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    September 2011 | Issue 01

    Upholding standards andpublic trust in pharmacy

    www.pharmacyregulaon.org

    Inside

    Under the microscope:renewals 06

    Interview:Duncan Rudkin 14

    FtP determinationsand learning 22

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    Welcome fromthe chairWelcome to the first issue of Regula+e,

    the General Pharmaceucal Councils

    bullen for all registrants which we

    intend to publish every two months.

    As you know, there has been a great deal

    of change over the last year, and some of

    that is reflected in the arcles that I hopeyou will find me to read. While the GPhC

    has been established by parliament to

    ensure the safety of paents and the

    promoon of quality services to the

    public, it can only succeed in this role

    with buy-in from its registrants.

    Regula+e is designed to provide all

    registrants with important and useful

    informaon about the regulaon of the

    profession and your responsibilies as a

    regulated professional.

    Whether you are a pharmacist, a

    pharmacy technician, or you own premises,

    our intenon is to provide you with what

    you need to know in a nutshell,

    informaon which will help you keep

    paents safe and provide effecve care,

    whatever field of pharmacy you work in.

    This first issue focuses on the importanceof renewing your registraon; being on

    the register is an important safeguard on

    which safe and effecve regulaon

    depends. There are also arcles on

    connuing professional development

    (CPD) and fitness to pracse (FtP),

    reminding us that the declaraons you

    sign at the point of registraon or

    renewal are not merely boxes to ck

    they are fundamental to your day-to-day

    working lives and to our assurances to

    the public about your fitness to pracse,which your connuing registraon

    represents.

    Regula+e forms part of a wider dialogue

    between the GPhC and registrants: what

    are we doing well? What can we do

    beer and what do you want to see

    more of? Or less? Feedback to us is

    always important. Let us know what you

    think.

    The public places a lot of trust in you

    and so do we. We hope you enjoyreading Regula+e and we look forward

    to hearing from you.

    Bob Nicholls

    Chair

    2 Regula+e: September 2011 | Issue 01

    Regula+e is the registrant bullen of the

    General Pharmaceucal Council.

    It is sent to all registrants (at the me of

    posng) and pre-registraon trainees. At

    mes we may approach external

    organisaons or individuals to submit an

    arcle or opinion on a topical issue. All

    arcles and leers commissioned, wrien

    or submied are subject to editorial control

    and may not be printed in full or with

    reference back to source.

    If you would like to contact the editor or

    submit a leer or comment to Regula+e

    please contact us at:

    [email protected]

    The Editor, Regula+e

    General Pharmaceucal Council

    129 Lambeth Road | London | SE1 7BT

    General Pharmaceucal Council 2011

    Welcome from the chair 2

    A message from the chiefexecutive and registrar 3

    Pharmacists update 4

    Pharmacy technician update 5

    Renewal 6

    Standards 8

    News in brief 9Letters 10

    Customer service 12

    Three countries 13

    Interview with registrar 14

    Continuing ProfessionalDevelopment 16

    Education and training 18

    GPhC 20

    Fitness to practice -legacy cases 21

    Fitness to practice -determinations 22

    Fitness to practice - learning 23

    Contents

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    A messagefrom the chiefexecutive andregistrarOur job is to uphold the standards of,

    and public trust in, pharmacy. The

    register a publicly available onlinesystem informing employers and the

    general public about who is fit to

    pracse is a good place to start.

    Going live with our regulatory

    responsibilies has not been without its

    challenges and there has been much to

    learn. What we have done over our first

    year includes:

    Distribung up-to-date General

    Pharmaceucal Council standards

    to registrants Implemenng a new renewal

    metable and process for all of you

    who were previously registered with

    the Royal Pharmaceucal Society of

    Great Britain

    Beginning the roll-out of the new

    renewals registraon system for those

    who have registered directly with the

    GPhC since September last year

    Introducing new connuing

    professional development rules

    Meeng, listening to and speakingwith many registrants and their

    leaders and representaves in

    England, Scotland and Wales,

    providing us with much-needed

    informaon about a range of topics.

    These conversaons are feeding

    directly into our ongoing work to

    design a new model for pharmacy

    premises regulaon

    Much of what we have done over

    the 12 months since we became

    operaonal has been about pung in

    place the essenal building blocks to

    underpin more efficient and effecve

    regulaon which is not code for

    more regulaon.

    We carried out a major communicaons

    drive to ensure that all those with

    the opon of applying for pharmacytechnician registraon had the

    informaon they needed before the

    start of compulsory registraon.

    We are now working through the much-

    larger than expected final wave of

    applicaons which this campaign

    brought in.

    When it comes to fitness to pracse,

    we are clearing the legacy cases we

    inherited from the RPSGB and we are

    learning lessons. We have put solid

    foundaons in place, including a new

    customer contact centre. And we

    will provide you with greater value as

    me goes on.

    And so to Regula+e. We know that its

    not enough for us to be accessible

    through email and phone. We have an

    obligaon to reach out too and this will

    be one of a number of addional ways

    we will do so. This regular publicaon is

    not about promong our existence and

    work it will focus on regulatory

    informaon you need to know.

    Regula+e is your publicaon. We wantto encourage your feedback on areas

    and topics that you would like to see

    covered in future issues, and to

    contribute and share your learning with

    other pharmacy professionals by wring

    to our leers page.

    Duncan Rudkin

    Chief execuve and registrar

    Upholding standards and public trust in pharmacy 3

    Bob Nicholls (le) and Duncan Rudkin (right)

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    4 Regula+e: September 2011 | Issue 01

    The newface ofregulaon

    Our remit is to protect, promote andmaintain the health, safety and

    wellbeing of paents and the public,

    and we aim to do that in a way that is

    less, not more burdensome. And so we

    have been further developing our

    thinking about what proporonate

    regulaon means in pharmacy. We are

    keen to hear your views as we move

    forward with this work.

    Our aim is to provide a service to

    registrants that supports you in your

    everyday work to provide safe and

    effecve care. Iniaves like this new

    bullen ensure you are kept up to date

    with regulatory informaon, and our

    dedicated customer contact centre

    means we can answer your quesons

    quickly and effecvely.

    As we are a new regulator, we have

    introduced some concrete changes.

    These include a rolling register with a

    fixed period of registraon whether

    you work as a registrant in communitypharmacies, hospitals, the

    pharmaceucal industry or other areas

    such as primary care trusts, universies

    or pharmacy organisaons, rolling

    registraon is a new concept.

    The new renewals system requires that

    you register two months prior to your

    renewal date, which will be a year from

    your inial registraon or your exisng

    renewal date if you have been on the

    register prior to September 2010.

    See Duncans interview, p14

    A me for renewal, p6

    Spelling it outin EuropeThe way pharmacy professionals

    from elsewhere in the European

    Union become eligible for

    registraon to work in the UK has

    come under scruny as parliament

    seeks advice from regulators on key

    issues of concern. Migraon has a

    direct bearing on the way that we

    carry out our dues. Legislaon

    does not currently permit us to test

    the English language skills of

    European naonals applying for

    registraon in Great Britain; an

    issue which has clear implicaons

    for communicaon with paents

    and for public safety.

    As registrar, Duncan Rudkin gave

    evidence to the House of Lords

    EU sub-commiee on SocialPolicies and Consumer Protecon

    in June, and presented our key

    areas of concern:

    All European regulators must

    have a legal duty to share

    fitness to pracse informaon

    proacvely

    There needs to be greater clarity

    in legislaon about when

    regulators, such as the GPhC, can

    test the language competence of

    European Economic Area

    professionals wishing to register

    and work in Great Britain

    Pharmacists and pharmacy

    technicians returning to work

    aer a break must be up to date

    with current pracce

    Duncan told the sub-commiee,

    One of the things that we would

    want to see encouraged and

    facilitated more effecvely is

    greater sharing of informaonbetween competent authories

    about FtP issues.

    Pharmacist update

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    How things arechanging

    If you were previously registered with

    the RPSGB but do not apply for

    registraon by 26 September 2012,

    despite your experience and

    qualificaons, you may need to complete

    addional educaon and training.

    Please note that, if you applied aer

    1 July 2011, you will not be able to

    work unl you are registered. If you

    applied under the transional

    arrangements, you can connue

    pracsing unl your registraon

    applicaon has been processed.

    Those who have recently qualified and

    who applied under the new

    arrangements (but have only worked

    as a pre-registraon trainee pharmacy

    technician) have had their applicaonspriorised as they cannot work unl

    they have a registraon number. It is

    also important to note that you must

    apply for registraon within five

    calendar years of starng on a

    recognised course or within two years

    of compleng the last recognised

    course, whichever is sooner.

    A pharmacist who employs or manages

    a member of staff to undertake the

    roles and responsibilies of a

    pharmacy technician, but who is

    unregistered, may be liable to fitness

    to pracse proceedings and possible

    removal from the register.

    Upholding standards and public trust in pharmacy 5

    Joining theregister

    1 July 2011 was a red leer day for

    pharmacy technicians in Great Britain:

    for the first me they joined the 1.2

    million registered health professionals

    working across the UK. For paents it is

    perhaps even more significant. Knowing

    that a pharmacy technician is registered

    with the addional assurance this

    involves increases the confidence they

    can have in the service provided and in

    pharmacy itself. The fact that pharmacy

    technicians did not have to register

    previously does not, of course, mean

    that they were a higher risk individually.

    But the public will now be secure in the

    knowledge that pharmacy technicians have

    sasfied our registraon requirementsand are subject to naonal standards.

    Paents can therefore expect the same

    high standards of conduct, ethics and

    performance and accountability as

    they do from pharmacists.

    We gave applicants a two-year

    window to voluntarily register with

    us based on experience and a pre-

    exisng qualificaon, known as

    grandparenng.

    In addion to these grandparenngarrangements, in June we also slightly

    modified the process for pre-registraon

    trainee pharmacy technicians to allow

    them to apply for registraon four weeks

    before the end of training. We did this in

    response to feedback from the profession.

    This requirement for compulsory

    registraon meant we received around

    20,500 applicants before this summersdeadline. While that has created a

    challenge in terms of processing

    applicaons, it is a happy problem to

    have. We are sll processing some of

    these and this may take a few more

    months.

    Pharmacy technicians play a key role in

    the way that the pharmacy profession

    interacts with and serves the public.

    Like the renewal process itself, pung

    pharmacy technicians on the register

    is a way of saying to paents and the

    public, we are competent, fit to pracse

    and highly trained. It announces that

    you are working to agreed codes of

    conduct and ethics, your training is

    up to date and rigorous, and paent

    safety is your number one concern.

    Pharmacy technician update

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    6 Regula+e: September 2011 | Issue 01

    You will have seen a great deal aboutrenewals recently. We make no apology

    for that. The first rolling renewal

    process has started and we want to help

    you understand and use this process to

    secure your registraon.

    The key fact to remember is that you

    need to complete your renewal at least

    two months before the date of your

    previous renewal.

    If you registered aer 27 September

    2010, this will be the anniversary ofwhen you joined the register.

    If you were on the register prior to

    27 September 2010 and transferred

    from the RPSGB, your renewal date

    will remain the same. But you will also

    have to comply with the minimum two

    month deadline.

    This is an important development in

    pharmacy registraon, says GPhC chief

    execuve, Duncan Rudkin. For the first

    me, renewals will be in line with inialregistraon, making it clear for people

    and businesses to know when they are

    due to renew and for what period.

    The changes affect everybody. Ownersand superintendents will receive

    reminders on a monthly basis, which

    means you could be sent a number of

    reminders over the course of the year

    but although you will have to renew

    registraons throughout the year, you

    will only need to make one declaraon

    to cover all registered premises for the

    next year.

    Renewals are a simple enough process

    you are sent a renewal noce and must

    renew online using myGPhCor by an

    automated telephone service (unless

    you are an owner of premises, in which

    case you need to fill in the renewal form

    and return it by post).

    While it might be tempng to think that

    renewal is simply about paying a fee, it

    is more fundamental than that. Renewal

    is the foundaon on which paent

    safety sits.

    Renewals include compleng your fitness

    to pracse declaraons and your renewal

    declaraon confirming that you adhere to

    our standards and that you have done,

    and will connue to keep up to date with

    your CPD, explains Terry Orford, head of

    customer services. Renewal is not just

    about paying.

    A meforrenewal

    The success of

    the new rollingregister dependson how yourespond to thedeadlines

    Renewal

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    Renewal: what you need to know

    Registrants need to complete their renewal at least two months

    before their expiry date.

    New registrants (those who joined aer September 2010)

    expiry date will be the anniversary of when they joined the

    register. The expiry date for registrants who transferred from the

    RPSGB register is sll 31 December.

    We will be mailing premises renewal noces on a monthly

    basis. Premises owners may receive renewal noces throughout

    the year.

    We are encouraging registrants to provide their email address

    if they havent already done so. Registrants who have provided

    email addresses are asked to check their email address

    on myGPhC.

    Renewal encompasses the compleon of fitness to pracse and

    renewal declaraons as well as paying the fee.

    Registrants can only renew using an online (MyGPhC) or

    automated telephone service.

    The CPD and FtP declaraons thatregistrants are required to make are

    not simply box-cking exercises. They

    are the chance for you to restate your

    professionalism. We are also

    encouraging everyone to provide their

    email address, if they havent already

    done so, and registrants are asked to

    check their details on myGPhC.

    Above all, please read the informaon

    we send out.

    You would be surprised how manyregistrants dont read it

    and either miss their deadline or do

    not renew properly, says Terry.

    Those who do not renew in me will

    be removed from the register this

    means that they will not be able to

    pracse unl they make an applicaon

    for restoraon.

    Its straighorward enough to

    renew but we have had to remove

    some registrants because they didntmeet their deadlines, warns Terry.

    There are no excuses. And the

    restoraon fee for those who have

    been removed is considerably more

    expensive than renewing correctly

    in the first place.

    Renewal

    For more informaon, look at our website www.pharmacyregulaon.org

    Rolling register:

    what you need to know

    You enter the register either on the first or fieenth of the

    month of joining Registered for a period of one year

    Registraon expires on the day before the anniversary of the

    first entry

    Upholding standards and public trust in pharmacy 7

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    8 Regula+e: September 2011 | Issue 01

    Under the Pharmacy Order 2010, we are

    bound to set standards that ensure the

    safe, effecve pracce of pharmacy, and

    to set the educaon and training

    standards which underpin the

    profession.

    The standards we set are an integral part

    of the risk-based, proporonate way in

    which we regulate. We want to make

    sure the standards focus primarily on

    outcomes rather than processes, and

    that they do not stop you from being

    innovave and autonomous in your

    day-to-day pracce.

    Our standards for conduct, ethics,

    performance and connuing

    professional development have been

    sent to all pharmacy professionals and

    all are published on our website.

    A key element in our standards work isthat although they are outcomes

    focused, we want them to be

    meaningful to registrants: we therefore

    look to make clear how they apply in

    everyday pracce. A key area of work

    going forward will be idenfying how we

    can build on the standards and any

    supplementary guidance we publish.

    Although our core standards are

    designed to be applicable to all areas of

    pracce, there may be some areas

    where addional guidance or

    informaon is necessary to underpin

    them. To date, we have guidance

    covering a range of areas, from the

    provision of pharmacy services affected

    by religious moral beliefs, to responses

    to complaints and concerns. We know

    there are more areas to cover and as

    part of our ongoing efforts we expect to

    be consulng and engaging on four more

    guidance documents in the near future

    so we can find out how best to ensure

    these clarify complex issues for you in

    your pracce. These are:

    Paent confidenality: the guidance

    will explain your duty, what we advise

    in relaon to protecng confidenal

    informaon, and advice about

    disclosure of informaon.

    Obtaining consent: we explain what

    consent is, the types of consent

    there are and how to obtain it. The

    guidance also provides informaonabout capacity to make decisions

    and the difference between children

    and adults.

    Professional boundaries: gives

    guidance to pharmacy professionals

    on the importance of maintaining

    proper professional boundaries and

    explains your responsibilies.

    Raising concerns: looks at the

    importance of voicing concerns and

    the steps a pharmacy professionalshould take. This also includes

    guidance for employers.

    The first four documents expandon standards within conduct, ethics

    and performance.

    We know there may be more than

    one way to meet our standards and

    you may adopt alternave methods

    to do this. We expect you to exercise

    your professional judgment in your

    day-to-day pracce to safeguard the

    care of paents. We connue to work

    closely with professional organisaons

    such as the RPS and the Naonal

    Pharmacy Associaon to ensure that

    when we publish standards, other

    bodies who may wish to provide

    support and advice to their membership

    are in a posion to do so.

    We also want your feedback: standards

    must be relevant to the mes and we

    are looking for areas where new

    legislaon and evolving pracce mean

    we need to tweak or update what we

    say, or where more support for

    registrants is required.

    Standards

    RaisingthestandardEnsuring thesafe, effectivepractice of all

    pharmacyprofessionals isamong our keyresponsibilities.Central to this isthe publicationof standardsand guidance and more ison the way.

    Standards:

    what you need

    to know

    We currently publish standards for:

    conduct, ethics and performance owners and superintendent

    pharmacists of retail pharmacy

    businesses (interim)

    connuing professional

    development (CPD)

    inial educaon and training for

    pharmacists and pharmacy

    technicians

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    Upholding standards and public trust in pharmacy 9

    Meeng our own languageresponsibilies

    As required by law, and to improve

    access to our work and pharmacy

    services for Welsh paents and the

    public, we have developed and

    consulted on a Welsh language scheme.

    We adopted the principle that in the

    conduct of public business in Wales,

    we will treat the English and Welsh

    languages as equal. The scheme sets

    out how we will give effect to thatprinciple when providing services to

    the public in Wales.

    Seasonal flu immunisaon

    programme

    Winter is coming, bringing with it the flu

    virus. And, as usual, local health

    providers are encouraging those most at

    risk to take up the offer of a flu

    vaccinaon.

    Frontline health professionals,like you, should also take up the

    vaccinaon offer. Being vaccinated will

    reduce the risk of passing on the virus to

    paents, public and the people you

    interact with in your day-to-day work.

    Public safety is our main concern

    and we would be remiss if we didnt

    remind all registrants that they can

    take up the vaccinaon offer and so not

    only protect yourself, but your family

    and paents as well.

    It is also about making sure that you

    understand the repercussions

    of having the flu if you are in a

    clinical risk group and the facts about

    the vaccinaon so you can provide

    the choice of vaccinaon to your

    paent groups.

    Raising concernsWe welcome the House of Commons

    Health Select Commiee July report

    which highlighted the need for health

    professionals to raise concerns about

    their own pracse or that of other

    professionals. We are commied to

    ensuring that registrants understand the

    importance of this in relaon to safe and

    appropriate care of paents and the

    public. Our own standards require

    registrants to commit to this, through

    standards 6.9 (self-reporng) and 7.11

    (raising concerns not just about fellow

    registrants but about wider healthcare

    professionals).

    Geng out and about

    The GPhC is commied to being open and

    transparent, and we want you to have

    opportunies to have your say on the way

    we regulate the profession by offering us

    your thoughts. As well as contacng us by

    phone or email, you are welcome to aend

    our council meengs, which take place

    every other month. You can check our

    website for details of the dates and

    mes of those meengs. We will also be

    a visible presence at trade shows, special

    events and conferences throughout the

    year. Next month we will be at the

    Pharmacy Show, at the Birmingham NEC

    on 9-10 October and we encourage you

    to visit our stand and talk to us.

    Sale of contact lensesThe General Opcal Council (GOC) has

    advised us they are commied to

    idenfying and pursuing illegal sales of

    cosmec contact lenses in the wider

    context. Cosmec contact lenses, also

    known as zero-powered or plano lenses,

    are used to change the colour or

    appearance of the eyes. Zero-powered

    lenses can be supplied only by, or under

    the supervision of a registered

    optometrist, dispensing opcian or

    medical praconer. Supervision

    requires the registered person to be

    present on the premises, aware of the

    procedure and in a posion to intervene

    if necessary. The seller/supplier must

    also make arrangements for the wearer

    to receive ongoing care. Pharmacists are

    reminded that they must not sell

    cosmec contact lenses unless they can

    comply with these requirements.

    News in brief

    Here are the conferences we are

    aending over the next two months

    why not take the opportunity to visit

    our stand and talk to us. We will also

    let you know what presentaons,

    seminars and tutorials we will be

    aending.

    Conferences: Pharmacy Show: 9-10 October,

    Birmingham

    Pre-registraon dates:

    Deadline for receipt of entries for

    the summer examinaon:

    Friday, 18 May 2012

    Summer registraon examinaon:

    Friday, 29 June 2012

    Deadline for receipt of entries for

    the autumn examinaon:

    Friday, 17 August 2012 Autumn registraon examinaon:

    Friday, 28 September 2012

    Events and updates

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    10 Regula+e: September 2011 | Issue 01

    Dear editor,

    I wish to renew my registraon for

    another year. But I wish to set up a

    direct debit and when I ring the number

    on your renewal leer there is no

    opon for this!! How I do that?

    Also, are there extra fees?

    Zacharias P

    In order to set up a direct debit with us

    you will need to complete a direct

    debit form which can be found on our

    website. It is important that you submit

    this before aempng to renew your

    registraon. Usually it will take 48 hours

    from receipt of your direct debit form

    before our systems are updated.

    If you try to make your renewals before

    the direct debit has been processed by

    us, the automated system will insist that

    you provide either credit or debit card

    details. Unfortunately there is a charge

    to use your credit card.

    There are two opons on the form for

    those wishing to pay by direct debit

    there is the opon to pay a single lump

    sum of 267 as per your renewal leer,

    or in quarterly instalments of 66.75.

    The charge for using the direct debit

    service is an extra 15 (if you pay in

    quarterly instalments this will be taken

    with your first payment) to cover the

    extra administraon costs involved withproviding the direct debit service.

    Dear editor,

    I have just received my registraon

    renewal noce by post and was just

    wondering why the fees need to be paid

    so far in advance?

    I am also concerned that if I am paying

    three months in advance, will this mean

    that I am effecvely registering early

    and as such losing out on three months

    of next years registraon?

    As a single mother with a mortgage Im

    sure you can understand every penny

    counts in my household, which is why

    I would like some further clarificaon

    before I set up a new direct debit!

    Thank you in advance for your me,

    Monica B

    The renewals process is based upon the

    regulaons specified in our RegistraonRules 2010, which state that all

    registrants must renew a minimum of

    two months prior to their expiry date. As

    this is set in legislaon, there is no

    flexibility with these melines.

    The addional month is designed to give

    registrants enough lead in me to make

    their declaraons, and also to ensure

    that they have sufficient funds in place

    to make their renewal.

    You can be assured that your renewalfee covers you for the full 12 months

    from the expiry date stated on your

    leer, regardless of how early it is paid.

    Every issue willfeature yourletters. In thisfirst issue wehave publisheda number ofenquires wehave receivedthrough ourcustomercontact centre,rather thandirectly toRegula+e.

    Letters

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    Dear editor,

    Thank you for informing me that my

    applicaon for registraon as a

    pharmacy technician will not be

    processed, I understand that it was

    unfortunate that my applicaon was

    not received in me to be processed.

    I have looked at the link which you

    set out in the leer, but unfortunately

    I dont understand which further

    courses I must undertake before my

    applicaon can be processed again.

    Therefore I would be extremely grateful

    if you could inform me of what

    qualificaon I should aain.

    Yours faithfully

    Hailey S

    Following the end of the grandparenng

    arrangements on 30 June 2011, in order

    to apply for registraon as a pharmacytechnician you must hold one of the

    following approved competency-based

    qualificaons:

    Pharmacy Services NVQ level 3 (City &

    Guilds qualificaon code 100/2201/6)

    Pharmacy Services NVQ level 3

    (Edexcel qualificaon code

    100/2615/0)

    Pharmacy Services SVQ level 3

    (Scosh Qualificaons Authority

    qualificaon code G75923)and

    One of the following approved

    knowledge based qualificaons

    Edexcel BTEC Naonal Cerficatein Pharmacy Services (qualificaon

    code 500/1138/8)

    City & Guilds Level 3 Cerficate

    in Pharmacy Services (qualificaon

    code 100/5845/X)

    SQA Naonal Cerficate

    in Pharmacy Services

    (qualificaon code G753 04)

    plus successful compleon of

    addional SQA modules Building

    Blocks Chemistry and Local

    Invesgaons Buercups Training level 3

    underpinning knowledge

    programme

    Naonal Pharmacy Associaon

    level 3 underpinning knowledge

    programme

    and

    meet the qualifying period of

    work experience

    You need to provide evidence of

    having completed a minimum of two

    years relevant work-based experience in

    the UK under the supervision, direcon

    or guidance of a pharmacist to whom

    you have been directly accountable for

    not less than 14 hours per week. (Please

    see secon 7 of the GPhC criteria for

    inial registraon as a pharmacy

    technician).

    During these two years, you must have

    completed at least 1260 hours of work

    experience (excluding sickness absence,

    maternity leave and holidays) and atleast 315 hours of work experience in

    each year.

    Upholding standards and public trust in pharmacy 11

    All leers are subject to editorial control and may be reproduced in summary without reference back to source. If we receive a leer that theeditor feels needs a response or is clearly an issue of learning for the wider profession we may respond in this leers secon. Not all leers

    received will be published and we will not publish leers that are personally crical of individuals in opinion or comment.

    Letters

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    12 Regula+e: September 2011 | Issue 01

    While it is true that vising the GPhCs

    website is normally the best way to get

    answers quickly and simply, there will be

    mes when you need to speak to

    someone, and this is where the customer

    contact centre comes in.

    Set up in March, it has five staff who

    handle an average of 400 calls and 60

    emails every day.

    So what changes will registrants see now

    in the way that their calls are handled?

    Your me is valuable you should

    noce, firstly, that you can get through,

    and get through quickly, says contact

    centre manager, David Taylor. We have

    made good progress in meeng our

    service standards, but we know there is

    more to do, parcularly during peak

    mes when it can sll be difficult to get

    your calls answered quickly.

    The centres aim is to provide an effecveand efficient telephone service and to

    ensure our advice and guidance is up to

    date, accurate and complete. Somemes

    its necessary for us to speak to colleagues

    about parcular enquiries and then

    call you back.

    However, we have noced that the

    volume of engagement with the contact

    centre depends on whats happening in

    the academic cycle. Were adding to our

    knowledge database all the me, David

    goes on. We get a host of enquiries

    around geng hold of training material

    or paying fees, then as we go towards

    exams there are a lot of queries around

    geng to exams, and results, resits

    and so on.

    Other spikes in calls have come in the

    areas you would expect, such as around

    the July deadline for the registraon of

    pharmacy technicians. From the

    beginning of May to the end of June we

    were geng 450-500 calls a day, recallsDavid. And 600 calls a day towards

    the end.

    CPD also throws up a ra of issues for

    the contact centre. Many of these are

    praccal things, such as logins or passwords

    or what informaon registrants have to

    send in, explains David.

    The contact centre staff are customer

    service specialists, not pharmacists,

    which means they will not give advice on

    pharmacy queries (an area insteadhandled by our standards adivsory

    team). David explains: We should be

    able to handle at least 80 per cent of calls

    without passing them on. In reality, we

    are exceeding this figure, with over 90

    per cent of calls answered by the contact

    centre.

    While it is important that registrants

    receive a prompt, mely response to

    their phone queries, the contact centre

    does more than this: through the carefulmanagement of calls, it has an important

    role to play in the process of regulaon

    itself in that it can take pressure off

    other teams in dealing with enquiries.

    It can also idenfy trends that may helpin improving our systems and processes,

    or idenfying areas of potenal risk and

    concern within pharmacy.

    In the majority of cases, vising our

    website is sll the best way to get the

    informaon you need quickly and simply.

    We use the data collected by the contact

    centre to develop generic frequently

    asked quesons (FAQs) which you can

    find on the website. These FAQs can help

    to answer enquiries without you havingto contact us directly. The FAQs are

    reviewed regularly to ensure they remain

    accurate and current.

    Over the last

    couple ofmonths, anyonepicking up aphone to contactus will havenoticed a majordifference in howtheir enquiry is

    dealt with

    Customer Contact

    Centre: what you

    need to know

    Open Monday to Friday

    9am 5pm

    Try to have your applicaon or

    registraon number to hand, as

    well as any other relevant

    documents to speed things up

    We aim to answer at least 80%

    of calls within 20 seconds

    For email enquiries, we try to

    give a substanve reply to at

    least 90 per cent within 48 hours

    www.pharmacyregulaton.org

    Ringingthechanges

    Customer service

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    Upholding standards and public trust in pharmacy 13

    In our responsibility for regulangpharmacy across Great Britain,

    devoluon is an important reality

    and there are parcular challenges

    for an organisaon like ours to ensure

    we regulate in a way which reflects

    this reality.

    Firstly, registrants should find that our

    standards and any guidance we publish is

    consistent, and keeps pace with, changes

    in local legislaon and certainly in the

    delivery of local health services.

    Our standards also need to reflect

    the realies of different legislaon

    in the three countries, for example,

    in relaon to protecon of vulnerable

    groups where the responsibilies of

    pharmacy professionals and employers

    may be different across Great Britain.

    We also have a responsibility to consider

    the impact on regulaon of any changes

    in the delivery of pharmacy services,

    such as, through changes to the

    pharmacy contract.

    Another crical issue is for us to reflect

    our commitment to engagement across

    Great Britain of all our key interest

    groups, including paents and the public,

    as well as members of the pharmacy

    professions and their employers, in the

    development of our standards and

    policies. We recognise that holding one

    major consultaon event in London will

    not suffice. We are commied to

    ensuring all registrants will have anopportunity to meet with us to discuss

    our work and the development of our

    standards, no maer where you live in

    Great Britain.

    Finally, and perhaps, the most important

    implicaon of devoluon, is that to

    contribute to maintaining paent safety,

    we must understand the health

    regulatory and law enforcement agencies

    across England, Scotland and Wales and

    ensure we are sharing informaon

    appropriately to uphold standards, avoid

    regulatory duplicaon or burden, and to

    protect paents.

    New director for ScotlandThe GPhC is delighted that Lynsey

    Cleland has been appointed as director

    for Scotland. Lynsey registered as a

    pharmacist in 2000 and worked as a

    community pharmacist before becoming

    a pharmacist adviser and then head of

    professional ethics at the RPSGB. From

    September 2008, she was the northern

    regional lead inspector, scheduling and

    delivering an inspecon and monitoring

    programme for a porolio of registered

    pharmacies in Scotland.

    In her new role, Lynseys focus will be

    ensuring the way in which we regulate in

    Scotland reflects the local context, as

    well as leading all our engagement work

    in Scotland including pharmacy

    professions, paents and the public,

    Scosh parliamentarians and

    government officials.

    Director for Wales

    We are currently recruing a director for

    Wales. For further details visit our website.

    Making thedifference

    Three countries

    As regulatorwe mustreflect the

    differenceswhich registrantsface in England,Scotlandand Wales

    Lynsey Cleland, new director for Scotland

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    14 Regula+e: September 2011 | Issue 01

    As the first chief execuveand registrar of the GPhC Duncan

    has led the organisaon through

    establishment and its first full

    year of operaons.

    How do you think registrants

    perceive the GPhC? Do you

    think youve made a good first

    impression?The reality is for many registrants they

    will have very lile direct contact with

    the regulator outside of renewal noces.

    Part of the purpose of Regula+e is to

    ensure that we keep all registrants up to

    date with issues that affect them and to

    enable us to have a more interacve

    relaonship with them. Fitness to

    pracse is only a small part of our role

    and we need to encourage greater

    involvement of the profession in shaping

    policies, from educaon to newstandards and guidance. I think weve

    made a good start, but registrants will

    naturally say that the proof of the

    pudding will be in the eang!

    What kind of regulatoris the GPhC?

    Last year, our governing council set

    out our vision and values as a regulator.

    This included some strong words about

    proporonality, being risk-based and

    embracing the principles of good

    regulaon. It is sll early days, but

    there are some clear examples that

    demonstrate we have taken some

    praccal steps to deliver this vision

    not least through the way in which wehave handled the legacy of FtP cases

    from the RPSGB.

    What would you see as the

    biggest successes of the GPhCs

    first year of operaon?

    Undoubtedly the approach to, and

    implementaon of, our just disposal of

    legacy cases has been successful.

    Introducing a whole new registraonsystem has been very challenging but the

    first major renewals peak in January

    appeared to go well with over 98%

    renewing. However, the most notable

    change to pharmacy regulaon this year

    has probably been the introducon of

    compulsory registraon of pharmacy

    technicians.

    You have received a lot

    more applicaons than

    predicted. Has that createdany problems?

    Independent esmates had suggested

    about 14,500 technicians might register.

    Once we have processed all the

    applicaons, over 20,000 technicians

    will be on the register. This is a testament

    to all those pharmacy technicians

    who wish to contribute to pharmacy as

    part of a regulated profession with all

    the requirements and opportunies

    that brings.

    Buildingfor thefuture

    As the GPhC

    reaches its firstbirthday, thereare still questionsin the air.How willFtP work now?What isproportionate

    regulation?And where dowe need to makeprogress?Regula+e talksto chief executiveDuncan Rudkin.

    Interview

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    Upholding standards and public trust in pharmacy 15

    Have you encountered anyproblems that you didnt know

    existed when you started up?

    Of course, but it would have been a

    surprise if things hadnt cropped up:

    the size of the caseload has been a

    big challenge, which it is in all the

    health professions, by the way.

    However, we have to be focused on

    the future, not worrying about what

    happened in the past.

    How do you think pharmacy

    is going to change, and will

    divergence in pracce across

    Great Britain have an impact?

    I am sll learning about pharmacy but

    its already clear to me that there will be

    changes, including big changes in the

    role of pharmacists and pharmacy

    technicians. Our core approach, for

    example, in standards development is

    that we need to ensure what we do in

    regulaon is not just fit for today or

    tomorrow, but is proofed against future

    changes. This applies equally to how we

    react to the divergent health structures

    across Great Britain and how we work

    with colleagues in Northern Ireland.

    Regulaon must be appropriate to the

    local context and we must ensure that

    we understand how pharmacy is

    delivered locally and how we can avoidregulatory duplicaon and overlap

    with regulatory bodies based in Scotland

    and Wales.

    Where does the GPhC most

    need to make progress in the

    next 12 months?

    Weve done much to establish ourselves

    and ensure a smooth transfer from the

    RPSGB, but if anything the next year is

    likely to be busier than the first. We will

    be taking forward how we intend to

    regulate pharmacy premises, which will

    involve widespread engagement with the

    profession, and we will be producing a

    range of regulatory guidance to underpin

    our standards in areas such as seeking

    consent and confidenality. A key

    priority in operaonal terms will be to

    complete our work on legacy FtP cases

    and ensure we are dealing appropriately

    with cases opened since September of

    last year. And looking at the effecveness

    and efficiency of all our operaons.

    Interview

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    16 Regula+e: September 2011 | Issue 01

    CPD is not a ck-box exercise: it plays akey role in enabling registrants to reflect

    on and apply their learning, and helps to

    bring into focus everything you learn as

    you go about your work as a pharmacy

    professional.

    We have a statutory duty to ensure

    registrants pracse safely and effecvely,

    and the CPD framework and rules that

    came into force in July, help to formalise

    how this is done.

    It is a legal requirement that youundertake and record CPD: in order to

    maintain your registraon as a pharmacy

    professional, you are required to

    demonstrate that your pracce is

    current. The framework explains how to

    do this, as well as how much CPD is

    required, how it has to be recorded and

    what happens when a registrants

    records are called.

    One of the changes we have introduced

    is that not only will you have to declare

    on your renewal that you intend to

    complete your CPD in the coming year,

    but also that you have completed it in

    the previous year.

    Crucially, it is not only a queson of

    parcipang in connuing educaon

    the CPD framework is there to explain

    what we see as an ongoing process of

    reflecon, planning, acon and

    evaluaon. For example, at least three

    out of the nine required CPD entries for

    each full year of your registraon muststart at reflecon, and we will check

    that a registrant has applied at least

    50 per cent of our assessable criteria for

    good recording pracce.

    If a registrant fails to respond to arequest from us to submit their CPD

    record for review by the deadline given,

    we may now remove them from the

    register. Well use this new power only

    as a final resort, but it shows the

    importance we place on CPD as a means

    of assuring connuing fitness to pracse.

    Its best to avoid this by recording CPD

    regularly, suggests head of educaon

    and quality assurance, Damian Day. And

    our online system is the best way of

    doing this.

    For some pharmacy technicians this is all

    new, of course, as is being a professional

    registrant group. But perhaps the

    clearest way of looking at it this is not at

    the CPD standards themselves, which

    have altered, it is the way we explain

    what you have to do which is new, plus

    the fact that it is now a legal

    requirement to record this in an

    approved format.

    Previously this was a nice to haverather than a necessity, explains

    Damian. Now, if registrants dont

    appear to have met the standards then

    we will ask for extra informaon or we

    may ask them to parcipate in some

    more learning in a parcular area. For

    example, we may ask a registrant to

    undertake more CPD acvies by a

    specified date and to make a record of

    this learning in their record.

    CPD makes you beer able to do yourjob as a pharmacy professional and the

    framework is there to ensure registrants

    are up to date, says Damian. It also

    provides a cost effecve way for the

    regulator to check this: the CPD

    framework is not designed to be

    intrusive records are normally only

    called every five years, which means the

    burden on you is reasonably light.

    Conscienous professionals are

    commied to CPD for their own posive

    reasons having a regulatory framework

    simply provides an important assurance

    of something that should be (and in

    most cases is) happening anyway.

    Continuing Professional Development

    Conscienous,professional,dedicated

    Learning iscrucial tomaintaining

    and improvingpharmacypractice. ButCPD isnt justa statutoryrequirement it makespractical sensefor pharmacistsand pharmacytechnicians totake it seriously.

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    Upholding standards and public trust in pharmacy 17

    CPD standards are not changed byfactors such as part-me employment or

    working in a non-pharmacy role. We

    will be flexible if someones

    circumstances change but its always

    best to let us know of changes in

    advance, Damian goes on. Changes

    may include taking a short career break,

    or being unable to do CPD for a period

    because you are ill.

    Finally, we recognise that registrants

    CPD needs are likely to be very different:

    a community pharmacist or pharmacy

    technicians CPD record, for example,

    might contain entries about clinicalissues, public health issues and

    prescripon and over-the-counter

    medicines. However, a pharmacy

    managers record could reflect

    managing, coaching or training skills that

    are being developed, while an industrial

    pharmacist may have more on

    regulatory requirements or new

    technology. We just want to make sure

    that you are accessing the learning that

    will help you develop and keep your

    paents safe.

    Continuing Professional Development

    CPD enables you to update,

    maintain and develop your

    capabilies by:

    Helping you idenfy yourindividual learning needs Recognising the learning

    that occurs in the workplace,whether formally orinformally

    Acknowledging that everyonelearns in different ways andthat you will have your ownpreferred methods

    Avoiding the need tocomplete a fixed number ofhours of CPD or to sck to aformal learning structure

    Anything which helps you to

    improve as a pharmacy

    professional such as:

    Learning knowledge and skillson conferences and courses Pracce-based learning

    including feedback frompaents and audits

    Analysis and review of cricalincidents

    Self-directed learningincluding reading, wring orundertaking research

    Learning with others e.g.talking to colleagues or goingto workshops

    Details of the format in which you must record CPD, and the criteria we use

    to assess whether youve met our requirements, can be found at

    www.pharmacyregulaon.org. We are interested to have your views on

    how the CPD review has worked and how helpful or otherwise youve

    found the feedback given on your entries? You can send us your views to

    [email protected] marked CPD review.

    To update your CPD record, go to www.uptodate.org.uk

    CPD:

    What you need

    to know

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    18 Regula+e: September 2011 | Issue 01

    The presge and status that professionsare held in is based on the knowledge

    that they have achieved a standard

    arguably a gold standard qualificaon.

    The courses that you take, leading to

    registraon, are part of the bedrock

    on which we all stand, and it is our

    duty to make sure that these are of the

    right standard.

    The register sits at the heart of all

    health professional regulaon, explains

    Damian Day, head of educaon and

    quality assurance. We have a legal

    obligaon to set the standards for

    educaon and training. We have to

    check that you have the necessary

    educaon and training, and we have

    responsibility to check on standards

    within universies. This is all key to

    ensuring those who come onto the

    register are fit to pracse.

    Pharmacists, and now pharmacy

    technicians, follow these vital pathways

    into what is an academically demandingprofession. The process of renewal is,

    at its heart, an affirmaon that these

    GPhC-accredited courses have been

    of a standard which ensures public

    confidence in professionals and helps

    to ensure paent safety.

    For pharmacists this means a minimumfive years educaon before qualificaon,

    taking in the four-year Master of

    Pharmacy Degree (MPharm), followed by

    a years pre-registraon training and

    compleon of the registraon exam.

    Spending that year gaining praccal

    experience in a working pharmacy is a

    crucial element of pre-qualificaon

    training.

    And since July this year, of course, the

    register has included pharmacytechnicians. As a vital part of the team,

    technicians have two years consecuve

    work-based experience under the

    guidance of a pharmacist, as well as

    compleng a competency-based

    qualificaon and a knowledge-based one

    approved by us, either at a college or by

    distance learning.

    We also accredit training courses for

    dispensing assistants and medicine

    counter assistants.

    Perhaps it is also useful to be clear about

    the things that the GPhC doesntdo

    when it comes to educaon and training.

    We dont set fees (in England) or control

    student numbers, Damian goes on.

    Undergraduate pharmacy numbers are

    unrestricted, for example, and we dont

    have a role in workforce planning.

    Education and training

    Education and

    training are thefoundations onwhich we allstand in thepharmacyprofession andit is the GPhCthat ensures

    standards aremaintained

    Creangstrongfoundaons

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    Upholding standards and public trust in pharmacy 19

    In other words, we set the standards

    which should make registrants ready for

    life in the profession, but how this is

    delivered is then down to educaonal

    instuons and employers. Two of the

    larger pharmacy mulples, for example,

    train around half of pre-reg students

    who make it on to the register. Therewill be around 2,800 students next year

    in pre-reg, says Damian. In 2010,

    2,505 new trainees entered pharmacist

    pre-registraon training.

    As regulator we also try to help shape

    legislaon on educaon and training by

    offering our thoughts on how proposed

    changes may affect registrants and

    paents. As part of this work, we are

    contribung to the governments current

    work on Modernising Pharmacy Careers

    (MPC), for example. This important

    project has huge implicaons for the way

    would-be registrants will train in future.

    It looks at three things:

    Inial educaon and training of

    pharmacists and pharmacy

    technicians

    Postgraduate pharmacy training

    Workforce and technology

    The first two of these relate to the

    way in which students are educated:

    possible changes in England could

    include wrapping up the current

    pre-reg year into a five-year bundle

    (rather than a four-year course plus one

    year) that would include both MPharm

    and pre-reg.

    The third part of the MPC workstream

    looks at how things should work as the

    pharmacy industry changes, such as the

    increasing move to clinical pracce.

    What happens in England, Scotland andWales may well be different, says

    Damian. Some or all of what MPC has

    proposed may be brought out for

    consultaon probably later this year, but

    we as the regulator, will need to consider

    any proposed changes to the provision or

    funding of pharmacy educaon proposed

    by the each of the governments in

    England, Scotland or Wales.

    Whatever the outcome, the nature of

    the pharmacy professions work is

    changing, and educaon and training will

    adapt to suit the demands of paents

    and employers.

    As many in the pharmacy sector move

    towards a more clinical role, courses will

    change and we will revise our standards

    to reflect the way the profession is

    working. But the quality of the courses

    must and will remain constant,

    helping to ensure that we will have a

    well-stocked pool of future talent:

    qualified pharmacists who are trained to

    deliver good quality care and services.

    Ulmately, our responsibility is to

    paents and the public, concludes

    Damian. Our aim is to ensure through

    the training and educaon that we

    accredit - that everyone who is

    registered with us has the necessary

    skills to carry out their work safely.

    Education and training

    Educaon and training: what you need to know

    Pharmacists need to spend a minimum five years in educaon and training before they qualify, consisng of a four-year

    MPharm and a years praccal work although the way in which you do this could be set to change

    We accredit all the pharmacy schools in universies which offer MPharms, as well as courses which are part of the

    Overseas Pharmacists Assessment Programme for non-EEA qualified pharmacists

    We are rigorous: it usually takes three years from an inial meeng with a university that wants to provide an MPharm

    course to the first intake of students

    Students have to complete a years pre-registraon training and pass our registraon exam before they can join the register

    Pharmacy technicians need to have two years of work-based experience under the guidance of a pharmacist and must

    complete further qualificaons approved by the GPhC

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    20 Regula+e: September 2011 | Issue 01

    GPhC

    Who we areand what we do

    One of our key messages as the new

    regulator for the pharmacy professions is

    that fitness to pracse is only one part of

    our work. There is a much wider role

    that we play, much of it focused on

    supporng pharmacy professions to

    maintain standards of conduct, ethicsand performance. As a new organisaon,

    we want to explain clearly our

    approach not least so that if we fail to

    live up to the high standards we set and

    the approach we outline, we can be held

    to account for it.

    We became operaonal on

    27 September 2010 when, under the

    Pharmacy Order 2010, responsibility

    for regulang the pharmacy profession

    transferred from the RPSGB to

    the GPhC. Our role is to protect,

    promote, and maintain the health

    and safety of the public.

    At the heart of our proporonate,

    risk based regulatory approach is

    maintaining paent safety and public

    trust in the profession by:

    being independent;

    ensuring pharmacy is as safe as it

    can be;

    sustaining and improving standardsand quality of care; and

    working with professionals to

    idenfy, address and learn from

    poor pracce and behaviour.

    We will regulate by developing andmonitoring compliance of our standards

    and rules providing a praccable,

    workable framework for pharmacy

    professionals to deliver services safely.

    They are intended to be proporonate

    and useful, helping praconers to

    improve quality, not be rule bound and

    risk constraining safe pracce.

    We believe that our vision of modern

    regulaon can:

    Allow pharmacy pracce to developand to rise to new challenges and

    opportunies, while protecng the

    safety of the paents and the public

    Enhance the confidence of the

    public and paents by sending out

    a clear message that paent safety

    is paramount

    Ensure that registered professionalsare fit to deliver a wide range

    of services to the public safely

    Provide a framework for CPD and,

    in due course, revalidaon

    Provide a framework for seng

    standards for advanced levels of pracce

    Regulaon should not create unnecessary

    burdens, but be proporonate to the

    risk it addresses and the benefit

    it brings.

    It should support and enable the workinglives of pharmacists and pharmacy

    technicians, and open up pathways to

    a sasfying career, rather than being

    seen purely as a means of discipline.

    These are the principles to which we

    subscribe and by which we are happy

    to be judged.

    Governing

    council

    14 appointed

    individuals 7 pharmacy

    professionals and

    7 lay people

    Set the strategy; and

    holding the organisaon

    to account

    Chaired by

    Bob Nicholls

    Commiees We have a number of

    statutory commiees:

    Invesgang

    commiee

    Fitness to pracse

    commiee

    Appeals commiee

    We also have several

    non-statutory commiee:

    Audit and risk commiee

    Remuneraon

    commiee

    Appointments

    commiee

    Execuve

    team

    5 people including all

    execuve directors

    Deal with daily

    operaonal issuesdelivering the councils

    strategy

    Led by chief

    execuve andregistrar

    Duncan

    Rudkin

    We thought it would be useful for you

    to know who is regulang you so here

    are some facts and figures...

    Our remit is to regulate pharmacists,

    pharmacy technicians and pharmacy

    premises across England, Scotland

    and Wales.

    Seng the strategic direcon of the

    organisaon is the responsibility of

    our governing council. In governance

    terms, we have a number of teams

    that support safe pharmacy through

    managing the GPhC.

    How the GPhC works

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    When we took over regulaon ofpharmacy, there was one glaring

    problem: there were a significant

    number of fitness to pracse cases that

    had yet to be concluded, but for which,

    as the new regulator, we were now

    responsible. Due to the way data had

    been collected and put together, it took

    us some me to find out the GPhC

    had inherited 589 ongoing fitness to

    pracse (legacy) cases.

    Its a big responsibility we took on,

    says Hilary Lloyd, director of regulatory

    services. Based on the historic

    throughput of cases it would be taking

    us around four years just to clear the

    backlog without receiving any

    new cases.

    For the public who made complaints,

    and for pharmacy professionals who had

    cases hanging over them, such delays are

    unacceptable.

    The Pharmacy Order 2010 gave us the

    power to deal with each of the legacy

    cases in a different way to normal

    procedures. That enabled the registrar,

    delegated by the governing council, to

    decide whether cases should go to a full

    fitness to pracse commiee hearing or

    could be disposed of in a more

    proporonate manner. This just

    disposal of cases has been an important

    element in speeding the process up;

    although we have ensured that all cases

    are handled fairly and transparently. Thisincludes proper internal and external

    auding processes, and providing proper

    explanaons of our decisions.

    We took into account a number of

    factors: how old is the case or/and can

    we prove a case where the facts are in

    dispute? There were a number of

    checks and balances in the process,

    but we wanted to make sure, too, that

    we were being fair and proporonate,

    while maintaining a clear focus on

    public protecon.

    The whole process has been useful onseveral levels. It gave us an insight into

    the concerns of pharmacists and enabled

    us to concentrate on proporonate

    regulaon, Hilary. FtP isnt about

    punishment. Some cases have been dealt

    with by providing advice or issuing a

    warning so they wouldnt then have to

    go to a full hearing.

    Complaints have been made over a

    wide range of maers such as previous

    convicons that havent been disclosed;

    ethics issues; dispensing errors; unlawful

    supply of drugs; alcohol misuse; the

    and violence.

    Some cases appear clear-cut, but in

    many others there are nuances which

    need to be carefully examined. We ask

    what gives rise to these problems,

    Hilary connues. If a dispensing error is

    a one-off, then our view is that it s a

    mistake. Were interested in whether

    people learn from mistakes, which is a

    key part of professionalism, and to whatextent there is any queson about their

    current fitness to pracse. We want to

    see whether theres anything systemic in

    registrants pracse which is an issue,

    rather than running every single error

    into the ground.

    Above all else, the idea of proporonate

    regulaon underpins the process of

    protecng paent safety. Our ethos is

    that the vast majority of registrants are

    good people but for a variety of reasonsa few might lose their way, she

    concludes. Our focus should be on

    geng them back into effecve pracce,

    even subject to any necessary temporary

    restricons. Of course, there are some

    cases where, in the interests of the

    public and the reputaon of the

    professions, the only proper outcome is

    erasure from the register and we need

    to deal with those as quickly and fairly

    as possible.

    Upholding standards and public trust in pharmacy 21

    Fitness to practise legacy cases

    Geng thingsin order

    Dealing withhundreds oflegacy fitness topractise cases

    we inheritedfrom the RPSGBhas been a toppriority over thepast year. Themajority of thecases have beendealt with and,

    with newpolicies in place,it is time to lookforward.

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    22 Regula+e: September 2011 | Issue 01

    Fitness to practise - determinations

    DeterminaonsShould a fitness to pracse commiee

    determine that a registrants fitness to

    pracse is impaired, the commiee may

    impose a sancon that is proporonate

    to the conduct that has been found

    proven. This may include, for example,

    issuing a warning, placing condions on

    the individuals registraon, suspension

    or, in the most serious cases, erasing the

    individual from the register so that they

    can no longer pracse. Erasure from theregister is the most serious sancon. The

    maers listed below include registrants

    registraon number, date of the hearing

    and the sancon by the panel.

    Determinaon of the facts and addional

    informaon about the hearings can be

    found on our website.

    Skekoni, Olawale Alade 2021866

    Hearing 31/08/2011 and 1/09/2011

    Registraon suspended for 6 months

    following the registrant receiving a police

    cauon for the of medicines from Asda

    and for unlawful appropriaon of

    Oramorph (a controlled drug) from Boots

    whilst in their employment and self-

    medicang.

    Altaf, Ammaad 2053200

    Hearing 04/09/2011

    Condion placed on registraon

    Risbridger, Ruairidh David 2060809

    Hearing 18/07/2011

    Registraon suspended for 12 months

    for unlawful appropriaon of cash

    from employer and for inappropriate

    salary claims.

    Edens, Jonathan Michael Hindrik,2061869

    Hearing 17/08/2011

    Removed from the register for having

    been convicted of 13 criminal offences

    that led to the imposion of a two-year

    sentence of imprisonment.

    Shah, Syed Naseem Hussain, 2045091

    Hearing 23/08/2011

    Suspended for 12 months

    Shah, Syed Naseem Hussain 2045091Hearing 23/08/2011

    Suspended for 12 months for receiving a

    police cauon for false accounng.

    Parsons, William John 2020046

    Hearing 7/09/2011

    Suspended for 12 months following

    convicon for unlawfully adversing

    prescripon only medicines.

    All our fitnessto practisehearings areheld in public.Following theconclusion ofthe hearing wewill publish thedetermination outcome on our website.We will alsopublish alldeterminationssanctions inRegula+e.

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    Learning Case One

    Short-date medicines

    On 14 May 2010 the former regulator,

    RPSGB, received a complaint alleging

    that on 31 December 2009 the

    registrants pharmacy had dispensed

    short-dated Levothyroxine 50mcg,which expired at the end of March 2010

    when the complainant would be out

    of the United Kingdom on a four-

    month holiday.

    In numbered boxes, the complainant

    was dispensed 4 x 28 tablets of

    Levothyroxine 25mcg and 50mcg (for a

    75mcg daily dose). The complainant took

    the medicaon in order of the numbers

    on the boxes. Aer the end of March 2010,

    whilst out of the UK, the complainantdiscovered that the Levothyroxine 50mcg

    box 4 of 4 had expired. A complaint was

    subsequently submied to the regulator

    upon the complainant returning from

    their holiday.

    In August 2011 this case was submiedto our legacy determinaon group [our

    group considering cases received from

    the RPSGB] for consideraon under the

    just disposal policy. Both the

    complainant and the registrant were

    wrien to requesng their views on

    potenal disconnuaon of the case.

    The groups recommendaon to the

    registrar was for this case to be

    disconnued with wrien advice

    to be sent to the registrant regarding

    date-checking short-dated drugs.This recommendaon was based

    on the fact the medicaon was in date

    when it was dispensed and that the

    registrant had shown good insight and

    taken remedial steps upon receipt

    of the complaint. The registrant had

    reviewed her date-checking procedures,

    therefore the prospect of establishing

    current impairment of the registrants

    fitness to pracse was considered

    unlikely. The registrar agreed with

    the groups recommendaon.The case was therefore disconnued

    with advice.

    Case Summary TwoFacebook isnt private

    On 7 December 2010 the GPhC received a

    complaint regarding a registrant posng

    a derogatory comment about drug

    addicted paents on the social

    networking website. Facebook. The

    allegaons against the registrant were

    that this conduct was inappropriate and

    contrary to Standard 3.2 of the standards

    of conduct, ethics and performance.

    Standard 3.2: Treat people politely and

    considerately

    Our invesgang commiee considered

    it was proporonate to issue a leer of

    advice to the registrant to remind her of

    the requirement to uphold the high

    standards required by her profession at

    all mes. The invesgang commiee

    stated the registrants comment was

    unprofessional and publicly accessible

    but that she had shown insight and

    apologised for her acons.

    A central aimfor us as aregulator is toensure thatwe sharelearning fromfitness topractise caseswith you asregistrants

    Fitness to practise - learning

    Learning Points

    Make sure that when you

    dispense medicines you include

    a check to ensure that the stock

    is in date

    Consider the procedures you

    have in place for dispensingshort dated stock

    If a medicine has a short date

    consider whether there is the

    potenal that, by the me the

    paent takes the medicine it will

    have become out of date and

    make a judgement about the

    appropriateness of the supply

    Learning Points

    Social networking sites, such as

    Facebook and Twier, are not

    appropriate forums to discuss

    paents Pharmacy professionals should

    not make derogatory comments

    about individual paents or

    paent groups as these

    demonstrate a lack of respect

    and can cause unnecessary

    distress, impacng negavely on

    the profession as a whole

    Upholding standards and public trust in pharmacy 23

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    Check that a pharmacy professional is registered:

    www.pharmacyregulaon.org

    We want to make sure all of our services are accessible

    to everyone.

    If you would like a copy of this report in a different

    language or format (for example, in large print or

    audio), please contact us.

    Copies of this document are available to download

    from our website.

    We welcome feedback and comments on this

    publicaon which you can send to the contact

    details below.

    General Pharmaceucal Council

    129 Lambeth Road | London | SE1 7BT

    Telephone: 020 3365 3400

    Email: [email protected]

    Designed and produced by Tangerine UK

  • 8/3/2019 Regula+e Issue 1

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    Welcome fromthe chairWelcome to the first issue of Regula+e,

    the General Pharmaceucal Councils

    bullen for all registrants which we

    intend to publish every two months.

    As you know, there has been a great deal

    of change over the last year, and some of

    that is reflected in the arcles that I hopeyou will find me to read. While the GPhC

    has been established by parliament to

    ensure the safety of paents and the

    promoon of quality services to the

    public, it can only succeed in this role

    with buy-in from its registrants.

    Regula+e is designed to provide all

    registrants with important and useful

    informaon about the regulaon of the

    profession and your responsibilies as a

    regulated professional.

    Whether you are a pharmacist or a

    pharmacy technician, or you own premises,

    our intenon is to provide you with what

    you need to know in a nutshell,

    informaon which will help you keep

    paents safe and provide effecve care,

    whatever field of pharmacy you work in.

    This first issue focuses on the importanceof renewing your registraon; being on

    the register is an important safeguard on

    which safe and effecve regulaon

    depends. There are also arcles on

    connuing professional development

    (CPD) and fitness to pracse (FtP),

    reminding us that the declaraons you

    sign at the point of registraon or

    renewal are not merely boxes to ck

    they are fundamental to your day-to-day

    working lives and to our assurances to

    the public about your fitness to pracse,which your connuing registraon

    represents.

    Regula+e forms part of a wider dialogue

    between the GPhC and registrants: what

    are we doing well? What can we do

    beer and what do you want to see

    more of? Or less? Feedback to us is

    always important. Let us know what you

    think.

    The public places a lot of trust in you

    and so do we. We hope you enjoyreading Regula+e and we look forward

    to hearing from you.

    Bob Nicholls

    Chair

    2 Regula+e: September 2011 | Issue 01

    Regula+e is the registrant bullen of the

    General Pharmaceucal Council.

    It is sent to all registrants (at the me of

    posng) and pre-registraon trainees. At

    mes we may approach external

    organisaons or individuals to submit an

    arcle or opinion on a topical issue. All

    arcles and leers commissioned, wrien

    or submied are subject to editorial control

    and may not be printed in full or with

    reference back to source.

    If you would like to contact the editor or

    submit a leer or comment to Regula+e

    please contact us at:

    [email protected]

    The Editor, Regula+e

    General Pharmaceucal Council

    129 Lambeth Road | London | SE1 7BT

    General Pharmaceucal Council 2011

    Welcome from the chair 2

    A message from the chiefexecutive and registrar 3

    Pharmacists update 4

    Pharmacy technician update 5

    Renewal 5

    Standards 7

    News in brief 8Letters 10

    Customer service 12

    Three countries 13

    Interview with registrar 14

    Continuing ProfessionalDevelopment 16

    Education and training 18

    GPhC 20

    Fitness to practice -legacy cases 21

    Fitness to practice -determinations 22

    Fitness to practice - learning 23

    Contents

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    A messagefrom the chiefexecutive andregistrarOur job is to uphold the standards of,

    and public trust in, pharmacy. The

    register a publicly available onlinesystem informing employers and the

    general public about who is fit to

    pracse is a good place to start.

    Going live with our regulatory

    responsibilies has not been without its

    challenges and there has been much to

    learn. What we have done over our first

    year includes:

    Distribung up-to-date General

    Pharmaceucal Council standards

    to registrants Implemenng a new renewal

    metable and process for all of you

    who were previously registered with

    the Royal Pharmaceucal Society of

    Great Britain

    Beginning the roll-out of the new

    renewals registraon system for those

    who have registered directly with the

    GPhC since September last year

    Introducing new connuing

    professional development rules

    Meeng, listening to and speakingwith many registrants and their

    leaders and representaves in

    England, Scotland and Wales,

    providing us with much-needed

    informaon about a range of topics.

    These conversaons are feeding

    directly into our ongoing work to

    design a new model for pharmacy

    premises regulaon

    Much of what we have done over

    the 12 months since we became

    operaonal has been about pung in

    place the essenal building blocks to

    underpin more efficient and effecve

    regulaon which is not code for

    more regulaon.

    We carried out a major communicaons

    drive to ensure that all those with

    the opon of applying for pharmacytechnician registraon had the

    informaon they needed before the

    start of compulsory registraon.

    We are now working through the much-

    larger than expected final wave of

    applicaons which this campaign

    brought in.

    When it comes to fitness to pracse,

    we are clearing the legacy cases we

    inherited from the RPSGB and we are

    learning lessons. We have put solid

    foundaons in place, including a new

    customer contact centre. And we

    will provide you with greater value as

    And so to Regula+e. We know that its

    not enough for us to be accessible

    through email and phone. We have an

    obligaon to reach out too and this will

    be one of a number of addional ways

    we will do so. This regular publicaon is

    not about promong our existence and

    work it will focus on regulatory

    informaon you need to know.

    Regula+e is your publicaon. We wantto encourage your feedback on areas

    and topics that you would like to see

    covered in future issues, and to

    contribute and share your learning with

    other pharmacy professionals by wring

    to our leers page.

    Duncan Rudkin

    Chief execuve and registrar

    Bob Nicholls (le) and Duncan Rudkin (right)