Pharmacy First: Withholding Payments

Greg Smith Excerpts

Thursday 12th February 2026 Commons Chamber

[Dr Ahmed]

I am reminded that Liberal Democrat Front Benchers always welcome funding for the NHS, but can never explain where the money should come from. I have already mentioned the record funding that we are putting into pharmacy. I have reiterated that there is ministerial engagement with the pharmacy sector—not just through the Minister with responsibility for pharmacy, but through me, as Minister with responsibility for health innovation. Our relationship with the pharmacy sector is in a good place, and we continue to develop it.

[Greg Smith (Mid Buckinghamshire) (Con)]

Pharmacy First was undoubtedly game changing. When I visit pharmacies around my constituency, many of them are keen to expand Pharmacy First and to offer more lines. However, I can give an example similar to the one that my hon. Friend the Member for Spelthorne (Lincoln Jopp) gave. The people at Wendover Pharmacy took me through their books, and on many of the services that they offer, they either barely make any money or make a loss. The Minister said in answer to my hon. Friend the Member for South West Hertfordshire (Mr Mohindra) that pricing was set with the sector, so clearly something is going wrong, because the experience of Wendover Pharmacy is quite different.

[Dr Ahmed]

The hon. Member is right that under the Pharmacy First programme, contractors receive a monthly fixed payment upon delivering a minimum number of consultations, as per the 2025-26 agreement. That can go up and down month to month, in a dynamic process, depending on how many patients are seen in pharmacies. I completely take his point that we are evolving our care system, and ensuring a move from hospital to community, but are not quite there yet; however, I think we are on the road. Through our neighbourhood health programme, we are solidifying the relationships between general practice, pharmacies, opticians and other allied health professionals in primary care.