Pharmacy Board of Australia Update Bill Kelly Chair, Pharmacy Board of Australia September 2016

I want to give you ….. some background information on the National Registration and Accreditation Scheme and the Board and it’s role and responsibilities; the latest pharmacist workforce statistics; a summary of what we’ve done in the last 12 months; some idea of what’s in the pipeline; and a taste of what may be in store for health regulators in the future.

What is the National Registration and Accreditation Scheme? A single, national regulatory system for registered health professions - 14 health profession boards - Australian Health Practitioner Regulation Agency (AHPRA) Discuss the value of a public register – patients, employers, referrers etc. can check a pharmacist’s registration status, conditions on registration etc.

Mobility: Health practitioners once registered can practise anywhere in Australia Efficiency: streamlined, effective Collaboration: sharing, learning and understanding between professions Ground breaking: Watched internationally by other jurisdictions

Regulated health professions Aboriginal & Torres Strait Islander health practice Chinese medicine practice Chiropractic Dental practice Medical radiation practice Medical Nursing and midwifery Occupational therapy Optometry Osteopathy Pharmacy Physiotherapy Podiatry Psychology Pharmacy in scheme since it started in July 2010. Four professions joined in 2012: Aboriginal & Torres Strait Islander health practice, Chinese medicine, medical radiation practice, occupational therapy. Over 630,000 health practitioners registered.

What is AHPRA? Australian Health Practitioner Regulation Agency Provides support and administration services to National Boards and committees Operates in each state and territory and has a national office in Melbourne Employs staff and enters into contracts on behalf of Boards Manages the online registers of practitioners

Who does what? Pharmacy Board of Australia Made up of practitioner and community members appointed by the Australian Health Workforce Ministerial Council Is the regulatory decision-maker for pharmacists Sets national registration standards, codes and guidelines Decides who is registered as a pharmacist

Who does what? Pharmacy Board of Australia Oversees the assessment of overseas-trained pharmacists Reviews and conducts investigations where necessary into notifications (complaints) made by the public or other health professionals Manages panel hearings Approves accredited programs of study that lead to registration

Pharmacy Board of Australia Our vision Safe and quality healthcare delivered by competent pharmacists Our mission To regulate pharmacists in the public interest Our values include Acting in the interest of public health and safety Promoting safety and quality in health practice Making fair and just decisions Enjoy getting out and about and meeting members of the pharmacy community. Board holds two interstate meetings a year to meet local pharmacists and stakeholders.

Regulatory principles Underpin the work of the Boards and AHPRA Shape our thinking about regulatory decision-making Encourage a responsive, risk-based approach to regulation In all areas of our work we: identify the risks that we are obliged to respond to assess the likelihood and possible consequences of the risks, and respond in ways that are proportionate and manage risks so we can adequately protect the public. Applies to all regulatory decision-making.

Regulatory principles Take home messages: We use the minimum regulatory force appropriate to manage the risk posed by practitioners and their practice to protect the public. Our actions are designed to protect the public and not to punish practitioners. Summaries of tribunal decisions are published on Board websites. Most read information.

Obligations of a registered pharmacist As per the Health Practitioner Regulation National Law, as in force in each state and territory. Because of these practitioner obligations, the public can be safe in the knowledge that they are seeing a registered pharmacist. Online register allows the public to check. Key obligations pharmacists might not be aware of: notify Board of changes to PPP, notify in writing within 7 days if charged with or convicted of an offence punishable by 12 months jail or more

Workforce statistics As at 30 June 2016 Registration type and sub type by principal place of practice Registration type ACT NSW NT QLD SA TAS VIC WA No PPP Total General 465 8316 202 5348 1973 652 6677 2963 353 26948 Provisional 36 598 13 379 121 40 390 145 5 1727 Limited – postgraduate training or supervised practice 2   1  3 1 7 Non-practising 15 255 116 48 8 290 54 247 1035 516 9,171 217 5,819 2,142 701 7,360 3,163 601 29,717 Latest statistics publicly available. Next statistics report to be published on Board website soon. As at 30 June – 83 more pharmacists registered. Female pharmacists – 61.35% (majority in NSW) Male pharmacists – 38.65% (majority in NSW) at March 2016

Registration by age group Female pharmacists – 61.35% (majority in NSW) Male pharmacists – 38.65% (majority in NSW) at March 2016

Highlights from 2014/15 annual report 29,014 registered pharmacists in Australia on 30 June 2015 Stakeholder engagement on opportunities for pharmacists to administer vaccines 31% of registered pharmacists are based in New South Wales, 25% are based in Victoria 238 pharmacy registrants under active monitoring on 30 June 2015, including 38% due to suitability/eligibility and 27% due to conduct issues Finalised guidelines on compounding of medicines and professional practice profile for pharmacists undertaking complex compounding Funded the development of an examiner training program 5% decrease in number of notifications received about registered pharmacists compared to 2013/14 Of the 323 notifications closed in 2014/15 (excluding New South Wales), 45% were concluded following an assessment and 37% following an investigation 490 notifications received about registered pharmacists – 1.7% of registrants 2.59% increase in number of registered pharmacists compared to 2013/14 In 43% of notifications closed (excluding New South Wales), no further action was required 61.6% of registered pharmacists are aged under 40 11 immediate actions cases, compared to 19 in 2013/14 Stakeholder engagement on opportunities for pharmacists to administer vaccines Funded the development of an examiner training program Finalised guidelines on compounding of medicines and professional practice profile for pharmacists undertaking complex compounding Next AHPRA and National Boards annual report for 2015/16 to be released in November.

Highlights for 2015/16 annual report 29,717 registered pharmacists in Australia on 30 June 2016 13 new Statutory Offences relating to title protection or advertising concerns 31% of registered pharmacists are based in New South Wales, 25% are based in Victoria 178 pharmacy registrants under active monitoring on 30 June 2015, including 38% due to suitability/eligibility and 27% due to conduct issues Reviewed and updated all registration standards including PII and CPD plus all guidelines including compounding of medicines and CPD Funded the review of the profession’s competency standards A 16.3% increase in number of notifications received about registered pharmacists compared to 2014/15 New resources for students and graduates including videos, pathway diagrams and improved website functionality 570 notifications received about registered pharmacists – 1.9% of registrants 2.4% increase in number of registered pharmacists compared to 2014/15 In 46.8% of notifications closed (excluding New South Wales), no further action was required 62.1% of registered pharmacists are aged under 40 7,280 registered pharmacy students, a decrease of 1.5% from previous year Stakeholder engagement on opportunities for pharmacists to administer vaccines Funded the development of an examiner training program Finalised guidelines on compounding of medicines and professional practice profile for pharmacists undertaking complex compounding Next AHPRA and National Boards annual report for 2015/16 to be released in November.

Some changes from 2014/15 data 2.4% increase in number of registered practitioners (a smaller increase than from 2013/14) 4.5% decrease in the number of provisional registrants (interns) 2.9% increase in the number of non-practising registrants 7,280 pharmacy students represents a 1.5% decrease

Snapshot of Board’s work in 2015/16 Consultations Review of guidance on expiry of compounded parenteral medicines Guidelines CPD for dispensing of medicines on practice-specific issues on specialised supply arrangements, and on responsibilities of pharmacists when practicising as proprietors. Revised standards English language skills Criminal history Continuing professional development Recency of practice Supervised practice arrangements Examinations for eligibility for general registration Professional indemnity insurance arrangements

Snapshot of Board’s work in 2015/16 New requirements Professional indemnity insurance arrangements Applies to all pharmacists (except non-practising) Policies to have retroactive cover and automatic reinstatement Continuing professional development (CPD) Planning annual CPD to help identify areas of scope of practice in need of further development Board hosting a webinar on CPD next week which is fully booked for participants. The webinar will be recorded and published on the Board’s website about two weeks later.

Board CPD post-2017 ?

Snapshot of Board’s work in 2015/16 Resources for students and graduates Information video PowerPoint presentations about requirements for registration and regulation of the profession Diagram on pathway to general registration Refreshed internship webpage Improved navigation from homepage

Future focus Prescribing Notification analysis Tribunal decisions Health Professionals Prescribing Pathway NPS prescribing competencies Endorsement of registration for scheduled medicines Guidelines? Notification analysis ‘Preventative’ regulation Trend analysis Tribunal decisions Publishing on Board’s website for educational purposes

Regulation in the future Issues and trends NRAS workforce mobility How else can pharmacists contribute to delivery of services in the public interest? How can the pharmacy workforce develop to be flexible, responsive and innovative in the delivery of services to the public? What education and training is required? Is regulatory action required to enable this? (objectives and guiding principles of the National Law)

Critical workforce issues relevant to practitioner regulation Flexible, sustainable and responsive workforce capability Improved health workforce data Proportionate risk based regulation Innovation and flexibility in education and training Inter-professional regulatory approaches

Challenges to regulation in the future Expanded or shifted scopes of practice endorsement of registration e.g prescribing Science and technology developments pharmacy robotics Workforce size, skills and knowledge use of pharmacy assistants, ‘tech checks’ International considerations Cross professional, integrated care (navigator roles) Educating the right workforce Inter-professional learning Competency, efficiency and quality Health workforce data

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How to stay informed Go to www.pharmacyboard.gov.au to access news items, regular Board newsletters and registration status Check the Board’s website for standards, codes, guidelines and other important information for the pharmacy profession Join in consultations about emerging issues