Viw Magazine

Men's Weekly

.

  • Written by Gary Mortimer, Professor of Marketing and Consumer Behaviour, Queensland University of Technology
Supermarket pharmacies have been around in the US, UK and mainland Europe for years. But will Australia follow? from www.shutterstock.com

On the way home, you wander into the supermarket for a loaf of bread. But before you reach the bread aisle, you drop in your prescription at the supermarket pharmacy. Shopping done, you pick up your pills on the way out.

Across the US, UK and mainland Europe, supermarket pharmacies are becoming the norm. But in Australia, they’re banned.

The Commonwealth government is negotiating the seventh Community Pharmacy Agreement with pharmacists, which outlines how community pharmacy is delivered over the next five years, who delivers it and where.

So could pharmacies in supermarkets be an option for Australia?


Read more: Explainer: what is the Community Pharmacy Agreement?


How common are they?

Overseas, pharmacies have been in supermarkets for decades. In the UK, supermarkets like ASDA, Tesco, Morrisons and Sainsbury’s have them. And so do Walmart, Kroger and Publix in the US.

Canada’s largest supermarket Loblaw announced plans in 2010 to expand more aggressively into the pharmacy business. It later bought pharmacy chain Shoppers Drug Mart.

Arguments against

The Pharmacy Guild of Australia argues pharmacies in supermarkets means community pharmacies would be unable to compete, supermarkets would put shareholders’ interests ahead of patients, and consumer protection would be lost. Such critics argue supermarkets would push smaller players out of the market, limiting consumer choice and access.

The Guild also suggests it would be hypocritical for supermarkets to run pharmacies when they rely on cigarette and alcohol sales.


Read more: Relaxing pharmacy ownership rules could result in more chemist chains and poorer care


Overseas, there is public support for small, independently run community pharmacies over supermarket-owned ones.

For instance, in 2013 almost 2,000 people petitioned against supermarket giant Tesco, fearing an existing pharmacy across the road would be “bulldozed” out of business.

Arguments for

The main arguments for pharmacies in supermarkets seem to be they would offer the public a cheaper and more convenient service.

For instance, Walmart employs more than 10,000 pharmacists across 3,000 retail pharmacies throughout the US and launched a 24 hour pharmacy service over a decade ago. Then it began dispensing generic medications for as little as US$4.


Read more: Is pharmacy the final frontier for supermarkets?


Supermarkets also seem committed to supporting pharmacies in store, despite tough times. In 2019, Tesco, which runs 300 in-store pharmacies, reported no pharmacy staff positions would be lost when 9,000 store positions became redundant.

There are also claims of hypocrisy. Why does existing Australian legislation prevent a supermarket from owning a pharmacy, but not a pharmacy from owning a supermarket?

What might work in Australia?

If Australia follows international trends, we might consider two models:

  • straight-out ownership, where a supermarket owns a chain of pharmacies and employs pharmacists to run them, or
  • a strategic alliance, where a pharmacy chain, like Chemist Warehouse, has smaller versions of its stores inside a supermarket.
In-store pharmacies might be convenient, but is that enough to convince policy makers they’re right for Australia? from www.shutterstock.com

Examples of straight-out ownership include Sainsbury’s in the UK and Walmart in the US. This arrangement allows them to sell these assets at a later stage.

This is what happened with Sainsbury’s, which sold its 281-store pharmacy business to Celesio, the owner of the Lloyds Pharmacy chain, for £125m in 2015. Sainsbury’s indicated the move would enable further growth, while extending their pharmacy services to customers.

In an example of a strategic alliance, UK pharmacy chain Boots and supermarket Waitrose agreed in 2009 to stock each other’s products.

Boots supplied health care, pharmaceutical products and services, like flu jabs and medical check-ups to Waitrose, and Waitrose supplied food to Boots. Pharmacies in 13 Waitrose stores were also re-branded “Boots Pharmacy”.


Read more: Why Australian supermarkets continue to look to the UK for leadership


However, existing legislation prevents either option in Australia unless changes are made in the new Community Pharmacy Agreement. This is because current pharmacy ownership rules prevent supermarkets or anyone (other than a pharmacist) from owning a pharmacy.

If ownership rules were lifted, but location rules remained, supermarkets would be prevented from operating pharmacies opening within 1.5km of one another.

This means if Coles had an in-store pharmacy, then Woolworths across the road, could not operate one, and vice versa. And if there was already a pharmacy in the neighbourhood, neither could open one, even if ownership rules were relaxed.

Are we set for regulation or liberalisation?

The Pharmacy Guild of Australia, which represents owners of community pharmacies, and the Pharmaceutical Society of Australia, which represents individual pharmacists, both support current ownership rules — strong regulation over ownership and location.

However, pharmacy giant Chemist Warehouse and Ramsay Health Care (which owns pharmacies as well as private hospitals), say ownership rules are redundant and ineffective. And they’re not alone.

Critics of the current Community Pharmacy Agreement argue over-regulation of pharmacies, particularly surrounding ownership and location, limits competition and growth.


Read more: The right prescription: pharmacy sector in dire need of reform


And in 2015 the Harper Report into competition policy recommended:

[…] pharmacy ownership and location rules should be removed in the long-term interests of consumers. They should be replaced with regulations to ensure access to medicines and quality of advice regarding their use that do not unduly restrict competition.

European countries seem to be moving towards deregulation. In 2017 Italy passed legislation to allow corporate entities to own a pharmacy business, and also increased the number of pharmacies a proprietor may own.

In the US, in-store pharmacies in supermarkets are common, convenient and can offer cheaper products. But current Australian pharmacy ownership rules ban them. from www.shutterstock.com

So what are the impacts of deregulation? If we look at evidence from Europe, when the UK relaxed ownership and location rules, pharmacies operated more efficiently. Pharmacies also had more freedom to set prices for over-the-counter products and offered a wider range of services.

Yet, the same research also found where there was stronger regulation, such as in Spain, consumer access to pharmacy improved, as new pharmacies were opened based on geographic, demographic or needs-based criteria. Simply, if there was already one pharmacy servicing a neighbourhood, they didn’t need another.

Is Australia likely to see supermarket pharmacies?

Whether Australia is likely to see supermarket pharmacies any time soon is open to debate.

In a speech to the Pharmacy Guild’s national conference in 2019, federal health minister Greg Hunt said there would be no change to the ban on locating pharmacies within supermarkets.

However, other powerful groups are calling for change. These include the Australian Medical Association, which wants the regulations changed to allow broader ownership of pharmacy businesses.

If supermarkets were to guarantee sufficient controls — such as to ensure the safe use of medicines, staff were properly trained and there were safeguards to ensure equitable access for elderly patients, Aboriginal and Torres Strait Islander people, particularly people living in rural and remote areas — it would be hard to argue for existing rules about pharmacy ownership and location.

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

Authors: Gary Mortimer, Professor of Marketing and Consumer Behaviour, Queensland University of Technology

Read more http://theconversation.com/a-loaf-of-bread-and-a-packet-of-pills-how-supermarket-pharmacies-could-change-the-way-we-shop-122640

VR Training in Australia – Conflict Resolution Training For Employees

In today’s rapidly evolving workplaces, Australian organisations are turning to immersive learning tools like VR to handle specialised n...

Financial Planning For Couples

Why Every Couple Should Talk About Money And A Will (Before It’s Too Late) When you’re in a new, exciting relationship, it’s easy t...

Navigating Relationships While Living with Depression

Living with depression can feel like carrying an invisible weight—one that not only affects how you experience the world but also how yo...

Choosing the Right Vinyl Flooring Suppliers for Your Home or Business

When it comes to selecting flooring options that combine durability, style, and affordability, vinyl flooring stands out as a top choice. ...

Why Food Manufacturing Cleaning Services Are Essential for Safety and Quality

The complexity of food production environments demands specialised cleaning approaches that go beyond regular janitorial work. This is whe...

The Importance of Choosing the Right Industrial Electrician Melbourne for Your Business

When it comes to powering large-scale operations and complex machinery, commercial electrical services are not enough. Industrial environm...

What to Expect During a Property Settlement After Separation

Separation is a challenging and emotional time, and one of the most complex aspects can be the division of property. However, understandin...

Designing the Ideal Healthcare Environment with a Professional Medical Centre Fitout

When it comes to healthcare spaces, functionality, hygiene, and patient comfort take top priority. An intelligently designed medical centr...

Stay Comfortable Year-Round with Ducted Cooling Melbourne

When the temperature starts to rise, having a reliable and efficient cooling system becomes a priority. With unpredictable weather and sud...

Best Practices for Content Ownership and Tagging Across Departments

Image by kaboompics on Freepik The bigger and more complex content ecosystems grow, the more valuable ownership and tagging become. In ent...

Understanding Public Liability Insurance Australia: What You Need to Know

Image by rawpixel.com on Freepik The necessity of public liability insurance in Australia is that it acts as a financial safeguard for busi...

How HID Proximity Cards Improve Workplace Security Without Slowing Down Access

In today’s workplaces, security is non-negotiable, but so is speed. Companies are under pressure to protect their people, property, and ...

Unlock Business Insights Faster with Power BI Tools

In this digital age where data drives the consumer landscape, businesses are shipping huge amounts of data every day. To remain competit...

Why Split System Installation Is a Smart Choice for Home Climate Control

Temperature control is essential for comfort, and when it comes to efficient, versatile cooling and heating, a split system is one of the ...

What You Need to Know About SMSF Setup in Australia

Setting up a self-managed super fund (SMSF) is becoming an increasingly popular choice for Australians who want more control over their re...

The Ultimate Guide to Door Replacement: Everything You Need to Know

Image by freepik Sure, swapping out a door is a fairly easy task, but it requires careful consideration of options for materials, designs...

Common Web Development Issues Perth Businesses Face (and How Agencies Fix Them)

Image by freepik Let's be honest, in the bustling heart of Perth's business scene, a website that's not up to scratch is like trying to he...

Life With Clear Aligners: 10 Small Changes That Make a Big Difference

Image by tonodiaz on Freepik Clear aligners have transformed orthodontics, offering a nearly invisible way to straighten teeth without the...

Choosing the Right Hair Loss Treatment for Your Needs

Millions of people experience hair loss globally, and it can be a major cause of emotional discomfort and self-consciousness. Hair loss ca...

Cardboard Display Boxes: An Effective Solution for Retail Presentation

In the competitive world of retail, how products are presented can be just as important as the products themselves. Cardboard display boxe...