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The Pharmaceutical Journal
Vol 268 No 7191 p439-447
30 March 2002

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Employment issues summary


How to recruit and retain the right people in community pharmacy

In this article Gerry Gracias discusses the importance of adopting a planned approach to recruitment, and offers guidelines on effective recruitment, with a case study based on a Day Lewis pharmacy

One of the top issues in community pharmacy, for independents and large multiples, is recruitment. This is not surprising, especially at a time of acute manpower shortages of pharmacists and of skilled support staff. It is also at a time when organisations are waking up to the fact that people really are their most valuable resource. We probably know that any real advantage that we may have over our competitors lies as much in our people as in the products and services we offer. Finding good people and holding on to them is going to be one of our greatest challenges in the years ahead.

Within community pharmacy, responsibility for recruitment varies from the independent proprietor to area managers of multiple groups to dedicated human resources departments of the large phar-macy organisations. Within the independent and smaller pharmacy groups, recruitment will often be carried out by individuals, usually pharmacists, with limited experience or training in recruitment and selection skills. Yet, it is here, in these smaller businesses, that getting recruitment right is at its most crucial.

In this article I will discuss some of the key principles of effective recruitment that any business should consider, but especially businesses without the support of a human resources department. I will then look at a case study based on a Day Lewis pharmacy that demonstrates some of these principles in practice.

Key principles of recruitment and retention

There are some basic principles we can use as a guide to successful recruitment and retention, regardless of whether we are recruiting pharmacists, preregistration trainees, dispensing technicians or pharmacy assistants, and regardless of the size of the business or organisation. They are:

• Develop a planned approach to recruitment, in line with your business objectives

• Ensure there is a clear reason for each recruitment decision, which is linked to achieving your business objectives

• Set clear criteria for the role, by writing a job description and person specification

• Organise a positive and effective induction for the new staff member

• Manage staff performance using a system of appraisal and personal development plans

Getting it right or wrong is a bottom line issue

Recruitment is an expensive business. It is not just the advertisements and agency fees, or the time people put into interviewing, induction and training. A good investment is when people settle in quickly and are productive over many years. But if you choose the wrong person, you end up investing resources time and time again. The Chartered Institute of Personnel and Development (CIPD) asked 10,000 organisations to work out what it cost them every time someone leaves. The average cost of payroll and personnel time, recruitment, interview time, training, "unproductive" time, loss in customer service and satisfaction came out at £3,456 for each person. And with current skills shortages, the cost is going up all the time.

And what about the impact of poor recruitment decisions on your existing people? Bringing in the wrong person can cause havoc, disrupting the balance of a good team or a small business, and lowering morale and productivity.

Even if you find the right person to fill a gap, have they got the skills you will need as your business or organisation grows? Could they adapt their skills or work with a different team if you have to reorganise or will you have to go through the whole process again?

Recruitment: a key to success

Successful businesses and organisations look beyond the cost of getting it wrong to the benefits of getting it right. They are not complacent about recruitment; they understand that their success depends on having the right number of people with the right skills and abilities, so they build recruitment into their longer-term strategy. The trouble with recruitment is that it is often unplanned. Organisations just respond as needs arise. But if recruitment is going to help you achieve your aims and objectives, it needs a planned and long-term approach. You need to identify what skills will help you improve performance now, and you need to plan what skills you will need in one, two or five years' time and how you can bring them in.

Effective recruitment is not just about getting the right people; it is about improving your chances of keeping them (see "Key principles of recruitment and retention", p439.) When you take care to match people and their skills to a role, and one that offers opportunities for development, they tend to be more satisfied and productive. And if they are happy, they are more likely to stay. You cannot predict the swings in the market, or what the rapidly changing pharmacy environment will be, but you can make sure you have the people and skills to be well prepared.

Keeping good people

Once you have recruited the right person, the key to creating value for the business is ensuring that they stay with you. All the effort invested is lost if they leave within a few months. The first few days and weeks are most important and can shape attitudes towards the job and the company. Starting a new job can be highly stressful, and the anxiety is intensified if the newcomer arrives having no idea of what is expected of them. Producing a "welcome pack" is often useful, and could include a cheery welcome letter from "the boss", and starting instructions. This will help introduce the new recruit to the company even before their first day. It is important the first day at work is fully prepared and managed. No one the new staff member meets on the first day should be surprised to see them, and existing staff should be clear as to why they are there, and what their job is.

The quality of the induction will largely determine how quickly a new staff member will settle in, how quickly they will contribute effectively in their new role, and whether on not we are able to retain them in the long term. Beyond the introduction and induction training stage, incentives such as flexible working arrangements, performance-related bonuses, and the social aspects of work all have an important role in motivating and retaining staff, but the key to keeping good people lies in the business being proactive in helping staff realise their own potential for growth and development.

Within pharmacy we are all aware of the continuing professional development that is available for pharmacists, and the different resources available to support this, but it is important for us to extend this to every other position within our pharmacies. All pharmacy assistants and dispensing technicians should have a similar development plan — one that links their performance appraisals with their training and development needs. If pharmacists are going to develop their professional roles fully, they will require the full support of skilled pharmacy staff.

Summary

Recruiting and retaining the right people is important. It is as important in the independent pharmacy as it is in the large multiple groups — maybe even more so. Getting it wrong is expensive, is disruptive, and is damaging to the business. Getting it right, on the other hand, is one of the keys to business success.

Effective recruitment involves building recruitment into your business plans, and ensuring that every recruitment decision in linked to achieving your business objectives. It requires that your recruitment processes are carefully planned and managed, from the setting of clear job descriptions, to the introduction and induction stage, to managing ongoing development of your new staff member.

Following these basic guidelines can help you change recruitment from being a frustrating activity to one that offers real opportunities for development and success.

A Day Lewis pharmacy: a case study to illustrate the key points in practice

Job title Pharmacy supervisor

Responsible to Pharmacy manager

Overall purpose To co-ordinate branch activities and implement company procedures

Key result areas
• Developing high standards of customer care

• Maintaining high standards of pharmacy appearance

• Ensuring optimal staffing cover

• Effective communication between branch and head office

• Implementing staff training programme

• Effective stock control and merchandising

Key competencies
• Customer care skills

• Good communication skills

• Supervisory/ people management skills

• Knowledge of EPoS system

Our Day Lewis pharmacy is situated in a typical suburban shopping parade, just 200 yards from a large group practice. It is a busy dispensing branch, and the pharmacist, Peter, manages it with the support of a full-time dispenser and two part-time pharmacy assistants, Shilpa and Mary. Shilpa has just notified Peter that she wishes to retire from work in three months' time, and we need to plan how best to approach this replacement.

Our starting point would be to look at the aims and objectives for this pharmacy, and the recruitment plans linked to it. The pharmacy has potential to develop much closer working links with the group practice, and the business is looking to develop new professional services at this pharmacy. To allow this, Peter will need additional support with the day-to-day branch management and administrative duties.

Peter favours recruiting a full-time pharmacy supervisor, as a replacement for Shilpa. This would be a major investment for the business, so Day Lewis needs to be clear that these changes will help achieve the company's business aims. Consideration should also be given to other options, such as promoting Mary, or transferring suitably experienced staff from other branches.

A job description needs to be written setting out clearly the role of supervisor and their position within the pharmacy. The job description will also form the basis against which the performance of the supervisor will be appraised over time.

(A job description for this post is shown in the centre of this Panel.) Peter carries out the interviews with his area manager and, using criteria from the job description, selects Maria from among six applicants. References are sought, and a formal job offer and terms of employment are offered.

Peter knows that Maria's first few days and weeks will be most important. How well he plans her induction will determine largely how quickly Maria settles in and contributes to the branch, and also whether or not she stays permanently. Peter arranges to spend time with Maria on her first day, away from the hustle and bustle of the dispensary. This is useful investment of time, because it helps Maria understand a little more about the company she is joining and the operation of this branch.

Peter explains how Maria's first few weeks will be planned and answers any questions she has and gives her a copy of the staff handbook. Peter monitors Maria's progress over the following weeks and months, both informally and through the Day Lewis' appraisal system. Together, he and Maria devise a personal development plan to support Maria with the skills she needs in her new role.

Peter hopes that if Maria is settled in properly, and made to feel part of the team, she will enjoy the responsibilities of her new role of pharmacy supervisor. This will allow Peter the time to concentrate on developing the professional services of the pharmacy.


Mr Gracias is a community pharmacist and former superintendent pharmacist of Day Lewis. He now works part-time as part of the Day Lewis professional services team

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