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Pay and workplace pressure behind community pharmacy retention issues

The CPWDG group estimates that under 25,000 pharmacists in England will need to be trained as IPs
The CPWDG group estimates that under 25,000 pharmacists in England will need to be trained as IPs

A survey by the Community Pharmacy Workforce Development Group (CPWDG) has shed light on the struggles faced by employers with retaining pharmacy staff and unfilled positions.

The CPWDG cross-sector working group – which brings together representatives from the Company Chemists’ Association (CCA), the Association of Independent Multiple Pharmacies (AIMp) and the National Pharmacy Association (NPA) – gathered data from around 4,500 pharmacy premises via a one-week survey it carried out in July last year, a spokesperson for the Company Chemists’ Association (CCA) told C+D today (June 3).

The CPWDG survey exposed a full-time equivalent (FTE) pharmacist vacancy rate of 9% across England, according to findings it released with a report reviewing the community pharmacy workforce yesterday (June 2).

The rate of unfilled pharmacist roles reached around 15% in the south east and 18% in the south west, while pharmacist vacancies “were open for around 26 weeks” on average, according to the report.

As well as concerns about interest in joining the profession and long-standing vacancies, the group reported survey respondents’ retention issues across the pharmacy workforce.

Among the reasons that were put forward to justify why pharmacy colleagues leave the profession, the respondents cited “concerns about pay, excessive workload and pressure, inflexible working hours, and a lack of opportunities for career progression”.

CPWDG members are also concerned about community pharmacy professionals leaving the sector to join “other parts of pharmacy, resulting in short falls in community pharmacy”, the group said in the report.

C+D reported last week that the recorded number of FTE pharmacists working for primary care networks was 1,929 as of March 2021, according to experimental data from NHS Digital.

Vacancies not “confined to pharmacists”

The CPWDG survey also found that, where vacancies had been reported for pharmacy technicians, these roles were on average “open for around six months”.

“The survey also found a high turnover rate among some staff groups, reaching over 25% per annum among trainee dispensing assistants and trainee health care assistants,” according to the report.

Data from the C+D Salary Survey 2020 revealed that pharmacy technicians and dispensers were feeling undervalued after a year of increased stress due to the COVID-19 pandemic. 

Independent prescribing and broader training offer

The CPWDG also estimates that about 5% of “employed and relief community pharmacists in England have independent prescribing (IP) qualifications” and that “just under 25,000 existing pharmacists in England will need to be trained as IPs”.

The report also calls for a continued professional development programme for all pharmacy team members and renewed the sector’s calls for pharmacy technicians to be able to administer vaccines under patient group directions – something the CPWDG members think could help attract people to the profession.

Joint effort to make community pharmacy careers attractive

The CPWDG called on leaders from across the sector, including “professional bodies, higher education institutes, policy makers, and statutory education bodies”, to work with employers to “ensure community pharmacy is seen as an attractive career choice for future pharmacists”.

The group is planning to publish further resources “to present community pharmacy as a career of choice”, it said.

Commenting on the report, CPWDG chair Marc Donovan told C+D today: “Alongside the work that needs to be undertaken by NHS England and NHS Improvement and others to allow the sector to reach its potential, we must recognise our own role in ensuring community pharmacy is considered by current and future colleagues as a desirable career”.

AIMp CEO Dr Leyla Hannbeck told C+D today that “the NHS cannot do without community pharmacy”, as demonstrated last week by a sector audit from the Pharmaceutical Services Negotiating Committee that showed pharmacies in England provide as many as 58 million free consultations a year.

“It is therefore essential that all stakeholders come together to ensure our sector receives the relevant support and recognition and is given the right opportunities for our workforce to utilise their skillsets,” Dr Hannbeck said.

“The wellbeing of their teams is a priority for our members, and we continue working collaboratively with colleagues across the sector and with decision makers to ensure community pharmacy workforce development and wellbeing is a priority.”


Have you/your pharmacy had trouble recruiting pharmacists over the past year?
Have you struggled to recruit any pharmacy staff in the past 12 months?

C A, Community pharmacist

In other news, water is wet

Alexander Dale, Dispenser Manager/ Dispensing Assistant

Hey, that's my line :)

Chris Pharmacist, Community pharmacist

The governent have openly admitted to wanting to reduce the number of pharmacies by 20% hence the funding cuts and Category M reductions in the last 5 years (pre-covid anyway). It hasn't happened though, some pharmacies have closed but nowhere near 20% and internet pharmacies have sprung up to replace them...

What has happened though is the multiples have cut staffing to the bone to maintain profits, up until recently locum rates and pharmacist salaries have plummeted. Anyone remember double-cover? Rare as hens teeth now unless you dispense 1000+/day. Area managers and senior management increasingly non-pharmacists purely to save on salaries. Pharmacy staff pay is just a disgrace for the responsibility, hassle, hard-work and abuse anyone surprised by this? 

Near me (greater Manchester) pharmacies are haveing to close due to lack of locums and lack of staff willing to put up with usual bs and lack of support from uncaring and management who don't have a clue. Things seem to be coming to a head in one company from what I've heard.


Chris Locum, Locum pharmacist

So where are those cheerleaders shouting about the glorious clinical future in past times - in the current dysfunctional and dystopian reality? It could be a very long few summer months ahead.

Angela Channing, Community pharmacist

They're in GP surgeries, Chris, or retraining as solicitors!

C A, Community pharmacist

What's double cover?

Angela Channing, Community pharmacist

(Reply to M.Rx).....30 years ago, when I started, everyone at Boots and Lloyds in management roles, store, district, area, and H.O. were all pharmacists and were in the driving seat. And both companies were infinitely better run, managed and more professional. 

Benie Locum, Locum pharmacist

Surely just a coincidence ?

Angela Channing, Community pharmacist

Basically dispensers or counter staff can earn more working in Lidl, and if you're a pharmacist, you could earn more by joining Lidl or Aldi and becoming a store manager via their graduate training program.

C A, Community pharmacist

For managers it's about the same, though Lidl have a company car scheme as a perk.

C A, Community pharmacist

I don't get who is down voting - 

The typical Lidl Store Manager salary is £44,136, with a maximum of £83,505

and you get a company car...

Angela Channing, Community pharmacist

I don't know any community pharmacists on 80k who are employees. i. e. Most of them .

M. Rx(n), Student

Very simple: No man can serve two masters. Autonomy is the very foundation of Pharmacy Practice. The current set-up fundamentally makes that unattainable. It is why "companies" go and hire chainstore ex-managers to push targets and sales! And the Pharmacists who perform such roles end up holding their noses whilst doing it.

If the RP regulations were respected the situation would look very different because Pharmacists woukd be firmly in the driver's seat and "companies" would court them and back them to do whatever is professionally justifiable.

Pay is usually big problem if working conditions are appalling.

Benie Locum, Locum pharmacist

You said no man. Can women serve two masters ?

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