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New standards for
registered pharmacies –
Sept 2012



Hugh Simpson
Director of Policy and
Communications
19 September 2012
A bit of history
• Design of Pharmacy Order strengthens regulation of
  pharmacy, not just of pharmacy professionals

• Step change rather than revolution

• Why now? two years and rules

• Introduction of any significant change is well managed
GPhC regulatory framework
New standards for registered
pharmacies
• Agreed Thursday 13 September by our governing council
• Once in a generation change in pharmacy regulation
• Move from prescriptive rules to outcome focused standards –
  offering the best protection for patients and the public
• Not only new standards, but new regulatory model:
   – Owners and superintendents are accountable for meeting
     the new standards – share the same set of responsibilities
   – Clear set of enforcement powers – no longer ‘one club’ ftp
Where does accountability sit
• Aim = move away from focus on ‘who is to blame’

• New standards are aiming for clear accountability
  within a flexible framework

• Owners and superintendents share that overall
  accountability for meeting the new standards, while
  enabling the professionals who work for them to take
  responsibility
Professionalism is key
• Professionalism, not rules and regulations, provides
  most effective protection for patients and public
• GPhC committed to regulate in a way which supports
  pharmacy professionals to embrace and demonstrate
  professionalism in their work
• Responsibility on owners and superintendents, and the
  pharmacy professionals who work for them, to sort out
  how to deliver the outcomes we seek
• Subject to GPhC inspection and, if required,
  enforcement (improvement notices, conditions on
  registration of the pharmacy etc)
Five key principles under the standards
• Principle 1: The governance arrangements safeguard the
  health, safety and wellbeing of patients and the public

• Principle 2: Staff are empowered and competent to safeguard
  the health, safety and wellbeing of patients and the public

• Principle 3: The environment and condition of the premises
  from which pharmacy services are provided, and any
  associated premises, safeguard the health, safety and
  wellbeing of patients and the public
Five key principles under the standards

• Principle 4: The way in which pharmacy services, including the
  management of medicines and medical devices, are delivered
  safeguards the health, safety and wellbeing of patients and
  the public

• Principle 5: The equipment and facilities used in the provision
  of pharmacy services safeguard the health, safety and
  wellbeing of patients and the public
Transition process
• This is not happening tomorrow!
• 12 month transition process
• Familiarisation: you will receive copies of the new standards
  in the next few weeks (replacing the interim premises
  standards currently in place)
• Compliance guidance: we are developing three sets on
  guidance – on self selection, s10 manufacturing and internet
  pharmacy
• Inspection decision framework: in development
• Engagement: we want your help
Inspection decision framework
• Operational framework
• Comprises example outcome focussed compliance indicators
• Support inspectors to make consistent judgements on
   ‘how well a pharmacy meets our standards’
• Provides assurance
• Supports, recognises and enables good and innovative
  practice
• Promotes transparency in decision making
• Enables us to proactively manage currency of practice
• Detailed compliance guidance in key areas:
   – Internet pharmacies, section 10 and self selection
Inspections: A more mature relationship
• Relationship management approach
  1. Adding value
  2. Strategic
  3. Improvement

• Formal structured meetings
  – 2 way information flow
So our approach
              • External sounding boards
                 – England
                 – Scotland; and
                 – Wales
              • Public and patient reference
                engagement group
              • Extensive testing throughout
              • Engagement and awareness
                raising plan in development
              • Maximise as much involvement in
                its development internally
Key message on timings

• New standards need to be put into Rules, which are approved
  and laid before Parliament. (Only then are they fully
  enforceable through improvement notices and conditions on
  registration)

• We need to consult on those Rules before they are approved

• Don’t expect the Rules to be approved before October 2013
For more information
• you can find the paper our Council considered on the
  new standards at:
  http://www.pharmacyregulation.org/sites/default/fil
  es/Council%20September%202012%20Standards
  %20for%20Registered%20Pharmacies.pdf
• and the paper about our transition plans at:

  http://www.pharmacyregulation.org/sites/default/fil
  es/Council%20September%202012%20Managing
  %20the%20transition%20-%20working%20towards
  %20standards%20for%20registered
  %20pharmacies.pdf

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New standards for registered pharmacies – sept 2012

  • 1. New standards for registered pharmacies – Sept 2012 Hugh Simpson Director of Policy and Communications 19 September 2012
  • 2. A bit of history • Design of Pharmacy Order strengthens regulation of pharmacy, not just of pharmacy professionals • Step change rather than revolution • Why now? two years and rules • Introduction of any significant change is well managed
  • 4. New standards for registered pharmacies • Agreed Thursday 13 September by our governing council • Once in a generation change in pharmacy regulation • Move from prescriptive rules to outcome focused standards – offering the best protection for patients and the public • Not only new standards, but new regulatory model: – Owners and superintendents are accountable for meeting the new standards – share the same set of responsibilities – Clear set of enforcement powers – no longer ‘one club’ ftp
  • 5. Where does accountability sit • Aim = move away from focus on ‘who is to blame’ • New standards are aiming for clear accountability within a flexible framework • Owners and superintendents share that overall accountability for meeting the new standards, while enabling the professionals who work for them to take responsibility
  • 6. Professionalism is key • Professionalism, not rules and regulations, provides most effective protection for patients and public • GPhC committed to regulate in a way which supports pharmacy professionals to embrace and demonstrate professionalism in their work • Responsibility on owners and superintendents, and the pharmacy professionals who work for them, to sort out how to deliver the outcomes we seek • Subject to GPhC inspection and, if required, enforcement (improvement notices, conditions on registration of the pharmacy etc)
  • 7. Five key principles under the standards • Principle 1: The governance arrangements safeguard the health, safety and wellbeing of patients and the public • Principle 2: Staff are empowered and competent to safeguard the health, safety and wellbeing of patients and the public • Principle 3: The environment and condition of the premises from which pharmacy services are provided, and any associated premises, safeguard the health, safety and wellbeing of patients and the public
  • 8. Five key principles under the standards • Principle 4: The way in which pharmacy services, including the management of medicines and medical devices, are delivered safeguards the health, safety and wellbeing of patients and the public • Principle 5: The equipment and facilities used in the provision of pharmacy services safeguard the health, safety and wellbeing of patients and the public
  • 9. Transition process • This is not happening tomorrow! • 12 month transition process • Familiarisation: you will receive copies of the new standards in the next few weeks (replacing the interim premises standards currently in place) • Compliance guidance: we are developing three sets on guidance – on self selection, s10 manufacturing and internet pharmacy • Inspection decision framework: in development • Engagement: we want your help
  • 10. Inspection decision framework • Operational framework • Comprises example outcome focussed compliance indicators • Support inspectors to make consistent judgements on ‘how well a pharmacy meets our standards’ • Provides assurance • Supports, recognises and enables good and innovative practice • Promotes transparency in decision making • Enables us to proactively manage currency of practice • Detailed compliance guidance in key areas: – Internet pharmacies, section 10 and self selection
  • 11. Inspections: A more mature relationship • Relationship management approach 1. Adding value 2. Strategic 3. Improvement • Formal structured meetings – 2 way information flow
  • 12. So our approach • External sounding boards – England – Scotland; and – Wales • Public and patient reference engagement group • Extensive testing throughout • Engagement and awareness raising plan in development • Maximise as much involvement in its development internally
  • 13. Key message on timings • New standards need to be put into Rules, which are approved and laid before Parliament. (Only then are they fully enforceable through improvement notices and conditions on registration) • We need to consult on those Rules before they are approved • Don’t expect the Rules to be approved before October 2013
  • 14. For more information • you can find the paper our Council considered on the new standards at: http://www.pharmacyregulation.org/sites/default/fil es/Council%20September%202012%20Standards %20for%20Registered%20Pharmacies.pdf • and the paper about our transition plans at: http://www.pharmacyregulation.org/sites/default/fil es/Council%20September%202012%20Managing %20the%20transition%20-%20working%20towards %20standards%20for%20registered %20pharmacies.pdf