An evergreen guide for UK patients · Last reviewed June 2026
The NHS Pharmacy First Scheme launched in England in January 2024 to widen access to NHS treatment for common conditions. It lets community pharmacists assess, advise on, and where clinically appropriate supply prescription-only medicines for seven conditions, with no GP referral required. This guide explains what is covered, who is eligible, and how to use the service.
Pharmacy First is an NHS-commissioned clinical service delivered by community pharmacies in England. It builds on the older NHS Community Pharmacist Consultation Service and expands the role of pharmacists to include independent clinical assessment for specific conditions. The service is free at the point of use for eligible NHS patients (standard prescription charges may still apply).
Pharmacy First covers seven common conditions: 1) Sinusitis (12+ years), 2) Sore throat (5+ years), 3) Acute otitis media / earache (1 to 17 years), 4) Infected insect bites (1+ years), 5) Impetigo (1+ years), 6) Shingles (18+ years), and 7) Uncomplicated urinary tract infections in women aged 16 to 64. The pharmacist follows NHS clinical pathways for each condition and can supply prescription-only treatment where appropriate.
The service is for patients registered with a GP in England who fall within the age range for the condition being treated. You do not need to book an appointment in advance — most participating pharmacies offer walk-in consultations, though phoning ahead is recommended. Patients in Scotland, Wales and Northern Ireland have their own NHS minor ailments services.
Around 95% of NHS-contracted community pharmacies in England signed up to Pharmacy First when the scheme launched, but uptake varies by area and individual pharmacy. Use our directory to find a pharmacy near you and call to confirm before visiting.
The pharmacist will take you to a private consultation room and ask about your symptoms, medical history and current medications. They will follow the NHS clinical assessment pathway for your condition. If treatment is appropriate they will supply the medicine and (where relevant) provide self-care advice. If your condition needs further investigation they will refer you back to your GP or onwards to other NHS services.