Select committee: Public Accounts Committee
Conclusion 26
30th Report - Antimicrobial resistance: addressing the risks
Published 13 Jun 2025
Addressed to HM Treasury
Public Accounts Committee Antimicrobial resistance: addressing the risks All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Conclusion (the committee's words)
Under the Pharmacy First scheme introduced in early 2024, patients can now consult pharmacists directly for several minor illnesses and conditions that previously required a GP visit and the pharmacist can prescribe medicines if necessary. NHS England commented that early evidence from Pharmacy First was that GPs were following the relevant protocols, and it had not seen any increase in the use of antibiotics. However, we have also seen a report of a March 2025 study claiming that patients with a sore throat are twice as likely to be given antibiotics by a pharmacist in England than they are in Wales. An author of the research study said that one possible reason for the difference might be the use of diagnostic tests for patients in Wales.66 64 AR0004, AR0005, AR0008, AR0009, AR0010, AR0014, AR0015, AR0017, AR0024 65 Q 40 66 Q 40; Pharmacies in England may be twice as likely to supply antibiotics for sore throat than in Wales, 12 March 2025 16 2 Reducing the threat of AMR in the future Getting the basics right
From: Public Accounts Committee, 30th Report - Antimicrobial resistance: addressing the risks (HC 646), 13 June 2025
Government response
Latest Treasury Minutes progress report to the Committee of Public Accounts on the Thirtieth Report of Session 2024-26
The government responded to the whole report on 4 June 2026 (deadline 13 August 2025).
Treasury minutes: Government response to the Committee of Public Accounts on the Thirtieth report from Session 2024-26
Published 18 September 2025.
Summary written by Accountability Index from the government's response. It is not the government's own words.The government says it agrees with the Committee's recommendations on antimicrobial resistance, and sets out target implementation dates ranging from Winter 2025 to Autumn 2027.
- On progress against targets, the government agrees, and says targets are subject to annual review over the summer, "with the potential to revise, if deemed appropriate and agreed by the UK AMR Strategy Board".
- On transparency, it agrees and says the government "will publish the first of these reports by the autumn", describing activity during the first year of the 2024-2029 National Action Plan.
- On diagnostics, it agrees (target date Spring 2027) and says engagement will inform an "infection diagnostics framework" by 2027, with point-of-care test pilots reporting in 2026-2027.
- On wastewater, it agrees (target date Autumn 2027); the department "will provide a full response via a White Paper in Autumn 2025" and "will commission further research" on evidence gaps "by Summer 2026".