Threats are also external. We have no control over these things but we can take actions to mitigate these threats.

Some of the threats that you might look at include:

• Competition: Competition from other local pharmacies is probably our first thought. Competition from distance selling pharmacies for dispensing services will limit our ability to deliver services as it will reduce our access to patients. Competition from other healthcare professionals should also be a consideration. How might a service be provided in GP practices by pharmacists, nurses, or paramedics?

• Lack of collaboration: This is mentioned as a potential weakness from the perspective of the approach in your pharmacy. It becomes a threat when considered from the perspective of other pharmacies or GPs.

• Mistrust by other professionals: Do GP practices trust pharmacies to deliver services effectively? Do they have experience of referring patients who don’t then receive the service?

• Patient knowledge: A low level of patient knowledge about the services provided is a threat to the success of your business.