Pharmacy First

Eligible patients in England can receive advice and treatment for certain common conditions through the NHS Pharmacy First service, subject to eligibility criteria.

What Pharmacy First Is

Pharmacy First gives eligible patients a convenient way to receive advice and treatment for certain common conditions without booking a GP appointment first.

Our trained pharmacy team will assess your symptoms, provide clear advice, and explain whether treatment, self-care, or referral is the right next step.

No prescription? No problem!

Pharmacy First has launched in England which means you can now access expert advice and prescription medication directly from your pharmacist for 7 common conditions, eliminating the need to see your GP.

The common conditions covered by the service include earache, impetigo, insect bites, shingles, sinusitis, sore throat, and uncomplicated UTIs in women.

*Online consultations are unavailable for earache treatment

Who is eligible for Pharmacy First England?

You can receive advice and treatment for the health conditions listed below at pharmacies across England if you live in, and are registered with a GP practice, in England.

The age range and eligibility criteria is listed below for each of the 7 conditions included in the service:

Condition
Age Range / Eligibility Criteria
1 to 17 years old – This service is not suitable for patients suffering with recurrent acute otitis media (3 or more episodes in 6 months or four or more episodes in 12 months). Not available online
1 year and over – This service does not cover patients suffering from bullous impetigo or recurrent impetigo (defined as 2 or more episodes in the same year)
1 year and over
18 years and over – This service is not suitable for pregnant individuals
12 years and over – This service does not cover immunosuppressed individuals, or patients suffering with chronic sinusitis (sinusitis that causes symptoms that last for more than 12 weeks)
5 years and over
Women aged 16-64 years – This service is not suitable for pregnant women, patients with a urinary catheter, or patients who have suffered from recurrent UTI (2 episodes in last 6 months, or 3 episodes in last 12 months)

How It Works

Getting expert advice and support is simple and straightforward.

01

Discuss your symptoms

Talk to our pharmacy team about your symptoms in a private consultation.

02

Clinical assessment

Our pharmacist will assess your symptoms and medical history to understand your needs.

03

Receive treatment or advice

You may be given advice, recommended an over-the-counter treatment or supplied NHS-authorised medication where appropriate.

04

Referral if needed

If your condition requires further investigation or specialist care, we will refer you to your GP, NHS 111, urgent care, or another service.

Frequently Asked Questions

If our pharmacist prescribes medication, it is the same as if it came from your GP. If you pay for prescriptions, you will be charged the same rate. If you get free NHS prescriptions, this will also be free. If prescription medication is unnecessary, patients may be advised to manage with self-care or buy over-the-counter medications.

NHS Pharmacy First allows eligible patients in England to receive advice and treatment from a community pharmacist for certain common conditions, subject to the service’s eligibility criteria.

Your pharmacist will assess your symptoms and determine if Pharmacy First is appropriate. If you do not meet the criteria, you can still visit the pharmacy for general advice and guidance on suitable over-the-counter treatments.

Your pharmacist may recommend contacting your GP if your symptoms require further investigation, ongoing management or a different type of care.

If your symptoms worsen, persist, or cause concern, seek medical advice. You can contact NHS 111 for urgent guidance if unsure what to do. In a medical emergency, call 999.

Under Pharmacy First, trained pharmacists can assess eligible patients and provide advice, treatment, or NHS-authorised medicines where criteria are met. Some pharmacists hold additional prescribing qualifications, allowing them to prescribe within their competence and scope.

If your condition requires further investigation or specialist care, your pharmacist will advise you on the appropriate next steps.

Absolutely. Pharmacy First complements GP services; it does not replace your right to consult your GP.

Community pharmacists can help manage certain common conditions, providing a convenient alternative when appropriate. Your GP remains available for other health concerns, ongoing conditions, and problems needing further assessment.

If your pharmacist believes your symptoms need GP review or another healthcare service, they will guide you towards the appropriate care.

Start preparing for your trip

Contact Lancing Pharmacy with your destination and departure date. Our team will explain the next step and if a travel-health consultation is suitable.