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Regulating people and
systems: a case study




Duncan Rudkin
Chief Executive and Registrar
General Pharmaceutical Council
Who we are
• Operational since 27 September 2010
• Independent GB regulator for 
   – pharmacists, 
   – pharmacy technicians and 
   – pharmacies
• Role to protect, promote and maintain the health, safety and 
  wellbeing of patients and people who use pharmacy services
Who we are
• We register competent professionals to practise pharmacy 
  and we regulate retail pharmacy services through the 
  registration of pharmacies
• Our role as a professional and ‘system’ regulator is unique in 
  health professional regulation
GPhC regulation
What we do #1
Professional regulation          ‘System’ regulation
• Register competent             • Register pharmacies
  professionals; check skills    • Inspect pharmacies to check 
  and knowledge up to date          mandatory standards are 
• Set and monitor                   being met 
  professional standards         • In future, inspect against 
• Take action when our              new standards for 
  standards are not met, i.e.       registered pharmacies, with 
  Fitness to Practise               new enforcement powers
What we do #2
Professional regulation          ‘System’ regulation
• Set education and training     • In future, use our 
  standards, accredit courses       enforcement powers to 
  and approve qualifications        issue improvement notices, 
• Set and run the final             impose conditions and in 
  assessment for pharmacists        the most serious cases, 
  which they must pass to be        close pharmacies 
  eligible to register
Professionalism
• Prescriptive rules let us all off the hook
• Professionalism, not rules and regulations, provides most 
  effective protection for patients and public
• We are committed to regulating in a way which supports 
  pharmacy professionals to embrace and demonstrate 
  professionalism in their work
• And working with pharmacy to encourage compliance with 
  our standards; enforcement a last resort
• Positive focus on professionalism and accountability 
Five key principles
1. The governance arrangements safeguard the health, safety and wellbeing of patients and the 
   public

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

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

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

5. The equipment and facilities used in the provision of pharmacy services safeguard the health, 
   safety and wellbeing of patients and the public
Issues
• Corporate accountability vs. individual professional 
  accountability
• The pharmacy superintendent
• Blame vs. accountability
• What the sub‐text says about attitudes to fitness to 
  practise
• Implications for our approach to FtP
• Risks for regulators
For more information about our new standards, go to:


http://www.pharmacyregulation.org/standards/standa
  rds‐registered‐pharmacies
  www.pharmacyregulation.org/
Thank you

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