Skip to main content

Pharmacy first

Pharmacies can now consult with patients directly for 7 common conditions. Find a participating pharmacy to locate pharmacies who are participating in the service. The following table shows the 7 conditions pharmacists can manage across various age ranges.

Clinical pathwayAge range
Acute otitis media*1 to 17 years
Impetigo1 year and over
Infected insect bites1 year and over
Shingles18 years and over
Sinusitis12 years and over
Sore throat5 years and over
Uncomplicated urinary tract infectionsWomen 16 to 64 years

* Distance selling pharmacies will not complete consultations for acute otitis media.

Patients will be able to access the 7 clinical pathways element via referrals from referring organisations including general practice, urgent and emergency care settings, and NHS 111 (online and via phone). In addition, for the 7 common conditions clinical pathway consultations only, patients can access the service by attending or contacting the pharmacy directly without the need for referral.

Providing high quality health and care services

For the 7 common conditions, pharmacists will follow a robust clinical pathway which includes self care and safety-netting advice and, only if appropriate, supplying a restricted set of prescription only medicines without the need to visit a GP.

These clinical pathways have been developed with input from various experts including practising GPs, pharmacists, and antimicrobial resistance specialists as well as representatives from national organisations such as the National Institute for Health and Care Excellence (NICE) and UK Health Security Agency. This ensures that the steps we take together match the care patients would receive in general practice and follow the latest national guidelines.

Pharmacies have private consultation rooms that can be used for consultations with patients, and pharmacists can see patients for clinical services without always needing an appointment.

Every pharmacist trains for 5 years in the use of medicines and managing minor illnesses, so they are well equipped to provide health and wellbeing advice to help people stay well. They are also experienced in spotting warning signs, otherwise known as red flag symptoms, which may warrant a referral to another healthcare provider.

After a consultation with the pharmacist, the pharmacy will send a notification to the patient’s GP on the same day or on the following working day.

Page published: 21 November 2025
Last updated: 16 December 2025