02/06/2026
*Change to Repeat Prescription Issue Length*
(Including Hormone Replacement Therapy – HRT)
We are updating our prescribing policy for all repeat prescriptions, including Hormone Replacement Therapy (HRT).
From May 2026 all repeat medication will be moved to 28 day prescriptions.
Important exclusions
• Oral contraceptives (including the combined pill and progesterone only pill) are excluded from this change and will continue to be issued in line with current national guidance.
Why are we making this change?
• 28-day prescribing policy is recognised by the NHS to offer the best balance between patient convenience, safe medical prescribing and the avoidance of medication wastage. It helps your GP surgery to monitor which medications you are taking and to avoid inappropriate prescriptions.
• For some patients, we may also limit supplies to less than 28-days. This is however specific to the individual and will be discussed and documented accordingly.
What does this mean for HRT prescriptions?
HRT prescriptions will be issued on a 28 day cycle, in line with other repeat medications.
Will this cost more if you pay for prescriptions?
A Prepayment certificate could save you money if you pay for your NHS prescriptions.
The certificate covers all your NHS prescriptions for a set price. You will save money if you need more than 3 items in 3 months, or 11 items in 12 months.
Apply here:
👉 https://www.nhsbsa.nhs.uk/help-nhs-prescription-costs/nhs-prescription-prepayment-certificate-ppc
For HRT prescriptions:
The Government has introduced an HRT Prescription Prepayment Certificate (HRT PPC).
👉https://www.gov.uk/get-a-ppc/hrt-ppc
This means you only pay two prescription charges per year for your HRT medication — £19.80 for 12 months’ supply, regardless of how many eligible HRT items you need.
What about convenience?
We understand that collecting medication every 28 days may be less convenient, particularly for patients who take only one regular medicine. However, this change ensures fairness, safety, and consistency across prescribing and helps reduce unnecessary waste.
You can order your prescription one week (5 working days) before you require your medication.
When will this happen?
• Changes begin: May 2026
• All relevant repeat prescriptions moved to 28 day cycles by: September 2026
Thank you for your understanding and cooperation.
The Partners
A PPC could save you money if you pay for your NHS prescriptions. The certificate covers all your NHS prescriptions for a set price. You will save money if you need more than 3 items in 3 months, or 11 items in 12 months.The prescription charge in England is £9.90. A PPC costs:
