"I'm looking to see if I can integrate the surgery and pharmacy reception, so you have better triage via a pharmacy trained assistant. We've got to show it can be done. I'd love to be part of a broader team."
They clearly see challenges. "We need the hearts and minds of pharmacists to engage with this. Integrated care systems are going to take five years. If I'm a contractor facing bankruptcy in the next few months, I'm not going to be interested in the next three to five years. My reality is grim."
"We need some creative leadership across the profession with a shared vision. I'm not sure there is. That scares me. If we can't get people involved, how are we going to move the whole lot forward? If pharmacy is shut out of [team working in primary care], that is potentially the end of community pharmacy as a viable profession."
"I think pharmacists in general practice exist because community pharmacists as a whole have not stepped up. If things like MURs and NMS (and minor ailments) were being done well and consistently from the top, you'd find it very difficult to justify putting pharmacists into practices."
And, finally, our pharmacists had some thoughts about the missing links, the spark that would set the sector alight, the key ingredients for a sustainable (and better) future.
"Independent prescribing. It's a no brainer. If you had an IP in every single pharmacy, the entire world opens up for you. No reason that couldn't happen. You just need the will. Our 12-18 month plan is to develop a service to prove the model locally with one or two examples."
"If I had a magic pot of money, I'd stick a robot in tomorrow. Bring all the tech in, and take it forward from there. Not just so I can become a highly qualified personal assistant for the practices, I want to take over all the long-term care - diabetes, respiratory - within the community.
"The obvious thing is to say money, but I don't think it's about that. More support from the people who are supposed to do that. I don't feel supported by the professional bodies; I don't feel connected to them. Doctors are so supported by their Royal College and the BMA, they have the confidence to do things. Even in my own LPC, I think a lot of people have their own agendas. We just need one body that would support community pharmacy."
"Funding. We use tech, we have a robot, we use apps to communicate with patients, including text messaging to book appointments, but as a company we're looking at the precipice of closure if things go badly wrong over the next few months. The medicines management team view seems to be that if there are six of you on the high street, and three of you go to the wall, so what?"
"I'd just like a bit of certainty. I have a great team, who've seen little in pay increases in 10 years. I need to have a model to work with, and on the back of that, I can invest. If I'd been in this situation as a pharmacist in business for five years, I think I'd be gone by now."