Pay doesn’t reflect qualifications, social benefit: Quilty


hand out for money - coins in palm

Pharmacist pay may not adequately reflect the value of pharmacists’ work nor the education required to practice, says Guild executive director David Quilty

In this week’s edition of Forefront, Quilty writes that pharmacist remuneration is a complex issue, with a range of contributing factors.

“Traditional professions like teaching and nursing have long been concerned that their remuneration levels do not reflect the qualifications required to practice or the value of the work they do,” he writes.

“This trend is now extending to other health professions, including pharmacists, and even GPs and dentists.

“It may reflect the fact that much of the funding that sustains these professions ultimately comes from government. At the same time, removing the caps on university places is increasing the supply of graduates, although there continues to be evidence of under-supply in some rural and remote areas.”

Pharmacy owners have a significant interest in sustaining the future of the profession, Quilty says, and pay, graduate numbers and emerging pharmacy models need to be considered.

“It’s unsurprising that there is a growing debate about the future of the pharmacist profession, including a focus on the current levels of pharmacist remuneration,” Quilty writes.
 
“The Pharmacy Guild welcomes this debate and has a keen interest in these issues from a number of perspectives.”

He points out that before becoming owners, Guild members trained to be pharmacists, most worked as employees, and most owners continue to practice in their pharmacies on a regular basis.

“Guild members know the success of their pharmacy businesses inherently depend upon the skills, commitment and professionalism of their staff, particularly their fellow pharmacists,” Quilty writes.

“This will be even more so in the evolving community pharmacy environment, with the viability of pharmacy businesses depending upon patient-centred, health solutions that go beyond the traditional dispensary.    

“Guild members also know that their current pharmacist staff are often the likely future owners of their businesses. As business proprietors, they are acutely aware of the need for sustainable succession planning and ownership pathways for their fellow pharmacists.

“For all these reasons, community pharmacy owners have a real and abiding interest in securing a bright future for the pharmacist profession.”

Quilty writes that the emergence and success of the discount pharmacy model and the impact of price disclosure have increased the focus on reducing pharmacy costs, while technological change is automating and systematising some traditional pharmacist roles.

“A growing number of pharmacies are responding to these trends by seeking to diversify their revenue bases, with a focus on delivering patient services that utilise the skills of pharmacists. 

“The Guild believes it is in the interests of the broad pharmacy sector to develop a coherent workforce strategy that focuses on financially sustainable solutions that advance the long-term interests of the pharmacist profession.”

This strategy should be fully informed by a thorough analysis of the best available workforce and wages data to develop an evidence-based understanding of the key issues and trends, he says.

It could build upon the learnings of previous research with a greater focus on future demand of pharmacists in varying roles and responsibilities, graduate numbers and the overall supply of pharmacists. 

“A strong argument can be made that the Federal Government should contribute to this task as they do for other professions where they have a direct interest, including medicine and nursing,” Quilty writes. 

“The development of a workforce strategy commenced last year with the Workforce Summit organised by the Monash Pharmacist Project under the leadership of Professor John Jackson and supported by the Guild, the PSA and other pharmacy organisations and industry leaders, including the APLF, which is chaired by Professor Iqbal Ramzan.

“The Summit produced a report that can provide the platform for the future development of a workforce strategy and implementation plan. Reinvigorating this work would not only be very timely in terms of the current debate on the future of the pharmacist profession but could also align with the current strong focus on workforce development by international organisations like FIP.”

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10 Comments

  1. David Haworth
    25/08/2016

    “A growing number of pharmacies are responding to these trends by seeking to diversify their revenue bases, with a focus on delivering patient services that utilise the skills of pharmacists. ”
    Maybe its me but I can’t think of any services that patients are paying us for?

    • Paige
      25/08/2016

      Some pharmacies sell handbags, and some even do dry-cleaning. Anything for a $

  2. Paige
    25/08/2016

    Do the people who whinge and complain about the discounters stealing their business realise that these businesses are opened and run by people in your own profession?? Greed led to the discount model and subsequent greed by non-discount store owners led to low staffing, low pay and poor working conditions.

    And for f*cks sake can we limit the university intake please? Not only are these students disastrously uneducated, but there are swarms of them. How is the industry supposed to have ANY integrity when those are the pharmacists of tomorrow?

    • Frederick Shellingford
      26/08/2016

      Well said. Pharmacy is self-destructing and we’ve nobody to blame but ourselves.

  3. Elizabeth McConchie
    25/08/2016

    I work part time as a pharmacist at a small independent pharmacy in metropolitan Melbourne. We sell jewellery, gifts, shoes, handbags, and clothes. We are a drop off and pickup point for parcels, sell myki cards and you can get a full manicure including SNS gel nails. We sell on eBay. Meanwhile I am on the same hourly rate that I was on in 2001. I don’t recommend this profession to anyone who asks.

    • Frederick Shellingford
      25/08/2016

      That’s a very loose definition of the word “profession”

  4. Simon O'Halloran
    25/08/2016

    I honestly believe there has never been a better time to be in the profession, but that doesn’t mean that opportunities for increased pay are just going to fall into our laps. There will be no middle ground, either you will be an award rate dispensing pharmacist working for a discounter, or a patient-centered care pharmacist working for a service model. Don’t expect the ‘greedy owners’ or government to fix the problem without first innovating or demonstrating why you are worth more.

    • Andrew
      25/08/2016

      Chairman Mal said the same about Australia recently.

      Believed by a similarly small proportion of the audience too I reckon.

      • Simon O'Halloran
        25/08/2016

        The supposed majority that don’t feel the current situation is an exciting yet challenging time either need to reassess their current arrangements or find a new career. The market and patient needs are rapidly changing, and as pharmacists to remain relevant there is no choice but to change. But most will find it easier to blame the government, the owners, the flood of graduates, the discounters and the professional bodies. Not necessarily a useful stance to take.

        • Paige
          26/08/2016

          Simon, I 100% appreciate the sentiment. But if I go out of my way and secure a big nursing home contract or upskill and open a compounding lab in a pharmacy I run increasing business throughput.. In the vast majority of pharmacies around Australia my wage will not change. There are fundamental problems that need addressing and you highlighted most of them in that post. To deny their impact on the profession will seriously inhibit our ability to rebuild.

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