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module menu icon Introduction

Pharmacists were first able to qualify as independent prescribers (IPs) in 2003, but community pharmacy provision in England has developed gradually.

In 2023, an estimated eight per cent of the community pharmacy pharmacist workforce were IPs. By 2025, the General Pharmaceutical Council (GPhC) reported that one-third of pharmacists on the register were IPs (12 per cent of the community pharmacist workforce in England), with more than 3,000 expected to join in 2026 from the foundation year cohort.

Scotland and Wales have commissioned community pharmacy IP services for several years. In England, the NHS Community Pharmacy Independent Prescribing Pathfinder Programme ended in December 2025. Integrated care boards (ICBs) can now commission services locally, and a national prescribing service-led extension of Pharmacy First is due to launch imminently as part of the 2026/27 Community Pharmacy Contractual Framework.

Pharmacy technicians cannot prescribe, but they are central to making community pharmacy prescribing services work. By coordinating referrals, appointments, records, stock, digital systems and team workflow, they can release pharmacist time, protect core services and help patients to move safely through the pathway.

This module focuses on that support role. It outlines what prescribers and employers must have in place, then considers how pharmacy technicians can contribute to premises readiness, patient liaison, IT, governance and operational support, while remaining within their scope of practice.

Pharmacy prescribing – key facts

  • NHS prescribing from community pharmacy will soon be nationally commissioned in England as part of an expanded Pharmacy First service
  • Independent pharmacist prescribers account for one-third of the pharmacist workforce in England, 
    44 per cent in Wales and 48 per cent in Scotland
  • A pharmacist independent prescriber can prescribe autonomously for any condition within their clinical competence, with a few exceptions
  • Although pharmacy technicians cannot prescribe, they are central to making community pharmacy prescribing services work through in-branch operational support.
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