We fix where pharmacy and pharma businesses lose performance.

Not in strategy. In execution — where decisions are made quickly, inconsistently, and under pressure. We improve margin, product movement, and field impact — by fixing execution where it actually happens.

Most businesses don’t have a strategy problem.

They have an execution problem.

Decisions are made without structure.

Teams are not aligned to commercial outcomes.

Daily behaviour does not reflect strategic intent.

And over time — performance erodes.

Real-world impact

Context

Independent pharmacy with strong script volume but declining front shop performance.

Problem

  • • Margin compression
  • • Overlapping product ranges
  • • Inconsistent staff recommendations

Intervention

  • • Reduced SKUs by 18%
  • • Repositioned high-margin products into high-flow areas
  • • Aligned staff behaviour around consistent recommendations

+9%

Category Margin in 90 Days

+14%

Product Movement within 8 Weeks

22%

Reduction in Dead Stock

Where performance breaks down

We work at the level where performance is actually created — not where it is planned.

01

Margin leakage from inconsistent pricing and substitution decisions

02

Slow product movement driven by poor stock structure

03

Weak pharmacy engagement and influence at point of decision

04

Field force activity disconnected from commercial outcomes

05

Execution inconsistency across teams and locations

This is where value is either created — or lost.

Execution Diagnostic (2–4 weeks)

Identify exactly where your business is losing performance — and what to change.

  • Pinpoint decision breakdowns across teams and environments
  • Quantify margin, movement, and behavioural gaps
  • Define clear, implementable interventions

This is not a report. It is a working diagnosis of execution.

REQUEST A PERFORMANCE ASSESSMENT

The Pharmacy Execution Gap Report

Identify where margin, movement, and influence are being lost — and how to fix it inside real operating environments.

Used by pharmacy owners and pharma teams to diagnose execution failures in under 30 minutes.

Get the Breakdown

We don’t deliver theory.

We fix performance inside real operating environments.

1. Diagnose

Identify where decisions break — at shelf, staff, and field level.

2. Design

Rebuild decision frameworks and execution environments.

3. Implement

Embed changes directly into team behaviour and workflows.

4. Sustain

Lock in consistency through measurement and reinforcement.

The reality of pharmacy & pharma

Margins are under pressure.

Generic competition is aggressive.

Funders influence decision-making.

Pharmacies are overloaded and time-constrained.

In this environment:

  • Speed matters
  • Ease wins
  • Habit drives behaviour
  • Default decisions dominate

If your strategy doesn’t work under these conditions — it doesn’t work.

Execution is behavioural

Execution is not driven by intention.
It is driven by what is easy, quick, and familiar.

We design execution environments that influence behaviour — consistently. Because strategy only works when it is followed.

Who we work with

Pharmacy Owners

  • • Independent pharmacies doing R1m–R5m/month
  • • Looking to stop margin leakage in daily decisions
  • • Want consistent staff behaviour and improved product performance

Pharma Companies

  • • Teams responsible for retail execution and field force performance
  • • Need to influence pharmacy behaviour — not just activity
  • • Want to drive product movement without relying on price

Why most advisory fails

Too theoretical

Not implemented

Not aligned to real environments

We work differently.

We fix execution where it actually happens. We don’t operate as a supplier. We work as a commercial partner — aligned to performance, not activity.

David Mileham

David Mileham

Pharmacist / Founder

(BPharm - University of Witwatersrand)

Principal Advisor

I work inside the real dynamics of pharmacy and pharma — not in theory. With 15+ years operating across pharmacy retail and pharma commercial environments, I have direct experience with pharmacy owners, field teams, and category decision-making.

I understand:

  • How decisions are actually made
  • How teams behave under pressure
  • Where performance is lost daily

My work is focused on fixing that — practically, consistently, and at scale.

Most businesses don’t realise how much performance they are losing — until it is measured.

That is where we work.

Start a conversation

If performance is inconsistent, the issue is not effort. It is how your business is operating.

Not a sales call. A focused discussion on where performance is being lost.