Why hundreds of everyday medicines are now so hard to get
England faces a growing shortage of everyday medicines as prices rise and supply chains strain. The price concessions list hit a record 210 medicines in April 2026, while pharmacies report losses and closures, and patients confront delays and treatment interruptions.
Why It Matters
Without reform, chronic-condition patients risk dangerous gaps in treatment and broader disruption to the healthcare system as pharmacy viability declines.
Timeline
9 Events
Epilepsy Society notes deaths linked to lack of medication
The Epilepsy Society has identified three deaths in the last two years where a lack of medication contributed to outcomes.
Budget and market viability context
The UK spends a smaller share of its health budget on medicines per patient than many Western European countries, affecting market viability and supply.
Volatile prices and supply pressures in other medicines
The article notes rising global costs and price gaps for medicines like Venlafaxine (concession price £3.89 vs lowest purchase price £5.25), contributing to smaller orders and potential shortages.
Industry and government response requests
The Independent Pharmacies Association (IPA) has asked the government to add medicines supply to the National Risk Register but has not yet received a response; industry leaders describe the system as broken and say patients suffer most.
Local impact in Shepperton and closures
In Shepperton, Surrey, one remaining pharmacy receives monthly prescriptions while others have closed; some items are unavailable, leaving the pharmacy out of pocket by about £9 per relevant item.
Pharmacists dispensing at a loss amid price moves
Pharmacists report that when market prices rise above the NHS tariff or concession price, they are reimbursed at the new price but must source the drug at the original lower price, causing losses and reduced stock.
Chloe's epilepsy medication shortage
Chloe, a 29-year-old with epilepsy, has struggled to obtain lamotrigine-based medication; shortages have led to seizures and injury, illustrating the real-world impact on patients.
April 2026 — record high on price concessions
In April 2026, the government's price concessions list reached a record 210 named medications as prices rose above the NHS tariff.
Pharmacies closures since 2017
Since 2017, about 1,500 High Street pharmacies in England have shut, with 27 closing so far in 2026.