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National trends, pharmacy rankings and insights into NHS services.
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England
Scotland
Wales
Northern Ireland
National trends, pharmacy rankings and insights into NHS services.
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NHS service reports
- Pharmacy FirstExplore national service activity and trends.
- Flu vaccinationsExplore vaccination activity and trends.
- Hypertension case-findingExplore blood pressure service activity.
EPS & dispensing
- EPS nominationsNational trends, rankings and ICB comparisons.
- Distance selling pharmaciesExplore activity across distance selling pharmacies.
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EPS Nominations in England
Explore how EPS patient nominations are changing across community pharmacy in England. Track national trends, identify pharmacies gaining and losing nominations, and compare performance across Integrated Care Boards.
How is the market moving?
Based on the latest full month of data, November 2026, compared with October 2026.
6,398 pharmacies
3,682 pharmacies
nominations — less skewed by very large pharmacies than the mean
across all gaining pharmacies
across all losing pharmacies
Are EPS nominations growing nationally?
The most recent 37 months, using the latest available week in each calendar month as that month's figure (the underlying data is recorded weekly).
Total EPS nominations
Monthly total across every reporting pharmacy in England.
EPS nominations increased by 57,558 (+0.1%) during November 2026. This extends a run of at least 37 consecutive months of national growth.
vs October 2026
vs the previous week
smooths out single-month noise
Is growth widespread, or concentrated?
Share of pharmacies each month that gained, lost, or held an unchanged number of EPS nominations compared with the previous month. “Unchanged” means exactly zero change.
In November 2026, 61.0% of pharmacies gained EPS nominations, 35.1% lost nominations, and 3.8% were unchanged versus the previous month. The 10 pharmacies with the largest gains accounted for 6.5% of all nominations gained nationally, suggesting growth is fairly widely spread across pharmacies.
Which pharmacies are gaining and losing the most?
The pharmacies with the largest change in EPS nominations between the latest two reporting periods. Pharmacies only appear here if they have data for both periods being compared — a newly-opened pharmacy's first reading is never counted as a “gain”.
Percentage rankings only include pharmacies with at least 300 nominations in the earlier period, so a tiny pharmacy moving from a handful of nominations to a few dozen can't dominate the table with a huge but meaningless percentage swing.
trending_up Biggest gains
| # | Pharmacy | ICB | Current | Change |
|---|
trending_down Biggest losses
| # | Pharmacy | ICB | Current | Change |
|---|
EPS Nominations by ICB
Aggregates of the pharmacies associated with each Integrated Care Board, comparing November 2026 with October 2026. Covers 99.9% of comparable pharmacies; the remainder don’t have a current ICB recorded in PharmData and are included in national figures but not here.
Across England's ICBs, EPS nominations changed by between +0.3% and -0.1% during November 2026. NHS Norfolk and Suffolk Integrated Care Board recorded the strongest growth; NHS Bath and North East Somerset, Swindon and Wiltshire Integrated Care Board recorded the largest decline.
Top 10 ICBs
By percentage change, November 2026.
Bottom 10 ICBs
By percentage change, November 2026.
All ICBs
| ICB unfold_more | Pharmacies unfold_more | Current nominations unfold_more | Change unfold_more | % change unfold_more | Gaining unfold_more | Losing unfold_more | Median change unfold_more |
|---|
Explore an ICB
Select an ICB to see its nomination trend and biggest movers.
Biggest gainers
| Pharmacy | Change |
|---|
Biggest losers
| Pharmacy | Change |
|---|
Consistent gainers & losers
A single month can be noisy. These pharmacies have gained — or lost — EPS nominations in every one of the last several months, not just the latest one. info
trending_up Consistent gainers
| Pharmacy | ICB | Total gain |
|---|
trending_down Consistent losers
| Pharmacy | ICB | Total loss |
|---|
bolt Pharmacies gaining momentum info
| Pharmacy | ICB | Latest month | Previous month |
|---|
What does a typical pharmacy experience?
Leaderboards show the extremes; this shows what’s happening to everyone else.
Change in EPS nominations, November 2026
Number of pharmacies by size of monthly change.
Most pharmacies saw relatively small changes in EPS nominations during November 2026: the median change was +3, and the middle 50% of pharmacies ranged from -4 to 12. The mean change (5.7) was higher than the median, reflecting a smaller number of pharmacies with much larger gains or losses.
Find a pharmacy
Search by pharmacy name or NAC code to see its EPS nomination performance.
About this data & methodology
- Source
- Figures are drawn from NHS EPS nomination data loaded into PharmData, covering community pharmacies in England.
- Weekly data, shown by month
- The underlying data (
eps_noms) is recorded weekly, not monthly, despite the page's “monthly” framing. “Change vs last week” in the hero banner uses genuine week-on-week figures. Every other comparison on this page (monthly, 3/6/12-month, consistent trends) uses the latest available week within each calendar month as that month's representative figure. - Like-for-like comparisons
- A pharmacy only appears in a leaderboard, trend, or consistency check if it has data for every period being compared. A newly-opened pharmacy's first reading is never counted as a “gain”, and a pharmacy that stops reporting isn't counted as having “lost” its entire nomination count.
- Percentage-change threshold
- Percentage-based rankings only include pharmacies with at least 300 nominations in the earlier period (fewer than 1.5% of pharmacies fall below this). Without it, a very small pharmacy moving from single to double-digit nominations could show a huge but meaningless percentage change and dominate the table.
- “Unchanged”
- Defined as exactly zero change, rather than a tolerance band - nomination counts are whole numbers, so an exact match is a meaningful outcome in its own right rather than noise.
- ICB coverage
- ICB is each pharmacy's commissioning Integrated Care Board, kept in sync with the NHS ODS API. A small number of pharmacies (around 0.1%) have an area code that doesn't match a current ICB - these are included in national figures but excluded from ICB breakdowns.
- Data window
- This page shows the most recent 37 months. Full history back to 2016 exists in PharmData's underlying data but isn't rendered on this page for performance reasons.
- Limitations
- A nomination is where a patient asks to receive electronic prescriptions, not a measure of footfall, items dispensed, or revenue. Small ICBs and small pharmacies can show more volatile percentage changes simply because they have a smaller base.