Changes to Hub & Spoke NHS Terms of Service
From October 1st 2025, new Terms of Service and Human Medicines Regulations amendments allow pharmacy contractors to enter into a hub and spoke arrangement where the hub pharmacy is owned by a different entity.
A notice of intention must be submitted by the NHS spoke contractor to the integrated care board (ICB) where the pharmacy is located, with at least 28 days’ notice of commencement.
As part of the application process, the spoke must submit declarations confirming that due diligence has been carried out regarding governance and assurances for the hub.