Home' Australian Pharmacist : May 2011 Contents Vol. 30 -- May #05
By Andrew Daniels
Pharmacy has been warned that
exclusive distribution will undermine
the Community Service Obligation
(CSO) and the PBS.
Harper from Access
delegates at the APP
conference that the
has acquired a taste
for saving money
on the PBS and
pharmacists should expect more
of the same.
He said the recent decision to 'defer'
six medicines from PBS listing by the
Federal Cabinet was 'about helping fix
'PBS reform is about driving down
what the Government pays for
medicines. It also pulls money out
of the PBS supply chain. Savings
last year were twice that estimated,
Professor Harper estimated that in
2010--11 this saving cost $4,750 per
pharmacy and by 2014--15 this would
increase to $30,000.
He pointed to Pfizer's move to
direct distribution of its medicines,
bypassing wholesalers, as a major but
not unprecedented development.
'Direct distribution is not new;
exclusive distribution is! There is only
one way to get medicines from Pfizer
-- through Pfizer. That's the difference
and it makes a big difference to
'To Pfizer it is a commercial decision
and they have every right to do so. We
live in a modern mixed economy. The
market is a great servant but it is a
Prof Harper said that if the big four all
pulled out of the Community Service
Obligation (as Pfizer has) it would be
turned on its head.
'Exclusive distribution has begun
to unwind this story (CSO). The
wholesalers could resign from the
CSO and the only ones in the system
obliged to deliver full line would
Prof Harper pointed to the UK
experience of exclusive distribution
where the NHS 'is rattled by
this and is having best practice
'Germany has legislated against
exclusive distribution. Wholesalers
have been given the right to distribute
their equivalent of PBS medicines.
'We are not quite there yet but this
is the discussion we are about to
have here. Exclusive distribution will
undermine the PBS. The Government
should require companies to make
PBS medicines available to CSO
' he said.
Orana Mall Pharmacy best
in the nation
Orana Mall Pharmacy in Dubbo,
Western NSW, is the QCPP Pharmacy
of the Year.
The pharmacy's success as the overall
winner of this year's competition was
announced at the Australian Pharmacy
Professional (APP) conference on the
The competition is open to all
Quality Care Pharmacy Program
(QCCP) accredited pharmacies.
This year the contest was divided
into three categories: Excellence in
business management; Excellence
in community engagement; and
Innovation in professional services.
The category winners are:
• Excellence in business
management: John Bronger
ChemistWorks Wetherill Park, NSW.
• Excellence in community
engagement: Orana Mall Pharmacy,
• Innovation in professional services:
Pharmacy 777 Whitford City,
The judges commended the high
standard of all entries in the
competition. They selected Orana
Mall Pharmacy as the overall winner
because of its strength across all
three categories, particularly in its
service linkages with local health
providers and liaison with other health
professionals in the Dubbo district.
They noted the pharmacy's strategic
approach to implementing its services,
engaging with the community,
dispensing medicines and managing
its staff and the day-to-day business.
The competition judges said John
Bronger ChemistWorks Wetherill
Park was an example of a pharmacy
which manages its business in a
highly competitive market through
attention to detail, the successful
implementation of monitoring and
applying controls across its business.
It has a strong focus on delivery of
health care, advice and working with
local, targeted GPs to implement
Pharmacy 777 Whitford City in Perth
delivers numerous health services
with the assistance of its on-staff
qualified nurses. In particular, the
services have expanded to include
a unique partnership with a nurse
practitioner. This pharmacy has
implemented a 24 hour service model
and provides after hours acute health
care to its patients, alongside its well-
run pharmacy practice.
Rapid PPI update
More than 2,000 community
pharmacies register for Pharmacy
Practice Incentives (PPIs) in the month
after registration opened.
The PPIs were announced at the APP
conference in March. Pharmacy Guild
National President Kos Sclavos said,
'This is a great result in the first seven
days -- but we want more. We want
to see every eligible community
pharmacy in Australia registered
before the cut-off date of 30 June.
The payments are a new way for
pharmacies to be rewarded for their
contribution to delivering quality
health services. To be eligible,
pharmacies must be approved Section
90 pharmacies, accredited by a
pharmacy accreditation program, and
agree to comply with and display a
patient service charter.
Simon Blacker, Trish Crisante and Lisa Benton
from Orana Mall Pharmacy Dubbo.
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