Pharmacy

Pharmacy First is an essential approach to make greater use of pharmacy professionals and shift more care from hospital into the community. The service allows pharmacists to supply prescription-only medicines for seven common conditions, enabling patients to receive a complete episode of care in the pharmacy setting, reducing pressure on general practitioners and the wider healthcare system. This shift is significant and represents a new way of working for the National Health Service that will offer patients greater choice and improve access to the care they need.

As part of delivering the Pharmacy First service, pharmacy contractors receive a monthly fixed payment if they meet specific requirements, which include minimum activity levels. From June 2025, pharmacies delivering 20 to 29 consultations receive £500, while those with at least 30 consultations continued to receive £1,000 monthly. To make this change and facilitate more timely payments, the claim window for Pharmacy First was reduced from three to one month. The new tier of payment supports pharmacies with lower potential for delivery and has increased the number of pharmacies qualifying for Pharmacy First fixed payments. This adjustment was agreed with the sector representative body, Community Pharmacy England (CPE). Advanced notice of the change was provided to contractors by letter and in an article published by NHS Business Services Authority (NHSBSA).

The Department sets out the terms for remuneration for pharmacy and appliance contractors in England in the Drug Tariff, which the NHSBSA is required to follow. The Drug Tariff outlines that contractors must submit claims for payment for Pharmacy First consultations within the permitted grace period. We would expect contractors to have standard operating procedures in place to ensure claims are submitted promptly. The Department does not hold data on the number of Pharmacy First claims which were not submitted in accordance with the Drug Tariff. The Department recognises the importance of ensuring pharmacy contractors are paid promptly and we are committed to making improvements where possible. That is why we have recently moved more service payments to the early advance payment to assist with contractors cashflow.

The Department will continue to work with the NHSBSA and CPE recognising where improvement can be made to get the best outcomes for patients, pharmacies and the NHS.