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National Appeal Panel. Challenge of the Pharmacy Practices Committee Decision. National Appeal Panel. Who can challenge the decision?. National Appeal Panel. The Applicant Area Pharmaceutical Committee Area Medical Committee Persons in Pharmaceutical or Provisional lists
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National Appeal Panel Challenge of the Pharmacy Practices Committee Decision NHSS CLO
National Appeal Panel Who can challenge the decision? NHSS CLO
National Appeal Panel • The Applicant • Area Pharmaceutical Committee • Area Medical Committee • Persons in Pharmaceutical or Provisional lists • Health Board/Trust within 2 kms of premises • Area Pharmaceutical Committee of Board/Trust • Area Medical Committee of Board/Trust • Persons in Pharmaceutical List of Board/Trust NHSS CLO
National Appeal Panel The grounds for challenge NHSS CLO
National Appeal Panel • No specified statutory grounds • Para 4(3) of Sched 3 – “Any notice of appeal…. Shall contain a precise statement of the facts and contentions upon which the appellant intends to rely” • E.g – failure to apply statutory test • Failure to take into account facts/representations NHSS CLO
National Appeal Panel • The PPC took into account facts/representations which it should not • New evidence – material • Failure by PPC to give reasons in reaching decision • Repeating case/stating decision wrong - will lead to dismissal NHSS CLO
National Appeal Panel The National Appeal Panel NHSS CLO
National Appeal Panel • Nominees of PCTs • Royal Pharmaceutical Society • Pharmaceutical General Council • Nine members inc Chair and Vice Chair • Hearings in localities – site visits • Dismissal of frivolous/vexatious appeals NHSS CLO
National Appeal Panel • Information required by the National Appeal Panel NHSS CLO
National Appeal Panel • Application and supporting documents • Representations – timeous • Relevant information – numbers of prescriptions, doctors, patients, proposed developments • Date of PPC decision and issue • Maps NHSS CLO
National Appeal Panel Notification of decision by National Appeal Panel NHSS CLO
National Appeal Panel • Para 15 of Schedule 4 of the 1995 Regulations • Decision and reasons to be sent to the PPC within 5 working days • The PPC has then 5 working days to give the decision to the Appellant and the interested parties NHSS CLO
National Appeal Panel • The Legal Test • An application shall be granted if the Board or NHS Trust is satisfied that the provision of pharmaceutical premises at the premises is necessary or desirable in order to secure adequate provision of pharmaceutical services in the neighbourhood in which the premises are located….. NHSS CLO
National Appeal Panel • Factors to be considered • What are the existing services? • Are the services adequate? • Is it necessary to grant the application to secure adequate provision? • Is it desirable to grant the application to secure adequate provision? NHSS CLO
National Appeal Panel • Neighbourhood • Not judicially defined – fact not law But judicial guidance – Boots the ChemistLtd – Judicial review – 1999; Alliance Economic Investment Co v Berton - 1932 NHSS CLO
National Appeal Panel • Neighbourhood • It is a place • A “neighbourhood” – vicinity or nearness • Ordinary meaning – where do you live – what factors define your neighbourhood? • A neighbourhood for all purposes • What it is not NHSS CLO
National Appeal Panel • Neighbourhood • Where are the premises? • Consider the area where the premises are • Look at the geography – railways, rivers, motorways, social divides, tree belts • Is this sensible? • The map NHSS CLO
National Appeal Panel • Adequacy of existing services • Services provided by contractors located in the neighbourhood • Services provided by contractors not located in the neighbourhood • Travel by foot, by car • Do they work in the area? • Out of hours, GP dispensing NHSS CLO
National Appeal Panel • Application to be necessary or desirable to secure the adequate provision • Viability of applicant’s business • Viability of existing service providers • R v Yorkshire RHA Ex p. Suri – 1995 – commercial effect • Relocations NHSS CLO
National Appeal Panel • Distribution of services • Numbers requiring services • Types of people requiring services • Accessing the services • Hours of services • Proximity of GP’s and numbers NHSS CLO
National Appeal Panel • Necessary or desirable • If necessary, then no need to consider desirability but if not necessary, then must consider desirability • R v Yorkshire RHA Ex p Baker – 1996 – if inadequate, then it will be necessary to secure the services NHSS CLO
National Appeal Panel • General • Future changes • Avoid the convenience factor • Treat each case on its merits NHSS CLO