How to Use the NHS Pharmacy First Service

The NHS Pharmacy First service is designed to make it quicker and easier to get treatment for common health conditions without needing a GP appointment. 

Available across England, Wales and Scotland it allows trained community pharmacists to assess, advise, and in some cases treat certain illnesses, often on the same day.

If you’ve been struggling to get a GP appointment or aren’t sure whether your symptoms need a doctor, Pharmacy First could be the ideal first step.

What Is NHS Pharmacy First?

Pharmacy First enables community pharmacists to provide NHS consultations for a range of common conditions. These consultations are free, and where appropriate, pharmacists can supply NHS-funded treatment rather than simply offering over-the-counter advice.

The aim is to:

Reduce pressure on GP surgeries and A&E

Help patients get faster access to care

Make better use of pharmacists’ clinical expertise

Conditions You Can Be Treated For

Under Pharmacy First, pharmacists can assess and treat several common conditions, including:

For adults

Sinusitis

Sore throat

Earache

Infected insect bites

Impetigo

Shingles (early presentation)

For women and girls

Uncomplicated urinary tract infections (UTIs)

The pharmacist will check symptoms carefully to ensure the condition is suitable for treatment under the service. If not, they’ll advise on the next best step — such as contacting your GP or NHS 111.

How to Access Pharmacy First

1. Walk into a Participating Pharmacy

You don’t need an appointment. Simply visit a local pharmacy offering the service and ask for a Pharmacy First consultation.

2. NHS Referral

You may also be referred by:

NHS 111

GP practices

Urgent care or A&E services

This helps direct patients to the right care setting quickly.

What Happens During the Consultation?

Pharmacy First consultations are carried out in a private consultation room. The pharmacist will:

Ask about your symptoms and medical history

Check how long symptoms have lasted

Assess whether treatment can be safely provided

Supply NHS medication if appropriate

Give clear self-care advice and safety-net guidance

If symptoms suggest something more serious, the pharmacist will refer you onwards promptly.

What Treatment Can Pharmacists Provide?

Depending on the condition, pharmacists may:

Supply prescription-only medicines under NHS protocols

Recommend appropriate self-care measures

Advise on pain relief, symptom management, and recovery times

Any treatment supplied through Pharmacy First is recorded on your NHS record, ensuring continuity of care.

Who Can Use Pharmacy First?

You can use the service if you:

Are registered with a GP in England

Have symptoms that fall within the service criteria

Meet the age and clinical requirements for the condition

There is no charge for the consultation, and normal NHS prescription charges apply where relevant (unless you are exempt).

When Pharmacy First Isn’t Appropriate

Pharmacy First is not suitable for:

Severe or worsening symptoms

Chest pain or breathing difficulties

Serious infections

Children outside the age limits for certain conditions

In these cases, pharmacists will direct you to urgent or emergency care.

Why Pharmacy First Matters

For many people, Pharmacy First means:

Faster access to treatment

Less time waiting for GP appointments

Expert advice close to home

Early intervention that can prevent complications

Community pharmacies are often open during evenings and weekends, making them one of the most accessible parts of the NHS.

The NHS Pharmacy First service is a practical, patient-friendly way to manage everyday health concerns. 

If you’re unwell and unsure where to turn, your local pharmacy could be the quickest route to reassurance and treatment — without adding pressure to GP services.

If in doubt, step into your nearest participating pharmacy and ask. Help may be closer than you think.

I must point out that my wife and I have used the NHS Pharmacy First Service on a number of occasions and have received wonderful help and support. 

Superflu: Symptoms to Watch For and How to Deal With Them at Home

Over recent winters, especially this winter, many people have reported being hit by what’s commonly being called the “superflu” a particularly aggressive strain of flu that feels more intense, lasts longer, and leaves even normally resilient people feeling completely wiped out. 

Even those who have had their flu jab have found themselves struggling with severe symptoms.

While flu viruses vary from year to year, the key challenge with this superflu bug is the combination and persistence of symptoms, which can make day-to-day functioning almost impossible for a time.

Below is a clear guide to the most common symptoms and practical, realistic ways to manage them at home.

Common Symptoms of the Superflu

High Fever and Chills

A sudden spike in temperature is often one of the first signs. This can come with intense shivering, hot flushes, sweating, and a feeling of being unable to regulate body temperature.

How it feels:

Alternating between being freezing cold and unbearably hot, often accompanied by headaches and body aches.

Severe Fatigue and Weakness

This is not “normal tiredness.” Many people describe extreme exhaustion where even sitting up, showering, or holding a conversation feels like too much effort.

How it feels:

Heavy limbs, brain fog, dizziness, and the need to sleep for long stretches.

Persistent Cough and Chest Symptoms

A deep, painful cough is common, sometimes producing phlegm that may be yellow, green, or brownish in colour. Chest tightness and soreness from coughing can follow.

How it feels:

Burning or aching in the chest, disrupted sleep, and breathlessness after minimal activity.

Congestion, Sore Throat, and Sinus Pain

Blocked or streaming nose, sinus pressure, ear discomfort, and a raw or scratchy throat often appear together.

How it feels:

Facial pressure, headaches behind the eyes, painful swallowing, and post-nasal drip.

Gastrointestinal Upset (in some people)

Nausea, reduced appetite, stomach cramps, or diarrhoea can occur, particularly when fever is high.

How it feels:

Food aversion, dehydration risk, and weakness layered on top of existing fatigue.

Headaches and Sensitivity

Strong headaches, light sensitivity, and difficulty concentrating are frequently reported.

How it feels:

A pounding or tight band-like pain across the head, worsened by movement or noise.

How to Deal With Superflu Symptoms at Home

Rest Is Not Optional

This bug demands rest. Pushing through can significantly prolong recovery.

Stay in bed as much as possible

Cancel non-essential commitments

Accept help with meals, chores, or childcare if available

Hydration Is Critical

Fever and sweating quickly lead to dehydration.

Sip water regularly, even if you don’t feel thirsty

Include warm drinks like herbal teas or hot water with lemon

Oral rehydration solutions can help if appetite is poor

Manage Fever and Pain Safely

Over-the-counter pain relief can help reduce fever, headaches, and body aches.

Use paracetamol or ibuprofen as directed

Avoid doubling up medications with similar ingredients

Lukewarm flannels can help with overheating

Ease Coughs and Congestion

Steam inhalation or a humidifier can soothe airways

Honey or syrup-based remedies may calm coughs

Prop yourself up with pillows at night to ease breathing

Gentle Nutrition

You may not feel like eating much, but small amounts help recovery.

Soups, broths, mashed foods, and toast are ideal

Avoid heavy, greasy meals

Eat little and often if possible

Support Sleep

Sleep may be broken by coughing or fever.

Nap when your body allows

Keep the room cool but comfortable

Reduce screen use before resting to avoid headaches

When to Seek Medical Advice

While most people will recover at home, do seek medical help if you experience:

Difficulty breathing or chest pain

Confusion or severe drowsiness

A fever that won’t come down

Symptoms lasting more than 7–10 days without improvement

Worsening cough or signs of a chest infection

The superflu is not something to “power through”. It is a serious, draining illness that demands rest, patience, and proper care. Listening to your body, staying hydrated, and giving yourself permission to stop are key to recovery.

If you’re currently dealing with it, be kind to yourself — recovery may be slow, but it will come.

Well Woman Weekends Launched to Support Halton Women this Month

Fortuna Female Society has announced a new programme of Well Woman Weekends, launching this month, January, following clear feedback from women across Halton asking for more accessible support.

The charity’s recent community consultation and online survey highlighted a strong call for daytime and weekend activities, alongside opportunities to relax, reduce stress and build confidence. 

Women also asked for practical sessions that fit around real life, without pressure or cost barriers.

In response, Fortuna Female Society trialled a number of additional activities in the run-up to Christmas. 

These were well attended and received positive feedback, prompting the charity to expand the programme into a dedicated January offer.

January is often a challenging time for many women, with long weeks, financial pressure after Christmas and fewer opportunities to pause and recharge. Well Woman Weekends have been designed to offer practical, welcoming activities during this period.

The January programme includes:

Women’s Meditation Circle, returning by popular demand

Your Wellbeing Toolkit Workshop, a new practical session hosted by The Wellbeing Lady, focusing on simple tools to support mental and emotional health

Relaxing Sound Bath, a new session hosted by The Raven Tree, using sound to support rest and renewal

Women’s Self-Defence Course, a new short course focused on awareness, movement and practical skills in a women-only setting

Laura Bevan, Chair of Fortuna Female Society, told That's Health: “January can be a tough month, and financial pressure can feel isolating. So many women told us they want time and space to relax and connect with other women. Well Woman Weekends are about offering that space, giving women a chance to slow down, feel supported, and take part in something that feels good for them.”

All Well Woman Weekend activities are free to attend, with donations welcomed to help support Fortuna Female Society’s ongoing work across Halton.

Places can be booked via the Fortuna Female Society website at www.fortunafemale.org/event-directory

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Garlic and Its Role in Fighting Colds and Flu

For centuries, garlic has been used as a natural remedy to support the body during illness. 

Long before modern medicine, cultures across Europe, Asia and the Middle East relied on garlic to help ward off infections, particularly during the colder months when coughs, colds and flu are at their peak. 

While it is not a cure, garlic can play a helpful supporting role when your immune system is under attack.

Why Garlic Has a Reputation for Fighting Infection

Garlic contains a sulphur-based compound called allicin, which is released when garlic is crushed or chopped. Allicin is responsible for garlic’s distinctive smell, but more importantly, it has antimicrobial and antiviral properties.

Research suggests that allicin may help:

Inhibit the growth of certain bacteria and viruses

Support immune cell activity

Reduce inflammation in the body

This combination makes garlic particularly popular during cold and flu season.

Garlic and the Common Cold

The common cold is caused by viruses, and while garlic cannot prevent exposure, regular consumption may help reduce the severity or duration of symptoms for some people.

People who use garlic as part of their diet often report:

Shorter-lasting colds

Milder symptoms

Faster recovery times

This may be due to garlic’s ability to stimulate immune responses, helping the body react more efficiently once an infection takes hold.

Garlic’s Role During Flu

Flu places significant stress on the immune system. Garlic is often used as a complementary remedy because it:

Encourages immune defence activity

Has mild antiviral effects

Supports circulation, which helps immune cells move through the body

While garlic should never replace medical treatment for flu—especially for vulnerable people—it can be a useful addition alongside rest, hydration and prescribed medication.

Best Ways to Use Garlic for Immune Support

Garlic can be taken in several forms, depending on taste and tolerance:

Raw garlic

Crushing a clove and letting it sit for a few minutes before eating helps maximise allicin formation. This can be mixed into food or swallowed with water.

Garlic tea

Steep crushed garlic in hot (not boiling) water. Many people add lemon and honey to improve flavour and soothe the throat.

Cooked garlic

While cooking reduces allicin levels, garlic still retains beneficial compounds and is gentler on the stomach.

Garlic supplements

Odourless capsules are an option for those who dislike raw garlic, though quality and strength can vary.

How Much Garlic Is Enough?

There is no officially recommended dose for garlic as a remedy, but commonly suggested amounts include:

1–2 raw cloves per day during illness

Regular inclusion of garlic in meals for ongoing immune support

More is not always better. Excessive garlic can cause stomach irritation, heartburn or interact with certain medications.

Who Should Be Cautious?

Garlic is generally safe for most people, but caution is advised if you:

Take blood-thinning medication

Have stomach ulcers or digestive sensitivity

Are preparing for surgery

If in doubt, it is always sensible to speak with a healthcare professional.

Garlic as Part of a Bigger Picture

Garlic works best as part of a wider approach to health rather than as a stand-alone solution. Adequate sleep, good nutrition, hydration, and following medical advice remain the cornerstones of recovery from colds and flu.

Garlic’s long-standing reputation as a natural infection-fighter is supported by both tradition and modern research. While it will not prevent every cold or flu, it may help your body respond more effectively when illness strikes. 

Simple, affordable and widely available, garlic remains a humble but powerful ally during the winter months.

I am following my own advice and taking garlic. 

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