by SHAILESH SOLANKI and SARWAR ALAM in Muscat, Oman
PRIME MINISTER Theresa May has voiced her strong support for community pharmacy, calling it the “frontline of the NHS”.
“Community pharmacy is a vital part of the healthcare system. In many ways, it is the frontline of the NHS, providing support to the many millions of people who rely on your businesses for access to medicines and healthcare advice.
“The government recognises the vital role community pharmacy plays in maintaining and
improving health of the communities you serve,” May said in a message to delegates at the 11th annual Sigma conference in Muscat, Oman, last Sunday (17).
“The government wants to build upon the innovative success of community pharmacy, encouraging further collaboration and partnership with the NHS to develop a stronger role for community pharmacists,” she added.
More than 250 delegates attended this year’s conference at Shangri-La Palace in Muscat, with the theme “Securing the Future” for community pharmacy.
In separate messages, Matt Hancock, the health and social care secretary; and Steve Brine, parliamentary under secretary of state for health, with responsibility for pharmacy, reinforced the call for pharmacy to be the “first port of call” for patient care.
“I want to see community pharmacies doing much more,” said Hancock. “In this country, too often we go to the GP, when our problems can often be solved by pharmacists. I want us to be a country where our first port of call is to go and see the pharmacy.
“I see community pharmacy as an asset in the community helping people to stay healthy and that’s the vision I want for the whole health system in the UK.”
Brine added: “Community pharmacy plays a vital role in keeping people healthier in the community for longer. It is uniquely placed to achieve this in the heart of every single community. The government wants to see community pharmacy embraced more
fully as the first point of call for health advice.
“The NHS long-term plan sets out the government’s ambition to better utilise the skillset of community pharmacy to both deliver more services to people and relieve pressure on other parts of the system. It cements pharmacy first in dealing with minor illness.”
The government support comes after a series of cuts to pharmacy funding over the past two years, which were strongly opposed by the National Pharmacy Association (NPA) and the Pharmaceutical Services Negotiating Committee (PSNC). Both organisations took the government to court over the funding cuts, but lost.
There was a distinct change in tone to this year’s conference, as pharmacy leaders sought to set out a vision for the profession as an integral part of primary care.
The conference heard pharmacy leaders debate a new vision and funding model for community pharmacy, offering a variety of services to patients from minor ailments to mental health, all aimed at easing the pressure on GPs and A&E services.
In a hard-hitting and thought provoking presentation, Hemant Patel, a former president of the Royal Pharmaceutical Society, said “the current community pharmacy business model is dead”.
He added: “There will be a 40 per cent reduction in prescription volumes by 2025. Community pharmacy needs to adopt a high street clinic model and embrace technology and the digital age.”
NPA chief executive Mark Lyonette stressed that the sector’s leaders were doing everything
they could to secure the future of community pharmacy.
“At the moment, because of Brexit, we can’t start negotiations with the government for the pharmacy contract and there is no clarity of vision for the future,” he said. “However, we are pushing alongside PSNC, for a five-year deal just like the GPs that will give security and opportunities for community pharmacists to become trained clinical practitioners in the primary healthcare sector.”
The conference is hosted annually by Sigma Pharmaceuticals, one of the largest independent wholesalers in the country, servicing over 3,000 pharmacies. The business
was started by Bharat Shah and his family from a single pharmacy shop in Watford in 1982.
Hatul Shah, executive director at Sigma, said: “The conference has probably been the best ever. What we have seen is my father’s vision come to fruition where we had all the different industries within the sector, such as wholesalers, manufacturers, distributors and community pharmacists, come together and collaborate. To see the pressures each face and how we can work together to progress.
“We have been hearing for years that we need to change the way we do things, and this conference gives people a platform on how community pharmacy can evolve.”
TENSIONS with Pakistan, fluctuating ties with Bangladesh, and growing Chinese influence in Nepal and Sri Lanka have complicated India’s neighbourhood policy, a top foreign policy and security expert has said.
C Raja Mohan, distinguished professor at the Motwani Jodeja Institute for American Studies at OP Jindal Global University, has a new book out, called India and the Rebalancing of Asia.
He also described how India’s engagement with the US, Japan, Australia and Europe has moved from symbolism to one of substance. Raja Mohan said, “After independence, India withdrew from regional security politics, focusing on global issues and non-alignment. But the past decade has seen a reversal. India is now back in the Asian balance of power. The very concept of the ‘Indo-Pacific’ reflects that, putting the ‘Indo’ into the ‘Pacific.’”
The idea, he explained, has deep historical roots: “The British once viewed the Indian and Pacific Oceans as interconnected realms. Now, after decades of separation, those spaces are merging again.”
Narendra Modi with Xi Jinping and (right)Vladimir Putin at last month’s SCO summit in China
While India once aspired to build a “post-Western order” alongside China, those dreams have long since faded, according to the expert.
“Contradictions between India and China have sharpened,” he said, citing territorial disputes, a $100 billion (£75bn) trade deficit, and China’s growing influence among India’s neighbours.
By contrast, India’s ties with the US and Europe have strengthened.
“Where once India shunned security cooperation with Washington, it is now deeply engaged,” he said. Yet he emphasised that India remains an independent actor, “not a traditional ally like Japan or Australia.”
His comments were made during the Adelphi series, hosted by the International Institute for Strategic Studies (IISS) last month. According to the expert, who is also a visiting research professor at the National University of Singapore, the return of India to regional security politics marks a significant change in its foreign policy since independence. Popular discussions about the “rise of Asia” tend to oversimplify what Raja Mohan explained was a deeply uneven transformation. “It’s more accurate to say Asia as a whole is rising,” he said, adding, “but not evenly. China has risen much faster than the rest.”
This imbalance has created internal contradictions within Asia, according to the academic. “China’s sense of entitlement to regional dominance and its territorial claims have provoked reactions from other Asian countries,” he said.
While China’s economic ascent, once “a marriage of Western capital and Chinese labour”, that relationship has strained over the past 15 years as the Asian country grew into a global military and economic powerhouse, according to Raja Mohan.
And the US, which previously nurtured China’s growth, now seeks to restore balance in Asia, shifting from a policy of engagement to one of cautious competition, he said.
Dwelling on India’s rise, he said, “The question is not whether India can match China alone, but whether it can help build coalitions that limit unilateralism. History shows weaker states can play crucial balancing roles, as China once did against the Soviet Union.”
He explored how the US-China and India-China dynamics might evolve, particularly under US president Donald Trump.
“Some believe the US is retrenching to focus on Asia, others think Trump might seek a grand bargain with China,” Raja Mohan said. “Much depends on how Washington manages its ties with Russia and its global posture.”
He also described how India’s engagement with the US, Japan, Australia and Europe has moved from symbolism to one of substance. Raja Mohan said, “After independence, India withdrew from regional security politics, focusing on global issues and non-alignment. But the past decade has seen a reversal. India is now back in the Asian balance of power. The very concept of the ‘Indo-Pacific’ reflects that, putting the ‘Indo’ into the ‘Pacific.’”
The idea, he explained, has deep historical roots: “The British once viewed the Indian and Pacific Oceans as interconnected realms. Now, after decades of separation, those spaces are merging again.”
While India once aspired to build a “post-Western order” alongside China, those dreams have long since faded, according to the expert.
“Contradictions between India and China have sharpened,” he said, citing territorial disputes, a $100 billion (£75bn) trade deficit, and China’s growing influence among India’s neighbours.
By contrast, India’s ties with the US and Europe have strengthened.
“Where once India shunned security cooperation with Washington, it is now deeply engaged,” he said. Yet he emphasised that India remains an independent actor, “not a traditional ally like Japan or Australia.”
His comments were made during the Adelphi series, hosted by the International Institute for Strategic Studies (IISS) last month. According to the expert, who is also a visiting research professor at the National University of Singapore, the return of India to regional security politics marks a significant change in its foreign policy since independence. Popular discussions about the “rise of Asia” tend to oversimplify what Raja Mohan explained was a deeply uneven transformation. “It’s more accurate to say Asia as a whole is rising,” he said, adding, “but not evenly. China has risen much faster than the rest.”
This imbalance has created internal contradictions within Asia, according to the academic. “China’s sense of entitlement to regional dominance and its territorial claims have provoked reactions from other Asian countries,” he said.
While China’s economic ascent, once “a marriage of Western capital and Chinese labour”, that relationship has strained over the past 15 years as the Asian country grew into a global military and economic powerhouse, according to Raja Mohan.
And the US, which previously nurtured China’s growth, now seeks to restore balance in Asia, shifting from a policy of engagement to one of cautious competition, he said.
Dwelling on India’s rise, he said, “The question is not whether India can match China alone, but whether it can help build coalitions that limit unilateralism. History shows weaker states can play crucial balancing roles, as China once did against the Soviet Union.”
He explored how the US-China and India-China dynamics might evolve, particularly under US president Donald Trump.
“Some believe the US is retrenching to focus on Asia, others think Trump might seek a grand bargain with China,” Raja Mohan said. “Much depends on how Washington manages its ties with Russia and its global posture.”
China, he noted, has already toned down its aggressive “wolf warrior” diplomacy, realising that assertiveness has backfired. Yet the underlying structural contradictions between China and both the US and India “are unlikely to disappear.”
Asked about India’s balancing act between the US and Russia, especially after Moscow’s invasion of Ukraine, the expert was pragmatic.
“India has steadily moved closer to the US and the West, but Trump’s trade-first approach has caused turbulence,” Raja Mohan said.
He cited the threats of high tariffs on Indian imports and resentment over trade imbalances with Washington DC.
On Russia, Raja Mohan’s view was that the relationship has been “in slow decline since the 1990s.”
While India’s GDP now outpaces Russia’s, it continues to engage Moscow for practical reasons. “India’s oil purchases from Russia rose from two per cent to forty per cent after 2022. That’s pragmatism, not alignment,” Raja Mohan said.
He added that prime minister Narendra Modi’s recent handshakes with China’s president Xi Jinping and Russia’s president Vladimir Putin at the Shanghai Co-operation Organization (SCO) summit in China were “signals, reminders to the West that India has options.”
Raja Mohan said India was at the cusp of a historic transformation. “India once provided security across Asia - in both world wars, millions of Indian soldiers fought overseas. That history was forgotten when India withdrew from global security,” he said.
“Now we are reclaiming that role. Ideally, the partnership with the US is the best. But if not, India and other Asian powers will have to shoulder the burden themselves.”
“Japan, Korea, India, Australia - all will have to do more on their own,” he said. “We’ll need to pull up our own bootstraps.”
Dr Benjamin Rhode, senior fellow at IISS, chaired the session.
aggressive “wolf warrior” diplomacy, realising that assertiveness has backfired. Yet the underlying structural contradictions between China and both the US and India “are unlikely to disappear.”
Asked about India’s balancing act between the US and Russia, especially after Moscow’s invasion of Ukraine, the expert was pragmatic.
“India has steadily moved closer to the US and the West, but Trump’s trade-first approach has caused turbulence,” Raja Mohan said.
He cited the threats of high tariffs on Indian imports and resentment over trade imbalances with Washington DC.
On Russia, Raja Mohan’s view was that the relationship has been “in slow decline since the 1990s.”
While India’s GDP now outpaces Russia’s, it continues to engage Moscow for practical reasons. “India’s oil purchases from Russia rose from two per cent to forty per cent after 2022. That’s pragmatism, not alignment,” Raja Mohan said.
He added that prime minister Narendra Modi’s recent handshakes with China’s president Xi Jinping and Russia’s president Vladimir Putin at the Shanghai Co-operation Organization (SCO) summit in China were “signals, reminders to the West that India has options.”
Raja Mohan said India was at the cusp of a historic transformation. “India once provided security across Asia - in both world wars, millions of Indian soldiers fought overseas. That history was forgotten when India withdrew from global security,” he said.
“Now we are reclaiming that role. Ideally, the partnership with the US is the best. But if not, India and other Asian powers will have to shoulder the burden themselves.”
“Japan, Korea, India, Australia - all will have to do more on their own,” he said. “We’ll need to pull up our own bootstraps.”
Dr Benjamin Rhode, senior fellow at IISS, chaired the session.
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