Pharmacy First

With permission, I shall make a statement on the launch of our Pharmacy First service.

Pharmacies are at the centre of our communities. They are an accessible front door to our NHS for millions of people. Alongside general practice, optometry and dentistry, pharmacy is one of the four pillars of primary care in England. Four in five people in England live within a 20-minute walk of a community pharmacy. Pharmacies provide fast, fair and simple access to care and advice for the kinds of illnesses from which people suffer every day. Our constituents can now walk in off the high street whenever it suits them—whether they are at home, at work, or visiting somewhere.

Our pharmacists are not only conveniently located, but highly skilled professionals with years of training under their belts. The number of registered pharmacists in England has grown considerably under this Conservative Government—up 61% compared with 2010. None the less, these skilled healthcare professionals still represent a rather untapped resource in our NHS, so this Government are bringing forward reforms that will make the most of their expertise: giving people up and down the country a variety of quality care and wise advice, quickly and easily, saving them a trip to the GP; freeing up appointments for patients who need GPs the most; and driving our plan to cut waiting lists. The benefits are clear. That is why this Government have consistently taken the decisions that allow community pharmacists to deliver more clinical services and supply more treatments— whether that be other parts of the NHS referring patients suffering from minor illnesses to community pharmacists for advice and the sale of over-the-counter medicines, offering lifesaving blood pressure checks in pharmacies, or making it easier for women to access oral contraception in pharmacies. I am proud of everything that we have accomplished so far.

To unlock the full potential of our pharmacists, we need to go further and faster. That is why I am delighted to inform the House today that we are launching the Pharmacy First service—a personal priority of the Prime Minister, who is himself the son of a pharmacist. This will give pharmacists the power to supply prescription-only medications, including antibiotics and antivirals for seven common conditions: sore throats, ear aches, infected insect bites, impetigo, shingles, and minor urinary tract infections in women. More than 10,000 community pharmacies have signed up—over 95% of pharmacies in England—which is a brilliant sign of their approval.

The next time that anyone is suffering from any of those seven conditions, for most people their first port of call will be a quick trip or a call to their pharmacist. They will not need to see their GP first. They will not need to spend time making an appointment, and they can turn to their pharmacist whenever it suits them. That benefits everyone involved: people get the care they need faster; GPs can focus on more complicated cases; and pharmacists can make better use of their knowledge and skills. This is a common-sense reform. Pharmacists see and advise people with these sorts of conditions every day, but we have now enabled them to provide prescription-only medicines where clinically appropriate, so that they can help people more easily.

All this will deliver results. Pharmacy First will make it easier for millions of people to get the care they need on the high street and, together with the expanded blood pressure and contraception service, it will free up as many as 10 million GP appointments, in turn reducing unnecessary trips to A&E, reducing the pressure on GPs, and driving forward our plan to cut waiting lists for patients.

The investment that we are putting into Pharmacy First will also level up digital infrastructure in community pharmacies up and down the country, streamlining referrals to and from GPs, giving pharmacists better access to relevant information from patients’ GP records, and allowing them to share relevant information quickly in return.

Pharmacy First is not just about delivering care faster, but about making care fairer by driving down health inequalities. That is because there is double the number of pharmacies in the most deprived communities in our country. Getting the right care, the right contraception and the right test will now be faster and simpler for all those people in our more deprived communities than it ever has been before. Thanks to Pharmacy First, they will be able to take full advantage of their pharmacists’ expertise and use them to complement the care they receive from their GPs and throughout the NHS.

Pharmacy First was made possible only through close collaboration with Community Pharmacy England, which I thank for all the work it has done and will continue to do to support community pharmacies to gear up and deliver this new service for our NHS.

We on the Conservative Benches have a clear plan for the NHS: getting patients the care they need faster; making the system simpler for staff; and making it fairer for everyone. That is our plan and I look forward to working with pharmacists up and down the country to deliver today’s announcements as we build a brighter future for families right across the country. I commend this statement to the House.

I call the shadow Minister.

I thank the Minister for advance sight of her statement.

Let me start by paying tribute to the many organisations that have been involved in preparing for this launch and the thousands of pharmacies across the country that have embraced this initiative. Labour has long been arguing that pharmacists should play a greater role in the NHS, so we support this move.

As the Minister has said, pharmacies already do far more than just dispense repeat prescriptions and sell shampoo: they are medicine experts within the NHS; they are highly trained; they are easily accessible right across the country; and, as we saw during the pandemic, they are a highly trusted part of their communities. But their skills and knowledge are often under-utilised. Therefore, bringing more services to British high streets for patients to get treated more quickly and conveniently is absolutely right. It is why, as we announced last week, we want to bring NHS out-patient appointments closer to people through high street opticians too.

The Minister is right to say that pharmacists can take pressure off GPs. However, let us be clear: this announcement will not make up for the 1,000 pharmacies which have been closed under the Conservatives, or the 2,000 GPs that have been cut since 2015. Patients today are waiting over a month to see a GP, if they can get an appointment at all. When Labour was last in office, people could get an appointment within 48 hours.

That is the thing with this Government: they give with one hand and take with the other. Will the Minister explain what has happened to the Government’s pledge to deliver 6,000 more GPs this year and what she is doing to support community pharmacies, which are already facing a perfect storm of inflationary pressures for running costs, recruitment challenges and an unstable medicines market?

Well, the very first appointment under Pharmacy First happened at 8.30 this morning.

It was 8.31!

Oh, was it 8.31? I thank the Secretary of State. When will the services be available? I should think that many more are taking place already.

I am afraid that, while welcoming this, the hon. Lady is being a little pusillanimous with her praise. A lot of her suggestions, as she will know, are simply not true: already, well over 2,000 new GPs and tens of thousands of nurses are working in our NHS. Many thousands of additional practice staff are working in GP practices, and, as she will know, our brilliant GPs have made 50 million more appointments available each year ahead of the target in our manifesto. Good on them. They are doing an amazing job, and Pharmacy First will ease the ever-increasing burden on them.

The hon. Lady talks about technology. I am pleased to tell her that ensuring that the technology was in place was key in deciding when we could go live. There is a very short window in which some systems will have elements of manual intervention, but only for a few weeks. The whole system will be fully automated and will provide the ability to inquire into GP records and to swap advice, which is important for pharmacists to deliver the excellent service that they are already delivering.

Finally, the hon. Lady will know that community pharmacists have for some time now been delivering blood pressure checks, which in some cases are truly lifesaving. This is amazing patient access and patient convenience. The Labour party should, for once, simply praise it and be glad that the Government have stuck to our plan and got on with it.

I am so pleased to hear today’s announcement that we are delivering. It was one of the key things in our plan for patients that I wanted to ensure happened. In particular, many Members of this House, current and past, have had infections and, as a consequence of not dealing with them, have ended up in hospital. This is the sort of sensible approach that, frankly, met some resistance during my time in the Department, with worries about over-prescribing. It is about treating pharmacists like proper professionals and, most important, providing quicker access to necessary care, which patients will now properly enjoy.

May I say a huge thank you to my right hon. Friend for her contribution to kicking this project off? I feel very fortunate to be at the Dispatch Box on the day we launch it, because many others were involved in setting it up. She rightly highlights some of the problems with spotting things such as sepsis infections, which pharmacists are trained to spot. They really can be the first line of defence. Being able to walk in off the high street to see a pharmacist is incredibly valuable to us all.

As a long-standing supporter of the idea of Pharmacy First, I welcome the right hon. Lady’s statement and the specific reforms she has talked about introducing. She will be aware, however, that pharmacists in my constituency and further afield are very concerned that they are unable to do the job that they are already expected to because of lack of capacity and problems in accessing certain drugs that they need to prescribe. Can she indicate how the existing problems will be dealt with, so that they can do what is promised in Pharmacy First?

I am grateful to the right hon. Gentleman for his support for the programme. There are around 14,000 licensed medicines, the vast majority of which are in good supply. The Department works very closely with the sector on finding alternatives and sourcing supplies of medicines, and most of the time we are able to meet the demand. Occasionally there are challenges, but that does not change in any way the ability of community pharmacists to be the expert medicine suppliers that they are, and to meet the need that members of the general public have for treatment and advice.

I warmly welcome the statement. This initiative has the potential to transform primary care and access to treatment, but does the Minister agree that to realise its full potential, we need to invest in new technology—she mentioned digitalisation—to make sure that community pharmacies are set up to take advantage of these new opportunities? We also need to invest in the pharmacy workforce as part of the Government’s long-term workforce plan, so that those in alternative roles within pharmacies, such as pharmacy technicians, have the capacity to take the opportunities she has outlined.

My hon. Friend is absolutely right. Investing in technology is vital, but so is investing in the workforce. We have seen a 61% increase in the number of registered community pharmacists since 2010, and we aim in our long-term NHS workforce plan to increase that by a further 50%. We have already increased the number of training places for both pharmacists and pharmacy technicians.

I, too, welcome Pharmacy First, which I think is a very good initiative. In recent weeks we have seen the closure of two pharmacies in my area, on Beverley Road and Chanterlands Avenue. I am also told by leaders in the Humber pharmacy community that our area has one of the largest numbers of temporary closures because of problems accessing pharmacists. Will the Minister look favourably, therefore, on my idea to attach a school of pharmacy to Hull York Medical School? We need a school of dentistry, too. If we could have a centre of excellence in the Humber area, it might solve some of our specific workforce problems.

I am always happy to speak to colleagues on both sides of the House about their ideas for new dental and pharmacy schools. It is an ongoing interest.

England is, in fact, blessed with huge numbers of community pharmacies—well over 10,000—and four in five of us are able to walk to a community pharmacy within 20 minutes. The number of pharmacies in more deprived areas is double the number in more well-off areas. We are very well served by our brilliant pharmacies, and I hope the Pharmacy First programme will improve their footfall and their value in each of our communities.

I very much welcome this initiative to encourage our pharmacies to provide more frontline healthcare. People need to know about this, because they often do not think of going to the pharmacy. What work are the Government doing in larger population centres such as Harwich and Dovercourt, which has over 20,000 people but no out-of-hours pharmacy cover? People have to make a round trip of more than 40 miles to collect a prescription on a Sunday, for example. Are the Government doing any work on 24/7 pharmacy coverage for larger population areas?

My hon. Friend raises an important point. Pharmacists will keep their community pharmacy open for up to 72 hours a week in most cases, and up to 100 hours in some cases, which means there is weekend accessibility. We keep this under review, but the availability is very good.