Pharmacy First service

The Pharmacy First advanced service was launched on Wednesday 31 January, 2024 following agreement with Community Pharmacy England and the Government.

The deal sets out how the £645 million investment pledged within the Delivery plan for recovering access to primary care will be used to support community pharmacy services.

Under the agreement, the new Pharmacy First advanced service includes providing advice and NHS-funded treatment, where appropriate, for the following seven common conditions:

  • earache
  • impetigo
  • infected insect bites
  • shingles
  • sinusitis
  • sore throat
  • uncomplicated urinary tract infections in women

Consultations for these seven clinical pathways can be provided to patients presenting to the pharmacy as well as those referred by NHS 111, general practices and other healthcare providers.

The service also incorporates the existing elements of the Community Pharmacist Consultation Service, such as minor illness consultations with a pharmacist and the supply of urgent medicines and appliances following a referral from NHS 111, general practices and other authorised healthcare providers, meaning that patients are not able to present to the pharmacy without a referral.

Greater Manchester Primary Care Provider Board will provide further supporting information and guidance on Greater Manchester engagement and delivery plans as soon as they are available. Please check this page for regular updates.

For further information, visit the Community Pharmacy England website and NHS England website.

Resources for general practice

Community Pharmacy advanced service specification.

Briefing for Local Medical Committees (LMCs) and general practice.

Launch of NHS Pharmacy First advanced service

NHSE Pharmacy First Guidance for care navigators and receptionists

NHSE North West Pharmacy First GP support pack letter

NHSE North West Pharmacy First explainer for general practice teams

Pharmacy First referral criteria

Pharmacy First referral quick reference guide

Pharmacy First: Information for GPs – Community Pharmacy England. The page contains an infographic and animation explaining more about the service.

Clinical pathways

Pharmacy First clinical pathways

Clinical pathwayAge range
Acute Otitis Media (earache)1 to 17 years
Impetigo1 year and over
Infected insect bites1 year and over
Shingles    18 years and over
Sinusitis12 years and over
Sore throat5 years and over
Uncomplicated urinary tract infectionsWomen 16 to 64