1. Theneedforincludingwholesalers inCPAnego5a5onsthe WholesalerPerspec5ve

2. HowwholesalerstintotheCommunity PharmacyAgreement Fulllinewholesalersensurethesafeand5melydeliveryofallmedicinestocommunity pharmacies. Wholesalerscompeteaggressivelyforpharmacybusinessagainsteachotherand againstdirectandshortlinesuppliers. UndertheCSOarrangementsfulllinewholesalersagreedirectlywithGovernmentto meetmandatedsupplyobliga5ons. ThewholesalemarginfundingandtheCSOarrangementsareagreedintheCPA. The6CPAneedstomeettheneedsofAustraliansin2020. Topromoteeciencyinthesupplychain; TostrengthentheCSOtoreectnewglobalpressures. TheNPSAisac5veinpromo5ngindustrywidediscussiononhownewtechnologiescan helpusachievethis. 3. The6CPAisanopportunitytosecurethefuture ofthepharmacynetworkandtheprofessionbydeliveringhigh qualitymedicinesandclinicaloutcomestopa5ents Guildleadersrecognisetheneedforexpertinput 3 NPSAac5velypresentsitsideastotheGuild 4. Todayspharmacypa5entexpects 4 Theirmedicinetobeavailable Theirmedicinetobeappropriatefortheirneeds Allrelevantriskshavebeenexplainedtothem Thattheyknowhowandwhenitshouldbetaken Thatthemedicineisgenuine,safeandecacious totake 5. Tomorrowspharmacypa5entexpects Servicestheyvalue Personalisedcare Compe55veprices thiswillbenecessaryfor pharmacytoremaintheNo1 supplierofPBSmedicines 6. Imagineaworldwhere. Stocktakesareautomatedandcon5nuous Deliveriescheckedwithoutcoun5ngindividualitems Medicinescanbeeasilylocatedinthesupplychain Outofstocksaresubstan5allyreduced Rapidandsimpliedrecalls Lessadminandmore,meforpa,entcare Customiseddevicesandmobilehealthforpa5ents 6 7. Thesupplychainiskeytounlockingthevalue Thevalueatstakeissignicantinpa2ent safetyandsupplychaineciencies Globalstandardsthatlinkgeographiesand stakeholders,frommanufacturertopa5ent, couldhelptheindustryimprovepa5entsafety andtheeciencyandeec5venessof healthcaresystems. 7 8. McKinseyes5mates- improvementsinprot performancefrom beberperforming supplychains 8 Healthcarelaggingotherindustriesbigupside 9. Thesupplychainneedscon5nuedinvestment Counterfeitsupply Diversionofmedicines Highercomplianceandsafetystandards Rapidproductrecalls 9 10. TheFDAhasbeenmoreprescrip5veintheUS 2004-FDArequiredproductiden5erandbar codeonpharmaceu5calssoldintheUS. 2011-FDApublishedBarCodeLabel requirements 2013-USSenatepassedna5onaltraceable frameworkforprescrip5onmedicines. Nowthesectorisdevelopingthestandardsto achievethis 10 11. Workingtogether Thesupplychain,theCSOand communitypharmacyneedto becomestrongerandmoreecient Globalstandards Endexclusivesupply Endorsepharmacyhealthservices Sustainablefundingarrangements Thiswillgeneratereallongterm valueforpa5ents,thetaxpayerand forthewholesector 11 6CPAistheopportunitytosecureastrong futureforpharmacy 12. Changingownershipandloca5onruleswillgivepa5entsmorechoice?New retailmodels?Wouldnewpromotebeberhealthoutcomes?Whatmeasure ofeciencyaretheyusing? PBSEn5tytoprovidereliableandaordableaccess?DOHtomanageCSOs? Riskscanbeaddressedwithregula5on? Pharmacistscanbegiventheopportunitytoprovideagreaterrangeof services?Whatabouttheservicesthattheycurrentlyprovide?Whycantthat happennow? Themeasuresproposedhavenoregardtothesavingstodateandthesavings inthepipeline.ThesewouldbeputatriskbytheCommissionofAudit proposals. TheHarperCompe55onReviewisthenextreviewanditwillbeimportantfor Australianstoexplainthehealthcareroleofpharmacy. 12 TheCommissionofAudit!