Andrew Davies, Director of Hospital Pharmacy for NHS Improvement, London, UK, reviews the plans for improvements in pharmacy in the era of new drugs and increasing demands on the service. He touches upon digital worksteams, robotic dispensing and more. 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.