Funding, contracts, Pharmacy First and the day-to-day operational changes that move a pharmacy’s profit.
NHS England published revised specifications for Pharmacy First and the Pharmacy Contraception Service on 29 October 2026, adding prescribing and expanding governance and verification requirements, according to Community Pharmacy England.
Community Pharmacy England says seven new products joined the Drugs for which Discount is Not Deducted (DND) list on 1 November 2026, taking the total granted DND status since 2019 to 845.
The full payment structure of NHS Pharmacy First for English community pharmacies: £17 consultation fees, £500 and £1,000 monthly payments, caps, prescribing and claiming deadlines.
Pharmacist prescribers can now prescribe through Pharmacy First and the Pharmacy Contraception Service. A £500 one-off set-up payment and a £525 monthly infrastructure payment apply.
Pharmacies in Waltham Forest, Ilford and Plaistow are now giving twice-yearly inclisiran injections to heart patients referred from hospital lipid clinics.
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