May 11th 2026

By Ailsa Colquhoun

NHSE updates EPS nomination standards

NHS England has updated its standards for Electronic Prescription Service nomination.

In a statement, Community Pharmacy England says this follows "renewed scrutiny of nomination practices" and reinforces the principle that patients must be able to set or change their nomination freely, without pressure or unwanted intervention.

The four new standards for nomination are as follows: 

  • Patients must choose their own nomination
  • Patients must not be influenced or persuaded to nominate a specific dispensing contractor and inducements cannot be offered
  • Prescribers and dispensing contractors will need to confirm, set, change, cancel and reconfirm a patient’s nomination in a timely manner
  • Prescribers and dispensing contractors must use clear processes for nomination  

There is also guidance for making complaints about nomination. Abuses of the guidance may include:   

  • setting, changing or removing a nomination without a patient’s consent
  • pharmacy offering gifts to patients to nominate them
  • GPs setting nominations for all patients to one pharmacy without patient consent
  • pharmacy nominating all their prescription collection service patients without their consent
  • pharmacy not reconfirming nominations
  • GP practice refusing to set nominations.

If the patient wishes to register a complaint, they should make that complaint to the pharmacy, DAC or GP practice that has caused their complaint directly.

Patients can also complain to the integrated care board (ICB) if their complaint cannot be resolved. Any healthcare provider in the area should be able to provide details of the local ICB if needed.

If a GP practice, pharmacy, or DAC wishes to make a complaint about another contractor, they should discuss with the relevant commissioning team in the ICB the most appropriate method for raising the complaint.

ICBs and the NHS have overall responsibility for monitoring nominations and ensuring that complaints are dealt with in a fair and equitable way.

Find your local integrated care board

Weekly EPS nomination statistics are available online, showing the total number of current active nominations for each registered contractor, and the weekly change. This information can be used to inform suspected nomination abuses. 

 


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