Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the level of patient demand for antibiotics from pharmacists; and what action, if any, they are taking to reduce this.

Under Pharmacy First, pharmacists can supply prescription-only medicines, including some antibiotics, under Patient Group Directions (PGDs). PGDs are strict protocols that allow certain healthcare professionals to supply prescription-only medicines in very specific circumstances and without a prescription from a general practitioner. The service design was informed by best practice with input from an expert panel of clinicians.

The impacts of the service are being assessed via multiple routes. As part of the Pharmacy Quality Scheme 2025/26, participating contractors will be expected to complete a clinical audit, focusing on the clinical advice and consultations provided to patients. NHS England has completed a review of the Pharmacy First service. The National Institute of Health and Care Research has commissioned research to assess the impact, safety, and effectiveness of Pharmacy First. NHS England will keep the clinical scope of the service under review.