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Pharmacy Guild unveils controversial 10-year plan


Anastasia Tsirtsakis


7/08/2025 5:12:14 PM

A key tenet of the Guild’s strategy is to expand pharmacists’ scope of practice – aiming to have 80% of pharmacists prescribing.

Man getting blood pressure checked at pharmacist.
Part of the plan is to have 80% of pharmacies delivering care for more than 22 acute and chronic health conditions by 2035.

By 2035, the Pharmacy Guild of Australia wants patients to ‘think pharmacy first’ when it comes to their healthcare needs – an aspiration that has already come under fire.
 
The controversial goal was made public this week with the release of the Guild’s 10-year strategic plan, Towards 2035, in which the lobby group outlines how its plans for pharmacy to be ‘the first port of call for primary healthcare services’ through the ‘adoption of full scope of practice’ across all jurisdictions.
 
The strategy features metrics set across four key areas of activity: patient services and innovation; members and practice; thrivability and reform; and influence and reputation.
 
This includes a plan to have 80% of Australia’s pharmacists qualified to deliver care and prescribe medications for more than 22 acute and chronic health conditions.
 
The Guild claims its plans are in line with the ‘growing expectations of patients and policy makers’, and that by expanding pharmacists’ scope of practice it will free up GP’s time for more complex care.
 
‘At a time when frontline services like general practice and hospital emergency departments are under pressure, community pharmacy stands ready to help,’ the plan states.
 
‘By expanding the scope of practice, pharmacists can play a greater role in supporting continuity of care, reducing system strain, and improving patient outcomes.’
 
However, RACGP President Dr Michael Wright begs to differ, saying ‘the failure to acknowledge the value of GPs in the health system within the pharmacy roadmap is very disappointing’.

‘Patients deserve the expertise a GP brings, with our training and experience and long associations with patients,’ he told newsGP.
 
‘That expertise and training shouldn’t be taken for granted or undervalued.
 
‘The RACGP is already training 90% of the GP workforce – if pharmacists want to work as GPs, they are very welcome to join the training program.’
 
But the Guild’s Executive Director Gerard Benedet has made it clear that it is committed to executing its plan in full.
 
‘Success is not optional,’ he said.
 
Towards 2035 is not only a vision. It is a coordinated, measurable, and deliberate plan of action.’
 
To achieve its expansion goals, the Guild says it foresees the prescribing qualification being embedded into the base-level pharmacy degree over the next few years.
 
‘Ensuring every new graduate enters the profession with the clinical capabilities to prescribe safely and effectively,’ the plan states.
 
‘This will encourage new enrolments in pharmacy – whether that be school leavers or individuals making a career change.’
 
In recent years, several initiatives have been underway across the country to expand pharmacists’ scope of practice.
 
Queensland has been a leader in the space, with its pharmacy scope of practice and hormonal contraception pilots made permanent earlier this year, allowing trained pharmacists to prescribe and treat a range of acute health conditions as of 1 July.
 
Similar initiatives are taking place in other states and territories, with WA the latest seeking to expand pharmacists’ scope of practice, under the State Government’s Enhanced Access Community Pharmacy Pilot, which will see participating pharmacists begin training next month to be able to treat 17 conditions.
 
The Guild’s National President Professor Trent Twomey said its strategic plan, which was shaped with the help of its members, will create ‘healthier communities and a healthier Australia’.
 
‘It is a future underpinned by the patient-practitioner-practice relationship, and a belief that healthier communities are created when patients are placed at the centre of care, when pharmacists are empowered, and when practices thrive,’ he said.
 
‘Now is the time to seize the opportunity to do more and expand the services offered in community pharmacies across Australia. And the Guild will be supporting members every step of the way.’
 
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Pharmacy Guild of Australia pharmacy prescribing primary healthcare scope of practice strategic plan


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Dr Jonathan Conway Lloyd   8/08/2025 6:18:13 AM

This is a critical threat. What is the RACGP doing to prevent this at a policy maker level? The constant loss of ground by the RACGP is concerning


Dr anon   8/08/2025 6:49:17 AM

We already type the script (qr code on script and upload)

Why cant we do a four hour course on how to put a label on a box.

The RACGP should be advocating for gps to dispense on the pbs from our rooms.


Crickets.......


Dr Lindy Shirley Neill Waugh   8/08/2025 7:30:07 AM

GP’s remain best placed to assess the cognitive and physical skills required for driving. There should be easier access for the practical assessment with an OT where there is any doubt. The family need to be aware of their duty of care to the elder driver and the community as well and be involved . More community education about driving and health impairment is required. Many drivers on the road who are impaired by prescription medication and are not over 75 yrs.


Dr Anh Nguyen   8/08/2025 8:44:14 AM

The end of general practice is near, the difficult and long training, amassing huge knowledge and wisdom, mean nothing. this era, MONEY TALKS. Maybe in near future, medical schools only train... specialists straight ...from first year ?


Dr Simon John Pilbrow   8/08/2025 10:06:00 AM

The RACGP is increasingly weakened by being focussed away from the main game of advocating for general practice and distracted by other agendas. If you go woke, you go broke. The future of general practice in Australia is greatly endangered. Its not attracting the next generation of medical graduates. Government doesn't respect general practice. Other powerful forces will gladly step into the void. They seem to know how to get what they want.


Dr Rekha Bohra   8/08/2025 10:32:04 AM

Why not allow Gp practice to dispense common 22 medicine , GP and nurses in General practice are fully qualified to give medicine to patients, all they need is to stick sticker on box , medicine and dose are decided by doctor any way .
This will provide better care for pts, no more driving to pharmacy and waste 30 minutes

All Gp and Gp practices should be allowed to keep
22 common medicine and dispense it


Dr Irene Ing Ling Tan   8/08/2025 10:50:05 AM

I think it is interesting to say that pharmacists already prescribe! The doctors prescribe and pharmacist dispend drugs.

I think they should go to hospital and be trained properly and rotate through the hospital and join training of RACGP before they should be allowed to practice safely. They have not even know how to manage side effect of diseases and monitor diseases progress and see what is the situation of patients in hospital.
There is a reason why they are pharmacists and we are doctors. If they are so interesting to become doctors, then seat for exam and be a proper doctors.

If doctors prescribe drugs and also manage medication side effect, why our Gp association do not push for Gp to dispend drugs as those in South East Asia? We should do that too!


Dr Prashanta Kumer Saha   8/08/2025 12:08:58 PM

Dear RACGP President, CEO & Executive members,
It is noted with great displeasure,arrogant
& unethical vision & objective from Guild
Pharmacy board that they want to dominate the Primary healthcare by themselves rather then who is structurally,professionally & clinically trained with years & years of medical knowledge & experience. I expect & urge the RACGP Executive body take Guild's vision seriously & prevent any form of action they can implement to safe guard
innocent Australians to have best care that only can be delivered by the Professionals like a trained GP. It is understood Guild makes huge political donation to achieve their objectives & political party can't stamped it & be sold to them for money.


Dr Javier Armando Campuzano Ortiz   8/08/2025 12:50:19 PM

A medical degree, hospital postgraduate training and a fellowship are now optional, interesting. I think a pharmacist does not know anything necessary to prescribe it would take them years to learn how to diagnose and treat patients. However I can learn how to put a label in a box in 5 minutes, if it is about cost it costs less to get rid of the pharmacist and we dispense the medication then. They are the ones who are truly redundant.


Dr Slavko Doslo   8/08/2025 12:51:56 PM

SO WE ARE NOW BEGGERS
Thank you Michael do not beg on my behalf,
Shame on RACGP powerless organization

(RACGP President Dr Michael Wright begs to differ,)


Dr Baden Ian Bennett   8/08/2025 12:54:02 PM

For many years there has been a tradition that doctors who prescribe should not be the ones selling the medication ( ie arms length from the threat at one would prescribe just to make a profit from the sale of medication). So now we find that pharmacists, s who despite their several hours of extra training are allowed to prescribe and profit from their consultation. You only have to look at the current pharmacy recommendations for vitamens and supplement that have now medical proof to understand where that would head. We need to maintain that " professionalism" where the temptation to prescribe for profit is removed.


Dr Peter James Strickland   8/08/2025 12:54:41 PM

The pharmacists will need a lot of insurance to protect them against litigation. The RACGP should have a policy that our GPs are not put in a position where they will have to carry the litigation "can" if pharmacist eventually refer the GP for 'actual' diagnoses. I quote one case I dealt with years ago -'A young 23 yo pretty fit new female patient with recurrent and frequent UTIs over a few years from the time of sexual activity. This put up a red flag, and I did an IVP and micturating cystogram to exclude recurrent ureteric reflux &renal stones, and found she had double ureters with definite reflux requiring surgery, but fortunately minimal renal damage'. If treated by the pharmacist she would have not had a good long-term outcome in life, and esp pregnancy outcomes! How about LHF treated as asthma only?


Dr Elizabeth Jenkins   8/08/2025 2:05:40 PM

Intrusion on and insult to the expertise of general practice.

Combining this week’s survey on the onus of driving assessments and the release of their plan- perhaps they could do driving assessments too?


Dr Rolf Tsz Kit Tsui   9/08/2025 11:50:54 AM

All hot air and no substance aka “the guild”.

It’s simply just not possible. No short courses could meet the demands and rigors of a formal medical degree and vocational training with fellowship by examination.

Anyone who says or thinks otherwise… are wrong.


Dr Merelie Jean Hall   9/08/2025 4:50:16 PM

Often the hardest part is NOT to prescribe medication. The RACGP has a lot of "non-drug" interventions under the HANDI banner. I find it hard to believe that pharmacists who make a living selling drugs will "prescribe" non-drug interventions. The pharmacists who do medication reviews do a lot of beneficial de-prescribing. This is a much better role .


Dr Merelie Jean Hall   9/08/2025 5:12:53 PM

If you do not want "someone else" to do your "easy" consults you need to find a way to increase your availability. Our practice has a "waitlist". The " TH any doctor" requests can be done by any doctor in the practice. It does not take long for a repeat script when all the details are there. It save YOU time and trouble because you do not have to sort out the patients who have been prescribed medication by " someone else"


Dr Rany Maher Sabry Rizk   10/08/2025 9:40:03 PM

This is a loosing battle. It is time to push for dispensing.


Dr Fiona Jane Henneuse-Blunt   16/08/2025 7:43:05 AM

As Dr Strickland comments above, I hope they will have robust indemnity insurance. I also would be concerned about being drawn into litigation due to failure of follow up and communication between pharmacist and GP. Considered guilty by association and being the patient's GP but having been bypassed on numerous occasions. Similar to the current Dr hopping without any visibility or honesty from patients.