad. Pharmacy Pharmaceutical practice is widely differentiated across the Commonwealth as indeed are the challenges of practice. The followi ng examples are illustrative of the diversity and challenge facing many members of CPA. Medicines Manufacture and Availability The UK has a sophisticated pharmaceutical industry comprised of significant research initiatives, transnational corporations, innovators and reproducer firms manufacturing generic medicines. Commonwealth countries such as India, Canada and Australia have noteworthy industries with innovative capability. Many others have a domestic medicine manufacturing industry based on reproducer firms and companies which concentrate on finishing products from imported ingredients. However, pharmaceutical manufacturing facilities are non-existent in the vast majority of small island developing states.1 Medicines Integrity Spurious/falsely-labelled/falsified/counterfeit (SFFC) medicines constitute a major public health challenge across the world but particularly in countries where regulatory and enforcement systems are weakest. 3 WHO has indicated that the incidence of SFFC products is likely to be higher in many African countries, and in parts of Asia, Latin America, and countries in transition. CPA recognises this as a major issue for many of its members. Medicines Safety 3 WHO (2012) Medicines: spurious/ falsely-labelled/ falsified/count erfeit (SFFC) medicines. Fact sheet N°275. A vailable at http://www.who.int/mediacent re/factsheets/fs275/en/index.html Distinct from the integrity of the medicine itself and its associated risk is the challenge for improved safety in medication use in the light of the substantial body of evidence that details the nature and frequency of adverse drug reactions and adverse medication events due to, for example, therapeutic error or non-adherence. Associated with these is the additional cost to treat, including litigation, their impact on the economy by virtue of working days lost, not to mention the human cost to those who are directly and indirectly involved. Cost Effective Therapy International comparisons indicate there are considerable differences in the expenditure on medicines, proportional to GDP, as there are differences in the range of medications available in any given country, particularly newer high tech medications. Over the next few years it is expected that there will be a shift in the expenditure profile on medicines. The IMS Institute for Healthcare Informatics has predicted that the annual global spending on medicines will reach nearly $1.2 trillion by 2016. 4 The proportional spend by the pharmerging 5 markets will increase relative to expenditure in the developed world as population and economic growth stimulate higher use of medicines in these markets. The use of biologics, a decline in spending on branded products and corresponding increase in generics will impact on economic spend. New medicines and the more widespread use of proven medicines will continue to transform health care, particularly in the treatment of cancer, heart disease, CNS disorders, respiratory conditions and diabetes. It could be expected that there will continue to be a reduction in the gap in pharmaceuticals available to treat certain priority diseases. The availability of medicines will need to be matched with clinical guidelines to ensure their most appropriate use and also accompanying advice and education to patients to ensure that they are used correctly in order to obtain maximum benefit. It is in this arena that pharmaceutical expertise is particularly valuable working with other healthcare professionals to ensure safe and effective medication practice, the emphasis being on the quality of care and health outcomes, rather than a preoccupation with finance. Pharmaceutical Workforce Development This is a critical area where training institutions need to respond to market demands whether it be in terms of numbers of pharmacists needed, the knowledge and skills required for particular areas of practice, new regulatory standards or, indeed, 4 The IMS Institute for Healthcare Informatics (2012) The Global Use of medicines outlook Through 2016. A vailable at: :http://www.imshealth.com/deployedfiles/ims/Global/Content/Insights/IMS%20Institute%20for%20Heal thcare%20Informatics/Global% 20Use%20of%20Meds%202011/Medicines_Outlook_Through_2016_R eport.pdf 5 Pharmerging countries are defined as thos e with >$1B n absolute spending growth over 2012 -16 and which have GDP per capita of less than $25,000 at purchasing power parity (PPP) (See reference 4) healthcare reforms directly or indirectly affecting the pharmacy sector. No one size will fit all and curricular development could be expected to occur in context and not tempted to simply follow the patters of the higher income countries. However, there is much to be learned from those that now have a significant experience of clinical or specialist programmes and indeed the concept of educational partnership working offers a balanced way forward, taking ad vantage of progressive curriculum development but applied in the local context. For example, the University of Strathclyde, Scotland, School of Pharmacy has had a longstanding collaborative programme with the Pharmacy School at the International Medical University, Malaysia. 6 At the same time it must be recognized that many countries suffer shortages of healthcare professionals, including pharmacists. More attractive salaries, working conditions and prospects in other parts of the world or with the pharmaceutical industry can lead to pharmacist ‘export’ with loss of clinical competence and capacity in the exporting country. This makes the issue of workforce planning and development extremely challenging, not simply in staffing terms but in the growth and development of clinical expertise. Technology While medicines are the ubiquitous technology in our respective healthcare settings, technology is also a very powerful tool providing the ability to manage our business or practice processes, collect, analyse and share information; also providing the ability to communicate almost instantaneously across the world. It therefore offers the capacity for interaction between patients and professionals that could advantage the management of their health and social care, particularly enabling better medicines management and patient adherence with medication. Further, the use of technology to offer convenient and accessible education and training, at a distance, in support of continued professional development is a critical application across the Commonwealth. Professional Collaboration The achievement of more responsible use of medicines requires collaboration, not simply the engagement with patients but collaboration between the health professionals themselves, particularly in an area where there is clear multidisciplinary involvement. While pharmacists are recognised experts in the field of pharmaceuticals it will be important to build, encourage and develop a team based approach where there is mutual respect for the expertise that each brings , with each carrying due responsibility. So the concept of integrated care based on collaborative team working is an important principle to adopt. Professional collaboration is also important within the pharmacy profession itself in sharing experience and good practice but it is also vital at an organisational level in seeking to provide a concerted voice on pharmaceutical matters and in representing pharmacists’ professional interests on their own behalf but also in respect of the communities they serve. Many countries of the Commonwealth have strong 6 https://www.strath.ac.uk/imu/ pharmacy professional bodies as well as strong professional regulatory bodies that govern the standards of practice delivered by pharmacists. However, there is still work to be done in adding to the existing cadre of professional pharmacy bodies. Clinical pharmacy practice Finally, but of considerable importance, is the recognition that Pharmacy has and continues to experience a very significant re-professionalisation process with a gradual shift from the more technical or manipulative aspects of practice, with the emphasis on compounding, procurement, supply and distribution, to those of cognitive clinical services, with the emphasis on pharmaceutical care or medicines management. This process, while it has taken many years to imbed, is most evident in the higher income countries and where there has been key regulatory and policymaker engagement. 7 Its extension therefore remains a continuing goal across the Commonwealth. Pharmaceutical policy Each of the above issues has policy implications. Yet, although pharmacists have within them a pivotal role, it is perhaps surprising that they are often largely detached from policy development. Logically they should inform Government policies which impact on their work or where their skills could be best applied to implement health care policy and medicines utilisation in particular. It therefore makes it critically important that the pharmaceutical profession engages with national policy makers and in the strategic planning for health care. The Commonwealth Pharmacists Association The Commonwealth itself remains a very important entity across the globe and is uniquely characterised by having a commonality of language, legal and health systems. Obviously some individual differences do exist but it is within this broad framework that the Commonwealth nations have been able to work together in mutual support and to the benefit of their respective peoples. It is therefore i n this context that the CPA seeks to offer a facilitating and supportive role across the pharmaceutical family but importantly enjoining and partnering with other organisations to bring about positive health change. Earlier reference was made to the estab lishment of the CPA and the governing structures that are currently in place. Importantly, the extent of the work of CPA, coordinated through its London office, has only been possible through the generous and sustained support of the Royal Pharmaceutical Society (RPS) of Great Britain and this emanates from its origins where the then President of the RPSGB and its Registrar were founding members of the new organisation. 7 A bibliometric review of pharmacy education literature in the context of low- to middle-income countries. Babar Z, Scahill SL, Akhlaq M, Garg S. Currents in Pharmacy Teaching and Learning 2013; 5: 218-232. The CPA Council and its Executive Committee have recognised that in a dynamically changing world CPA also needs to develop appropriately if it is to effectively continue to serve its constituency. This will demand organisational as well as operational changes that will enable the organisation to grow, operate in a more efficient and effective way and extend the range of services to its members in a timely and accessible fashion. At an earlier time The Council identified the following areas as integral to its strategic development. Organisational development The Council recognises the importance of having a level of permanent staffing in place to offer continuity, strategic and operational development to CPA’s work. During 2013 two part-time staff members were appointed, an Administrative Officer and a Strategy Development Officer and already these appointments have made a tangible impact to the organisation and its members. Achieving charitable status is also seen as opening up new collaborative opportunities, encouraging donor commitments and enabling a more efficient use of financial resources. The Council is also committed to the principle of continuous review in effectively assisting its members and, in particular, a review of the CPA constitution and of the governance arrangements existing within the organisation to meet contemporary standards, including the regional structure. With the emergence of high profile issues, the Council would wish, as its modus operandi, to establish broadly based task groups lead by Councillors, to review the issues, make recommendations and formulate position papers or formal statements on behalf of CPA. Membership and membership benefits There is still considerable scope to increase the membership of CPA by, for example, expanding the number of member countries in membership and extending the number of association memberships in each country. Individual membership has fallen in recent years but with the expectation that this can be regrown and increased above previous levels. This points in favour of a strong recruitment and retention strategy, including alternative membership options e.g. affiliate, associate or student. Membership benefits need to be seen to be more tangible and it will be important to review the current offerings as well as the opportunity to provide new benefits for members. The Council recognises that benefits come in a variety of forms and will need to be offered on a reasonably broad basis to meet the variety of needs eg. discounts on pharmaceutical texts or conferences, access to education and training opportunities, the ability to network with colleagues, current awareness information etc. It will also be important that CPA balance the needs, both personal and professional, of its membership and to take acco unt of what would attract new members to the organisation. Council also believes there would be merit in introducing a Membership Charter. To set out the principles governing membership of CPA and the standards of service that members could expect Sustainable funding While financial resources are only one factor in organisation sustainability, they are, nonetheless, a vital component, Membership fees are an important source of funding but these are difficult to levy equitably given the range of economic conditions existing throughout the Commonwealth. CPA, as stated earlier, has continued to benefit from sustained support of the Royal Pharmaceutical Society (RPS) of Great Britain and this has provided the resources to employ the current staff members. In the past CPA has been also be able to attract grant funding from donor organisations to support particular projects. Moving forward it will be important to ensure that membership fees are paid up and that facility exists to minimise their administration especially when dealing with different countries and currencies. Secondly, it will be important to identify new sources of grant funding at national or international level that would assist CPA in meeting its objectives, either on its own or in partnership with other organisations. Thirdly, Council believes that considerable interest exists among expatriates allied to pharmacy practice in their home countries to the extent that they would be prepared to make donations to identified projects. While seeking external funding CPA needs to ensure that its own internal management arrangements and allocation of resources are appropriately deployed in order to ensure the optimum use of the limited resources it possesses. Communication and marketing, including website development This concerns both the message and the means – what is to be communicated and the method(s) to be used. CPA recognises the critical application of IT technology as a means of instant transfer and global reach in relation to its work in communicating with, and between, its members, in advertising its services, in co-ordinating and administrating programmes or in providing online education and training . In this context it will be important that CPA, takes advantage of the range of social media to promote and market the work of the CPA and improve its general visibility, particularly to those who are not currently members. Providing a stronger branding to its materials, products and services will aid communicative impact. Refreshing the Mission, Vision, Values and Purpose of CPA may also attract more interest. Posting items on other appropriate websites or articles or adverts in professional journals is likely to gain wider spread and knowledge of the organisation. That said, in an organisation with membership across the globe, its website is, in effect, the front page of the organisation. The design and development and updating of the website will be a continuing objective to ensure the promotion of the organisation and provide readily accessible information. The website needs to distinguish between what is open and available to all and what is restricted to members (the latter being linked to member exclusive benefits). The website should also provide links to other organisation websites for exchange of data and information and indeed the use of materials from other organisations to enhance member knowledge or professional development. For example, the NHS Choices syndication scheme is able to provide access to the wealth of up-to-date healthrelated information available from the NHS Choices website. Collaboration with other organisations where there are mutual or shared interests is of utmost importance. We can do more together than what we can do on our own. This means that as well as its professional associations CPA needs to extend and develop its relationships with pharmaceutical governance (regulatory) bodies across the Commonwealth, particularly through its Councillors. Equally, it will be important to establish or renew partnerships with other Commonwealth organisations, National Professional Associations and International bodies e.g. World Health Organisation Extension of education and training services This is an important dimension of the work of CPA. On the one hand it offers the opportunity for knowledge to be shared though information forums, formal training courses, placement experience etc. On the other it can provide the catalyst for pharmaceutical development and change through replication or adaption of practice that has proved successful in other situations. Across the global reach of the Commonwealth the potential for distance learning is self evident. The utility of IT software is such that it enables training programmes to be developed and delivered to simulate live trainer-learner interaction. This coupled with linkage to the world wide web provides a very powerful tool to offer professional development programmes offering ease of access, convenience (in your own time and in your own place) and flexibility to different contexts. Updating of information is also greatly facilitated over printed text. Although facilitated by technology CPA is conscious of the challenges faced in this area. Pharmaceutical practice is widely differentiated across the Commonwealth such that education and training provision needs to be tailored to individual contexts of practice. For this reason CPA has already embarked on a major survey aimed at collecting information on the training and development needs of registered/licensed pharmacists in Commonwealth countries, with a view to providing access to wider professional development/continuing education opportunities, particularly through distance learning. The survey also aims to understand these needs relative to national government policy for healthcare and where pharmacists can particularly contribute by applying their training and skills. In tandem with the survey CPA is also currently exploring with educational providers the possibility of making available online existing distance learning courses as a free service or minimal extra cost. In the context of education and training, career development is an important feature and CPA would wish to facilitate networks or forums where individuals could receive advice and mentoring from experienced practitioners. Representation and Advocacy Councillors are important to the ongoing ‘presence’ of CPA in their respective countries. For this reason, it will be important that they are strongly supported in facilitating their mentoring and encouragement of others in developing pharmaceutical practice, in encouraging involvement in CPA itself, in influencing policy and raising support for indigenous projects involving pharmacists. Maintaining the visibility of the CPA is an ongoing challenge. With limited personnel at the centre and scarce resources, it is not always easily possible to represent the organisation in all the desired forums, especially with the range of bodies involved in Commonwealth support. Equally CPA recognises that its Councillors are already heavily committed in their respective countries and that there is limited capacity for additional representational or advocacy work. That said, the President and Councillors are committed, within the resources available, to target and attend key meetings where there is a pharmaceutical interest and where a contribution would be important. Equally, it will be important that CPA, particularly through its Executive Committee members and Councillors, seeks to influence government policy and the involvement of pharmacists in health care projects and working groups. Key Strategic Themes Over the 2014-2017 period we will focus on four key strategic themes: 1. Organisational development, governance and sustainability 2. Organisation promotion and membership 3. Education and training provision 4. Advocacy and representation Organisational development, governance and sustainability In the timescale covered by this strategic plan: We will seek Charitable Status for the organisation. We will increase our staffing capacity to enable full time support of the organisation. We will undertake internal reform to review the constitution and the governance arrangements existing within the organisation to meet contemporary standards, including the regional structure. We will refresh the Mission, Vision, Values and Purpose of the organisation to ensure its contemporary appeal and relevance. We will establish ‘task’ groups to assist the organisation in formulating position papers or formal statements on high profile pharmaceutical issues affecting its members. We will review the membership fee structure to ensure equality of access across the Commonwealth in the context of very different economic conditions. We will seek, where possible, to access grant funding from external agencies, or member associations in support of specific projects working as the lead body or in partnership with other organisations. We will encourage donations from expatriates to support CPA lead projects in underdeveloped countries. We will improve the system for the collection and administration of membership fees to make it more convenient and efficient. We will ensure that our resources are appropriately managed and deployed in order to ensure the optimum value for money. Organisation promotion and membership In the timescale covered by this strategic plan: We will redevelop the organisation’s website to make it more appealing, informative and accessible, particularly the members’ area. We will use the facilities, provided through social media (e.g. facebook), to actively promote the organisation and make it more visible to a wider constituency. We will negotiate CPA links on other organisation websites to gain wider spread and knowledge of the organisation as well as offering reciprocal links. We will strengthen the ‘branding’ of CPA’s materials, products and services to aid communicative impact and reinforce product confidence and credibility. We will increase the membership of the organisation to have member (pharmaceutical) organisations across all Commonwealth countries where they exist. We will support the establishment of professional pharmaceutical associations in Commonwealth countries where they currently do not exist. We will double the current level of individual membership of the organisation. We will establish a student membership category within the organisation. We will extend the benefits available to our members. We will introduce a Membership Charter to set out the principles governing membership of CPA and the standards of service that members could expect. We will renew and extend our collaborative links with other organisations where there are mutual or shared interests. This will include, for example, Commonwealth organisations, national professional associations and professional regulatory bodies, the International Pharmaceutical Federation (FIP) and the World Health Organisation. Education and training provision In the timescale covered by this strategic plan: We will publish and complete a Commonwealth survey of pharmaceutical education and training needs. We will pilot two online distance learning programmes during 2014 and add at least two new programmes per year to the portfolio of online training available thereafter, consistent with the needs of our members. We will publish on a quarterly basis invited articles on matters of pharmaceutical interest identified through the survey. We will develop partnerships with educational providers to open up access for our members to existing professional development materials as a free service or at minimal extra cost. We will facilitate the development of networks or forums where individuals could receive advice and mentoring from experienced practitioners. We will maintain the existing Pharmaid programme with the provision of free copies of the British National Formulary and negotiate arrangements for online access by our members. We will maintain our programme of biennial conferences with Conferences in Bangladesh (2015) and XXXX (2017) We will sponsor a biennial travelling fellowship to support a pharmacist undertaking overseas study specifically with the aim of applying the learning in his/her own country. Advocacy and representation In the timescale covered by this strategic plan: We will support Councillors in their representation of CPA, providing a leadership role in their own countries, encouraging CPA membership and in raising support for indigenous projects involving pharmacists. We will target key Commonwealth meetings, pharmaceutical conferences or health events where it would be important to have CPA representation or practical pharmaceutical involvement. We will provide briefing or consultative feedback to Commonwealth organisations or organisations working in Commonwealth countries allied to pharmaceutical matters. We will provide advice and support to member countries allied to influencing government policy on pharmaceutical matters. We will establish ‘expert’ panels that can be called upon for advice and support on specific matters. We will work with others of like mind to provide a consistent and concerted voice on pharmaceutical matters. Appendix 1 Member Organisations of the CPA Antigua and Barbuda Pharmaceutical Society Pharmaceutical Society of Australia Bahamas Pharmaceutical Association Bangladesh Pharmaceutical Society Barbados Pharmaceutical Society Bermuda Pharmaceutical Association Pharmaceutical Society of Botswana The Pharmaceutical Society of Cameroon Canadian Pharmacist's Association Dominica Pharmaceutical Society Fiji Pharmaceutical Society The Pharmaceutical Society of Ghana The Royal Pharmaceutical Society Grenada Association of Pharmacists Guyana Pharmacists Association The Indian Pharmaceutical Association Pharmaceutical Society of Jamaica Pharmaceutical Society of Kenya The Pharmaceutical Society of Malawi Malta Chamber of Pharmacists Pharmaceutical Association of Mauritius Pharmaceutical Society of Nigeria Pharmaceutical Society of Northern Ireland Pakistan Pharmacists Association The Pharmaceutical Association of St Lucia St Vincent & the Grenadines Pharmaceutical Association Pharmaceutical Society of Sierra Leone Pharmaceutical Society of South Africa The Pharmaceutical Society of Sri Lanka The Pharmaceutical Society of Tanzania Pharmacy Board of Trinidad & Tobago Pharmaceutical Society of Zambia Pharmaceutical Society of Zimbabwe Appendix 2 Constitution of the Commonwealth Pharmacists Association 1. NAME The Association shall be known as The Commonwealth Pharmacists Association. 2. AIMS AND OBJECTIVES The purposes of the Association are to promote and disseminate the pharmaceutical sciences throughout the Commonwealth and to improve the quality and range of services offered there by professional pharmacists, in particular by: i) promoting high standards of professional conduct amongst pharmacists, having due regard to the honour and traditions of the profession; ii) effecting close links between members of the profession in Commonwealth countries and facilitating personal contacts between pharmacists and students; iii) encouraging the creation of a national professional association of pharmacists in any Commonwealth country where none exists; iv) fostering high standards of pharmaceutical education at all levels; v) fostering high standards of practice in all branches of the profession; vi) holding Commonwealth Pharmacy Conferences; vii) facilitating the dissemination of knowledge and information about the pharmaceutical sciences and the professional practice of pharmacy; viii) fostering high standards of control over the quality and distribution of medicines, wherever appropriate by professional means, and to that end encouraging suitable legislation and its implementation. ix) working with similar associations or allied health professional groups within and outside the Commonwealth to assist in attaining the aforementioned objects. 3. MEMBERSHIP i) Full membership shall be open to each Commonwealth country through one national pharmacy association recognised in that country as being representative of the profession of pharmacy. Where no such association exists, full membership shall be open to a body which, in the opinion of the Council, represents the interests of the profession of pharmacy in the country concerned. (ii) A member wishing to leave the Association shall give three months notice of intention to leave. (iii)The Council may terminate the membership of any full member who is two years or more in arrears with annual subscriptions. (iv) The Council may make provision for further classes of membership. These may include: a) Personal membership to be extended to any pharmacist registered to practise in a Commonwealth country or dependent territory; personal members of the Association who are also personal members of their national association may use the post nominals MCPA. b) Associate membership to be extended to a non- pharmacist or a pharmacist not registered to practise in a Commonwealth country or dependant territory, who has made a significant contribution to the profession of pharmacy. Associate membership may also be extended to a national or regional association of pharmacists that by virtue of 3 i) could not be full members c) Student membership to be extended to any pharmacy student or pharmacy graduate undertaking his/her internship in a Commonwealth country. d) Honorary membership to any person at the discretion of the Executive who has made a significant contribution to the profession of pharmacy. v) Voting rights shall be extended only to full members who are not in arrears with membership subscriptions. vi) The Council may also make provision for supporters of the Association. These supporters will be termed Affiliate Members. These may be (a) organisations acceptable to the Council and which are within a member country, or (b) corporations or firms engaged in the manufacture and/or distribution of pharmaceuticals, or related products or services. 4. GOVERNING BODIES i) The Association shall be governed by a Council comprising the President and one voting delegate nominated by each member association or body. Who is not in arrears with member subscriptions. Following the election of the President, the country represented by the person elected shall appoint a voting delegate to represent that country on the Council. The retiring President shall, as Immediate Past-President, remain a member of the Council until the conclusion of the Conference at which his/her successor is elected. The Council shall meet once during each Conference and at other times required by the Executive. ii) The strategic direction, financial planning and overall accountability for the affairs of the Association shall rest with an Executive Committee comprising the President, (who shall be the Chairman), the two Vice- Presidents, the Immediate Past-President during his term of office and one representative from each of the six geographical regions; namely Eastern and Southern Africa, West Africa, Americas, Pacific, Central Asia, Europe, including the two Vice-Presidents. Each regional representative shall be nominated by and from the Council members of the time within each respective region and shall be elected by them. Members of the Executive Committee shall hold office until the conclusion of the next Conference, except on petition of not less than two thirds of the Council members of the Region. The Executive Committee shall meet as and when necessary and at each Conference. The countries to be included in the various regions shall be determined from time to time by the Executive. iii) Between Conferences, the business of the Council and the Executive Committee shall be transacted as far as practicable by correspondence or electronic communication.. iv) Any vacancy which may occur in the offices of President and Vice-President shall be filled by a person appointed by the Council to serve until the next Conference. Any vacancy which may occur in the remainder of the Executive Committee shall be filled by a person from the region concerned, nominated by the Council members from that region, and elected by the Council to serve until the next Conference. A member association may change its appointed Council representative at any time and should formally notify this change to the Secretary. 5. ELECTION OF OFFICERS At each Conference the Council shall: i) elect from amongst its members a President who will preside over the business of the Association until the conclusion of the next Conference. The President shall hold office for no more than two consecutive inter- conference periods, except that a Council member who is appointed to fill a casual vacancy in the office of President, shall be eligible for election to that office for two inter-conference terms additional to the remainder of the original term. ii) elect two Vice-Presidents from the regional representatives serving on the Executive Committee. The Vice-Presidents will assist the President and deputise for him when necessary, until the conclusion of the next Conference; iii) Members of Council representing member associations which are in arrears with annual subscriptions shall not be eligible for election as President, Vice-President or a regional representative on the Executive Committee. 6. SECRETARIAT i) The Secretariat shall be located in a Commonwealth country. ii) The Secretariat shall consist of the Secretary and Treasurer and Administrator. iii) The President and Executive committee shall appoint a Secretary and Treasurer. The term(s) of office shall be for such time as the Council decides and shall be reviewed at each Conference. The Secretary and Treasurer shall be eligible for reappointment. (iv) The duties of the Secretariat shall include: (a) dissemination of information of mutual interest to member organisations; (b) the conduct of financial transactions and other duties as may from time to time be prescribed by the Council; (c) the preparation in consultation with the President and Vice-Presidents, of the agenda for meetings of the Council and Executive Committee respectively and to prepare reports and minutes thereof; (d) assistance to the host member with the organisation of a Commonwealth Pharmacy Conference; (e) working in close collaboration with other health- related organisations. 7. MEETINGS OF COUNCIL AND EXECUTIVE COMMITTEE (i) Any Council member or Executive Committee member may exercise his or her vote in person or by proxy. The Secretary must be notified in writing, prior to the meeting concerned, of the existence of a proxy by the member granting the proxy. A proxy can be given to the President or any other member of the Council or of the Executive Committee entitled to vote. (ii) A quorum for the Council shall be ten members present and entitled to vote. Decisions shall be taken by a simple majority of all those voting in person or by proxy. In the event of an equality of votes, the President shall have a casting vote. (iii) A quorum for the Executive Committee shall be the Chairman and four members. Decisions shall be taken by a simple majority of all those voting in person or by proxy. In the event of an equality of votes, the Chairman shall have a casting vote. 8. WORKING PARTIES The Council or the Executive Committee shall have power to set up working parties to study specified subjects and report to the Council or the Executive Committee, as the case may be. 9. CONFERENCES (i) A Commonwealth Pharmacy Conference shall be held at intervals determined by the Executive, generally being every two years in a country determined by the Executive having considered proposals from member organisations. (ii) The programme for the Conference shall be arranged by the Executive Committee in collaboration with the local organising committee of the host member organisation. (iii) Each Conference shall be financially self- supporting. 10. FINANCES (i) The funds of the Association shall consist of membership subscriptions as may be regulated by the Council from time to time together with such grants, contributions, bequests and other forms of income as the Association may receive from time to time. (ii) Accountability for the preparation of annual budgets, showing income a nd expenditure, with quarterly monitoring, rests with the Executive. 11. LOCAL ORGANISATIONS It shall be an obligation on each member association or body, as the case may be, to appoint one person who may be the Council member to be the medium of communication with the central secretariat and the person to whom pharmacists in the Commonwealth can look for advice and help when visiting that country. 12. AMENDMENTS TO THE CONSTITUTION The Council shall have power to amend the Constitution from time to time, as and when it thinks fit, but (i) only with the support of not less than one half of the Council members for the time being, and (ii) not in such manner as to cause the Aims and Objects of the Association to cease to be exclusively charitable in nature, according to the law of England and Wales. 13. INTERPRETATION Any question of interpretation of any Clause of the Constitution shall be decided by the President. This Constitution and its construction are governed by the law of England and Wales. This document is also available to download from our website at: The Commonwealth Pharmacists Association 1 Lambeth High Street London SE1 7JN