âExhaustedâ but âitâs greatâ: the rural pharmacist travelling 10 hours to work
There are not many pharmacies with as good a view as Gairloch Pharmacy.Â
Nestled in the northwest Highlands of Scotland, in the scenic village of Gairloch, the pharmacy is located on a road that follows the loch around. A beach lies a few steps away.  Â
Itâs no surprise Gairloch Pharmacyâs owner David Dryden says itâs a beautiful place for tourists to stop by.Â
âYou look out the window in the morning and youâre in one of the most picturesque places in Scotland,â Dryden tells C+D. Â
But to make sure Gairloch Pharmacy is open every week, Dryden has to complete a 10-hour round trip in the car from Glasgow to get there, leaving on a Sunday and completing the return leg on a Wednesday.Â
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âDriving for 10 hours a week means thereâs an opportunity cost that could be spent with friends, family or doing work for the business,â he says. âItâs draining my battery, but I do like coming here. Iâm not complaining, I put myself forward for it.âÂ
He adds heâs got used to it even if âthereâs deer all over the roadâ on the last part of the route from Inverness to Gairloch.Â
75 minutes from nearest pharmacyÂ
The pull of the amazing location, a well-fitted pharmacy, and a great team working in it was enough to convince Dryden to purchase the pharmacy, but heâs found thereâs other challenges aside from his 10-hour commute.Â
âDeliveries from wholesalers are not as reliable as they are in Glasgow,â says Dryden, who also runs Kyle Square Pharmacy in south Glasgow. Â
âQuite often the wholesalers run out of cool boxes, so we get a phone call saying your fridge items arenât coming. Those are really important medicines for people.âÂ
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Late deliveries are even riskier, as patients would have to drive at least 75 minutes to Ullapool or Strathpeffer to get their medication from the next closest pharmacy.Â
Dryden says finding locum cover is the âbiggest challengeâ, with most coming from Perth, Edinburgh or Glasgow. He finds it difficult to attract locums operating in the (far closer) Inverness area, where they can get paid higher rates.Â
âGenerally, people are happy to come for three days at a time, some a month or two at a time. But getting somebody to come up for a day is just impossible.Â
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âItâs very difficult and cost prohibitive because, rightly so, locums say they need to be paid for mileage so that makes one day very expensive.âÂ
Dryden renovated the two flats above the pharmacy which are offered to locums as accommodation when they work at the pharmacy. âThatâs why people are quite happy to come for three, four days or more. Weâve put everything in place to make it as appealing a prospect for people.âÂ
Additional costsÂ
Dryden shares that making the pharmacy even more profitable can be difficult because of the local population demographics.Â
âMost of the way that pharmacies are funded is geared towards the prescription volume, but you generate more revenue doing oral substitution therapies,â he says. Â
âYou tend to find in most rural communities you donât have that, so your income is probably lower per prescription in a rural pharmacy compared to one in an urbanised area.âÂ
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He also says increased workloads that pharmacies are facing also impacts rural pharmacies too.Â
âThe workload for pharmacists has gone up year on year. Weâre doing more services, but the funding hasnât kept pace with the increase in workload, let alone the increased demands upon businesses with national insurance rises and minimum wage rises.Â
âThatâs a real problem for the profession as a whole, but more acutely in rural pharmacies where youâve got additional costs of locals wanting to be paid more to work in rural location. Â
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âI half agree and disagree, because if youâre doing nine hours work it doesnât matter where you are. Â
âOn the other hand, fair enough if youâre taking a week away from your family and you donât have the comforts to fall on.âÂ
New arrivalÂ
He praises the teams heâs worked with in Gairloch who have always gone the extra mile to ensure the pharmacy is open.Â
âWeâve had the support of pharmacists who have gone over and above in recent years and itâs a real challenge for them. People have had to work long hours and many days without much respite and thatâs similar in many rural pharmacies in Scotland, itâs a big challenge. Weâre very appreciative of the efforts all pharmacists that have worked here.âÂ
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With a new pharmacy manager relocating from England to start at the remote but beautiful pharmacy soon, Dryden may be able to cut down on the number of trips he makes to the area.Â
âIâm exhausted," he says. âWorking in Gairloch is great. Iâve made a lot of friends here and Iâve had a lot of support. Itâs great, but itâs not something I can do forever.âÂ
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10 hours travelling a week? Whats unusual about that?