• Digital prescriptions lead to a land grab for nominations
• Pharmacy 2U, Echo, etc, become biggest pharmacies
• Move online extends to OTC sales (and advice) and reduces need for bricks and mortar pharmacy
• Domiciliary care bypasses pharmacy
• Proliferation of palliative care at home
• Pharma companies go direct to patients
• No new blockbuster launches
• Government squeezes pharmacy funding further to target NHS resources on long-term care
• Free market for service delivery leads to new entrants delivering elements of service
• Dispensing hubs/robotics create an unlevel playing field
• Inflation runs out of control
• Credit crunch – banks do not lend; recession
• Community pharmacy contract continues to squeeze procurement profit while demanding more for same/less
• Government introduces prescription co-payment, leading to drastic reduction in prescriptions.

Now rate and rank these potential trends to develop various scenarios in narrative form.