This report is to set out the recommendations for recommissioning the Pharmacotherapy function of the Herefordshire Stop Smoking Service. Stop smoking services are public health services for early identification, treatment, and interventions to prevent the onset of avoidable disease and development of long-term conditions. These diseases and other long-term conditions would otherwise take up a high level of health and social care resources. These are services mandated by Office for Health Improvement and Disparities, to be funded from the ring-fenced public health grant, for which responsibility transferred from the NHS to local authorities in 2013. The existing contract is due to expire in March 2025. The recommendations made take account of the evidence base, lessons learnt following review of current services, and available resources to ensure cost effective delivery to achieve good health outcomes