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Pharmacy Financial Survey Research Report March 2017 Quantitative research report DRAFT Hall & Partners | Open Mind MEL: +61 (0)3 9662 9200 SYD: +61 (0)2 9925 7450 info@hpopenmind.com.au Table of Contents Executive summary ............................................................................................................................. 3 Background and methodology ............................................................................................ 3 Findings from the survey ...................................................................................................... 3 Research context and objectives ........................................................................................................ 7 Methodological approach and outcomes ............................................................................................. 9 Pharmacy engagement ........................................................................................................ 10 Pharmacy data collection .................................................................................................... 12 Data analysis and limitations of the data ...................................................................... 16 Pharmacist Profiles ........................................................................................................................... 17 Summary of Profiled Pharmacies .................................................................................... 17 PROFILE 1 – PhARIA 1 ........................................................................................................ 18 PROFILE 2 – PhARIA 1 ........................................................................................................ 19 PROFILE 3* – PhARIA 2 ..................................................................................................... 21 PROFILE 4* – PhARIA 3 ..................................................................................................... 22 PROFILE 5 – PhARIA 4 ....................................................................................................... 23 PROFILE 6 – PhARIA 4 ....................................................................................................... 24 PROFILE 7 – PhARIA 5 ........................................................................................................ 25 PROFILE 8 – PhARIA 5 ....................................................................................................... 26 Appendix A: Data tables .................................................................................................................... 27 Profile of participating pharmacies ................................................................................. 27 Store size and customer numbers ..................................................................................... 29 Staff levels ................................................................................................................................ 33 Business financials ................................................................................................................ 41 PBS data – Aggregate level detailed data from the DOH ......................................... 59 PBS data – Script type level detailed data from the DOH ........................................ 64 PBS discount data – Detailed data from the DOH ...................................................... 77 PBS discount data – Script type level detailed data from the DOH ...................... 78 Stated PBS data from survey ............................................................................................. 82 Appendix B: Self-completion questionnaire and contact materials .................................................... 86 16255 – Department of Health – Pharmacy Financial Survey Executive summary Background and methodology The Australian Government Department of Health is facilitating a review of pharmacy remuneration and regulation by an independent Review Panel, which will base its recommendations on an extensive review of pharmacy in Australia. Many voices and sources of data are part of this process, including a range of primary and secondary data sources, stakeholder and community consultation, public submissions, industry and publicly available data. On behalf of the Review Panel, the Department commissioned Hall & Partners Open Mind to gather and analyse financial data from community pharmacies to act as a further critical input into the review, supplementing existing data sources regarding remuneration for dispensing of medicines under the Pharmaceutical Benefits Scheme (PBS) and the delivery of professional services. Before gathering pharmacy data, a sample list of pharmacies was compiled from multiple sources, involving consultation with stakeholders such as The Pharmacy Guild and banner groups. Manual cleaning and de-duplication processes were applied to produce a final list of possible participating pharmacies. Pharmacies were contacted initially by letter from the Department of Health, to notify them of the survey and present the survey credentials. All listed pharmacies were then contacted by telephone to obtain the email address for an appropriate contact (such as an owner). A link to a standardised online self-completion form was then emailed. Follow-up reminders via email and telephone were undertaken to maximise response rates. Despite best efforts, the data collection stage faced unforeseen challenges and the final survey sample fell short of the target of n=300. Close to 150 pharmacies began the survey, however most of these part-completed the survey with a final sample of n=38 completed surveys. The data collection process is discussed in greater depth in the section Methodological Approach and Outcomes. The data from all pharmacies who provided responses are presented here. Findings from the survey Characteristics of participating pharmacies The majority of participant pharmacists were independent community pharmacies, which were largely operated by their owner/s. Some of these had affiliations with a buying group, some were part of a banner group, several were discount or warehouse pharmacies, and others had no affiliations. The sample provides representation across all PhARIA classifications and types of pharmacy but the largest single group of participants were non-affiliated, independent, PhARIA 4-6 pharmacies. Hospital pharmacies not represented in this sample. 3 16255 – Department of Health – Pharmacy Financial Survey The pharmacies who provided their data were most commonly positioned along shopping strips or in isolated groups of a few shops and the majority were open for fewer than 50 hours per week. Very few offered their customers evening or night hours - Saturday was the most common time offered outside weekday retail hours. 2 This sample captured a spread of pharmacy sizes from small pharmacies of up to 100m , medium 2 2 sized that are 101-200 m and some very large pharmacies at more than 200 m . The pharmacies included here most commonly allocated 11-20% of floor space to the dispensary. There is however very wide variation when it comes to floor space allocation for OTC medicines and therapeutic goods, relative to other retail items. Space for private consultation by the pharmacist consistently occupied the smallest floor space of less than 10%. There was also wide variation in the size of each pharmacy’s annual customer base - with a tendency for PhARIA 4-6 pharmacies to have a smaller number of customers, than PhARIA 1-3 pharmacies. Around half of these pharmacies’ customers were seeking prescriptions only, while retail-only customer sales were slightly more common for PhARIA 4-6 pharmacies. Pharmacy ownership and staffing The majority of participating pharmacies had one owner, this is especially so among PhARIA 4-6 pharmacies; while major city pharmacies had a greater tendency to have more than one owner. Most pharmacies had between 1 and 5 full-time staff and about two thirds also had part-time or casual staff to supplement this. There was a relationship between PhARIA location and staffing levels. The majority of these PhARIA 1 pharmacies had 4 or more full-time staff and at least 2 part-time or casual staff. While around half of the PhARIA 4-6 pharmacies had only 1 full-time staff member and a similar proportion have 0 casual or part-time staff. Owner salaries varied widely from less than $40,000, to a significant minority with salaries more than $100,000. This variation appears related to PhARIA with owners' salaries for pharmacies in major cities mostly being a lot higher than those outside metropolitan areas. Pharmacy revenue and profit Annual sales levels in excess of $1,000,000 was more common for city pharmacies than their regional, rural or remote counterparts in this survey. Though some PhARIA 4-6 pharmacies did supplement their sales with income from other sources moving them up past $1M total revenue. Among those pharmacies providing their revenue and expense data, PhARIA 1 pharmacies tended to achieve greater profit than PhARIA 4-5 pharmacies - virtually no participating rural or remote pharmacies reported a profit in excess of $200,000, while half of major city pharmacies achieved at least this level of profit. Payments and allowances Overall, PhARIA 1, and to a lesser extent PhARIA 2-3 pharmacies, offered and received a higher level of remuneration for a wider range of government supported services than do those in rural or 4
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