Commons Sense

House of Commons · Ministerial Statement

Pharmacy First

31 January 2024 · 33 other contributors

Opened by Andrea Leadsom Con South Northamptonshire

NHS

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Andrea Leadsom raised concerns about pharmacy first in the House of Commons. A government minister responded. Other MPs also contributed.

Key points

  • Pharmacies are central to communities and offer accessible primary care services.
  • The number of registered pharmacists has increased by 61% since 2010.
  • Over 95% of pharmacies in England have signed up for the Pharmacy First initiative.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Government Statement

Pharmacies are central to communities and offer accessible primary care services. Under the Conservative government, the number of registered pharmacists has increased by 61% since 2010. The Pharmacy First service will enable community pharmacies to supply prescription-only medications for seven common conditions, freeing up GP appointments and reducing unnecessary A&E visits. Over 95% of pharmacies in England have signed up for this initiative. It also includes investments in digital infrastructure and aims to reduce health inequalities by providing better access to care in deprived areas. The service aligns with the government's plan to make healthcare more accessible, simpler for staff, and fairer for all.

Other contributors (33)
  • Preet Kaur Gill Lab Birmingham Edgbaston

    Question

    Labour supports the initiative but raises concerns about the closure of pharmacies under Conservative leadership. Inquires about delays in training for pharmacists and issues with IT integration, particularly GP Connect system.

    Minister reply

    Acknowledges the importance of training but does not provide specific details on timeline or current status of GP Connect.

  • Preet Kaur Gill Lab Birmingham Edgbaston

    Question

    Asks about the government's plan for integrating independent prescribers and whether they agree with accelerating the roll-out of community pharmacist prescribing service.

    Minister reply

    Acknowledges the role of pharmacists in managing long-term conditions but does not explicitly commit to accelerating the roll-out.

  • Preet Kaur Gill Lab Co-op Birmingham Edgbaston

    Question

    The MP thanked the Minister for advance sight of her statement, praising pharmacists' role in the NHS. She acknowledged Labour's support for this initiative but highlighted closures and GP cuts under the Conservatives. She questioned the delay in IT integration and asked about training times for new services.

    Minister reply

    The Minister replied that the first Pharmacy First appointment occurred at 8:30 AM, addressing concerns about immediate service availability.

  • Question

    The MP expressed her support for the initiative and highlighted its importance in providing quicker access to necessary care.

    Minister reply

    The Minister thanked her colleague for contributing to the project's success, emphasising pharmacists' role as first-line defenders against infections.

  • Question

    The MP welcomed the initiative but raised concerns about capacity and drug access issues affecting pharmacists.

    Minister reply

    The Minister responded that most of the 14,000 licensed medicines are in good supply, with alternatives sourced when necessary.

  • Question

    The MP welcomed the initiative and highlighted the need for investment in technology and workforce to realise its full potential.

    Minister reply

    The Minister agreed on the importance of investing in technology and workforce, noting a 61% increase in registered community pharmacists since 2010.

  • Diana R. Johnson Lab Kingston upon Hull North and Cottingham

    Question

    The MP welcomed Pharmacy First but raised concerns about pharmacy closures in her area and suggested establishing a school of pharmacy.

    Minister reply

    The Minister expressed willingness to discuss ideas for new schools and highlighted the high number of community pharmacies across England.

  • Bernard Jenkin Con Harwich and North Essex

    Question

    The MP welcomed the initiative but raised concerns about pharmacy coverage in larger population centres like Harwich.

    Minister reply

    The Minister highlighted pharmacists' extended opening hours, providing weekend accessibility.

  • Daisy Cooper Lib Dem St Albans

    Question

    The MP welcomed the initiative but raised concerns about ongoing pharmacy closures and asked about steps to prevent further closures.

    Minister reply

    The Minister acknowledged that while there have been net closures, community pharmacies are well-served across England.

  • Heather Wheeler Con South Derbyshire

    Question

    Congratulates the Minister on bringing in this initiative and praises local community pharmacies.

    Minister reply

    Thanked her hon. Friend.

  • Barry Sheerman Lab Haringey and Wood Green

    Question

    Suggests that the statement is a distraction from real health service issues such as GP shortages.

    Minister reply

    Stated that more deprived areas are better served by community pharmacies.

  • Dean Russell Con Watford

    Question

    Champions local pharmacies and asks for assurance on public awareness of the new service.

    Minister reply

    Confirmed a significant communications package is planned, beginning immediately.

  • Ben Bradshaw Lab Exeter

    Question

    Asks about community pharmacy closures under the Conservative Government and the reasons behind them.

    Minister reply

    Noted a 61% increase in registered pharmacists since 2010 with plans for further increases.

  • Priti Patel Con Witham

    Question

    Compliments the Minister and asks about funding issues and NHS tariff payments.

    Minister reply

    Explained that £2.6 billion is contributed to community pharmacy with an additional £645 million for Pharmacy First.

  • Sarah Jones Lab Croydon West

    Question

    Raises concerns about local pharmacies on the brink of closure despite welcoming the announcement.

    Minister reply

    Offered to read a letter from them and highlighted that Pharmacy First offers significant support.

  • Edward Timpson Con Eddisbury

    Question

    Asks for reassurance on pharmacists' clinical competence and liability issues.

    Minister reply

    Assured that pharmacists are highly skilled and fully equipped to meet their new prescribing role demands.

  • Clive Efford Lab Eltham

    Question

    Welcomes the initiative but raises concerns about expectations of patients and training for denying unnecessary prescriptions.

    Minister reply

    Clarified that pharmacists will prescribe for seven common conditions, making plenty of referrals to GPs.

  • Jeremy Quin Con Horsham

    Question

    Welcomes the scheme and asks about resourcing and training issues in his constituency.

    Minister reply

    Agreed to further discussions on these matters with him.

  • Jim Shannon DUP Strangford

    Question

    Asks if there is capacity for a UK-wide roll-out of Pharmacy First similar to Northern Ireland’s scheme.

    Minister reply

    Expressed hope that the Stormont Assembly would enable such a scheme in Northern Ireland.

  • Robert Buckland Con South Swindon

    Question

    Welcomes pharmacies but mentions challenges with licensing and transfer of services.

    Minister reply

    Offered to hear more about these issues from him.

  • Munira Wilson Lib Dem Twickenham

    Question

    Raises concerns about pharmacy closures in her constituency and their impact on local residents, asking for a review.

    Minister reply

    Acknowledged Pharmacy First as a boost to community pharmacies but offered further discussion.

  • Richard Drax Con South Dorset

    Question

    Asks to meet the Minister and her colleagues to discuss how to ensure deprived areas retain essential services.

    Minister reply

    Agreed to a meeting.

  • Alistair Strathern Lab Hitchin

    Question

    Welcomes the initiative but asks for assurances on recruitment strategies for pharmacists and technicians.

    Minister reply

    Referred to the NHS long-term workforce plan aiming to increase pharmacists by 50%.

  • Vicky Ford Con Chelmsford

    Question

    Asks to meet the Minister to discuss how to ensure residents can access pharmacies in her constituency.

    Minister reply

    Agreed to a meeting.

  • Helen Morgan Lib Dem North Shropshire

    Question

    Raises recruitment issues for full-time pharmacists and asks how the Government will help.

    Minister reply

    Noted that pharmacies are usually private businesses but offered further discussion.

  • Cherilyn Mackrory Con Truro and Falmouth

    Question

    Welcomes the initiative but raises geographical challenges in her constituency and asks to meet about mapping.

    Minister reply

    Agreed to a meeting, noting that 100 pharmacies in Cornwall are signed up for Pharmacy First.

  • Paul Bristow Con Peterborough

    Question

    Welcomes the initiative but asks about ensuring awareness reaches difficult-to-reach communities.

    Minister reply

    Confirmed a big communications plan is planned, including sharing it with him.

  • Michael Fabricant Con L Oswestry and Ellesmere

    Question

    Although my right hon. Friend and I share a common scepticism of the sclerotic state of the European Union, there are lessons to be learned from Europe. I am glad to see that, like France, we are now respecting community pharmacies. However, I have one specific question. In her statement, she said that one thing on which the pharmacy can act is female urinary tract infections. Why not male?

    Minister reply

    I wish my hon. Friend a happy Brexit day. I will have to come back to him on that issue. The point is that the service is limited to minor urinary tract infections. That might be why it does not include men, but I will certainly get back to him on that point.

  • Ben Spencer Con Runnymede and Weybridge

    Question

    I and many—if not all—of my constituents very warmly welcome the statement. On integration with other NHS access services, if an individual were to dial NHS 111 with one of the conditions mentioned in the statement, would they be diverted to a pharmacy or to a GP first?

    Minister reply

    To a pharmacy. NHS 111, GPs and urgent and emergency care can all refer to pharmacists for those particular common conditions.

  • James Wild Con North West Norfolk

    Question

    I join others in welcoming the new scheme. Will my right hon. Friend ensure, as part of the communications, that the NHS website is updated to show which pharmacies have signed up to Pharmacy First, and will she continue to encourage those that have not yet signed up to do so?

    Minister reply

    What is brilliant is that over 95% of all community pharmacies have signed up, including 172 in my hon. Friend’s area.

  • Question

    Key to the service’s success will be pharmacies actually offering it when patients turn up. Does my right hon. Friend know how many individual pharmacists have been trained to provide the services, and is there a way of gathering and publishing data on when pharmacies will offer the service, so that patients will not have a frustrated journey and we can see where the gaps are?

    Minister reply

    As I say, more than 95% of all community pharmacies have signed up to the service, and all their pharmacists have been trained in how to deliver it.

  • Question

    As someone who has championed the role of community pharmacies throughout my time in this House, I warmly welcome today’s statement. I am particularly delighted that we were able to host one of the pilot schemes in Cornwall, which was hugely successful, resulting in 7,500 consultations that took 6,000 appointments away from GPs and 75 A&E appearances. Will the Minister join me in thanking all the pharmacies in Cornwall that took part in that pilot, which was so successful?

    Minister reply

    Absolutely. It is only by trying these things that we can see how successful they can be, and I do believe this service is going to radically improve patient access to care.

Shadow Comment

Preet Kaur Gill

Labour supports pharmacists playing a greater role in NHS but criticises the closure of pharmacies under Conservative leadership. Questions the Minister about training delays and IT integration issues affecting service delivery. Asks for an acceleration of independent prescribing to support chronic condition management and reduce over-prescribing.

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