Pharmacy First

The Pharmacy First service commenced on 31st January 2024

Pharmacy owners who registered by 11.59pm on 30th January 2024 must deliver a minimum of five Pharmacy First – clinical pathway consultations that cross the Gateway point by 11.59pm on 31st March 2024 to keep the £2,000 payment.

About the Service

The new Advanced service involves pharmacists providing advice and NHS-funded treatment, where clinically appropriate, for seven common conditions:

  • sinusitis
  • sore throat
  • acute otitis media
  • infected insect bite
  • impetigo
  • shingles
  • 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 others.

The service will also incorporate the existing elements of the Community Pharmacist Consultation Service, i.e. minor illness consultations with a pharmacist and the supply of urgent medicines (and appliances), both following a referral from NHS 111, general practices and other authorised healthcare providers (i.e. patients are not able to present to the pharmacy without a referral).

In the clinical pathway consultations with a pharmacist, people with symptoms suggestive of the seven conditions will be provided with advice and will be supplied, where clinically necessary, with a prescription-only treatment under a Patient Group Direction (PGD) or in one pathway, an over-the-counter medicine (supplied under a clinical protocol), all at NHS expense.

In the future, we hope that independent prescribers will be able to use their skills to complete episodes of care within the service, without the need for a PGD. However, for the time being, all pharmacists providing the service must use the PGDs and clinical protocol.

The consultations can be provided to patients who self-refer to the pharmacy (e.g. walk-ins) as well as those referred by NHS 111, GPs and others. The service will also incorporate the current Community Pharmacist Consultation Service (CPCS), meaning there will be three elements to the Pharmacy First service:

  • Pharmacy First (clinical pathways consultations) – new element
  • Pharmacy First (urgent repeat medicine supply) – previously commissioned as the CPCS
  • Pharmacy First (NHS referrals for minor illness) – previously commissioned as the CPCS

One Page Summaries

Key Information

More information, including videos and FAQs, can be found on

CPSSOT Pharmacy First Service newsletter

CPE: Pharmacy First Service

NHSBSA: Pharmacy First Service (PFS)

Out of Hours Contacts for Staffordshire and Stoke-on-Trent Pharmacies: This is a list of contact details for local out of hours GPs, NHS111, Urgent Care and key contacts. Please do not share this list with the public.

Pharmacy First Pack for Receptionists and Care Navigators

Pharmacy First Supporting Information for GPs 

‘Help Us, Help You’ – Pharmacy Campaign Toolkit

Pharmacy First Reports via Pharmoutcomes

CPPE: Pharmacy First self-assessment framework and other resources