‘These activities are not within the scope of practice of a pharmacist.’


doctor makes "stop" gesture with hand - ama

AMA president Dr Tony Bartone has slammed a strategic partnership between Bupa and TerryWhite Chemmart as “outrageous”

Under the partnership, which is set to launch in May, Bupa’s four million health insurance customers will have access to several initiatives and a health app, which the two organisations say are aimed at providing value and personalised care from the TerryWhite Chemmart network.

Earlier this week the group unveiled its plan for growth over the next 12 months, which includes several strategic partnership programs.

In announcing the plan with Bupa, TerryWhite Chemmart CEO Anthony White said that the partnership was an important strategic alliance aligned with its vision to be customers’ choice for health and value to become Australia’s favourite pharmacy. 

He said both companies saw the value of working together on programs that would be of significant benefit to the customers of both organisations including helping them feel rewarded and valued for staying healthy. 

“We have a reputation for delivering professional trusted advice, great value prices and highly accessible frontline healthcare. Our partnership with Bupa will allow us to offer that service to more Australians.” 

Bupa Health Insurance Managing Director, Dr Dwayne Crombie said the partnership is intended to deliver more value for money for customers and make healthcare easier to access. 

“Health insurance has traditionally had limited involvement in pharmacy. This partnership will provide customers with an opportunity to reduce costs on medication and pharmaceutical supplies and have ready access to healthcare advice and preventative care,” Dr Crombie said. 

But Dr Bartone said that the plan could lead to patients receiving inappropriate primary health care and advice.

“General practice is the foundation of quality primary health care in Australia, and any threats to undermine it or replace it with inferior models of care must be rejected,” he said.

“It is outrageous that a large health insurer like Bupa would endeavour to undermine general practice, especially after a thorough Government review of private health insurance to ensure that policyholders received high quality and value for money for their significant investment in insurance.

“This partnership will fragment quality primary health care and put further question marks over the value of private health insurance – just as radical new reforms are being implemented.”

He said the AMA plans to enquire of Bupa what services they plan to offer under the arrangement.

It also intends to ask why there has been no consultation with the AMA and the wider medical profession about what he called a “potentially dangerous” initiative.

“Pharmacies marketing unnecessary and expensive pathology tests and other ‘health screening’ services to their customers is a push to increase profits at the expense of evidence-based, cost-effective health care,” said Dr Bartone.

“These activities are not within the scope of practice of a pharmacist.

“Pharmacies in the community play an important role in providing medicines information to the public, and ensuring that all Australians have access to medicines in a timely and safe manner.

“But doctors are the only health professionals trained to fully assess a person, initiate further investigations, make a diagnosis, and understand and recommend the full range of clinically appropriate treatments for a given condition.

“Health checks, screening activities and diagnostic tests should only be conducted if they are clinically indicated, backed by evidence, and cost effective. 

“Unnecessary ‘health checks’ are costly for patients and can cause needless concern.

“There is no doubt that hiving off certain aspects of health care, such as screening and pathology ordering, only duplicates effort and fragments care.

“This Bupa partnership is an insult to GPs and a dud deal for Bupa customers,” he said.

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3 Comments

  1. Gavin Mingay
    13/03/2019

    Typical of the AMA vs Guild/PSA battle… If pharmacy screening encourages one unwell person to get tested and they are then referred to a GP, isn’t any life saved worthwhile???

  2. Anonymous
    13/03/2019

    The AMA has every right to express their outrage. GPs are extensively trained and educated let alone their experience in diagnosis and pathology tests. Community pharmacists spend most of their times dispensing, scanning repeats and worrying about stock. Unless the undergraduate pharmacy curriuclum changes to focus on clinical pharmacology and therapeutic guidelines instead of spending 4 years contemplating how a good cream preparation should be mixed, any care or service offered by pharmacists will be regarded as inferior care. I am unfortunately a pharmacist and I think the bachelor of nursing should add one extra year to be 4 instead of 3 years to teach future nurses more pharmacology so that they can replace community pharmacists in the near future. Let GPs take good care of their patients without greedy pharmacy owners fragmenting their care. Let us abolish the pharmacy profession altogether and make everyone happy.

  3. TALL POPPY
    13/03/2019

    Pharmacists will soon be at the bottom of the healthcare food chain! You will be the victims of offloading by other health professionals – you are even doing the jobs of nurses vaccinating patients!
    Reducing pressure on GPs will be just another straw on the back of the pharmacist donkey. No approintment needed. No significant extra remuneration to the employee pharmacist.
    Remember pharmacists earn less per hour than many professions and trades.
    Pharmacists will face higher and more unrealistic unrealistic expectations from their patients; and we all know what that will lead to.
    Trust me. READ between the lines. Don’t be a pawn in a much bigger game. I predict ordinary pharmacists on the coalface will feel even more pressure and stress as time goes on. Without adequate pay commensurate with their expected professionalism how can they be happy?

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