The National Pharmacy Association (NPA) is preparing to ballot its members on potential 'work-to-rule' actions in response to severe funding cuts that have reduced core government support for pharmacies in England by 40% since 2015-16. If the ballot passes, pharmacies could limit their operating hours and withdraw certain services, including free deliveries and emergency contraception, as they seek a £1.3 billion funding increase to address financial challenges. The move comes after 1,500 pharmacies have closed over the past decade, with many struggling to dispense NHS medicines profitably. NPA chief executive Paul Rees emphasized that ongoing cuts are jeopardizing patient care and urged the government to engage constructively to enhance community healthcare. The ballot will take place over six weeks, and if approved, actions could commence before Christmas. While pharmacies in England face significant challenges, those in Scotland report better financial support, highlighting disparities in health funding across the UK.