- In the short-term a shadow governance board should be established to oversee the discussions and further thinking.
- Independents and multiples share many common interests. Yet their distinctive voices must be heard, respected and reflected in governance locally and nationally going forward.
- At PSNC, this implies a constitution that equitably balances independents and multiples – evenly and fairly serving all. Whatever structure emerges needs to allow the distinctive voice of independents to be heard, and must work for everyone – big and small.
- The Wright Review recommended the formation of a strategy and governance board and the proposed members of this Board should have a central role in these discussions.
4. What do we need to do to ensure that contractors have ultimate oversight of this process?
- Pharmacy contractors, and those that they have appointed to represent their interests nationally, should be central to the process of shaping proposals.
- Once there are clear proposals on the table then all contractors should be formally consulted and asked to vote on whether to take these forward or not.
- The radical reform proposed here cannot proceed without the explicit consent of pharmacy contractors who are in possession of the detailed final proposals for the new structures.
- We need a process that will deliver a legitimate representative structure which will be recognised as such by both the NHS and the contractors.
- Any decision-making mechanisms must therefore respect the requirements of different parts of the sector. Proposals should secure both the support of the sector as a whole, and its main constituent parts (the multiples and independents), in order to be adopted. This “triple lock” will require an absolute majority of each of a) all contractors, b) independents and c) multiples, to be approved. Significant change needs a significant and unequivocal mandate.
- The Wright review has highlighted the challenges that we face and we remain committed to supporting a process of change. We believe that through collaborative working there will be a solution that meets the needs of all part of the contractor base.
We would encourage NPA members to submit their views on these four questions to us to help shape the final NPA position. This can be done by emailing firstname.lastname@example.org before 24th August.
The deadline for making final submissions to the PSNC is 31st August.