For the purpose of this dilemma, we will follow the fortunes of a pharmacy contractor somewhere in the UK.
The owner saw an opportunity some years ago to offer free delivery on all weekly multicompartment compliance aids (MCAs).
One day a patient came into the pharmacy to ask if his medication delivery would be delivered to his house later. The pharmacist handed him his prescription right away. It occurred to the pharmacy owner that it was absurd that a patient who the pharmacy team deliver to normally arrived in the pharmacy looking for his prescription.
At this moment he began to question the logic behind offering a medication delivery service. He also began questioning his commercial decision some years ago to offer the delivery service for free so that he could grow the volume of prescriptions going through his business.
He was influenced further in the coming months due to increasing uncertainty around NHS contractual remuneration. With the amount of money coming into the pharmacy reducing this free service was found to no longer be viable. The associated running costs were simply too high. In response to this pressure, the community pharmacy owner took the difficult decision to stop the delivery service.