Wasted medicines in England cost NHS millions and harm patients

In England, the National Pharmacy Association revealed that 3,400 tonnes of wasted medicines are disposed of annually, costing the NHS at least £480 million. The organization advocates for more frequent reviews of patients with multiple repeat prescriptions to identify unnecessary medications. Experts warn that surplus medicines can lead to patient safety issues, including antimicrobial resistance. NHS England is working to improve prescription management through its app, while local services are running campaigns to reduce waste amid ongoing shortages of essential medicines.

Wasted medicines in England cost NHS millions and harm patients
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society Published Aug 8, 2026

Topic overview

In brief

  • The National Pharmacy Association reported that 3,400 tonnes of unused medicines are discarded in England each year.
  • This waste costs the NHS at least £480 million annually and poses environmental and health risks.
  • The NPA calls for better management of repeat prescriptions to reduce waste and improve patient safety.

Summary

In England, a significant issue regarding wasted medicines has been highlighted by the National Pharmacy Association (NPA). The NPA reported that approximately 3,400 tonnes of unused or partly used medicines are discarded annually, which could fill 75 swimming pools. This waste not only represents a financial burden on the National Health Service (NHS), costing at least £480 million each year, but also poses environmental and health risks. Olivier Picard, chair of the NPA, emphasized the need for patients to only order medications they truly require, as any unused medicines must be disposed of once they leave the pharmacy.

The NPA, which represents around 6,000 independent community pharmacies in the UK, has called for more frequent reviews of patients with multiple repeat prescriptions. This initiative aims to identify medicines that are no longer needed, thereby reducing waste. Picard urged patients to be more mindful when requesting repeat prescriptions, stressing the importance of only ordering what is necessary. He also encouraged patients to consult their pharmacists if they have any concerns about their medications, which can help ensure that they are used effectively.

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Updated Aug 8, 2026

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