Seanad debates

Wednesday, 6 May 2009

Pharmacy Education

 

8:00 pm

Photo of David NorrisDavid Norris (Independent)

I am grateful to the Cathaoirleach for selecting this matter. I welcome the Minister to the House, particularly since he seems to be in such a benevolent mood. I hope I will get an equally positive and satisfactory answer from him. Once again I am raising the matter of final year pharmacy students. I had to do this previously with a number of matters, including the enormous increase in the registration fee.

Now I am looking at the question of the pre-registration requirement on final-year pharmacy students that they take an additional year, of which six months must be undertaken in a hospital or community pharmacy. This is to provide practical, on-the-ground training and it is very necessary. However, since the passage in both Houses of the Oireachtas in the past couple of months of the Financial Emergency Measures in the Public Interest Act 2009, there has been an unintended consequence and this vulnerable group of students has been caught in a snare. Although they are required to become apprentices in a hospital or community pharmacy, the embargo on recruitment in the public service contained in that Bill means this has, apparently, ceased. That is plainly a nonsense and an unintended consequence.

The hospitals rely on these people. They are the foot soldiers. How are the hospital pharmacies to continue if this system is to be axed arbitrarily in a manner I do not believe had been foreseen? The moratorium was not intended to affect front-line positions such as those in hospitals but it has been left like that. I assume this insanity will be rectified but at the moment the students are, once again, left in total uncertainty. They are coming up to exam time and this is grossly unfair on people who are already in a situation of some anxiety.

For quite a long time all the major hospitals have been taking at least one pre-registration student for a year's training. New students were offered an opportunity for training when the old students leave after completing their training. There was a turnover system so it does not mean additional posts or expense. It is the continuation at no additional expense of the existing system, but this is being axed. The system ensured properly qualified, suitable Irish pharmacists were available for work in hospitals and pharmacies throughout the country. The one-year training is part of the course and it is mandatory to qualify as a pharmacist. It is, therefore, very important that we examine the impact of this moratorium.

Many students have been called for interviews and have even been told they were successful, but this is dependent on the Department and the HSE agreeing on this. Hospitals such as the Adelaide and Meath Hospital, Dublin, Incorporating the National Children's Hospital in Tallaght, St. James's Hospital, Sligo General Hospital and Galway University Hospital have had or arranged interviews and selected people only to be told the position is pending the agreement of the continuation of funding. This is unacceptable. These hospitals have pre-registration positions, but after November they will not have them. The hospitals will also suffer. As I have said, these pre-registration students make up the junior grades of the hospital pharmacy staff. How will the hospitals run without them? They are already under pressure.

It is not an additional expense. This November, the current crop will come to an end and the salary normally transfers to the new student. In many cases, the salaries were already taken into account in the budgeting forecasts so there is no real reason for this cut. However, the moratorium means that no hiring can be undertaken, not even of replacement staff. I believe, and I hope the Minister of State will agree, that these positions are required of students in order that they may become qualified as pharmacists. It is a mandatory situation upon which the hospitals depend for a certain level of staff. These positions should be designated as training places and safeguarded, year after year. They should be ring-fenced, as happens in the case of doctors and nurses.

If major teaching hospitals are not to take on these students the situation will be unthinkable. What would happen, for example, in St. Vincent's Hospital or the Mater Hospital, just around the corner from me? Ultimately, the situation effectively punishes students who got good leaving certificate or A level results and remained in Ireland to study pharmacy. If they had gone to the United Kingdom like many other students they would not have this problem because it does not exist there. The Irish pharmacy student is in danger of losing out not because he or she is lazy or not up to scratch but simply because there has not been forward planning.

The meeting between the Pharmaceutical Society, the Department of Health and Children and the Hospital Pharmacists Association was supposed to take place tomorrow but it has been postponed. This means that many students who are now approaching their exams may have to spend the entire summer not knowing whether they will get a job or should look for accommodation in Dublin, whether they can return home or must work all summer to support themselves. The reason is that the pre-registration training is a five-day week position.

I remind the Minister of State that these are the people who have already paid an enormously increased €1,500 registration fee. Do they not deserve to be treated as they have been in the past instead of being left in this catch-22 situation?

I happen to know the Minister of State, who is a decent midlands man, and I ask him to use that valiant old Fianna Fáil phrase I have heard so many times and have sometimes mocked, namely, "in fairness". In fairness, can the Minister of State not do something for these decent students? I await his reply with great interest.

Comments

No comments

Log in or join to post a public comment.