Community Pharmacies

Jim Shannon Excerpts

Tuesday 2nd June 2026 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to serve under your chairship, Ms Jardine. I thank the hon. Member for Tiverton and Minehead (Rachel Gilmour) for placing this matter before us. I also welcome the Minister to his place. I very much look forward to his commitment to the pharmacies, and I welcome the Government’s commitment so far—it would be rather churlish of anybody to say that we do not appreciate that.

In January 2024, I called for a UK-wide roll-out of the Pharmacy First service, recognising increasing demand on pharmacies and the need for consistent access to healthcare across the United Kingdom. As the Democratic Unionist party’s health spokesperson, I continue to advocate for increased investments and support for the scheme as a means of decreasing pressures on our already strained healthcare system.

Across the United Kingdom, a significant proportion of GP workload is addressing minor ailments—conditions that can be appropriately treated in community pharmacies. I have always advocated for that; we should be doing more of it. Investing and increasing community pharmacies’ capacity to treat those conditions, and, in turn, highlighting to the public their ability to avail themselves of pharmaceutical services for such ailments, will improve ease of access to standard care, reducing unnecessary GP and out-of-hours contact. Broadening the capability of the scheme also allows pharmacists to build their clinical skills and creates a more experienced workforce that can more readily diagnose and treat conditions, so I believe that we should look at this as an opportunity.

I want to give a Northern Ireland perspective, as I always do in debates. There are 508 community pharmacies in Northern Ireland, and their use is steadily increasing. In 2024-25, Northern Irish pharmacies dispensed more than 45.7 million items—a 0.7% increase on the previous year. That is the highest figure on record, which indicates that we need to increase support for pharmacies to meet demand. In Northern Ireland, community pharmacies would benefit from a more formalised version of the Pharmacy First scheme, as it currently diverges from England’s formalised Pharmacy First structure and depends primarily on a minor ailments service. What discussions can the Minister—who is always responsive, for which I thank him—have with the Northern Ireland Assembly Minister, to ascertain how we can work better with the system that has been proposed for England.

There is clear support for the scheme in Northern Ireland: 96% of respondents to a 2024 Northern Ireland Department of Health survey said that the informal Pharmacy First service should be recommended to others. The service improves patients’ confidence in the self-management of conditions, which is vital to a long-term reduction of unnecessary burdens on our strained GP services. As a result of the benefits of the service, in May 2024 the Department of Health’s community pharmacy strategic plan unveiled plans for Northern Irish pharmacies to treat six new conditions, offer two new services and run various pilots. Those improvements are to be introduced in the period up to 2030, but they are subject to the securing of the necessary funding.

Rural patients often travel significant distances to access GPs, but they are likely to have easy access to a pharmacy. It is estimated that, as of 2025, 99% of Northern Ireland citizens live within five miles of their local pharmacy. Pharmacies clearly play a big role for us in Northern Ireland and across the United Kingdom. Many rural residents are older adults who live with long-term health conditions, so improving access to Pharmacy First services will support early intervention. The DUP recognises the pressure on GPs and hospitals, and recently welcomed the £42 million investment in pharmacy and digital reform, which has the potential to modernise prescription services to reduce the pressure.

I very much look forward to hearing what the Minister has to say. In particular, I ask him to share the information from England with the Minister in Northern Ireland, and to ensure that the UK-wide support for this vital cog in the health machine is endorsed and even increased.

--- Later in debate ---

[Stephen Kinnock]

I absolutely commit to writing to the hon. Gentleman with more detail. He raises some important points, and I will get back to him.

The Government have always been clear that investment must come with modernisation, and our 10-year health plan and our three shifts set out a clear pathway to getting there. In her 2024 Budget, the Chancellor took important decisions that enabled us to give the sector a record 19% uplift across 2024-25 and 2025-26. It was the largest uplift of any sector across the NHS in that spending review period. I am proud that just a few days ago, we announced another significant uplift in funding for community pharmacies. That means a further £340 million uplift for the sector this financial year, to support the supply of medicines and delivery of vital services across our country. That will include supporting the introduction of pharmacist prescribing as part of NHS services in autumn 2026, to expand access to NHS care and strengthen support in communities across England, delivering upon the commitment made in our manifesto. That 10% uplift is almost three times the growth of the overall NHS budget, and it shows that when we talk about making the left shift, we are putting our money where our mouth is.

I will start with the shift from sickness to prevention, because community pharmacies will be vital in making sure that vaccine coverage reaches every part of our country. The NHS vaccination strategy in our 10-year health plan commits us to increasing vaccine uptake through primary care. One way that we are getting that done is through the national vaccinations programme. Alongside a core offer of vaccination in GP practices, we are making sure that vaccines are offered through sexual health services, maternity services, schools, health visitors and community pharmacies. Selected community pharmacies across the country have already been commissioned to provide MMR and RSV vaccines.

The expanded vaccination programmes make use of pharmacy teams’ expertise in delivering vaccines, releasing pressure on GPs and helping to protect the most vulnerable members of our society. We have also seen a significant increase in the provision of flu jabs within community pharmacies, with approximately 4.7 million people being vaccinated by pharmacists in the 2025-26 seasonal flu vaccination programme up to February 2026. That is up by around 600,000 vaccinations the previous year, showing the progress that has been made.

When we talk about prevention, we are not just talking about vaccines, because community pharmacies are also delivering the hypertension case-finding service, which spots people at risk and helps to prevent cardiovascular disease. Nearly 3.6 million free consultations were delivered in the 12 months to February this year. That is a great example of the sickness to prevention shift in action.

Turning to our shift from analogue to digital, so many pharmacists and pharmacy technicians are not working with technology that is equal to their skill, talent or ambition. I am afraid to say that it is a similar story across other parts of the NHS, where the outdated technology is holding staff back from realising their full potential. We are supporting pharmacies through digital transformation. Last year, a new Amazon-style prescription tracker went live on the NHS app across nearly 1,500 community pharmacies in England, enabling patients to check on their prescriptions through real-time updates.

This year, we want to make digital access even easier, with stronger links between pharmacies and general practice as we build stronger neighbourhood health teams across every community. That will make them match-ready for the introduction of pharmacy prescribing as part of NHS services from this autumn. Digital also has a huge role to play in our supply chains and improving the public’s access to the medication they need. That has included our secondary legislation to enable the expansion of hub-and-spoke dispensing between different pharmacies, to make it possible for more pharmacies to use automated dispensing, realise economies of scale and increase efficiency and productivity.

Additionally, GPs cannot currently see live national shortages when prescribing, but this year we will make it possible for GPs to be aware of these shortages in real time. That will mean that patients no longer have to go from pillar to post looking for medicines that are not available, because GPs will be able to prescribe an antibiotic unaffected by supply issues.

In the NHS that is fit for the future, pharmacies will play a key role in the shift from hospital to community. We have already begun making huge progress in rebuilding primary care and fixing the front door to the NHS by ending the 8 am scramble, whether through extra funding for general practice, hiring more GPs or the introduction of online services. We will go even further to ease the pressure on GPs by making sure that pharmacists are making the most of their clinical abilities.

That is why the Government have been promoting the Pharmacy First campaign, although I take on board some of the very interesting suggestions about the rebranding. I will have a think about that; I am not going to make any rash decisions today. The most recent data shows that the number of people polled who knew that their pharmacy would treat Pharmacy First conditions rose from 71% to 79%. Trust in the advice given by the pharmacy team increased from 61% to 70%, and intention to use the pharmacy if people had conditions covered by Pharmacy First went up from 32% to 37%.

[Jim Shannon]

I very much welcome what the Minister has said. There is lots of good stuff being rolled out across the United Kingdom, but I asked him to share some of the things that have been done with the Northern Ireland Assembly Minister, Mike Nesbitt. I know the Minister has regular contact with him, so perhaps he could say, “This is what we are doing here. Maybe you should do the same.”

[Stephen Kinnock]

We do indeed have an excellent relationship. If the hon. Gentleman does not mind, I will go back into some of the discussions that we have been having and write to him with an update on the latest thinking.

A second public advertising campaign ran from October 2025 to this January, and I look forward to updating the House when data about its impact becomes available. Another thing to watch is the independent prescribing pathfinder programme, through which 200 sites have delivered 34,000 consultations. About 60% resulted in a prescribing decision, and 90% of those prescriptions were completed without the need to refer to a GP. When it comes to relieving pressure on other parts of the system, the pathfinder programme shows immense promise.

As announced last week, the new community pharmacy contractual framework for 2026-27 will focus on implementing what we have learned from the pathfinder programme as we roll out NHS pharmacists prescribing nationally from autumn this year. That will deliver the 10-year plan’s ambition for pharmacies to go beyond dispensing and to offer more clinical services as part of an integrated neighbourhood health team.

We have also introduced legislation to enable pharmacy technicians to manage dispensing processes that would otherwise be undertaken by pharmacists, and to allow checked and bagged medicines to be handed out in the absence of the pharmacist. That saves time for patients, who will not have to queue for as long to get their medicine. It is good for busy pharmacists, who will have more time for clinical services, and for pharmacy technicians, who will be able to use their skillset as qualified professionals.

Pharmacies are a massive untapped resource. The NHS that we are building puts them front and centre of care in every community, whether on the local high street or as one of the more than 400 distance-selling pharmacies that can reach across the country, including rural areas. This year, I plan to spend a lot more time with our partners in the sector to seize every opportunity to go further, and I am always keen to work with colleagues across the House on this.

As the hon. Member for Hinckley and Bosworth (Dr Evans) said, there is a clear commitment to long-term reform. Some of the issues that are holding the sector back require fundamental thinking. We are in discussions, and I am looking forward to a meeting very soon with Community Pharmacy England. I want to put on the record my thanks to it and, in particular, to Janet Morrison, for the incredibly constructive way in which it has engaged with me and my team on the contract negotiations and the strategic thinking that needs to go into long-term reform. Our latest deal with the sector shows that this Government are in it for the long haul and are fully committed to putting pharmacies right at the heart of getting our NHS back on its feet and fit for the future.