Pharmacy wages under fire


pharmacist holding piggy bank

Lead organisations are beginning to grasp the extent of dissatisfaction with the current state of remuneration among employee pharmacists

Are you happy with your pay rate?

If the answer is no, you’re not alone.

Consensus over the past few months among employee pharmacists seems to be that current remuneration standards are below par, amplified by the growing amount of services they seem to be expected to provide.

“Pharmacist wages are the single largest issue facing the profession in community pharmacy,” announced Pharmaceutical Society of Australia CEO Dr Lance Emerson when opening a panel discussion at the PSA16 conference in late July, titled Improving pharmacists’ remuneration: the plan to get there.

Representatives from all facets of the industry featured on the panel including the Pharmacy Guild of Australia, PSA, Society of Hospital Pharmacists of Australia, Professional Pharmacists Australia, and National Australian Pharmacy Students’ Association.

PSA was quick to acknowledge the issue and offer support for its members.

“Employees are worried about pharmacist wages. We hear your concerns about low income and wages. PSA is actively working with others to look at that, but we’re also looking at diversifying with evidence-based roles,” said Dr Emerson, adding that the organisation is working with practice groups to find a sustainable model for pharmacists to work in general practices.

“Should we be getting paid more? Who wouldn’t say yes in this room right about now?” asked PSA board member Taren Gill.

“When we’re talking about this we’re talking about people’s livelihood and the capacity to earn. Right now it’s not sufficient. Young people can’t afford to buy a house or to put a down payment on a pharmacy,” she said.

Meanwhile, PPA has come out saying the King Review should consider low pay rates and the under-utilisation of pharmacists’ skills as a key concern.

These issues will form part of the organisation’s formal submission to the review this month, says a spokesperson.

“PPA believes it would be a mistake if the Review were not to consider the impact that low pay has on the sector,” the spokesperson told the AJP. “To do so would ignore the majority of pharmacists – employees – who perform the vast bulk of services available at your local pharmacy.”

 

Commercialism: part of the problem or the solution?

PPA president and panellist Dr Geoff March said surveys are coming back saying remuneration is an issue. He argued that the industry’s focus on commercialism is part of the problem.

“I think there are structural problems with the whole process. Firstly, we have a high level of medication problems but our practice isn’t really addressing the issue. We put a lot of scripts through but are we caring for patients?” said Dr March.

“Looking back at my 40 years, I’ve never seen it so commercialised in pharmacy, and that’s been a real disappointment for me personally. I think the balance between commercialism and practice is out of kilter at this time,” said Dr March.

Some on the panel disagreed including Gill, who countered that commercialism could become part of the solution.

“I want to challenge early career pharmacists to become more commercial – to understand where sustainable income comes from to keep yourself employed and well-remunerated to provide a skill. Being clinical and being commercial are not mutually exclusive,” she said.

President of the Pharmacy Guild of Australia George Tambassis acknowledged that wages aren’t great but said that the focus should be on a “strong pharmacy model”.

“Profit is not a dirty word. It’s about being viable, sustainable and bringing those ideas through,” Tambassis said.

“Unless we can create a viable pharmacy network then there’s no way to find a solution.”

Pharmacists also need to add more value and prove it to the owners, added Tambassis.

“You need to bring something to the equation, learn your trade and get involved – then something good can come out of the [wages] discussion,” he said.

 

Beyond pharmacy’s four walls

Broadening the role of pharmacists is one area that is being looked into by all industry bodies.

“Enhanced roles for pharmacists are well-developed internationally yet Australian consumers are missing out on access to the full breadth of pharmacist services possible under current scope of practice, from prevention to assisting in chronic disease management,” said Dr Emerson.

Dr March agreed that pharmacists need to look outside the box to find answers to their remuneration woes.

“What we have to think about as a profession, are there other opportunities for pharmacists to work outside those four walls?”

However many AJP readers have responded saying that broadening the scope of pharmacists’ services only leads to more work load with no concomitant increase in remuneration.

 “I see no empathy towards the non-owner pharmacists who pretty much run the cogs and wheels for the pharmacy owners. I remember the beady greedy eyes of pharmacy owners that demanded more generic conversions, more “free” SMS reminder sign ups, more interventions, more MedsChecks, it’s ridiculous… at the end of the day, you have no time to provide customer experience or clinical value because you’re being treated as an expensive shop girl,” said a reader.

“A pharmacy graduate with a $20,000 education bill will never be able to pay it off, raise a family, buy a safe car and a house on the current pharmacists’ wage. And every day they are asked to complete more new programs and services and told they must lift their game to compete,” said another.

A third reader wrote: “Seriously, five years of university study (including internship) to land a job that pays no more than a job at a supermarket with far less responsibilities. The owners only look at their profits and push us beyond our limits, employ minimum staff that can’t even cope with the work load and be grumpy when you enquire about pay rises.”

 

Disparity of pay rates across the sector

It’s no secret that different pharmacies pay different wages, leading to underpaid staff and wage disparity across the sector.

While some pharmacists may be getting paid a decent rate, others are being undercut.

“We’re seeing discount pharmacies pay $4-7 per hour less than other pharmacies,” said Dr March.

“Some discount pharmacies tend to underpay fresh grad pharmacists… apparently they get paid $26 per hour as compared to about $30 in the market,” a Sydney-based intern pharmacist who didn’t wish to be named told AJP.

“Interns get paid so poorly even though they’re doing the same job as the pharmacist. The current rate is lower than the night fillers at Coles or IGA,” she said, lamenting her choice to study pharmacy and enter the profession.

“The overly greedy cut-price pharmacies are destroying the fabric of a once proud industry,” said an AJP reader.

 

Pharmacy’s identity crisis

Professor Michael Dooley, President of the Society of Hospital Pharmacists of Australia and director of pharmacy at Alfred Health, said it is an identity crisis in pharmacy that is triggering pharmacists’ discontent with wages.

“When you look at pharmacy as a profession, it’s a reflection as a lack of worth in our professional role when it’s offset by how much we get paid. Sometimes people may actually offset their salary with the rewards they get from the way that they care.

“In community pharmacy where they’re pumping out scripts, they see the main thing as remuneration. We need to see an increase in the care that pharmacists provide.

“They get paid about the same as nutritionists and physiotherapists get paid, but the care these professions provide and the personal reward they get from their job takes the focus off the remuneration aspect,” said Professor Dooley.

“Pharmacists as an identity have to know what we’re here for. Are we here for business, small business, healthcare? If we’re healthcare professionals we have to act as professionals. Students need to know what they’re signing up for when they’re doing a science,” he concluded.

 

The challenge to go rural

NAPSA member Matthew Scott told the panel audience that when he graduates in 2017, he’s looking at wage rates back to 2006 levels.

However he points to the potential for pharmacists to move into rural positions where there seems to be an undersupply.

“There’s a role pharmacists are not looking at and that’s rural. We know that our members are worried about an oversupply, but I’m getting involved in rural placements where they are offering me a job on the second day of placement. I know there are jobs available in rural areas that pay higher rates,” he said.

“We know that wages are higher in rural areas, and that many pharmacists find the lifestyle far more satisfying. We would encourage pharmacists to actively consider job in rural area because of the intrinsic rewards that it brings,” said Dr Emerson.

Not everyone agrees with this option. AJP readers have responded to Scott’s comments saying that going rural is not the answer.

“You shouldn’t be expected to go rural to find a job as a professional – that is ridiculous. That old chestnut of going rural needs to be buried. It’s been done to death: go rural and you will regret it for obvious reasons. The only people saying go rural are those owners that can’t find puppets to run their pharmacies for them whilst they themselves live it up in the big cities! You won’t find many of them staying in rural outback towns or even regional towns,” said one reader.

Another said: “I’ve even been to Outback Northern Queensland and overseas-trained pharmacists have already made their way there – the supply is met. It’s all very convenient to use the tired, old mantra of ‘just go rural’ to solve a professional labour crisis but I don’t think anybody in their right minds would consider any profession a ‘good’ career choice if said career can only take off by uprooting to the boondocks.”

A survey run on the AJP website revealed nearly a quarter of respondents (23%) who had worked in a rural setting in the past said they wouldn’t do so again.

And 12% said they would never go rural to find work in pharmacy.

About 22% reported that they were currently working rurally, while 14% said they had worked rurally before and would do it again.

Gill says working rurally in not for everyone – but everyone should at least consider it.

“Rural or regional living may not be everyone’s cup of tea and there may be some barriers to a tree change, but if you assess your motivators in your career you may find that a non-metropolitan lifestyle suits your needs. If you did pharmacy to help people it makes sense to go to the areas where people need the most help – rural and regional areas have lower health literacy and reduced access to health professionals,” says Gill.

“Wages are often higher in these areas due to the reduced supply of trained professionals and housing costs are lower. There is also an opportunity to integrate into the greater community as a well-respected member of the community. If your motivators are rewarding work coupled with better remuneration we encourage you to give rural or regional living a go. “

“Although it is disappointing that better remuneration is not available for good work done by pharmacists in metropolitan areas, working regionally or rurally is a good option to improve your remuneration now.”

 

“Something’s gotta give”

Stories from those at the coalface reveal a standoff between Australian owners and employee pharmacists regarding remuneration and pharmacy services.

The reaction the current state of wages in Australia has been almost unanimous: pharmacists aren’t getting paid enough, and there’s enormous pessimism about the future of the profession.

A pharmacist from Africa who is currently studying in Australia told AJP that what they see in Australian pharmacies is “saddening. Pharmacists are always looking tired and unhappy”.

“Pharmacy is in an extremely sad state and I would not wish it on anyone,” said another reader.

One thing is certain: something’s got to give, and soon.

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19 Comments

  1. David Haworth
    10/09/2016

    “Dr March agreed that pharmacists need to look outside the box to find answers to their remuneration woes.

    “What we have to think about as a profession, are there other opportunities for pharmacists to work outside those four walls?”

    So if all the low paid pharmacists leave the coal face who is going to run the big discount warehouses?

    • PharmOwner
      11/09/2016

      Supply and demand, David. As long as the universities keep pumping out graduates like there’s no tomorrow, even if large numbers of pharmacists left the profession, they will be quickly replaced by young, inexperienced (read: naive) recent grads. For pharmacist wages to improve, either the award rates need to improve dramatically, or university undergrad places need to be cut.

      • Lance
        11/09/2016

        Well I was a grad last year and I’ve left before I started… I know of 1 or 2 other students that didn’t bother with their internship last year either.

        • Big John
          11/09/2016

          1. The award wage is never going to improve significantly to represent the level of training a pharmacist has as a true health professional.
          2. Unversity places will never drop unless demand ceases. Get the message out there that pharmacy is not a good option to study.
          3. Unless Government funding increases, wages will not rise.

          • Ex retail Pharmacist
            12/09/2016

            As a community Pharmacist in 1980s I spent some considerable on a Guild state committee and the argument about Pharmacists pay rates was going on then.
            The Guild has always had the approach that the Government will have to pay more before the Pharmacist get paid more. The Government approach is the direct opposite.
            I left retail Pharmacy in 2000’s after 26 years as a Pharmacy owner as I could see the impact generics would have on remuneration and the super profit clawback by the Government and took a significant pay cut to join the Government as a Pharmacist – it was gamble that paid off as I at least earn a living salary.
            Why anyone would spend the money time an effort to be a Pharmacist today is a mystery.
            I tell any person who asks about a career as a Pharmacist for their child to forget it as having worked in the UK for Boots and seen the impact Tescos and other supermarket chain have on Pharmacy it is now a dead end career in retail.
            If you think things are bad now wait until Coles etc get a foot in the door.
            Chemist Wharehouse is setting themselves up for a huge payday when they sell out to Coles etc when the ownership goes open
            I must confess one has to give credit to CW for their business setup using high volume OTC retail sales and limited service to support cut price dispensing as the business drawcard

          • JimT
            12/09/2016

            couldn’t have summarised it any better………..and have been saying it for years

          • United we stand
            12/09/2016

            Last thing Guild should do before it is dismantled is to push through a decent salary for pharmacists just so they leave the industry with some dignity. Otherwise they’ll be remembered as a gutless cult that ruined permanently this profession.

        • PharmOwner
          12/09/2016

          Well done, Lance. But are students not made aware of the dire employment prospects before commencing their undergrad studies? It might be helpful if they were.

          • Lance
            12/09/2016

            I foolishly took an idealist stance on the future of pharmacy practice (being a mature student, more fool me) and left my well paying job in the mines.

            As a lot of people are saying on these forums, the public perception (including naive student populations) haven’t changed towards the “gold mine” days of pharmacy during the 80’s.

            Funnily enough I remember some academics at my university telling me the pharmacy school was running a deficit, even with the vast number of international students they were pumping through. So, tell me, who’s telling porkies here because I can’t tell anymore!

    • United we stand
      11/09/2016

      As long as there is peanuts, a monkey will do the task!

  2. JimT
    10/09/2016

    thinking outside the square……pharmacy business (The Guild) has agreed on a PBS remuneration package that is based on the pathetic pharmacist award, hence lies one of the problems. For the pharmacist award to be better then PBS has to pay more …..bit like what came first, the chicken or the egg??

    • United we stand
      11/09/2016

      In the mid 90s, research was conducted by the guild on how long it would take for a pharmacist to dispense a prescription. Dispensing was described as printing the label for the box as well as checking for drug interactions, allergies and providing patient counselling. Their data found that this takes on average close to 5 minutes per medication. They then fed this data into the dispensing fee calculations and used a pharmacist award wage to justify the $$$ they negotiated with the government. Raising a pharmacist’s wage would certainly allow the Guild to request a higher dispense fee. It’s not even an argument.

  3. Red Pill
    11/09/2016

    A repost but an important one:
    According to annual remuneration survey conducted by APESMA in 2009, the average hourly wage — without penalties — was $37.52 per hour for community pharmacists. In 2016, Payscale’s data analysis has set an average Pharmacist’s wage at $32.04 per hour. That is a 15% drop in wages in 7 years and we haven’t even factored in inflation rates and increased costs of living. If this trend continues, by 2020 a pharmacist will earn $27.25 per hour again not taking into account inflation, etc.

    So that leaves us begging the question, is it all worth it? Will pharmacists continue to be ethical having very little to lose? Can a pharmacist act in a professional manner if he/she can’t supply for his/her family?

    A very bitter red pill for our great pharmacists and the pharmacy board to digest.

    • United we stand
      11/09/2016

      Here’s a list of average salaries from Payscale. (Protip: only one needs a 5 year university degree leaving you with a $40,000 bill and a huge ethical and professional burden)

      Car mechanic: $62,000
      Community Pharmacist: $65,000
      Commercial Photographer: $67,000
      Electrician: $62,000
      Plumber: $67,000
      Carpenter: $68,000

      • BlinkyBill
        14/09/2016

        As an ECP I’m leaving this God-forsaken glorified retailer of a profession. Supermarket wages, no respect, get treated like fast food staff, no career progression -pretty much shoe boxed, nearly impossible ownership especially with supermarkets coming in, pressures and responsabilities in dismal working conditions… and we are still expected to provide world class service and yeah… not kill a patient… Over What!? 26-7 an hour!? Our security guard gets that! The minium award rate shold be 35. Period. Even that isn’t worth the 5 years studying. The word is slowly getting out there…
        In the meanwhile.. Hello post Grad Med 🙂

  4. Lance
    11/09/2016

    Well here it is from a 2015 graduate, I didn’t even bother doing my intern year! For the responsibility and stress required for a pathetic remuneration package, it wasn’t worth continuing. My entry level office job pays more than the average pharmacist wage so go figure!!!! It’s sad it came to this…

    • Valentino
      12/09/2016

      What is your entry level job? Not knocking your choicd, but am just curious what directions people have succeeded in post-pharmacy

      • Lance
        13/09/2016

        High risk credit analysis. Working in debt collection part time through university and having a highly analytical degree helped.

        • BlinkyBill
          14/09/2016

          You have done the smartest thing Lance!
          Like more than half my collegues I plan to leave this profession as its gone to the dogs. You know this when the guy who works in ALDI/coles gets the same pay rate as you with 99 less problems. Oh and he gets proper lunch and tea breaks… never heard of those… Did I forget to mention, that if he stuffs up he doest lose his licence to work in retail??? He also has no HECS to pay off and no loss of pay for the years spent studying. Oh and has more opportunities to grow in the company rather being stuck as a managing dispensing monkey. I would have been better off if I had just stayed at coles rather than studying pharmacy… At least I can’t overdose someone on bloody cheeseles! Just greeeeat.
          I believe the message is slowly getting out out there that being a pharmacist is nothing but a glorified retailer with no career progression and near to impossible pharmacy ownership.
          Recently seeing this first hand discount pharmacies are struggling to fill pharmacist positions (pharmacist shortage apparently) and are literally dying for the new batch of naive interns to graduate in a couple of months. You know they are desperate when they gaurentee jobs for 100+ interns no matter their quality as long as they hold a registration to punch out scripts.
          Thank God I am leaving this dogs breakfast of a flimsy profession behind. I would highly advise any ECP to do so unless ofcourse you are passionate.
          Ps – When the supermarkets come in, I belive it will be a good thing for future pharmacists. You will most likely have a union (not the gutless guild) who will represent employee pharmacists and advocate for respectable wages with westfarmers/woollies. Honestly can’t wait till the guild become obsolete :b

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