Pharmacy Add-On Services & Growth Opportunities

Community pharmacy is changing faster than ever. Margins are tightening, operational pressures are increasing and the industry is facing the most challenging financial landscape in decades.

Yet, at the same time, pharmacies are being given more opportunities than ever before to deliver clinical care, provide NHS-funded services and grow new income streams.

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The Future Belongs to Clinical Pharmacies

The pharmacies that succeed in 2026 and beyond will be the ones who embrace clinical services, diversify income sources and make better use of the NHS-funded opportunities already available to them.

Renominate does not provide information or management of any of these services and this page is to simply illustrate the revenue potential every pharmacy should be exploring

Pharmacy First

A major opportunity still not fully understood

Pharmacy First has the potential to reshape the role of community pharmacy. Across seven common conditions, pharmacies can now offer complete episodes of care with consultation fees that reflect the value of this clinical work.

Pharmacy First offers:

£17 per consultation
£500 monthly payment for delivering 20–29 consultations
£1,000 monthly payment for delivering 30+ consultations

Yet national data continues to show that many pharmacies are performing far fewer consultations than their capacity allows.
This is not because demand is low — it’s because patients are still unaware, and many pharmacies have not yet implemented systematic clinical pathways.

Pharmacies that fully embrace Pharmacy First can generate consistent, high-value clinical income month after month.

New Medicine Service (NMS)

One of the highest-value NHS services

NMS remains one of the most underutilised services in the UK. It supports patients starting new long-term treatments, improves adherence and strengthens clinical relationships.

Approximately £28 per completed episode

Pharmacies that systematise NMS delivery experience significant uplift in both clinical outcomes and annual income.

Flu Vaccination Service

Reliable, seasonal and essential

Flu vaccination remains a key pillar of the NHS winter protection strategy. Even though the individual fee per jab is modest, the volume and annual consistency create a substantial seasonal income stream for many pharmacies.

Pharmacies that proactively promote and organise flu vaccinations often see hundreds or thousands of vaccinations each season.

This is reliable income. It is clinically important. And it strengthens patient trust year after year.

Pharmacy Contraception Service (PCS)

Growing demand and strong clinical fees

PCS is one of the most important new clinical pathways for pharmacy. It allows pharmacists to initiate oral contraception, provide structured ongoing supply, improve accessibility for women, and reduce GP workload.

Fees around £25 per episode in some national guidance updates

Demand continues to grow — especially for women who prefer convenient, accessible and supportive care.

Hypertension Case-Finding

A critical public health service

Hypertension Case-Finding remains one of the NHS’s highest-priority services due to its impact on cardiovascular risk. Pharmacies can identify at-risk patients, perform blood pressure checks, conduct follow-up monitoring, and refer where necessary.

This service not only generates structured payments — it positions pharmacies as essential providers in preventative healthcare.

In an ageing population, this service will only become more important.

Smoking Cessation Service

Supporting long-term health while generating clinical income

Smoking cessation delivered through community pharmacy is one of the most impactful public health interventions available. It is structured, funded and clinically meaningful.

Pharmacies that implement a systematic smoking cessation workflow often achieve excellent results and create a steady stream of funded clinical interactions.

With NHS priorities shifting toward preventative and behavioural health services, pharmacies that excel in smoking cessation will be ideally placed for future expansions.