We only get paidwhen you do.
We build private services your prescriber can run, set up NHS prescribing properly and find the NHS income you are missing. You pay nothing upfront, then a share of the extra profit we create.
- Day 302 consultations, 1 review, NHS prescribing payment+£590
- Day 291 consultation+£20
- Day 281 consultation, 1 review, 1 blood test+£95
Three numbers. That is the whole deal.
£0 upfront, a 25% share of the extra profit, and 12 months per service.
£0 to start.
No set up fee and no retainer. We begin with a free health check of your income.
25% of the extra profit.
Only profit above your agreed baseline counts. You keep the other 75%.
12 months. Then it is all yours.
The share stops after 12 months for each service. From month 13 you keep every penny.
Six ways we grow your profit.
Most owners have already claimed what the NHS pays for. The next pound comes from your prescriber and from services people pay for themselves.
Prescribing, set up right
£525A month from the NHS with a prescriber in the pharmacy 24 hours a week. We handle the sign up, SOPs, IT and paperwork. Start date due shortly.
Private prescribing clinics
£1,080A month from 10 consultations a week at £25, treating people Pharmacy First and PGDs turn away.
See the clinicsMonthly programmes
Repeat incomeSleep, hair loss, acne and stop smoking. Each patient comes back every month for a paid review.
See the programmesBlood test and treat
£2,470A month from 6 tests a week at £95, before lab costs. Results explained and treated in one visit.
How it worksMemberships and partnerships
£1,800A month from 150 local members at £12, plus local employers and care homes paying every month.
See the modelsNHS income never claimed
Free checkWe go through six months of claims and payment schedules, service by service, and help you recover what is still in time.
How we startMost pharmacies start with two or three.
Pick the ones that suit your team and your patients. The calculator shows your own split.
See your splitFigures are examples of extra monthly income, based on the 2026/27 pharmacy contract and local prices. Your figures will differ.
Where Pharmacy First and PGDs stop, your prescriber starts.
Both cover set conditions for set patients. Everyone outside those lines is sent back to the GP. A prescriber can see them, and they will pay for a same day answer.
Pharmacy First
Seven conditions with fixed ages and exclusions, plus five new pathways for prescribing pharmacies. Paid by the NHS, so not a private income stream.
Private PGDs
A fixed list of medicines for people who fit the written criteria. No off-label use, no ongoing care, and a yearly fee for every service.
Your prescriber
Anyone within the prescriber's competence, several problems in one visit, off-label treatment where the evidence supports it, and follow up reviews that bring people back.
| Condition or patient | Pharmacy First | Private PGD | Your prescriber |
|---|---|---|---|
| Chest infection, chesty cough | No | No | Yes |
| Urine infection in men, over 65s, or with diabetes | No | Rarely | Yes |
| Children under Pharmacy First ages | No | No | If competent |
| Middle ear infection in adults | No | Rarely | Yes |
| Tick bite rash | No | No | Yes |
| Fungal skin and nails, rosacea, eczema flares | No | Some | Yes |
| Hay fever in adults | No | Some | Yes |
| Acne that needs follow up | Mild to moderate | Some | Yes |
| Migraine prevention, or 65 and over | Acute, 18 to 64 | No | Yes |
| Gout flares and sprains | No | No | Yes |
| Hair loss | No | Some | Yes |
| Chronic insomnia | No | No | Yes |
| Stop smoking medicines | No | Some | Yes |
| Severe sweating | No | No | Yes |
| H. pylori test and treat | No | No | Yes |
| Spare adrenaline pens | No | No | Yes |
Based on the Pharmacy First criteria (May 2026), the five prescribing pathways announced in September 2026 and typical private PGD menus. Checked October 2026.
Private services your prescriber can run.
Grouped by how they earn. Same day clinics fill quiet hours, monthly programmes bring people back, and specialist extras set you apart from the pharmacy down the road.
Fill the quiet hours
An example daySame day clinics slot into the gaps around NHS work. Each teal block is a paid private consultation.
Same day clinics
Walk in or booked. Paid per consultation.
Chest infections
A proper examination, including oxygen levels. Most coughs need no antibiotic, so people pay for the answer, not the pills.
Children's clinic
Evenings and weekends for children younger than Pharmacy First allows, with a paediatric trained prescriber.
Urine infections
Men, people over 65 and people with diabetes, who Pharmacy First turns away.
Ear infections in adults
Middle ear infections that Pharmacy First only covers up to age 17.
Skin, nails and rosacea
Fungal infections, nail infections, eczema flares and facial redness that need prescription treatment.
Hay fever in adults
For adults whose symptoms over the counter products have not controlled.
Gout flares and sprains
Short prescription courses, with kidney, stomach and heart checks first.
Tick bite rash
Same day assessment and treatment, following NICE guidance.
Monthly programmes
A review fee every month. The steadiest income on the page.
One patient, one year. Every month they stay on a programme brings a paid review.
Sleep clinic
For insomnia lasting three months or more. Sleep advice first, then a licensed prescription treatment where NICE supports it, reviewed within three months.
Hair loss
Prescription options for men and women, with blood pressure and pulse checks at every review.
Acne programme
Monthly reviews and changes in treatment until the skin is clear.
Stop smoking
Prescription stop smoking medicines with weekly carbon monoxide checks. Very few smokers are offered them.
Specialist extras
Rarely offered by pharmacies, so they bring people from further away.
Severe sweating
A prescription cream NICE recommended in 2026, for people whose antiperspirants have not worked.
H. pylori test and treat
A breath test in the pharmacy, then treatment in the same week. Red flags go straight to the GP.
Spare adrenaline pens
The MHRA advises carrying two pens at all times. Families need extras for school, work and holidays.
Men's health
Sexual health treatment for men outside the PGD criteria, with a proper check of their heart and medicines.
Migraine prevention
For frequent migraine, beyond the acute treatment the NHS pathway covers, reviewed at three months.
Travel extras
Jet lag, standby treatment for travellers' diarrhoea, and travellers the PGDs exclude, such as people with long term conditions.
One national chain now charges a flat £19 for a prescriber consultation including treatment. We help you compete on access, examination and follow up, not on price.
From finger prick to treatment.
Online kits leave people with a PDF and a question. Your pharmacy gives them the result, the explanation and the treatment in one place.
Test at the pharmacy
A finger prick or arm sample, sent to an accredited lab. Full blood count, iron stores, B12, folate and vitamin D.
Results come back to your prescriber
Not to a PDF in the patient's inbox, so nobody is left to work out their results alone.
Results consultation
Fifteen minutes with the prescriber, who explains each result and agrees a plan.
Reassure, treat or refer
Normal results get reassurance. Simple, clear causes are treated on the spot. Red flags go to the GP the same day.
Normal
Reassurance and a reminder to retest in a year.
Simple, clear cause
Treated on the spot and retested in 8 to 12 weeks: low vitamin D, low B12 from diet, low iron stores with heavy periods.
Red flags
A letter to the GP the same day: anaemia in men or after the menopause, B12 with nerve symptoms, or anything else abnormal.
What online panels for vitamin D, B12 and iron cost, with no consultation.
A pharmacy package of test, results consultation and plan.
A month from 6 tests a week at £95, before lab costs, plus paid retests.
We set up the lab partner, the protocols, results and GP letters, and the pricing. Treatment follows NICE guidance, and anything outside the simple cases goes to the GP.
Monthly income that renews itself.
Three ways to be paid every month, whatever the footfall that week.
Members stack up.
Add 12 or 13 members a month at £12 and the income builds, without selling the same thing twice.
Example only. Membership income by month in year one, at an average of £12 a member.
Family membership
- A set number of consultations a year
- Priority same day booking
- A yearly health check
- 10% off private services
- £22 a month for a household
Employer partnership
- On-site flu clinic, tax free for staff
- A yearly health check day, tax free for staff
- Same day appointments for staff
- Travel advice for staff who travel
- Usage reports, never clinical details
Care home partnership
- Medicines training for care staff
- Quarterly medicines audits
- Medicines policy review
- Reports ready for a CQC inspection
- Home care agencies too
Prices are suggestions to test locally. Membership terms and staff tax treatment are checked with your solicitor and the employer's accountant before launch.
See your split.
Move the sliders to match your pharmacy. Profit per item is after medicines, lab fees and other direct costs.
Your first two years, month by month
Running totalExample figures only. Your monthly statement uses your own records, so the share always matches what you actually earned.
How it works.
Four steps, and you see every number before anything is due.
A free 30 minute call
We learn how your pharmacy runs, who your prescriber is and what your patients ask for.
A free health check
We go through six months of claims and payment schedules and agree your baseline in writing.
We build it
Prescribing sign up, protocols, pricing, booking, staff scripts and a letter to local GPs.
A monthly statement
Extra profit, line by line, from your own figures. You pay 25%. No extra profit, nothing to pay.
What counts, and what never does.
The share only ever applies to profit we helped create, measured against what you already earn.
What if nothing changes?
Then you pay nothing. The share is a percentage of extra profit, so no extra profit means no fee.
How is the baseline set?
From the average of your last six months for each service, agreed in writing before we start, so nobody argues later.
Who does the clinical work?
Your pharmacists and prescriber. We design, train, supervise and report. Patients always choose their pharmacy, and their GP hears about any prescription with their consent.
Can I stop?
Yes, with 30 days' notice for new work. The share on services already running continues to the end of their 12 months.
Is it properly governed?
Everything is built to GPhC guidance for pharmacist prescribers and current NICE guidance, with audits you can show an inspector.
Is VAT included?
The share is plus VAT where it applies. Your accountant will see it clearly on each monthly statement.
Start with a free call.
Thirty minutes, no obligation. We will tell you honestly whether we think we can grow your profit.