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.
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