Salary Survey: What does community pharmacy think about Hub and Spoke?

If you wanted to describe the potential effect of Hub & Spoke as transformational, you’d be right. What the ultimate effect of that transformation might be remains up for debate.

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Will it unleash a new level of dispensing expertise and operational capacity allowing pharmacists to focus on other, potentially more profitable, areas?

Or will it erode dispensing revenue, strip out the caring element of pharmacy, and drive old-fashioned community pharmacy to the wall?

Given the polarised nature of the lengthy debate, C+D asked a very simple question. Is Hub and Spoke a good idea for community pharmacy?

Read more: We just bought 45 pharmacies - now we have an urgent need for Hub and Spoke

The response was – predictably – mixed. Some 44% of respondents to the survey said no, and 56% said yes.

We also asked readers: ‘Do you believe hub and spoke will enable the UK to serve a greater numbers of medicines to a greater number of patients?’

Respondents returned a similar split, with 58% saying yes, and 42% saying no.

In short, the ayes have it, just about. While opposition to Hub & Spoke remains, the determination within the industry to push things forward is greater.

Read more: Government set to ‘introduce’ hub-and-spoke legislation in 2025

But it feels like the issue has been bound up in an cycle of debate for years, with neither side able to cut through – and the results of the C+D survey reflect this quagmire.

Though the government has assured the sector that the relevant legislation is being readied, it is also going through further evolution and remains hanging.

But on balance, those pushing for progress are edging it. And it looks highly likely they will get it.

The C+D Salary Survey ran from October 16 2024 to Dec 31 2024 with 837 pharmacists and pharmacy staff taking part.

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James Halliwell

Read more by James Halliwell

James Halliwell joined C+D as editor-in-chief in February 2024. A business journalist for the last 15 years, he’s looking forward to developing the bond between C+D and its readers and bringing them more of what they want to read, in the evolving ways they want to read it.

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