CEO’s Insights: The Negotiating Conundrum (BLOG)
Published: 30/07/24

Our core purpose is to support and develop a viable community pharmacy network, negotiation is obviously central to this and to your activities.
Over the years I would argue Community Pharmacy Scotland (CPS) have been relatively successful regarding negotiations. I’m sure there are things my Board and I would look back on over time, and with hindsight maybe have done something a bit differently but, overall funding wise, I believe Scotland's pharmacy network is in a better place due to our efforts.
“In many ways relationships have never been as important as they are now”
What do I believe are the important principles that have enabled this?
1. Relationships
2. Trust
3. Honesty
4. Seek first to understand’ ’Win win’
All these factors are huge in any negotiation. The Scottish Government, believe it or not, want the same as we do. They want a vibrant community pharmacy network that is enabled to deliver top class services to patients, whilst being a vital cog in the NHS primary care ecosystem.
“We will continue to work hard to obtain the best deal for you, our community pharmacy network”
Having positive relationships based on mutual trust, with honesty included, seems so obvious. However, without these relationship building blocks, negotiations of all kinds can often break down. These factors do not mean you cannot disagree or challenge each other, that would make for an unhealthy negotiating environment if everything was plain sailing.
Whilst the Scottish Government want the same outcomes, there are also things that must be recognised on both sides. Firstly, understanding the position of the opposite side is important and should inform thinking. Second to this, it is essential to look for wins on both sides. The latter has been obvious in the shaping of NHS Pharmacy First Scotland and the introduction of an independent prescribing service in recent years. These developments benefit both sides; the Scottish Government, in terms of delivering services required for patients, and the community pharmacy network, delivering value and a reason for being as we go forward and evolve service provision. These developments come at a cost though and this is generally recognised on both sides.
“CPS intensely models funding, to scope out scenario plans, and builds proactive proposals using this modelling to support our arguments”
In recent years, the evidence base has become more important. As funding becomes tighter the justification for funding (in terms of costs and extra resource) becomes more acute. CPS intensely models funding, to scope out scenario plans, and builds proactive proposals using this modelling to support our arguments.
Recent years have seen the Scottish Government struggle to balance the books. This has unfortunately had an impact on the normal timelines for negotiations, last year it was into July before any agreement was reached. This year with finances even more stretched, the timelines are being challenged even further. This is not helpful for CPS members already experiencing increasing costs and looking for certainty to support investment in their businesses. We understand this, the direct civil servants are aware of this, but the national finance teams are tightening the purse strings and more of the above work is needed. Our relationships are tested by the financial pressures which disrupt the normal negotiating process. In many ways relationships have never been as important as they are now.
With every negotiation you have to be prepared to walk away and illustrate the consequences of not being able to reach an agreement. In community pharmacy’s case, insufficient funding could lead to a reduction in the ability of contractors to provide services, whether that be the services themselves or reduced availability of services (e.g. through opening hours). No one wants this, but it is the reality that is understood on both sides of the negotiating table. So far, despite a prolonged negotiation period, discussions remain constructive. The CPS Board and Negotiating Team will exhaust all avenues before going down any other path. We will continue to work hard to obtain the best deal for you, our community pharmacy network.
Please send any questions relating to this blog to enquiries@cps.scot
This week’s MCR Ready Reckoner has been updated and is now available to download or you can view it via the App.
Our colleagues at NSS have asked us to pass on the following message:
NHS National Services Scotland (NSS) are undertaking a tech refresh of the Patient Registration Service (PRS) to ensure continued support. As part of this process, NSS will need to schedule a PRS system downtime.
Our colleagues at Public Health Scotland (PHS) have asked us to share the following update regarding the COVID-19 spring vaccine poster for people with a weakened immune system.
This week The Scotsman newspaper revealed that Scotland is on course for the highest number of annual flu deaths in almost half a century after more than than 350,000 fewer vaccines were given this winter.
Development of a new CPS strategy is well underway, with a final draft soon to be sent to the CPS Board for review.
Robert Gordon University (RGU) have developed a qualification aimed at post-registration pharmacy technicians across the UK entitled: BSc (Hons) Clinical Practice for Pharmacy Technicians.
You will play a key part in leading the pharmacy team, working across the healthcare area and dispensary, to meet patients’ needs. Your focus each day will be to look after your team, deliver a great service to our patients, through managing the workload and people to deliver on the operational requirements of the position.
A new letter has been jointly issued by Professor Sir Gregor Smith (Chief Medical Officer for Scotland), Professor Alison Strath (Chief Pharmaceutical Officer), and Anne Armstrong (Interim Chief Nursing Officer), underscores the importance of continued collaboration across health and social care.
Borders Pharmacy in Hawick is thrilled to announce an exciting opening for a Base Pharmacist. This role involves working alongside our experienced GpHC-registered non-pharmacist manager and a supportive dispensary team.
Are you an Independent Prescriber looking for a stable, part-time role that allows you to focus on delivering high-quality clinical services without the commitment of full-time hours? Stranraer Pharmacy is seeking a dedicated and passionate independent prescribing pharmacist to join our friendly and experienced team in providing exceptional care to our local community.
To view our latest eNewsletter through your browser, please click on the link
Lindsay and Gilmour are looking for a Full-Time Base Pharmacist to join their team at Lindsay and Gilmour Pharmacy in Inverkeithing Cross, Fife. Click to find out more and apply…
Read Victoria’s incredible real-world story of how a routine consultation through the NHS Pharmacy First Plus service led to the urgent referral of a patient who was later diagnosed with leukaemia.
Do you have questions about the updated Smoking Cessation Varenicline Service? Join us on Wednesday 7th May at 19:30 to 21:00 on Microsoft Teams - Click here to Register
Chest Heart and Stroke Scotland are running online training sessions on the FAST tool for identifying stroke, and community pharmacy team members are invited to join.
This Circular advises Health Boards and community pharmacy contractors of an updated Patient Group Direction (PGD) that is to be implemented for smoking cessation under the community pharmacy Public Health Service.
Our colleagues at Public Health Scotland (PHS) have asked that we disseminate the latest RADAR update to community pharmacy teams to inform you of concerns related to ongoing localised clusters of drug harms in multiple areas in Scotland.
Healthcare Improvement Scotland are gathering views and experiences from people currently taking Valproate, or those who have recently stopped.
Check out our Policy & PR Pharmacist, Sarah Scott, speaking to BBC Radio Scotland this morning about how people can manage their hay fever symptoms and access expert support through NHS Pharmacy First Scotland.
Please find attached NHS PCA(P)(2025)05 circular advising of a new Serious Shortage Protocol in place for Estradot® (Estradiol) 25 micrograms / 24 hours transdermal patch until Friday 2 May 2025.
Please find attached NHS circular PCA(P)(2025) 04 - Extension to Serious Shortage Protocols (SSPs) for Estradot (estradiol) 50, 75 and 100mcg patches, advising that the SSPs for the noted Estradot (estradiol) products have been extended until Friday 2 May 2025.
We are pleased to announce that following the close of the nominations on Thursday 3rd of April 2025, Martin Green, who stood unopposed for the position of Chair of Community Pharmacy Scotland and James Semple, who also stood unopposed for the position of Vice Chair, have both accepted these appointments for the 2025-2028 term.
Here is a round-up of all the important news this week, including the latest updates on Independent Prescribing and Community Pharmacy vacancies within the network.
Deans Pharmacy in Wishaw seeks a manager for one of Scotland's busiest pharmacies, offering robotic dispensing and a 24-hour collection point. Strong leadership and communication skills are essential. Competitive salary offered. Apply Now!
The approved list of products for the NHS Pharmacy First Scotland Service has been updated from the 1st April 2025.
It is important that we have an up to date record of our CPIPs and Trainees. If there are any changes to your circumstances, please let us know by completing the attached form and sending it to us on enquiries@cps.scot.
As a part of our work with the Scottish Government and Public Health Scotland, we regularly raise lines of concern and work to secure adjusted prices for these. We also work with them regularly to review lines which have now stabilised and remove these as appropriate.
NES are now in the process of gathering expressions of interest for FTY facilitators to support online and in-person training sessions for the next cohorts of NES FTY students in 2025/26.
When submitting your bundle of prescriptions to P&CFS, one of the things that should always be included is your yellow GP34 form, as it is a legal requirement. You will need to have counted your prescription submission before completing, which involves totalling your number of forms and items.

CEO
Community Pharmacy Scotland was pleased to meet with Dame Jackie Baillie MSP on Tuesday at The Scottish Parliament to discuss the vital role of community pharmacy in Scotland's healthcare system.