Community Pharmacy IT Group (CP ITG) workstream updates

Published on: 28th June 2021 | Updated on: 26th February 2026

Read more about CP ITG and its work at: the Community Pharmacy IT Group (CP ITG) webpage.

This ‘CP ITG workstream update‘ webpage sets out information following CP ITG meetings based on the the latest pharmacy IT bulletin.

The latest bulletin can also be downloaded in pdf format: CP ITG Spring 2026 IT bulletin (pdf)


Workstreams (overview)

CP ITG has five workstream areas:

  1. Interoperability and security: Ensuring information about people’s health and care can be safely and securely accessed, wherever it is needed. (WS1a-1d)
  2. Reducing burden: Use of digital to reduce the burden on pharmacy teams, so they can focus on patients, and appropriate infrastructure for the task. (WS2a)
  3. Good use of digital: Support the use of digital within pharmacy to improve health and care productivity, improve patient safety outcomes and improve cooperation between pharmacy teams and the health and care system. (WS3a-3c)
  4. Patient and pharmacy tools: Support enabling patients to be able to choose digital tools to access medicines information and pharmacy services directly, so they can receive the best outcomes, recognising the need to also remain inclusive for all patients. (WS4a)
  5. Set out roadmap priorities: Development and promotion of a wider community pharmacy digital roadmap / vision. (WS5a)

See downloadable PDF version of the full: CP ITG workstreams.

These sections below set out updates related to these workstreams based on the most recent pharmacy IT bulletin.

Community pharmacy IT developments: overview

Overview of current pharmacy IT priorities

NHS England, the Department of Health and Social Care, and CP ITG have identified a set of key IT priorities for community pharmacy. These include:

  • the Professional Record Standards Body (PRSB) Community Pharmacy Data Standard;
  • IT to support the development of the Community Pharmacy Contractual Framework (CPCF);
  • electronic health records;
  • service data APIs;
  • Booking and Referral Standards (BaRS); and
  • the next generation of EPS.

CP ITG continues to support these programmes, with Community Pharmacy England working alongside NHS England to help shape and advance this work. These priorities align with the group’s working document on CP ITG’s vision of pharmacy IT and with the wider ambitions for community pharmacy set out in the Nuffield Trust and King’s Fund vision.

NHS England is also developing a framework to incentivise the development of community pharmacy IT system suppliers, aligned with the CPCF. This includes supporting an open supplier market and involving both pharmacy teams and suppliers in shaping requirements. NHS England’s Transformation Directorate is working to support suppliers in transitioning to the NHS Digital Services for Integrated Care (DSIC) framework. Read more at the new DSIC pharmacy webpage.

NHS England has been working with both existing assured service suppliers and prospective suppliers progressing through the DSIC assurance process. Suppliers have already begun preparatory DSIC‑related work, with further activity expected over the coming months as the DSIC pharmacy workstream progresses in line with planned timelines.

EPS updates: Piloting of prescription readiness notifications

CP ITG pharmacy representatives have consistently supported the introduction of additional EPS prescription statuses that help patients understand the progress of their medicines without adding burden to pharmacy teams. The group has also backed patients receiving clear, timely updates—such as “ready to collect”—through the NHS App and other approved tools. Patients themselves continue to report wanting this functionality.

CP ITG principles of service‑led, patient‑focused, and digitally inclusive design.

NHS England and the NHS App teams continue to work with EPS system suppliers to enable prescription readiness information. The group, including CP ITG sub‑groups, has previously explored this area, recognising its potential to reduce avoidable queries, support better workflow, and enhance the overall patient experience.

Community Pharmacy England and NHS England have issued sector updates on progress with the National Patient Prescription Tracking Service (NPPTS). While patients have been able to see some readiness information in the NHS App for some time, the next level of piloting work is now underway to test EPS-specific notifications that improve clarity and consistency.

The group has also discussed barcode “scan‑to‑shelf” technology, which triggers status updates and, once systems and the NHS App align, enhances NPPTS. See the new Scan to Shelf page.

EPS FHIR transition

NHS England’s EPS team will also update the group on the transition to a FHIR architecture modernisation for EPS (Project FAME). This modernisation work aims to strengthen long‑term interoperability, improve resilience and usability, and support future enhancements that benefit patients and pharmacy teams—an important enabler for CP ITG’s wider digital vision.

Update on EPS Patient Nomination Protocols and required system changes

NHS England has issued revised Patient Nomination Protocols (v1.09), shared with the group in advance. The updated guidance clarifies how pharmacy teams, system suppliers and others must manage nominations and use nomination‑related information from the NHS Personal Demographics Service (PDS).

The changes reflect increased scrutiny of nomination practices and emphasise that patient choice must remain central. Patients must be able to select or change their nominated pharmacy freely, without pressure, unintended direction, or the use of technical means that could influence or pre‑empt their choice.

NHS England has confirmed within the document that:

NHS Patient Demographic Services holds the patient nomination and, in accordance with the Data Protection Act, access to the nomination-related data held within PDS must only be where a legal basis exists. For dispensers, that would be because a patient has presented and wishes to change their nomination, requires a consultation or where dispensing activity is required. There would be no legal basis to access PDS nomination data outside of this, and a previous nomination is no guarantee of future intent.

This aligns with the long‑standing CP ITG position agreed previously that:

“Systems must not facilitate automated repeat checking of patients’ NHS Spine nomination settings for bulk contact to patients that have moved their nomination away from the dispenser in question. Use of EPS data has not been approved for this type of data flow.”

To protect patient rights and uphold NHS protocols, systems and pharmacies must not:

  • Enable automated checks of a patient’s nomination setting.
  • Monitor which pharmacy a patient is nominated to, unless the patient is actively changing their nomination.
  • Store or apply any form of “enduring consent” intended to override or pre‑empt a patient’s future choice.

To uphold these requirements, systems and pharmacies must ensure they:

  • Do not enable or use automated checks of nomination settings.
  • Do not track or monitor patient nominations as part of normal workflow.
  • Do not store long‑term consent that would override a patient’s ability to change pharmacies.

NHS England is working with system suppliers to ensure any non‑compliant features are removed and that future functionality aligns with the revised protocols.

These protocols apply not only to NHS bodies and pharmacy owners, but also to technology suppliers, who must ensure their systems do not encourage or allow activity outside the scope of the approved nomination model.

Electronic health records: Developments supporting inclusive care

The Reasonable Adjustment Digital Flag (RADF) information standard: The NHS has introduced a new Information Standard for the Reasonable Adjustment Digital Flag (RADF). This standard sets out how health and care providers should record and share information about people who require reasonable adjustments under the Equality Act 2010. RADF will be used across all NHS services to help staff recognise a person’s needs more quickly and deliver safer, more inclusive care.

A recent NHS communication said that, by 30th September 2026, healthcare providers must be able to:

  • read RADF information;
  • write RADF information where appropriate; and
  • share RADF information with other NHS providers.

For community pharmacy, these capabilities are already enabled through the National Care Records Service (NCRS) and do not require any additional systems to meet the baseline requirement set out within the information standard. Pharmacy owners, therefore, do not need additional systems or supplier engagement to meet the requirements of this standard. This also means there is no requirement for pharmacy owners to contact IT suppliers about this topic. Further background is available via the pharmacy news update on the RADF standard.

Group actions:

  • Pharmacy representatives may wish to contact da@cpe.org, highlighting which adjustment codes are most useful in a community pharmacy context.
  • Pharmacy teams can also contact the IT team with any case examples relating to how the Child Protection Flag or the FGM Flag would/could be used later.

National Care Records Service (NCRS): The National Care Records Service (NCRS) continues to provide one of the ways for health and care workers to access national patient information to improve clinical decision-making and healthcare outcomes. NCRS development continues. The NCRS team previously provided an update on what had been SCR One Click, though this has since been enhanced to become an NCRS in-context integration.

Vaccine Digital Services

The NHS Vaccine Digital Services (VDS) team will provide an update on developments with NHS vaccine IT. This will include an update on the Manage Your Appointments functionality and a reference to the roadmap changes being made to digital vaccination pathways to support smoother patient journeys and more efficient provider workflows.

Proposals to improve GTINs and 2D barcodes on UK medicines packs

The Medicines and Healthcare are being made aware of concerns about the limited availability and consistency of Global Trade Item Numbers (GTINs) and the declining presence of 2D data matrix barcodes on UK‑only medicines packs. CP ITG have been sharing feedback with the secretariat about this.

Two related issues:

  1. GTINs and the medicines licensing process

GTINs are widely used within clinical systems to support medication safety, stock management and digital dispensing. However, GTINs are not currently incorporated into the medicines licensing process and are not included within Summary of Product Characteristics (SmPCs). This results in NHS systems relying on voluntary manufacturer submissions, leading to gaps, errors, and inconsistencies.

  1. Reduced use of 2D data matrix barcodes on UK packs

Following changes under the Windsor Framework, 2D barcodes are no longer mandatory for UK‑only medicines. The NHS is now seeing a growing number of packs arriving without these barcodes, which undermines safety and efficiency initiatives such as Scan4Safety and closed‑loop medicines processes.

MHRA and others are being asked to consider adding GTINs to the medicines licensing process and to mandate 2D barcodes on UK medicine packs (containing the GTIN, batch number, and expiry date).

CP ITG  feedback so far from pharmacy teams and IT suppliers has highlighted links between reliable pack identification and interoperability, patient safety, and reduced workload. Some representatives have noted that achieving consistency may require legislative or regulatory change. The Royal Pharmaceutical Society is also considering this issue through its IT subgroup and more widely. And all are also feeding into the NHS terminology team.

CP ITG actions: Consider the opportunities to contribute views if relevant, dependent upon your views:

Systems & services IT

Ambient voice technology

Artificial Intelligence (AI) governance

Artificial Intelligence (AI) Regulation

Patient use of Artificial Intelligence (AI)

Artificial Intelligence (AI) and health policy

Artificial Intelligence (AI) pilot and trials

Artificial Intelligence (AI) and health

Data flow, standards & IT communications

Digital inclusion

Drug Tariff IT

  • In December 2025, DHSC announced the introduction of a new category, Category H, to Part VIIIA of the Drug Tariff. Community Pharmacy England information relevant to pharmacy teams and supplier reps on this Category H page.
  • It was announced in December 2025 that young people leaving care will be entitled to free NHS prescriptions up to the age of 25. Further communications to follow. As this will require changes to legislation and operationalisation, this entitlement is not likely to come into force for many months.

Community pharmacy and GP co-working

NHS England published a letter with the expected changes to the GP Contract in 2026/27, which included digital elements to support co-working:

“Patient choice of pharmacy

We will amend the core practice contract to expand the provisions on nominated dispensers, requiring practices to reconfirm the nominated pharmacy whenever a new prescription (not a repeat prescription) is issued, and to ensure that referrals and triage tools used for community pharmacy clinical services offer patients a full choice of providers. We expect in practice that most practices do this already and this should not add additional burden to appointments.

Dedicated GP email for pharmacy communications

We will amend the core practice contract to require practices to have a dedicated, monitored email address. It will be for receiving information from community pharmacies in the event that GP Connect is unavailable and for new or emerging pharmacy activity that is not yet supported through GP Connect (for example, independent prescribing in community pharmacy). The email address must be kept up to date and shared with the Directory of Services.”

Existing practice email addresses can be used for this purpose and the provision will not require a new one to be set up. This email address is intended to act as a safety‑net where the GP Connect route may be unavailable, helping to ensure that important clinical information is received in a timely way. The intention is to strengthen patient safety and ensure timely transfer of information, while keeping the requirement as simple and proportionate as possible for practices.

Updating the SNOMED CT UK Drug Extension model to reflect the SNOMED International model for national drug extensions

NHS England provided CP ITG with an update on the information previously posted regarding the planned Phase 2 changes to the SNOMED CT UK Drug Extension.

NHS England Phase 2 changes release 41.5.0 has been progressing.

The NHS terminology team will later this year explore Phase 3 (AMP) and Phase 4 (AMPP) changes to understand user impacts, before potentially releasing them jointly. If users anticipate any issues with this approach or would like to discuss the topic, please get in touch with nhsdigital.ukmeds@nhs.net. Further information about this work can be found on our NHS England webpage.

Digital patient services & prescriptions

Independent prescribing IT

EPS

Other NHS account and NHS App updates

Patient digital tools and apps: case studies

Electronic health records

Records: National

Additional NCRS updates

The NCRS team is undertaking a significant transformation of the underlying infrastructure and the way individual services in NCRS are developed. This work is essential to support future growth and ensure the ongoing security of NCRS. It is a substantial programme of work and is expected to take several months to complete.

In parallel, the GP Connect pilot is being prepared across four ICBs, initially focusing on pre-hospital clinicians. The trial has not yet commenced and will begin with access to patient documents within the GP record. Each GP Connect profile (such as investigations, problems, allergies, medications, encounters, etc.) must go through information governance approval, clinical sign-off, and supplier engagement. As a result, achieving full GP Connect capability within NCRS is likely to take some time. At present, there is IG approval for GP Connect Access Documents in 15 Urgent & Emergency settings. The logical next step would be to extend this to the remaining U&E settings before considering expansion into other areas.

In a significant development, the NCRS team is preparing to pilot the introduction of Shared Care Records information within NCRS.

Connectivity & data security
Policy and general updates

All-Party Pharmacy Group report on the future of pharmacy

All-Party Pharmacy Group published a report The future of community pharmacy in England. The digital elements included:

    • “Poor integration with digital infrastructure and care records: A historic barrier to expanded clinical services was a lack of ‘read/write’ access to patient records. The introduction of GP Connect as part of the Pharmacy First roll out begins to change this. There is a need to incorporate this into all of pharmacy practice to ensure fully joined up care.”
    • “It was noted that pharmacies can play a far greater role in structured medication reviews, monitoring, and treatment optimisation – if supported with digital integration, such as access to appropriate testing services, and the right commissioning models.”
    • “With targeted investment, digital integration, and national leadership, community pharmacy can become the NHS’s most responsive, efficient, and equitable access point for care.”

Pharmacy IT policy updates 

Impact statement: the 10 Year Health Plan for England

DHSC published an impact statement noting the rationale behind many of the key measures introduced in the 10-Year Plan, including the impact of the move from ‘analogue to digital’.

IT policy: priorities, reports and the future 

IT policies: localities, organisations and suppliers

IT policy: commentary and requests for the future 

Digital inclusion

Digital capabilities of the workforce

Referrals & appointments

Optimal principles across all pharmacy IT

  • Pharmacy teams can provide updates about any efforts to move towards more paperless work by contacting da@cpe.org.uk.

Additional archived quarterly updates

See: CP ITG workstream updates (archive) for older updates in html format. The bulletins (including the most recent one) can also be downloaded in pdf format at the CP ITG webpage.

Get involved

If you have a related query or would like to feed into the CP ITG or share your updates about IT and digital issues then please don’t hesitate to contact one of the group’s organisers, Dan Ah-Thion or it@cpe.org.uk or you can also sign-up to join the virtual Community Pharmacy Digital Group which helps inform CP ITG’s work with others. You can be involved as much or as little as you like with CPDG, and can unsubscribe from that email group at any time.

Return to the Pharmacy IT hub; CP ITG; Get involved; IT policy or IT a-z index

For more information on this topic please email it@cpe.org.uk

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