Pharmacy aseptic compounding services for the NHS in England are facing a number of challenges, which are being embraced with an ongoing national programme of work to develop and implement a national strategy for service development. With increasing demands, Tim Root, NHS Specialist Pharmacy Service, London, UK, highlights how the service can be developed to meet future needs. This interview took place at the International Society of Oncology Pharmacy Practitioners (ISOPP) Symposium 2019, hosted by the British Oncology Pharmacy Association (BOPA), held in London, UK.