Revealed: Location of another Lloydspharmacy confirmed for closure

Lloydspharmacy has confirmed the locations of 14 branches where it will cease trading
Lloydspharmacy has confirmed the locations of 14 branches where it will cease trading

Celesio UK has confirmed to C+D the location of another Lloydspharmacy branch that is closing.

The multiple is “in the process of closing” its Eastern Avenue branch in Barnstaple, North Devon, it told C+D yesterday (November 27).

It marks the seventh branch that Lloydspharmacy has confirmed to C+D it will close, alongside the locations of seven more it is still hoping to sell.

The total of 14 pharmacies are all part of the 190 “commercially unviable” Lloydspharmacy branches in England where parent company Celesio UK will cease trading. The multiple would not confirm the location of the remaining 176 branches.

The manager of the Eastern Avenue pharmacy was unable to comment to C+D.

Where are the branches located?

You can use C+D's map to view the location of each of the 14 pharmacies identified so far. Branches confirmed for closure are marked in purple, while those Lloydspharmacy is still hoping to sell are marked in blue.

This map is live, and will be updated as C+D confirms the locations of further affected Lloydspharmacy branches.

Read how pharmacy chain PCT Healthcare decided to close two branches last month – resulting in three staff redundancies – here.

19 Comments
Question: 
Do you work for a Lloydspharmacy branch earmarked for closure or sale?

Shaun Steren, Pharmaceutical Adviser

Following the implementation of the new contract in 2005, anybody with a functioning brain realised this was going to happen to community pharmacy. Without strict government protection of the supply function (like in France or Germany), community pharmacy was finished. 

The multiples have invest nothing in research and development and so have zero intellectual capital. The vast majority of dispensaries I have worked in have been operationally backward, where gross inefficiency appeared to be the primary goal. A company like Amazon has invested billions in developing optimal supply pathways and will deliver a hugely more convenient dispensing service at a massively reduced cost. 

Think of it as a battle of intellects. On one side you have the middle management of your typical multiple, on the other side you have the technicians and management of Silicon Valley. If the government is willing to truly open up the market, the current multiples are about to get knocked clean out.  

Former Cist, Pharmaceutical Adviser

It has rather surprised me how slow most pharmacists have been in grasping the reality of impending doom for community pharmacy. Yes, some have been predicting this for thirty years but this has usually been fuelled simply by cynicism and pessimism rather than vision and foresight. But the current cull and disinvestment have been on the cards for some years.

 

Whose fault is it? Well the forums will tell you it is the Government, NHS England, PSNC, the multiples, GPs and the CCGs.

 

The average community pharmacy finds itself providing prescription ordering services, free of charge, MDS, free of charge, home deliveries again free of charge. Yet most feel that this portfolio of free services is totally unappreciated.

 

The problem is, if you provide a free service, it is generally a relatively poor service – you get what you pay for, or rather you don’t get what you don’t pay for (I think?). Whose fault is this? Not the agents and organisations above. It’s you, or perhaps your local rival who prompted you to need to follow suit.

 

The “managed repeat” ordering services deliver fraudulent over-ordering, deskill patients and encourage dependency even from the fit and able bodied. MDS services are often motivated by attempts to hang on to prescriptions rather than to improve adherence, pandering to poor care homes - “must have a sleeping tablet every night” and deliver chaotically labelled and presented packs.  Delivery services don’t allow informed healthcare professionals to communicate one to one with the vulnerable housebound, but allow an unskilled driver to hand over yet another months supply of everything on the doorstep. There’s not a lot of quality here is there. Be honest.

 

The picture to outsiders is of a rather shoddy portfolio of services these days.  This is a shame as there are some very good pharmacies out there but the good work by some can be badly overshadowed by the poor service delivered by a few.

 

What can be done? Well some one needs to pull the main bodies together to achieve a degree of unity amongst pharmacies so that:

 

ALL community pharmacies charge for deliveries to the able bodied. Deliveries remain free to the disabled.

MDS is only provided where an assessment has shown this is necessary to achieve a reasonable level of adherence

No ordering of prescriptions by pharmacies unless a patient can be shown to be unable to order themselves and there is no other relative/carer able to do so on their behalf.

 

Then once this is widely adopted in a locality, supported by the LPC, a paper should be submitted to the CCG commissioners demonstrating the value of the above with a service spec and framework and fee structure.

 

Many reading this will say – he must be mad, CCGs would never pay for these services.  You would be surprised. I have worked alongside NHS commissioners and it amazes them how out of touch community pharmacy is in terms of their needs. I have often heard phrases along the lines of “We don’t want what they are offering if only they would offer to deliver what we need”.

 

The above outline would massively reduce costs and time in pharmacies, free up staff and save resources. But at the same time it would prevent the vulnerable and housebound from being unable to order, access and take their medication. It would reduce hospital admissions and improve outcomes. It would greatly improve the quality of local healthcare delivery in communities. It would allow commissioners to realise the value of community pharmacy and present a positive picture to strengthen the hands of national negotiators. And you would be appropriately funded and rewarded.

 

Yes this would be difficult to achieve but better to try than simply throw the towel in. Are there any visionaries out there prepared to try?

Sue Per, Locum pharmacist

Looking at pharmacy through the last thirty years, all contractors have manipulated the system to maximise the turnover, through the increase in prescription numbers, to increase fee and purchase profit.The clinical side has been neglected, and high volumne dispensing factories have resulted, via 28 day scripts, and seven day scripts for MDS patients, many of which are not necessary. 

We then complain that with volumes such as 500+ items per day, there is little time left for anythng else.

Pharmacy is not for physical supply function, and quite rightly things have to change, and we need to accept and embrace services which will make full use of our clinical skills.

The mass assembly can be left for the robots!!

It is time that some basic disgnostic services such as blood tests, B.P. Monitoring, Respiratory C.O.P.D. assesments  and similar etc are commisioned soonest possible.

 

Ilove Pharmacy, Non Pharmacist Branch Manager

Contractors were only ever interested in Rx numbers. Community pharmacy is built on this and this alone. This is true now and as many years you care to go back.

Wolverine 001 , Pharmacist Director

no chance - as a locum are you going to do these "clinical services" - you wont even complete MDS properly - again talking nonsense 

Sue Per, Locum pharmacist

I will leave the MDS assemblty to the Robots like you, and divert my skills to providing clinically oriented services as mentioned.

You can derogate your status to that of a Technician. What a waste of a degree!!

Wolverine 001 , Pharmacist Director

and you think that the services quoted above will make you more clinical, however, these are already being provided by "qualified personel" this does not have to be a phamacist - my staff conduct the BP tests and they can provide great advice for the patient if a referral is waranted then fine - I mean if you are going to divert your skills to these you will again be forced onto the scarp heap as you will be to expensive - are you even a qualified phlebotomist - I perform asthetics, sexual health testing, private GP (with a dr not me may I add) - eerrrr can you come and locum for me and perfrom these, I doubt it!

Barry Pharmacist, Community pharmacist

You say stop free deliveries to the able-bodied. MDS when not necessary and prescription ordering unless a patient can be shown to be unable to order themselves and then CCGs will pay for these exact services to those that need them. That is never going to happen.

P2U, Lloyds, Boots, Well, Rowlands are all investing large sums to provide all of the above from their mail-order pharmacy hubs. Online Rx ordering for free delivery and MDS trays filled by robots. You live on another planet my friend. Why would any CCG pay for this when P2U will provide for free? And they will always provide for free because that is the business model the are moving towards because Amazon are coming. 

Former Cist, Pharmaceutical Adviser

Like you I believe the Amazon model is on the close Horizon and has been planned for some time but it is not a fait accompli. Community pharmacy can throw the towel in or it can put up a fight. The item chasing strategy sacrificing clinical development and the hopelessly ineffective performance of LPCs has seen local commissioners turn their backs on community pharmacy as service providers. CCGs will not come running waving wads of £20 notes at you. Community pharmacy has to convince commissioners that they cannot do without a proposed service opportunity.

 

Imagine what would happen if you all stopped home deliveries overnight? There would be a catastrophic increase in hospital admissions and delay in hospital discharge. I’m not sure local commissioners know this because it’s likely that no one has told them.

 

Then imagine what would happen if as part of a discharge plan the hospital could contact the community pharmacy (EPS links are imminent) to advise of discharge meds and the pharmacy could be commissioned to prepare in an MDS within 4 hours and home deliver and be involved in the meds reconciliation with the GP practice to update and synchronise repeats. This would make hospital discharge more efficient, would support patients to remain independent in their own homes and reduce readmissions. Work out the potential cost savings then present a service proposal costing half this amount. Put some effort in to selling this to a CCG and I know from experience that they would at least listen.

 

Community pharmacy needs to convince local commissioners that locally delivered services have advantages over the national mail order hubs. Many GP practices will not accept calls from a Head Office in Leeds or Nottingham to order for Mrs Jones next door. What happens about a home delivery of an antibiotic and all the other acutes? What about discharge from local hospital? What about LPCs setting up training for delivery staff to offer more than the average postman.

 

Where are the entrepreneurs? I’m not saying I am not on another planet, as you have stated, but if you never have dreams they never come true.

locum norfolk, Locum pharmacist

masterclass in pre constructed game planning... very few saw this six years ago... sheep spring to mind unfortunately.... next couple of years legislation is critical... profession by a thread and im an optimist... rather sad im afraid particularly for the young pharmacists

Sunny Jim, Pharmacy Buyer

This pharmacy they are closing was viable but it didn’t make business sense to keep it open when business could be transferred to the other two pharmacies. 

All this will mean is that the Pharmacist in charge of the other two will see an increase in work load with little or no remuneration. Only winners here are Lloyds.......

Rubicon Mango, Academic pharmacist

Am quite confused, looking at the Pharmdata figures, some of the branches (Urmston) appear to be profitable? How can a company not have enough whit to make this viable and instead close the branch?

Am not familiar with the full details in regards to payments to Pharmacy, perhaps a contractor could shed some light onto this?

Sunny Jim, Pharmacy Buyer

What they will do is close One branch and prescription direct to the other two branches they have in that town. They can do thisbecauseofcontrol of entry prevents any new ones opening . This means they hv cut their overheads by over £60,000 and it’ll increase the work load of the other two branches .....

If there was no control of entry lloyds would never do this as it would allow competitors into the market. This way they hv one less Pharmacist to pay I’m sure they will some how magically be directed to other lloyds pharmacy in that town .. the only winners are lloyds

Sunny Jim, Pharmacy Buyer

You can down click till the cows come home...u think I care!!! That’s exactly what’s happening....the smart ones saw this coming and saved saved saved HAHAHA

Wolverine 001 , Pharmacist Director

saved saved saved.... my god you really are deluded - go to your other revenue stream - let me guess baking cupcakes from home??

Barry Pharmacist, Community pharmacist

For once I agree with you. The 2 nearest pharmacies to the Lloyds highlighted here are Lloyds branches. The regulations allow consolidation and Lloyds prevent a new application at their old site. This will be a growing trend over the next 12 months. A move towards dispensing factories. No frills, no friendly chats. 1 pharmacist to cover 18,000 items a month. Quality goes out the window and who cares?

Wolverine 001 , Pharmacist Director

But its business sense and consolidation, why blame lloyds for thinking this - there are too many pharmacies - they were only there claiming the establishment payment - this is what the government wants and they are getting it - why blame lloyds all contractors are thinking this 

Syd Bashford, Community pharmacist

So with removal of control of entry, I suppose you would move into a non-viable location to provide invaluable services, or I guess more probable, you would try and leap frog an existing business, open next to a busy existing one and cream off their profit rather than make your own.....

Wolverine 001 , Pharmacist Director

removal of control of entry will not acheive anything - only more business that will soon be bankrupt!!!

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