FREE CPD Educational Resource: Winter Pressures

Navigating Winter pressures in the Dispensary

As winter sets in, your dispensary faces its annual wave of challenges, with increased
patient demand, seasonal illnesses, and heightened pressure on already stretched
services. For dispensing doctors, the responsibility is even greater, balancing clinical
duties with the complexities of dispensing medication. But with the right strategies
and mindset, winter doesn’t have to mean burnout or feeling overwhelmed.

The seasonal surge: What to expect

Winter in primary care brings with it a predictable rise in patient numbers. Respiratory
infections, Flu, and other seasonal illnesses peak, often alongside chronic condition
flare-ups. In addition, the elderly and vulnerable populations may require more
frequent attention, especially as cold weather exacerbates issues like asthma,
COPD, and cardiovascular diseases.

The dispensary faces unique challenges. Stock shortages, managing Controlled
Drugs, and ensuring the timely supply of medications all come into sharper focus.
With hospitals under strain, more patients look to their GPs for care, placing
added pressure on already busy dispensaries.

Staying ahead: Preparing for Winter

Preparation is the key to alleviating some of the burdens that come with winter.
Dispensaries who plan ahead are more likely to maintain a smooth workflow
and reduce the risk of crisis-mode situations.

  • Review stock levels early: Dispensing practices must anticipate higher demand
    for common winter medications, such as antibiotics, antivirals, and respiratory
    treatments. Be proactive in stock management by reviewing your most commonly
    prescribed items and working with suppliers to ensure sufficient quantities are
    available. Consider placing early orders and preparing for potential shortages

    by keeping open lines of communication with your suppliers.
  • Streamline your workflow: Dispensing doctors who utilise technology, such as
    electronic prescribing systems and automated dispensing processes, will be
    better equipped to manage the influx of patients. Review your workflows to
    identify bottlenecks and consider implementing changes now that will pay

    off when patient numbers surge. Delegate where possible.
  • Bolster your team: Winter is a time to support and empower your team. Ensure
    all staff are trained and confident in their roles—whether that’s in dispensing,
    customer service, or clinical tasks. Providing cross-training opportunities means
    your team can be more flexible and adaptable when demands peak. It’s also
    essential to ensure staff well-being during this time. A well-rested and supported
    team is better equipped to deal with stress and can provide a higher standard of
    care for patients.
  • Managing patient expectation During the winter season, patients’ expectations can
    sometimes be unrealistic-whether it’s demanding next-day prescriptions or immediate
    consultations. Clear communication is essential.
  • Promote preventative care: One way to ease the pressure is by encouraging patients
    to take preventive steps before winter hits its peak. Early vaccinations for flu and
    COVID-19, ensuring patients stock up on repeat prescriptions, and offering advice
    on managing chronic conditions, can all reduce emergency appointments later
    in the season.
  • Be clear about wait times: Being transparent about delays or service limitations can
    help manage patient frustrations. By explaining the pressures you face and offering
    realistic timeframes for appointments or prescription collections, you’re more likely
    to have understanding patients, even during a busy season.

Keeping patient safety at the core

While speed and efficiency are vital, patient safety must remain the top priority. Dispensing
errors are more likely to occur when teams are rushed or under pressure, so it’s critical to
have systems in place to reduce the risk.

  • Double-check systems: Reinforce safety protocols in your dispensary, including double-
    checking high-risk medications, ensuring Controlled Drugs are stored and
    dispensed
    correctly, and regularly reviewing
    SOPs with your team. Simple measures, like
    double-checking prescription accuracy and expiry dates on medications, can prevent
    costly mistakes.
  • Monitor vulnerable patients: Patients with chronic conditions or those on complex
    medication regimens require extra attention during the winter.

Supporting yourself and your team

Winter can be mentally and physically draining for everyone in primary care, and dispensary
teams often shoulder an additional layer of responsibility. Prioritising your own well-being
is essential to staying resilient.

  • Schedule breaks: As the demands increase, the instinct might be to work longer hours,
    but this can quickly lead to burnout. Build short breaks into your day, ensuring you have
    time to recharge and refocus.
  • Check in with your team: Winter pressures affect everyone differently. Regularly check
    in with your team to offer support and assess any emerging needs. A quick huddle at the
    start or end of the day can keep communication open and ensure everyone feels valued
    and heard.

Winter pressures in primary care are inevitable, but they don’t have to be overwhelming. With
forward planning, clear communication, and a focus on patient safety and team well-being,
dispensaries can thrive, not just survive, through the winter months. By working smarter,
supporting each other, and staying flexible, practices can emerge stronger on the other side
of the season-ready to face whatever challenges the year may bring.