10 quotes from pharmacy review chair Professor Stephen King on CWH, pharmacy viability and more
Professor Stephen King, chair of the Pharmacy Remuneration and Regulation Review, did not hold back on his forthright opinions of what are the key questions and issues that the review is considering, during his speech at Pharmacy Connect last weekend.
Here are ten quotes from Professor King’s presentation
- The aim of this review is not simply to suggest cuts to government expenditure. We are not under any mandate to save costs, We will be recommending if we think there are areas where increased government expenditure would create better health outcomes.
- This review is not about the viability of community pharmacy per se, rather it is about the health of Australians. The network of community pharmacies is an extraordinary asset, but this does not mean every pharmacy can be, or should be, propped up.
- Chemist Warehouse has a great business model – as do a lot of other discount pharmacies – they do what they do very well. They have a great logistics chain, and are able to, in a sense, bring supermarket into pharmacy.The debate is whether this is a desirable model
- During the course of our consultation around Australia we’ve seen lots of pharmacies that I would classify as being stuck in the middle – between the discount model and the professional service model. They’ve been disrupted by the discount model and sometimes try to compete with it – to their cost. They also dabble with services, but can’t or won’t charge correctly for these services. The aim here is to help these pharmacies evolve to the benefit of consumers. No one benefits if they disappear.
- The process of the community pharmacy agreement is really odd. There is no other industry where the government sits down with one set of stakeholders to work out how to fund and regulate the whole industry. In other areas, the government may negotiate with a group of stakeholders to work out the arrangements.
- Is the current pharmacy remuneration system appropriate given its based around dispensing rather than provision of professional services? This especially relevant given the dispensing process is becoming more mechanised. Is remuneration for provision of advice a more appropriate way of approaching this?
- What is the objective of location rules? Should they be modified? I’d be extremely surprised if we recommend getting rid of location rules, but modifications may be necessary. See here for more.
- I’m not sure current wholesaler logistical and remunerative arrangements are working. The CSO is really an odd policy, and again its odd that it is being negotiated by another stakeholder on behalf of the wholesalers. See here for more
- Even with 140 questions included in our draft, we’ve not covered anything. For example, its been put to us that we should have included a question on dose administration aid funding.
- Our draft report will be released by November 2016, with the final report to the Minister for Health by about March 2017.