NHS Pharmacy First

Quick, convenient care for common conditions. Our pharmacist can assess you and, when appropriate, provide treatment under NHS Patient Group Directions (PGDs), or advise and refer if needed.

Not for emergencies — call 999 or use 111 for urgent advice.

Sore throat (including tonsillitis)

Who we can treat: ages 5 years and over.

Common symptoms: sore throat, swallowing pain, fever, swollen tonsils (sometimes with pus), tender neck glands.

What we do: assess with recognised criteria (e.g. FeverPAIN). We give self-care advice; and if criteria are met, we may supply an appropriate antibiotic under the NHS PGD, or refer if red-flag symptoms are present.

NHS: Tonsillitis · NHS: Sore throat

Eligibility: Pharmacy First age range for sore throat is 5+ years.

Sinusitis

Who we can treat: ages 12 years and over.

Common symptoms: facial pain/pressure, blocked or runny nose (often green/yellow), reduced smell, headache.

What we do: assess duration/severity, provide self-care (pain relief, nasal saline/steroid where suitable); antibiotics are rarely needed but can be supplied under PGD when indicated; otherwise safety-netting or referral.

NHS: Sinusitis

Eligibility: Pharmacy First age range for sinusitis is 12+ years.

Infected insect bites

Who we can treat: ages 1 year and over.

Common symptoms: increasing redness/swelling, warmth, pain, pus or crusting after a bite or sting.

What we do: advise on antihistamines/soothing care; if signs of infection are present we may supply an antibiotic under PGD (or erythromycin options where appropriate), or refer if cellulitis/other red flags are suspected.

NHS: Bites and stings

Eligibility: Pharmacy First age range for infected insect bites is 1+ years.

Shingles

Who we can treat: ages 18 years and over.

Common symptoms: burning/tingling pain followed by a stripe-like blistering rash on one side of the body or face.

What we do: assess rash onset and severity; when appropriate and within time window we may supply antiviral treatment under PGD; urgent referral if eye involvement, widespread rash, pregnancy, immunosuppression or severe pain.

NHS: Shingles

Eligibility: Pharmacy First age range for shingles is 18+ years.

Urinary tract infection (UTI)

Who we can treat: women aged 16 to 64 years (non-pregnant).

Common symptoms: burning when peeing, frequency/urgency, lower tummy pain; urine may be cloudy or strong-smelling.

What we do: assess symptoms and risk factors; provide self-care advice and, if appropriate, supply antibiotics under PGD; refer if red flags (fever/flank pain, pregnancy, recurrent UTIs, men, children, frailty, catheter, etc.).

NHS: UTIs

Eligibility: Pharmacy First UTI pathway is for non-pregnant women 16–64 years.

Impetigo

Who we can treat: ages 1 year and over.

Common symptoms: red sores that quickly burst and form a honey-coloured crust; often around the mouth/nose or limbs.

What we do: confirm typical appearance; provide hygiene/self-care advice; may supply the appropriate antibiotic under PGD when indicated; advise on exclusion from nursery/school until treated and crusted over.

NHS: Impetigo

Eligibility: Pharmacy First age range for impetigo is 1+ years.

Age ranges and eligibility follow the NHS Pharmacy First service for England. Learn more on the official page: NHS England – Pharmacy First .

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