Layer 1

Lloyds chief: The ‘great pain’ of deciding to close Lloyds branches

Toby Anderson: Hub-and-spoke dispensing is not the final answer to efficiency challenges
Toby Anderson: Hub-and-spoke dispensing is not the final answer to efficiency challenges

Lloydspharmacy's CEO Toby Anderson reveals how the multiple is fighting to prevent as many closures as possible – despite COVID-19 pressures

Pharmacy closures have been a looming concern for Mr Anderson since he took the helm of Lloydspharmacy’s parent company McKesson UK two years ago.

When he met C+D last year, he said that closures in England were to be expected, triggered by the government’s commitment to five years of flat funding. At the time, he could not speculate on whether some Lloydspharmacy branches would be among those to shut their doors.

He was right to be cautious. In August this year, Lloydspharmacy announced that it was closing a “small number” of pharmacies in the wake of the COVID-19 outbreak. The statement followed one from 2017 when Lloydspharmacy said it would close or sell 190 branches across England because of funding cuts.

Speaking to C+D in September was a different experience to our last interview a year before. Our venue is no longer his company’s headquarters in Coventry, and this time we speak over a video call. Mr Anderson has selected a mountain landscape as his background. At first glance, it looks idyllic but, looking closer, there seems to be an orange fire burning among the trees.

Is this a symbol, perhaps, that all is not well at the 1,500-plus branches of Lloydspharmacy? In July, Mr Anderson wrote an email to Lloydspharmacy employees to announce some “proposed changes” to keep the business viable in a “volatile” marketplace during a pandemic. The changes included possible redundancies.

Mr Anderson is unable to disclose how many branches have closed recently, but he says it is “a relatively small number”. He stresses that closures are not desirable. “It’s clearly something we don't want to do, it's a great pain to make those decisions.”

However, he also suggests that each individual closure may not have a big impact on patients. “The majority of the time actually, we’re able to still meet patients’ needs in another nearby Lloydspharmacy,” he says.

The multiple would like to retain the employees of closed pharmacies by redeploying them to nearby branches “in most cases”, Mr Anderson says.

“The financial challenges of the pharmacy industry in the UK are well documented…COVID-19 has exacerbated that, because we have gone out there to serve patients at increased costs…at our expense,” he says. He mentions a report by accountancy firm Ernst & Young published last month, which predicted that nearly three quarters of community pharmacies in England will be in deficit by 2024.

Nevertheless, it has not all been bad. The McKesson group announced a 3% profit increase across its European business between April and June compared with the same period the previous year.

Employee app

Lloydspharmacy has sought the views of its employees on future changes such as redundancies in a consultation that launched in July. “We’ve put a lot of effort to engage directly with our employees”, Mr Anderson explains. For instance, the company introduced a new app for internal communication before the pandemic.

“Most of my employees don't have access to a computer or don't have the time to access a computer on a daily basis. But almost all of us have a phone,” he says.

Through the phone-based app, employees can access videos, documents, polls and quizzes. “It’s a good example of how the right use of technology can help us improve the experience of our employees and equip them to better perform their tasks,” Mr Anderson says.

“I think it can be a really useful way to connect, engage where to get communication between people within an organisation that historically...maybe their voice wasn't heard as much in the past.”

COVID-19: “Pharmacy led the way”

Mr Anderson doesn’t hide the challenges that Lloydspharmacy faced at the beginning of the pandemic.

During spring this year, every aspect of pharmacy life was being affected by external events unfolding at breakneck speed. “Things were happening very quickly,” Mr Anderson says.

In a bid to protect staff, Lloydspharmacy jumped to put up Perspex screens early and provisionally changed pharmacy opening hours, he says. A key challenge was managing staffing levels, Mr Anderson says. In April, he revealed on a BBC television programme that 2,500 company employees were self-isolating due to COVID-19.

“I think pharmacy really led the way. It's kind of easy to forget that back in March, it was pharmacists that were out there when everything else was closed, with the exception of grocery stores,” he says.

“It was particularly challenging, but what I was really impressed with was the resilience of everybody in our organisation, people who've worked shift after shift.”

Lloydspharmacy redeployed more than 350 people from offices and warehouses to go and help its frontline staff. “We did an incredible job of making sure people got their medicine,” says Mr Anderson. He feels “really proud” to be working for a company that employs staff working on the frontline of the pandemic.

Digital growth

There was a silver lining to the surge in demand for pharmacy services. In August, McKesson UK reported a trebling of revenue for its prescription management app Echo during the pandemic.

But the success of the app has not been a panacea. “Online pharmacy and Echo are still pretty small in the overall scheme of the market,” Mr Anderson says. McKesson UK continues to make improvements to Echo and its subscription-based delivery service, but Mr Anderson finds it “critical” that those services complement ones delivered in brick-and-mortar branches.

“We’re really trying to be the best omni-channel (digital and store) pharmacy. That’s all about giving the customer the options for them to decide how they wish to interact with us, how they want to get their medications or their over-the-counter (OTC) products,” he says.

The Lloydspharmacy.com website has adapted by improving its store locator, after seeing an increase in people looking for the tool, and introduced an online booking for flu vaccines.  

“We’ve increased sales of vitamins, pain reliefs, consumer products, and OTC items,” Mr Anderson says.

The company will focus on enhancing these parts of its offering over ideas like Boots’ prescription collection lockers for now, he says.

Hub-and-spoke “not the final answer”

McKesson UK's dispensing hub in Ruislip

Lloydspharmacy will focus on another type of electronic dispensing, however. Some 560 branches receive repeat prescriptions from the three McKesson UK automated dispensing hubs in Warrington, Ruislip and Bristol.

The company plans to continue ramping up the number of stores who use the dispensing hubs – a further 80 branches will start working with them by mid-December.

However, hub-and-spoke dispensing is not “the final answer to all of our efficiency challenges”, Mr Anderson says. “It works for some of our pharmacies. It doesn't work for all pharmacies, and it doesn’t work for all patients.

“Rather than [spreading it] a little bit across all stores, it works better for us to have a more focused effort for a selected number of stores. If you ask pharmacies now, what it would be like to take it away? Most would say no,” Mr Anderson says.

The rollout of the hub-and-spoke system is not the only project in progress at McKesson UK. A new in-pharmacy dispensing system is being introduced to the multiple’s Welsh branches. The goal is for all branches in England, Wales, Scotland, and Northern Ireland to abandon the 20-year-old pharmacy dispensing system next year.

Although he does not disclose many details about the new dispensing system, Mr Anderson says it aims to be “easier and more intuitive” for pharmacy teams to use and that it takes away the need to complete certain tasks manually.

But the system has not been popular with everyone. One pharmacist commenting anonymously on the C+D news story this week announcing the Lloydspharmacy rollout said it was the “worst system ever”. They wrote: “Every branch so far has hated it.” Time will tell as to whether it will sink or swim.

A glimpse of the new dispensing system 

Value for the NHS

In July, a month that looked like a perfect storm for the company, Lloydspharmacy also launched a new private weight-loss service priced at £260 a month for patients.

When asked whether he thinks it could be commissioned by NHS England, he says: “There are steps we could take from an NHS funding basis…We could clearly be part of the patient journey to help improve people's weight.”

Indeed, pharmacy has proven its ability to alleviate pressure on the NHS through its achievements with the Community Pharmacist Consultation Service, Mr Anderson says. Launched last year, the service refers patients from NHS 111 into community pharmacies for minor ailments.

“We've really supported the NHS by dealing with those more minor ailments in pharmacy,” he says. The service saw more than 100,000 referrals in its first two months, but Mr Anderson says he would like to see the total figure ramped up into the millions.

Pharmacy teams could also prove a valuable resource in helping local communities look after their mental health. For instance, “the AMPLIPHY service that’s going on in Manchester is a good example of where pharmacy has been introduced into the patient journey”. The pilot offers mental health support to patients in a partnership with the Salford Royal NHS Foundation Trust and the University of Manchester.

“Mental health is a growing problem for the country and, given pharmacy’s role in the community, we are well placed to help people to manage mental health issues, and particularly in a preventative way,” Mr Anderson says. But he also believes that any such service needs to be publicly funded.

Juggling pharmacy closures, redundancies and structural changes, while ensuring both staff and patients’ safety during a global pandemic was surely not a breeze for the Lloydspharmacy chief. However, despite an unknown number of imminent pharmacy closures and redundancies, Mr Anderson says he retains his ambition of forging a “sustainable and successful future” for the company.

21 Comments
Question: 
What improvements have you made to your business despite COVID-19?

A England, Manager

The best thing that could happen for Pharmacy as a profession, right now is the total demise of the multiple- this includes small, medium, large and extra large multiples. This will lead to a lot of initial heartache but it will release the noose around pharmacy and the pharmacist. The most lethal poisons to enter the pharmacy leadership are the aforementioned plus Hement Patel, Sue Sharp, Jeremy + Co and the GPhC (there are others of course, but these are among the top 5). If any pharmacist in the UK had a shred of sense, honour and credibility, they would work to abolish the multiples and first the GPhC. Within pharmacy, pharmacists hold the power, but yet they are utterly powerless, doom approaches from in front, while their heads are stuck in the sand, just about carrying on, like a slave.

PoPeYe- Popeys Car Wash, Community pharmacist

Ultimately, the end results of Community Pharmacies trying to cut each others throats for years on end while governments of any colour sit back and rub their hands. No unity, a race to the bottom and ever increasing urgency to get a bigger piece of the shrinking pie at anyone else's expense. And their own, if any multiple was being honest with themselves. The consequences of which ending up, as always, at the coal-face. Which cannot be far now from being completely intolerable rather than simply miserable.

Brian Plainer, Locum pharmacist

Last time Lloyds reported their sad closures, they then went on to report whackingly large profits some months down the line - and now here they go again .... hmmm

C A, Community pharmacist

Profits are only up 3%, which is awful, I predict they won't be able to afford this year's salary review either. 0% due to tough market conditions... 

Cod Fillet, Community pharmacist

 

Lloydspharmacy is totally doomed. I'm delighted to see that happening. For many year they always saw employees as the enemy and expendable . Never saw a Lloydspharmacy team that was happy with the company. Mostly undertrained and recent staff.

Their hub is inefficient. (Compare with other companies equivalent, Lloydspharmacy is totally inefficient and that's why it doesn't work)

 

Leon The Apothecary, Student

To say it was a great pain is very disingenuous in my opinion, I doubt Toby will have had personal financial worries making so many people redundant and forced redundant situations, these people now worrying about how to survive, how their families are being affected, and how their livelihoods destroyed in a climate where is it is difficult to rebound from.

No...Toby doesn't get to use "Great Pain". 

Soon-To-Be Ex-Pharmacist, Superintendent Pharmacist

I think the pain he feels is a result of carrying around the fake sympathy. If he felt real pain he would be working towards finding a way of NOT closing any stores rather than chasing maximum profit for his shareholders. The collateral damage is as nothing to the likes of him - corporate greed trumps everything and those of us at the bottom are, as you say, the only ones suffering real pain

Hanbal Chaudry, Community pharmacist

Positive solutions PMR is the best in my opinion. Will look at Robots next year. Again it's personal opinion but Robots don't make staff redundant just make the Pharmacy more efficient and safe. Will be interested once I can invest £70k in a stable financial climate.

Soon-To-Be Ex-Pharmacist, Superintendent Pharmacist

I've worked with robots many times and I don't agree they make the pharmacy more safe. I have, in every case, found more mistakes in robotic dispensaries than in human ones because most mistakes begin with labelling and are then picked up and corrected at the point of dispensing by a human being. The robot will propagate any labelling error which then reaches the pharmacist for checking. No, robots are not the answer to safety. Multiple human eyes do a better job.

Leon The Apothecary, Student

Analyst? It has some interesting features, like out-of-the-box functionality to Robopharma, which is most likely why Well decided to go with that instead of developing further with Titan.

Hanbal Chaudry, Community pharmacist

The sector has to sink or swim as a whole. Sympathy with Lloyd's and Locums even though I am an independent. Two points:  Pay my locums just one pound an hour more than multiples. I know not £25 an hour but unfair to independents not to tether their rates to those prevailing at the multiples. 
Second, with all due respect to multiples I rather buy an independent Pharmacy near or next to Boots/Lloyd's than a surgery. 

TC PA, Community pharmacist

Looking at the times of these posts they may have been influenced by alcohol 

Paul Gadsden, Locum pharmacist

 not friendly for posts u get my gist

 

Paul Gadsden, Locum pharmacist

 

 I was paid £25ph 15 yrs ago plus hotel by boot  as

let Kamsons prevail with their efficiency with courteous staff - decent computers  and zero LLOYDS input Apparently New Compass system is useless let alone LLOYDS When LLOYDS can be efficient like Kamsons Morrison's and Castle Lane who have a robot in Bournemouth-

let all Locums strike for one month and get get £50 ph 

 Inefficient web comment  let's refuse to work for miserable pat across the board 

*This comment has been edited to comply with C+D's community principles*

 

 

 

 

Soon-To-Be Ex-Pharmacist, Superintendent Pharmacist

I used to get £25 per hour, two hours travel time plus 28p per mile travel expenses off Moss. Then the market got flooded by EU pharmacists and Schools of pharmacy popping up all over the place, churning out illiterate pharmacists, and now I get £100 per DAY less than I was getting fifteen years ago. That is one of the multiple reasons why I have not made my declaration this year, the point of no return is fast approaching and I can't wait to be out!

PoPeYe- Popeys Car Wash, Community pharmacist

The best of luck, Soon-To-Be. I voluntarily went off the register end of last year and was daft enough to decide to go back on in July. Instead of growing a pair- and trusting myself to find something new that I could have more respect for. My fault entirely.

Female Tech, Pharmacy technician

I guess you're happy for all Lloyd's staff to rot too? Maybe try thinking before you type.

Adam Hall, Community pharmacist

I think this comment should be deleted - not for it's anti-Lloydspharmacy rhetoric but just because it's connection with good grammar is,at best, tenuous.

Benie I, Locum pharmacist

Report it to the GPhC. Grammar will be added to the priority 'to do' list alongside 'locums making too much money during the pandemic'.

Soon-To-Be Ex-Pharmacist, Superintendent Pharmacist

Yep, if this is the standard of written English we get from the pharmacy profession nowadays, there is even less hope than I thought. Someone who can't even write coherently is either drunk, stupid or just can't be bothered. Either way, they shouldn't be doing the job.

PoPeYe- Popeys Car Wash, Community pharmacist

We just need breathalysers built into keyboards, phones and tablets. Added bonus of not ordering piles of unnecessaries from Amazon and of course less social media regrets!

Job of the week

General Practice Pharmacist
Armagh, Dungannon, Newry
Up to £40,894