s Countdown to Supermarket pharmacies - Advantages and disadvantages? - Part Two | I2P: Information to Pharmacists - Archive
Publication Date 01/07/2014         Volume. 6 No. 6   
Information to Pharmacists

Editorial

From the desk of the editor

Welcome to the July 2014 homepage edition of i2P (Information to Pharmacists) E-Magazine.
At the commencement of 2014 i2P focused on the need for the entire profession of pharmacy and its associated industry supports to undergo a renewal and regeneration.
We are now half-way through this year and it is quite apparent that pharmacy leaders do not yet have a cohesive and clear sense of direction.
Maybe the new initiative by Woolworths to deliver clinical service through young pharmacists and nurses may sharpen their focus.
If not, community pharmacy can look forward to losing a substantial and profitable market share of the clinical services market.
Who would you blame when that happens?
But I have to admit there is some effort, even though the results are but meagre.
In this edition of i2P we focus on the need for research about community pharmacy, the lack of activity from practicing pharmacists and when some research is delivered, a disconnect appears in its interpretation and implementation.

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News Flash

Newsflash Updates for July 2014

Newsflash Updates

Regular weekly updates that supplement the regular monthly homepage edition of i2P. 
Access and click on the title links that are illustrated

Comments: 1

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Feature Contribution

Woolworths Pharmacy - Getting One Stage Closer

Neil Johnston

It started with “tablet” computers deployed on shelves inside the retailer Coles, specifically to provide information to consumers relating to pain management and the sale of strong analgesics.
This development was reported in i2P under the title Coles Pharmacy Expansion and the Arid PGA Landscape”
In that article we reported that qualified information was a missing link that had come out of Coles market research as the reason to why it had not succeeded in dominating the pain market.
Of course, Woolworths was working on the same problem at the same time and had come up with a better solution - real people with good information.

Comments: 5

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Intensive Exposition without crossing over with a supermarket

Fiona Sartoretto Verna AIAPP

Editor's Note: The understanding of a pharmacy's presentation through the research that goes into the design of fixtures and fittings that highlight displays, is a never-ending component of pharmacy marketing.
Over the past decade, Australian pharmacy shop presentations have fallen behind in standards of excellence.
It does not take rocket science - you just have to open your eyes.
Recently, our two major supermarkets, Woolworths and Coles, have entered into the field of drug and condition information provision - right into the heartland of Australian Pharmacy.

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The sure way to drive business away

Gerald Quigley

I attended the Pregnancy, Baby and Children’s Expo in Brisbane recently.
What an eye and ear opening event that was!
Young Mums, mature Mums, partners of all ages, grandparents and friends……...many asking about health issues and seeking reassurances that they were doing the right thing.

Comments: 1

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‘Marketing Based Medicine’ – how bad is it?

Baz Bardoe

It should be the scandal of the century.
It potentially affects the health of almost everyone.
Healthcare providers and consumers alike should be up in arms. But apart from coverage in a few credible news sources the problem of ‘Marketing Based Medicine,’ as psychiatrist Dr Peter Parry terms it, hasn’t as yet generated the kind of universal outrage one might expect.

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Community Pharmacy Research - Are You Involved?

Mark Coleman

Government funding is always scarce and restricted.
If you are ever going to be a recipient of government funds you will need to fortify any application with evidence.
From a government perspective, this minimises risk.
I must admit that while I see evidence of research projects being managed by the PGA, I rarely see community pharmacists individually and actively engaged in the type of research that would further their own aims and objectives (and survival).

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Organisational Amnesia and the Lack of a Curator Inhibits Cultural Progress

Neil Johnston

Most of us leave a tremendous impact on pharmacies we work for (as proprietors, managers, contractors or employees)—in ways we’re not even aware of.
But organisational memories are often all too short, and without a central way to record that impact and capture the knowledge and individual contributions, they become lost to time.
It is ironic that technology has provided us with phenomenal tools for communication and connection, but much of it has also sped up our work lives and made knowledge and memory at work much more ephemeral.

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Academics on the payroll: the advertising you don't see

Staff Writer

This article was first published in The Conversation and was written by Wendy Lipworth, University of Sydney and Ian Kerridge, University of Sydney
In the endless drive to get people’s attention, advertising is going ‘native’, creeping in to places formerly reserved for editorial content. In this Native Advertising series we find out what it looks like, if readers can tell the difference, and more importantly, whether they care.
i2P has republished the article as it supports our own independent and ongoing investigations on how drug companies are involved in marketing-based medicine rather than evidence-based medicine.

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I’ve been thinking about admitting wrong.

Mark Neuenschwander

Editor's Note: This is an early article by Mark Neuenschwander we have republished after the soul-searching surrounding a recent Australian dispensing error involving methotrexate.
Hmm. There’s more than one way you could take that, huh? Like Someday when I get around to it (I’m not sure) I may admit that I was wrong about something. Actually, I’ve been thinking about the concept of admitting wrong. So don’t get your hopes up. No juicy confessions this month except that I wish it were easier for me to admit when I have been wrong or made a mistake.
Brian Goldman, an ER physician from Toronto, is host of the award-winning White Coat, Black Art on CBC Radio and slated to deliver the keynote at The unSUMMIT for Bedside Barcoding in Anaheim this May. His TED lecture, entitled, “Doctors make mistakes. Can we talk about it?” had already been viewed by 386,072 others before I watched it last week.

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Dispensing errors – a ripple effect of damage

Kay Dunkley - BPharm, Grad Dip Hosp Pharm, Grad Dip Health Admin, MPS, MSHPA

Most readers will be aware of recent publicity relating to dispensing errors and in particular to deaths caused by methotrexate being incorrectly packed in dose administration aids.
The Pharmacy Board of Australia (PBA), in its Communique of 13 June 2014, described a methotrexate packing error leading to the death of a patient and noted “extra vigilance is required to be exercised by pharmacists with these drugs”.
This same case was reported by A Current Affair (ACA) in its program on Friday 20 June
http://aca.ninemsn.com.au/article/8863098/prescription-drug-warning

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Take a vacation from your vocation

Harvey Mackay

Have you ever had one of those days when all you could think was, “Gosh, do I need a vacation.”
Of course you have – because all work and no play aren’t good for anyone.
A vacation doesn’t have to be two weeks on a tropical island, or even a long weekend at the beach. 
A vacation just means taking a break from your everyday activities. 
A change of pace. 
It doesn’t matter where.
Everyone needs a vacation to rejuvenate mentally and physically. 
But did you also know that you can help boost our economy by taking some days off? 
Call it your personal stimulus package.

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Explainer: what is peer review?

Staff Writer

This article was first published in the Conversation. It caught our eye because "peer review" it is one of the standards for evidence-based medicines that has also been corrupted by global pharma.
The article is republished by i2P as part of its ongoing investigation into scientific fraud and was writtenby Andre Spicer, City University London and Thomas Roulet, University of Oxford
We’ve all heard the phrase “peer review” as giving credence to research and scholarly papers, but what does it actually mean?
How does it work?
Peer review is one of the gold standards of science. It’s a process where scientists (“peers”) evaluate the quality of other scientists' work. By doing this, they aim to ensure the work is rigorous, coherent, uses past research and adds to what we already knew.
Most scientific journals, conferences and grant applications have some sort of peer review system. In most cases it is “double blind” peer review. This means evaluators do not know the author(s), and the author(s) do not know the identity of the evaluators.
The intention behind this system is to ensure evaluation is not biased.
The more prestigious the journal, conference, or grant, the more demanding will be the review process, and the more likely the rejection. This prestige is why these papers tend to be more read and more cited.

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Dentists from the dark side?

Loretta Marron OAM BSc

While dining out with an elderly friend, I noticed that he kept his false tooth plate in his shirt pocket. He had recently had seven amalgam-filled teeth removed, because he believed that their toxins were making him sick; but his new plate was uncomfortable. He had been treated by an 'holistic dentist'. Claiming to offer a "safe and healthier alternative" to conventional dentistry, are they committed to our overall health and wellbeing or are they promoting unjustified fear, unnecessarily extracting teeth and wasting our money?

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Planning for Profit in 2015 – Your key to Business Success

Chris Foster

We are now entering a new financial year and it’s a great time to reflect on last year and highlight those things that went well and those that may have impacted negatively in the pursuit of your goals.
It's also a great to spend some time re-evaluating your personal and business short, medium and long term goals in the light of events over the last year.
The achievement of your goals will in many cases be dependent on setting and aspiring to specific financial targets. It's important that recognise that many of your personal goals will require you to generate sufficient business profits to fund those aspirations

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Attracting and Retaining Great People

Barry Urquhart

Welcome to the new financial year in Australia.
For many in business the past year has been described as a challenging period.
Adjectives are a key feature of the English language.  In the business lexicon their use can be, and often is evocative and stimulate creative images.  But they can also contribute to inexact, emotional perceptions.
Throughout the financial pages of newspapers and business magazines adjectives abound.
References to “hot” money draw attention and comment.  The recent wave of funds from Chinese investors, keen to remove their wealth from the jurisdiction and control of government regulations is creating a potential property bubble in Australia.

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Updating Your Values - Extending Your Culture

Neil Johnston

Pharmacy culture is dormant.
Being comprised of values, unless each value is continually addressed, updated or deleted, entire organisations can stagnate (or entire professions such as the pharmacy profession).
Good values offer a strong sense of security, knowing that if you operate within the boundaries of your values, you will succeed in your endeavours.

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Evidence-based medicine is broken. Why we need data and technology to fix it

Staff Writer

The following article is reprinted from The Conversation and forms up part of our library collection on evidence-based medicines.
At i2P we also believe that the current model of evidence is so fractured it will never be able to be repaired.
All that can happen is that health professionals should independently test and verify through their own investigations what evidence exists to prescribe a medicine of any potency.
Health professionals that have patients (such as pharmacists) are ideally placed to observe and record the efficacy for medicines.
All else should confine their criticisms to their evidence of the actual evidence published.
If there are holes in it then share that evidence with the rest of the world.
Otherwise, do not be in such a hurry to criticise professions that have good experience and judgement to make a good choice on behalf of their patients, simply because good evidence has not caught up with reality.

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Laropiprant is the Bad One; Niacin is/was/will always be the Good One

Staff Writer

Orthomolecular Medicine News Service, July 25, 2014
Laropiprant is the Bad One; Niacin is/was/will always be the Good One
by W. Todd Penberthy, PhD

(OMNS July 25, 2014) Niacin has been used for over 60 years in tens of thousands of patients with tremendously favorable therapeutic benefit (Carlson 2005).
In the first-person NY Times best seller, "8 Weeks to a Cure for Cholesterol," the author describes his journey from being a walking heart attack time bomb to a becoming a healthy individual.
He hails high-dose niacin as the one treatment that did more to correct his poor lipid profile than any other (Kowalski 2001).

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Culture Drive & Pharmacy Renewal

Neil Johnston

Deep within all of us we have a core set of values and beliefs that create the standards of behaviour that we align with when we set a particular direction in life.
Directions may change many times over a lifetime, but with life experiences and maturity values may increase in number or gain greater depth.
All of this is embraced under one word – “culture”.
When a business is born it will only develop if it has a sound culture, and the values that comprise that culture are initially inherent in the business founder.
A sound business culture equates to a successful business and that success is often expressed in the term “goodwill” which can be eventually translated to a dollar value.

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Pharmacy 2014 - Pharmacy Management Conference

Neil Johnston

The brave new world of health and wellness is not the enemy of Pharmacy, it is its champion.
Australian futurist, Morris Miselowski, one of the world's leading business visionaries, will present the Opening Keynote address on Pharmacy's Future in the new Health and Wellness Landscape at 2.00pm on Wednesday July 30.
Morris believes the key to better health care could already be in your pocket, with doctors soon set to prescribe iPhone apps, instead of pills.
Technology will revolutionise the health industry - a paradigm shift from healthcare to personal wellness.
Health and wellness applications on smartphones are already big news, and are dramatically changing the way we manage our personal health and everyday wellness.

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Generation and Application of Community Pharmacy Research

Neil Johnston

Editor’s Note: We have had a number of articles in this issue relating to pharmacy research.
The PGA has conducted a number of research initiatives over the years, including one recently reported in Pharmacy News that resulted from an analysis of the QCPP Patient Questionnaire.
Pharmacy Guild president, George Tambassis, appears to have authored the article following, and there also appears to be a disconnect between the survey report and its target audience illustrated by one of the respondent comments published.
I have asked Mark Coleman to follow through, elaborate and comment:

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Countdown to Supermarket pharmacies - Advantages and disadvantages? - Part Two

Joseph Conway

articles by this author...

Joe Conway is an Irish born pharmacist who qualified in the UK in 1998.
After completing a residency in a hospital in London, he embarked on a 3 year locum stint that involved working all over the UK, Ireland, and Australia in over 350 pharmacies of all varieties (hospitals large and small, community, even a prison pharmacy).In 2002, Joe emigrated to Australia and worked in the Private Hospital sector gradually moving in to management positions with Slade Pharmacy where he developed a keen interest in Oncology services. In 2006, Joe took up a position setting up a Pharmacy service to a newly built Day Hospital in Frankston, Victoria. The Pharmacy now conducts over 40 clinical trials.
Joe is currently studying for a Master of Biostatistics to help him progress in the area of clinical trials, and think outside the square (or at least be left-field).

Editor's Note: Joe Conway continues with Part Two of his four-part series on Australian pharmacy and its direction.
Please post comments at the foot of his article to help expand the debate.
Pharmacy has to change quite drastically to drag itself into the 21st century.
It has hesitated for too long a period of time.


In New Zealand, the launch of Countdown pharmacy seems to have gone down with little fuss. However, from an Australian pharmacy perspective, the issue of concern is that Countdown Pharmacies are at least in part owned by Woolworths.
In part 1, I outlined what I thought were the potential advantages of Supermarket pharmacies in Australia. In part 2, I would like to give my opinion as to the disadvantages of allowing Supermarkets to run pharmacies in store.

Part 2: Disadvantages of Supermarket pharmacies: What is Countdown’s goal for the world of pharmacy?

When you look at a pharmacy on the high street, you see many different products. There are Warehouse such as Chemist Warehouse who say that people should “Stop paying too Much” (but not too little?) for their medication.
The Pharmacy Guild’s 5CPA programs despite criticism for being too bureaucratic for time poor pharmacists are an attempt to shift reimbursement for dispensing to reimbursement for targeted clinical services with potential public health benefits.
There are compounding pharmacies, Asthma clinics, Mother and Baby, Opiate replacement programs (e.g. Methadone), and a whole diverse range of pharmacies already providing clinic pharmacy services that are already attenuated to the needs of their communities.

When you look at the leaders of Community Pharmacy in Australia, most people think of the Pharmacy Guild.
Whatever one might say about these people, it’s obvious that they “live and breathe” Community Pharmacy.
Kos Sclavos and his colleagues are able to walk into any pharmacy in Australia and run it. I think that there is an acceptance that these people have a vision for pharmacy – Individually and collectively. I don’t think that you can say the same about the leaders of Westfarmers or Woolworths?

What after competitors are annihilated or absorbed into the Supermarket pharmacy?

When Supermarket pharmacies get control of the Pharmacy market in Australia (through reduced/little dispensing fee and being 10% cheaper at least than Chemist Warehouse), what happens next? When one considers Milk wars and the Petrol wars, will there be Medicine wars? After market dominance has been achieved, then what happens to drug prices? Would medicine prices start to creep higher? Would Supermarkets be as congenial to the Federal Government’s wishes as the Pharmacy Guild currently is? I don’t know, but I can’t see why they would have to?

Could there be a lack of choice in Pharmacies after Supermarkets dominate the market?

Currently, if you get a bad service from a pharmacist/pharmacy, then you are free to go to another pharmacy down the road or in the next suburb which is a totally independent pharmacy – owned by someone else. If the choice was between a Coles and a Woolworth’s pharmacy and the two chains developed to be very similar models, what does a customer do if their needs are not satisfied by the two big Supermarket pharmacy chains? There could be other players in this market (e.g. Watson’s, GEHE AG, and other global pharmacy players), who may take some of the market that the Supermarkets mightn’t cater for such in areas such as Webster® packing for Nursing homes, Private and Public Hospitals medication supply. It’s conceivable that a situation could arise like the big four banks where symbiotic relationships develop and loss of customers through dissatisfaction is equally matched by accrual of new customers as they were equally dissatisfied by the service that they got from the other dominant players – hardly inspiring for patient outcomes?

What about pharmacists who refuse profitable sales due to a perceived medical reason which is later proven to be wrong?

I think that for any pharmacist in a Supermarket, there should a leeway for a pharmacist to make an honest judgement as they see it of clinical need as they see it for a product before selling. This is not always clear and what appears appropriate to one pharmacist may not be appropriate to another. An example would be the Morning after pill. A pharmacist may refuse a sale if he/she thought that a customer was using it for contraception as they couldn’t be bothered to go to a doctor. Another pharmacist may feel that the patient shouldn’t have been refused the sale and were not using the morning after pill inappropriately if given the same situation. Is it possible for such a pharmacist to be dismissed for this? Owners of pharmacies can make judgements that are hard to make guidelines for and don’t have to refer to the manual when there is a problem. With a Supermarket pharmacy, such flexibility could be lost as a Pharmacy manager of a Supermarket could have less autonomy than Owners currently have and they may be forced to act against a pharmacist who consistently refuses profitable sales by Store management against their better judgement.

The banks might not like it?

There are over 5,000 pharmacies in Australia. If the average debt to the banks per pharmacy was $500,000 (conservative estimate), then, the 5,000 pharmacies would collectively owe $2.5billion in lucrative, previously secure loans to the banks paying just over 8% a year which I make out to be over $200 million in interest alone. The banks are not going to want this to end. For a start, if Supermarkets were just allowed to put in pharmacies regardless of existing pharmacies, many of the existing 5,000 pharmacies would simply go bankrupt. This could put many of the loans in jeopardy. Secondly, after Supermarkets and other global players own pharmacies, I don’t think that many of them will be knocking on the door of the local NAB for a bank loan at 8.3%. Companies like Westfarmers and Woolworths can raise their own funding for pharmacies on the Money and Capital markets effectively bypassing the banks. I can’t see the banks being overjoyed at the prospect of Supermarket Pharmacies.

Community Pharmacy currently employs a lot of people directly and indirectly:

I think that Pharmacies are an efficient government spend in creating jobs in the communities in which people live in. I have worked in medium to large pharmacies with 20-30 employees and most of the staff were from the local area and knew and were friendly with the customers outside of work. This still happens right now. Many employees are part time with many working Mums working during the day while the kids are at school and students working at night. Some pharmacy assistants start their careers at 18 in a pharmacy and get trained in various areas of retail for a few years before moving onto other areas such as pharmacy product sales or other retail work. These pharmacy employees are in addition to those currently doing similar jobs in Supermarkets. Outside of the pharmacy, there are lawyers, accountants, and various other consultants employed servicing pharmacy that might find that they had less work if the pharmacy market was dominated by Supermarkets who could do this work in-house. There are the Pharmacy Wholesalers which employ a lot of people in the quick distribution of pharmaceuticals. Also, there are various manufacturers of OTC pharmacy products that just have to talk to a few buyers for a small group of pharmacies and as easy as that they have customers for their products. There are a plethora of products all competing with each other (and all employing a lot of people) which may not get the chance to exist under a Supermarket model where the focus is squeezing the supplier as much as possible making it harder to get a foothold in the pharmacy market. There is a possibly that much less people would be employed in and around Community Pharmacy than there is now if Supermarket pharmacy chains dominated the pharmacy market due to the efficiencies that Supermarkets bring. It would be up to Supermarkets to explain how they would maintain employment levels/Economic activity given that they currently operate on the basis of high turnover on a limited range of products, with low staff ratio’s and minimal levels of service. I acknowledge that the Bunnings and Master’s models would be a better fit for pharmacy.

What of the experience overseas with Supermarket pharmacies?

It’s all pie in the sky stuff to say that Supermarket Pharmacies will make the world of pharmacy perfect. It’s best to test this hypothesis with real life examples. In the USA, for example, many medicines are more expensive to the average customer than here. Employee pharmacists are paid an appropriate professional wage though (at least currently?). A deregulated market has failed to decrease the cost of medicines there with seemingly cosy relationships developing between chains in the US which seem less competitive than similar pharmacies such as Discount Warehouses currently in Australia. I don’t know of any country where the service from a Supermarket is superior to that currently given from the typical High street Chemist in Australia. I haven’t seen anybody argue that case either. Sure, Pharmacy could be better if you have the highest high standards, but it is pretty good as it is and most pharmacies aim for the highest standards. There would certainly be upfront short term savings from Supermarket pharmacies, but they would have to prove that their pharmacies would be different from those overseas and they weren’t going to just copy them as that prospect is hardly inspiring.

Who has responsibility for what goes on in the pharmacy?

At the moment, the Owner of a pharmacy carries responsibilities for the conduct of his/her staff in the pharmacy. With a Supermarket Pharmacy, who carries this responsibility? Previously, in part 1, I suggested that there could be a Pharmacy Manager/Superintendent for each pharmacy and that they could carry this responsibility. There may need to be changes to some state laws to allow this. Maybe, there could be confusion as to who is responsible? What if the job of Pharmacy Manager is currently vacant? Who is then responsible? – A locum pharmacist who happens to be doing a day’s work at the pharmacy? Would a regional manager be responsible? What are the powers given to those who are made responsible to prevent problems due to “bad” directives from corporate? Could a Pharmacy manager be fired for refusing to follow such orders? Then are they really responsible? Supermarkets would need to balance Pharmacy manager autonomy to ensure compliance with legislation with corporate/marketing requirements. Supermarkets would need to have a clear stance on this.

Lack of consistency:

My n=1 experience in the UK was that many pharmacies seemed to be run by casually employed locum pharmacists who came and went and the only people who seemed to consistently be at a pharmacy was the store manager and maybe some of the pharmacy assistants. I don’t see how this is good for patient outcomes. If this was allowed to develop here, then the benefits to the public would be greatly reduced compared to the more consistent system that we have here now as the system here is designed so that the public mostly get to see the Owner and the same pharmacists.

There are probably a lot more reasons to not allow Supermarkets own pharmacies. I would have said 10 years ago, that pharmacy was different. There seemed to be more stable employment and pharmacists both employees and employers were more united seeing the Pharmacy Guild as representing all of pharmacy including them. Currently, there are stories of pharmacy pay and conditions being reduced being circulated on internet forums and many bloggers are vicious on Discount Pharmacies offering lower prices on the backs of poorly paid and overworked staff as they see it. I was shocked to read (whirlpool.net.au forums) in the last few weeks that there are people who would rather see pharmacy go to Colesworth than to the Discount Chains. I would say to such bloggers that they may be motivated by revenge and that their problems with pharmacy won’t be solved by giving the keys to Supermarket…

Example from a forum (22/7/12):

“And they shoot themselves in the foot by importing SOOO many overseas-trained pharmacist for the low cost and SHORT-TERM gain. And guess what? In the long run, these pharmacists may or may not even speaking English properly, how are they going to communicate and CARE for patients??

Once that safety blanket of reputation is gone – then there's really no difference from a Woolies/Coles model. And Chemist Whorehouse & co. are doing the best they can to sabotage it from within.

I just simply cannot WAIT for DE-REGULATION to send all these mongrels who are responsible for the demise of pharmacy being a respected profession, to glorified shopkeepers, to ALL go down in flames and debt. Two more years until the negotiations start for the next round of CPA... holding my breath ;-)…”

Return to home

Submitted by Dr Mike on Sat, 06/07/2013 - 13:22.

Having previously worked as senior executive for Watsons - who? - based out of Hong Kong, the second largest owner of pharmacies in the world - with over 10 000 pharmacies of all shapes and sizes and in many countries from Asia to Europe and back - my view is probably slightly different and more informed than most.
Here in Australia we are already well down the road to pharmacies in supermarkets. This road has been sign-posted by the likes of Chemmart and all like-minded discount groups that operate to make money at the expense of the professional standing of pharmacy.
With many stores presenting themselves like up-market corner dairies of a health and beauty bent, the consumer is encouraged to look behind the Pharmacy Curtin of Oz. Across the Tasman the Wizard is now open to scrutiny and business - with the result being endangered community pharmacies. Rather than a rear-guard action that will leave many current owners and graduates with few options, a more collaborative approach is needed that will rebuild the status and benefits professional pharmacists deserve.

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