NHS Pharmacy First
Free pharmacist-led consultation for seven common conditions — and where appropriate, supply of the medicine you need without a GP appointment. Walk in, phone, or start online.
The seven pathways we cover
Sore throat
Adults & children 5+ · Pharmacist assesses using FeverPAIN or Centor score.
Most sore throats are viral and self-limiting. The pharmacist will assess for signs of bacterial infection and supply antibiotics if clinically indicated, otherwise advise on symptomatic relief.
Read more about sore throat → 2Sinusitis
Adults & children 12+ with acute sinusitis lasting up to ~10 days.
Pharmacist assesses for severity and red flags. Most cases are managed with self-care; antibiotics supplied where appropriate per NICE guidance.
Read more about sinusitis → 3Acute otitis media (ear infection)
Children 1-17 with earache and signs of middle-ear infection.
Otoscope examination by the pharmacist. Decision-support tools used to assess severity. Antibiotics supplied if clinically appropriate; analgesia advised otherwise.
Read more about ear infections → 4Impetigo
Adults & children 1+ with localised non-bullous impetigo.
Pharmacist confirms presentation. Topical or oral antibiotics supplied as per NICE guidance.
Read more about impetigo → 5Shingles
Adults 18+ within 72 hours of rash onset, with classic dermatomal presentation.
Antiviral treatment (e.g. aciclovir) can shorten illness and reduce post-herpetic neuralgia if started within 72 hours. Pharmacist assesses and supplies if appropriate.
Read more about shingles → 6Infected insect bite
Adults & children 1+ with signs of secondary bacterial infection.
Most bites need only symptomatic care. Pharmacist assesses for cellulitis and other infection signs and supplies oral antibiotics where indicated.
Read more about infected bites → 7Uncomplicated UTI
Women 16-64 with classic lower-UTI symptoms, no red-flag features.
- Not pregnant
- No catheter
- No recurrent UTIs (3+ in 12 months)
- No fever, flank pain, or other red flags
How it works — fully online from your phone
- Start the online assessment. Scan the QR or click the button above. You'll be on the NHS-assured Digital Gateway — answer eligibility and symptom questions, upload a photo if your pathway needs one (shingles, impetigo, infected insect bite). Takes about 5 minutes on your phone.
- The pharmacist reviews your record. Your answers populate our PharmOutcomes record. Our pharmacist reviews it during opening hours — usually within 1-2 hours (we're open 7 days a week, see hours above). For most pathways, no in-person visit is needed.
- Pharmacist contacts you to complete the consultation. A phone call to discuss your case, ask any clarifying questions, and confirm the plan. For sore throat or anything that needs visual review, we may send you a secure accuRx video link.
- Clinical decision. (a) Supply the appropriate medicine free under the Pharmacy First PGD; (b) advise self-care if a medicine isn't needed; (c) refer you back to your GP, NHS 111, or A&E if your case is outside the pathway scope. The pharmacist is the final clinical authority — Digital Gateway captures information; people make the decision.
- Medicine delivered or collected. If medicine is supplied: free delivery to your door anywhere in England via Royal Mail Tracked, same-day delivery in Leeds LS postcodes, or collection from the pharmacy if you prefer. No prescription charge — Pharmacy First medicines are NHS-funded.
- GP notified via NHS GP Connect. Your medical record stays joined-up automatically — your GP sees what was supplied and the clinical reasoning.
- Follow-up if needed. Not improving? Message us back or phone — the pharmacist can reassess and refer you on. No extra cost.
One exception: ear infection (acute otitis media) needs an in-person otoscope examination, so for that pathway the online assessment is the start — but we'll book you a same-day in-person slot to complete it.
For a fuller walk-through of what happens after you submit, see what happens next.