Kamra ta’ L-Ispizjara ta’Malta More than 100 years of service to the Pharmacy Profession

Kamra ta’ L-Ispizjara ta’Malta

More than 100 years of service to

the Pharmacy Profession

Mary Ann Sant FournierBPharm, MPhil

President

,

Graduates’ Event - Welcome to the Pharmacy ProfessionTuesday, 31 July 2012

In Malta, the Pharmaceutical Profession was born in the 17th Century with the foundation of the Faculty of Medicine and Surgery by the Knights Hospitallers of St. John, probably at the Sacra Infermeria, today the Meditteranean Conference Centre (MCC), in Valletta


More than 100 years of service to the Pharmacy Profession and Society

Graduates’ Event - Welcome to the Pharmacy ProfessionTuwsday, 31 July 2012More than 100 years of service to the Pharmacy Profession and Society

Valletta,January 1900Founding of the Camera Farmaceutica

Graduates’ Event - Welcome to the Pharmacy ProfessionTuesday, July 31 2012More than 100 years of service to the Pharmacy Profession and Society

Vibrant effective consistent forward-looking representation of

all areas of pharmacy practice

individually and collectively,

nationally and internationally

Malta Chamber of Pharmacists/ Kamra ta’ L-Ispizjara ta’ Malta

July 2012-



Malta Chamber of Pharmacists/ Kamra ta’ L-Ispizjara ta’ Malta

to serve, to protect, to educate

Graduates’ Event - Welcome to the Pharmacy Profession - Tuesday 31 July 2012

Malta Chamber

of Pharmaci

sts

Members

Patients

And

Society Licensin

g Authoriti

esand

Regulatory

Bodies

Government and

EU Commissi

on

Social PartnersSectoral

Associations and Trade

Unions

National Affiliatio

ns

International

Affiliations

University and other

Educational

Institutions

Inter-Professio

nal Colleagu

es



Malta Chamber of Pharmacists

Executive Council9 elected registered

pharmacists

OfficialsPresident

Vice –presidentSecretaryTreasurer

Council membersAssistant Treasurer

and PROAssistant Secretary

And 3 other members

Subcommittees , working parties,

focus groups

Members Individual

communication @ Seminars, workshops,Information/dialogue

meetingsEGMs and AGM

Graduates’ Event - Welcome to the Pharmacy ProfessionTuesday, 31 July 2012 Malta Chamber of Pharmacists/Kamra Ta’L-Ispizjara Ta’MaltaMore than 100 years of service to the Pharmacy Profession and Society

National AffiliationsDirect representation through the MFPA:

Malta Federation of Professional Associations (MFPA)

( founded thru’ Commonwealth Foundation in the early 1970’s)

Chamber council membership - (Chamber officials served as Vice presidents,

secretary, council members)

Through the MFPA, direct affiliation to the CEPLIS, the European Federation of Independent Professionals (e.g., working on CPD and Professional Indemnity)

Services directive.

Malta Standards AuthorityMSA Council membership (1999-

2011)(Since 2011 in MCCAA) MEUSAC Sectoral

Committees, e.g., EYC, ESPH, ECOFIN, CCAC

Representation on the MEUSAC core group and MCESD as civil society


Malta Chamber of Pharmacists/Kamra Ta’L-Ispizjara Ta’MaltaMore than 100 years of service to the Pharmacy Profession and Society

National Affiliations Direct representation through the CMTU

Confederation of Malta Trade Unions (CMTU)

President is a member of national council

Thru’ CMTU, representation on ETUC – European Trade Union Confederation and the EESC – European Economic and Social Committee

ILO –International Labour Organisation (Geneva)

Malta Council for Economic and Social Development (MCESD) – with Government and Social Partners

MEUSAC Core Group(Chamber President is

substitute member)

Graduates’ Event - Welcome to the Pharmacy ProfessionTuesday,31 July 2012Malta Chamber of Pharmacists/Kamra Ta’L-Ispizjara Ta’MaltaMore than 100 years of service to the Pharmacy Profession and Society

International Affiliations European Platform

Pharmaceutical Group of the European Union (PGEU) - since 1992 (meeting with Sec. Gen, Malta , June 2012)

EuroPharm Forum (WHO/Euro) Founding member since 1992 Chamber President elected to

excom – 1994-2000 Hosted international

symposium (1996) with the three organizations

International Affiliations Global platform

Commonwealth Pharmaceutical Association (CPA) – since 1970’s

Founding members, European region

CPA President at CPA seminar, Malta, June 2012

International Pharmacy Federation (FIP) – since late 1960’s



Significant challenges and achievements

Over the last years, the Chamber had to deal with myriad issues, which were embodied in the motions before each AGM and which directed respective Executive Councils to do their utmost to make significant improvements for the pharmaceutical profession and its members.

With the signing of the MOU on the Pharmacy Regulations and POYC in July 2007, the Chamber has thus achieved the single most longstanding objective and laid the foundation for the way forward for community pharmacy with expected fallout on all other areas in Pharmacy and Health, in private and public practice, including research and innovation.

Graduates’ Event - Welcome to the Pharmacy ProfessionTuesday,31 July 2012


Signing of MOU on POYC and Pharmacy Regulations (July 2007 )

Launching of POYC Pilot in Mgarr and Gharghur Dec.’07, 3 pharmacies, 1150 patients

No. of registered patients to date = 81000; 49 localities (Malta and Gozo); 160 participating community pharmacies , Dec. 2007 - July. 2012 ) (SAC, 2012)



MOU signing re Pharmacy regulations and POYC (July’07)

Pharmacy licences and geo-demographic organization; Decentralisation and ICT penetration; Community pharmacy, an integral part of primary health care ; Pharmacists’ UK Leonardo fact finding visit (Nov, ‘ 07)

All patients have a right to equity of accessibility to their Pharmacist to receive expertPharmaceutical care services in conjunction with theirmedicines entitlements.



Though the service was adequate it needed a paradigm shift......

Pharmacy/pharmacist of the Patient’s choice (POYC) – better pharmacist – (chronic) patient relationship



POYC‘’Soft values’’;

Better medicines usage With better outcomes Towards a better quality of

life for our patients Better opportunity for

patient participation in their own care

Aging population – main users of the pharmacists’ service

POYC ‘’Hard values’’

More activity especially to smaller pharmacies n the peripheries

Incentives for new investment injected to refurbish premises, install new equipment,ICT, increase human resources.

First PPP between Government and private professionals in PHC – a model for future reference....



The way forward.....

‘’the Chamber is preparing to participate in head to head negotiations with Government on the introduction of a ‘’reimbursement system’’ model ;and the further development of pharmaceutical services at the primary care level by community pharmacists ( after successfully introducing in 2007 the first Private Public Partnership model in Community Pharmacy, whereby national health service medicines are dispensed to registered, entitled chronic patients at the Pharmacy of their choice. (POYC – Pharmacy of Your Choice Scheme) supported by computerisation of all community pharmacies...’’

Keywords of this new agreement – tripartite, full decentralisation, patient registration, remuneration, establishment fee, fee for professional services, ICT, PMRs, full ongoing consultation, advice and adherence, monitoring outcomes, PHC screening campaigns, equity in access to medicines, innovations....seamless care....independence of the profession



Health Care Professions Act - Conflicting directives

- Directive on Mutual Recognition of Professional Qualifications (2005/36) - updating of directive especially re temporary registration – submissions to Pharmacy Council and Director – General Public Health Regulation (DGPHR)

- Cross Border health care and patients rights (guidance by the PGEU and CEPLIS) – submissions, e.g. European prescription, working in MEUSAC with Commission representatives and other stakeholders.

-



Education and Training and Lifelong Learning (CPD)

new Pharmacy graduates – precious specialised human resource, the future of our profession......

A number of MSc. , MPhil And PhD graduates

- - Chamber continues to work as ever to ensure that the needs of the profession and the country in EU and internationally are positioned to take up the challenges of practice, research and innovation

- first professional association to organise CPD

- an open invitation to collaboration with University and other educational and research institutions.



Landmark achievementsThe Chamber had lobbied since the early 1970’s, for the

institution of a Pharmacy Board now Pharmacy Council and counteracted attacks on its autonomy and achieved pharmacist majority representation.

Honesty and Integrity – wherever you shall ever practice

“the first priority on the provision of professional services in any chosen area of practice must be in the best interest

of patients/clients subject to over-riding societal interests”

Last three decades –more patient-focused community and hospital practice

New roles and responsibilities in industry, as a result of new legislation and regulations successfully negotiated by the Chamber (Medicines Act (2003 - )and Health Care Professions Act (2004-) in the light of EU membership since 1990.



Landmark achievementsPharmacy Degree course retained at the UM pre- and post

1980’s ; Chair of Pharmacy 1970’s and late 1980’s to 90’s),increased resources, restructuring thru late 70’s and 80’s; development of the department based on the Chamber’s concerted effort, 1988 report) – onto EU membership and pharmacy directives…submissions

Reform of the Government Pharmaceutical Services (1988 report)

First Agreement in history on Professional Classification (professional status) and career development of Pharmacists and reform of the Government Pharmaceutical Services,1993; 1998);all subsequent agreements to date, are based on the Chamber’s 1993 achievement.

Way forward for Clinical Pharmacy . (1990’s - )POYC domino effect – new roles and positions



Present Pharmaceutical Scenario…

Global economic crisis and domino effect…

Administration and social dialogue…

Pharmacists ‘esprit de corps’…. United we stand, divided we fall!!

Challenges and opportunities

Chamber with your support is the keystone player in your best interest and that of the pharmacy profession and society we serve.



Welcome to your professional family and your house!

JOIN your family in the professional sense – Contribute to the present and future of your

profession. – YOU ARE THE FUTURE!

Graduates’ Event - Welcome to the Pharmacy ProfessionTuesday 31 July 2012


Congratulations!

Thank you for listening!

Documents

Kamra ta’ L-Ispizjara ta’Malta More than 100 years of service to the Pharmacy Profession