Legislation to allow hub and spoke dispensing between different legal entities is expected to come into force in October, Community Pharmacy England (CPE) has confirmed.

The relevant amendments to the Human Medicines Regulations will be effective from 1 October 2025, pending Parliament approval.

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But given that a hub pharmacy will likely need to notify their integrated care board (ICB) 28 days in advance of commencing hub and spoke dispensing for NHS prescriptions, operations could likely begin from 29 October 2025 at the earliest, CPE said.

And it said it was discussing with the Department of Health and Social Care (DHSC) associated amendments to the NHS (Pharmaceutical and Local Pharmaceutical Services) Regulations (PLPS regulations) that would allow NHS spoke pharmacies to subcontract part of the NHS Essential Dispensing Service to the hub.

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The legislative changes will:

  • Allow model 1 (patient – spoke – hub – spoke – patient) hub and spoke dispensing across different legal entities,
  • Require the hub and spoke pharmacies to have written arrangements that include 'a comprehensive agreement of the responsibilities each has for the shared dispensing process',
  • Require dispensed medication to be labelled with the spoke’s name and address and the date on which the hub assembled or part assembled the medicine,
  • Allow the hub and spoke to share patient data through an information gateway, with a notice about data confidentiality displayed to patients and staff.

The update comes as pharmacy minister Stephen Kinnock laid the amendments before the House of Commons on Tuesday 29 April.

Both houses of parliament (Lords and Commons) will now need to actively approve the legislation before it can be signed into law.

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The last time this type of process was not approved was more than 40 years ago.