Internationally, pharmacists appear to be facing similar challenges. These include:

• Workload: volume, new contractual frameworks, expansion of services, priorities and targets, long working hours, paperwork
• Staff: lack of adequate resourcing, competence, confidence
• Remuneration: budget cuts, changing remuneration models
• Working environment: disruption to professional workflow, lack of privacy for pharmacist and patient, not acceptably businesslike 
• Isolation: lack of contact with other pharmacists
• Patient/public: increased demands and expectations, emotional response to patient suffering
• Organisations: culture and conflicts, management support, ethical challenges and structural constraints
• Entrepreneurial: business fragility, business administration roles
• Technology: impact of robotics, hub and spoke dispensing.

In addition, there is the burden of being efficient, medicine shortages, avoiding mistakes and how to move from a dispensing to clinical/dispensing model. It is widely understood by academic researchers, organisational leaders, and increasingly employees that chronic, extended periods of stress in the workplace can have significantly negative influences on employee health and wellbeing.