As the UK’s community pharmacies face a potential strike, a growing sense of anxiety grips the nation over funding security. With 6,000 pharmacies in England on the brink of collapse, the NHS contract funding uncertainty threatens to devastate patients, particularly older people in rural areas.
A growing sense of anxiety is gripping the UK’s community pharmacies as they prepare for a potential strike. About 6,000 pharmacies in England are being urged to adopt ‘working to rule‘ measures unless an agreement can be reached with the government on a new NHS contract.
Community pharmacies are essential healthcare providers that offer a range of services beyond dispensing medications.
They provide advice on medication use, health promotion, and disease prevention.
According to the National Association of Boards of Pharmacy, there are over 63,000 community pharmacies in the United States alone.
In addition to filling prescriptions, they often offer immunizations, blood pressure monitoring, and health screenings.
Community pharmacies also play a crucial role in addressing public health issues, such as opioid misuse and medication adherence.
The Root Cause: Funding Uncertainty
Pharmacies’ NHS contracts account for around 90% of their revenue, and the lack of funding confirmation is causing significant concern. The National Living Wage and business rates increases from April have added to the financial burden. This comes as pharmacies face a decade of funding cuts, with 30 closures already reported this year.
Pharmacies have a rich history dating back to ancient civilizations.
In Egypt, pharmacists were trained to prepare and dispense medicinal potions.
The modern concept of pharmacies emerged in the late 19th century with the establishment of the first chain pharmacy in the 'United States'.
Today, pharmacies play a vital role in public health, providing access to essential medications and healthcare services.
According to the International Pharmaceutical Federation, there are over 3 million pharmacists worldwide, serving as primary care providers and medication experts.

The Impact on Patients
Healthwatch England has highlighted the devastating impact of this uncertainty on patients, particularly older people in rural areas who often struggle to access their local pharmacist due to longer travel times. The organization is urging the government to conclude negotiations with pharmacies as soon as possible.
Pharmacies’ Frustration
The National Pharmacy Association (NPA) has expressed frustration at the lack of feedback from ministers and the resulting uncertainty. Chairman Nick Kaye stated that it is better for pharmacies to temporarily reduce access than risk collapse under unsustainable operating costs. The NPA is urging its members to limit opening hours to 40 a week, which could also involve cutting services such as home delivery, addiction support, and stop-smoking help.
Government Response
The Department of Health and Social Care has warned that the National Pharmacy Association’s pre-emptive action will cause unnecessary disruption for patients. However, an official acknowledged that pharmacies have a vital role to play in the NHS’s focus on community care.