Fay Wilson wrote: > I don't know about the pharmacy contract, I assume it is the same ie > that a lot can in theory be delegated to any appropriately qualified > and experienced / competent person. The exception being that a GP > cannot delegate any medical activities to a doctor who is not > vocationally trained or equivalent and of course the doc retains > vicarious responsibility for the actions of the person to whom it;s > delegated to as well as responsibility for delegating appropriately. I > believe there are standards and criteria for GP practices which > delegate dispensing to dispensers. I expect there is something similar > for pharmacists. If only there was I won't look up the reference - but I believe that a court ruling was along the lines of dispensing doctors being responsible to their patients but a company pharmacy being responsible to its shareholders. In my world that was an opportunity for independent contractors - GP or pharmacist - to get together to claim responsibility to their patients - and the right to delegate. The white paper does appear to threaten the staus quo for dispensing doctors However the PSNC and the DDA have issued a joint statement http://www.dispensingdoctor.org/news/?pid=3710&lsid=3720&edname=26650.htm&ped=26650 While I broadly support the statement - I am somewhat miffed that I could only find it on the DDA website and not on the PSNC website. This threat has prompted some DDs to open their own pharmacies This represents a great opportunity for both for DD's to include a pharmacist on their team and also for the pharmacists who work in them to be mentored to take on a more clinical role. (Which is the carrot that will attract pharmacists to take the job) Dr David Roberts offered some advice on how to open a pharmacy on his website - sorry I've lost the address. Jeff