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Pharmacy First

Get assessed and treated for 7 common conditions at participating pharmacies in England without a GP appointment — free on the NHS.

NHS Pharmacy First launched in England on 31 January 2024. A trained pharmacist can assess seven common conditions in a private consultation area and, if the clinical pathway allows, supply certain prescription-only medicines such as antibiotics — without a GP appointment. The service is free on the NHS at participating English pharmacies.

This page is a directory of pharmacies that list Pharmacy First among their NHS services. It is not a diagnosis, not a booking system, and not a guarantee that a given pharmacy can treat you today. Age bands, pregnancy, red-flag symptoms, and local stock all change what the pharmacist can do. If you are very unwell, pregnant with a suspected UTI, or the pharmacist says you need a GP or urgent care, follow that advice.

Which seven conditions does Pharmacy First cover in England?

England’s clinical pathways cover sinusitis (usually aged 12+), sore throat (5+), acute otitis media / earache (children 1–17), infected insect bites (1+), impetigo (1+), shingles (18+), and uncomplicated lower urinary tract infection in non-pregnant women aged 16–64. Each pathway has its own age band and exclusion rules. The pharmacist examines you, uses the published scoring tools where required (for example FeverPAIN or CENTOR for sore throat, otoscope for earache), and decides whether supply is appropriate.

If you fall outside the age band, are pregnant, have red-flag symptoms, or the infection looks complicated, the pharmacist will not complete the pathway as a substitute for a GP. That is the service working as designed — not a refusal of care.

Do you need an appointment, and what does it cost?

You do not need a GP appointment. Walk into a participating pharmacy, or you may be referred by your GP practice or NHS 111. Many pharmacies still prefer a booked slot so a pharmacist and a consultation room are free — calling ahead avoids a wasted trip. The consultation and any medicine supplied on the pathway are free on the NHS in England. You are not paying a private prescription fee for Pharmacy First supply.

Who this is not for: anyone who wants antibiotics without an assessment, anyone shopping for a private prescription, or anyone whose symptoms need urgent or emergency care. Pharmacy First is a minor-ailment pathway, not A&E.

Is Pharmacy First the same in Scotland, Wales, and Northern Ireland?

No. Scotland has a separate, longer-running NHS Pharmacy First Scotland scheme that covers a wider list of common ailments than England’s seven pathways. Wales and Northern Ireland run their own common-ailment services under different names and rules. If you are not in England, ask the pharmacy in front of you what it can do today — do not assume the England age bands apply.

This directory’s Pharmacy First flag is taken from NHS service data for English community pharmacies. It does not mean every listed premises can treat every pathway on every shift.

How should you use the pharmacy list below?

The cards are GPhC-registered premises that include Pharmacy First in their recorded NHS services. We show a sample on this hub; the compare tool and directory have the wider set. Check the GPhC register if a name is unfamiliar, and confirm opening hours before you travel. Ratings on this site cannot be bought — paid placements, if any, are labelled separately.

For a longer explainer of the seven pathways, see our Pharmacy First answer. For how we ingest NHS service flags, see methodology.

Typical cost

Free on the NHS

12 of 12428 pharmacies offering pharmacy first

Ratings and rankings are our editorial opinion, based on our publishedmethodology — they are not medical advice and pharmacies cannot pay to change a score. Where a pharmacy has no reviews we show "Not yet rated" — we never invent scores.Listings labelled Featured orReferral partner are paid placements; payment affects visibility only, never ratings or match results. We may receive a fee when you send a private-service enquiry.Private service prices are indicative — always confirm directly with the pharmacy.

118 Pharmacy

Community Pharmacy · Walsall · WS9 9LR · GPhC-registered premises

UnclaimedGPhC registeredNHS

01543 379777

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Walsall · GPhC 1112046

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1ast Pharmacy

Community Pharmacy · Sheffield · S7 1FL · GPhC-registered premises

UnclaimedGPhC registeredNHS

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Sheffield · GPhC 9010508

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29 Fleet Street Limited

Community Pharmacy · London · EC4Y 1AA · GPhC-registered premises

UnclaimedGPhC registeredNHS

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in London · GPhC 9010697

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3q Pharmacy

Community Pharmacy · Wellingborough · NN8 4RW · GPhC-registered premises

UnclaimedGPhC registeredNHS

01933 273373

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Wellingborough · GPhC 1105385

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4 Court Ltd

Community Pharmacy · Blackburn · BB2 7BX · GPhC-registered premises

UnclaimedGPhC registeredNHS

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Blackburn · GPhC 1125725

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4court Pharmacy

Community Pharmacy · Blackburn · BB2 1NT · GPhC-registered premises

UnclaimedGPhC registeredNHS

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Blackburn · GPhC 9012988

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4court Pharmacy

Community Pharmacy · Rochdale · OL12 9BD · GPhC-registered premises

UnclaimedGPhC registeredNHS

01706 644994

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Rochdale · GPhC 1084639

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7-11 Pharmacy

Community Pharmacy · Leicester · LE2 0FS · GPhC-registered premises

UnclaimedGPhC registeredNHS

0116 2511333

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Leicester · GPhC 1100687

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7 Day Chemist

Community Pharmacy · Welling · DA16 3QS · GPhC-registered premises

UnclaimedGPhC registeredNHS

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Welling · GPhC 1033016

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8 Pm Chemist

Community Pharmacy · Willenhall · WV13 2NF · GPhC-registered premises

UnclaimedGPhC registeredNHS

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Willenhall · GPhC 1099447

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8pm Chemist

Community Pharmacy · Willenhall · WV13 2NF · GPhC-registered premises

UnclaimedGPhC registeredNHS

01902 606410

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Willenhall · GPhC 1038572

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A A Beggs

Community Pharmacy · Dover · CT16 1BW · GPhC-registered premises

UnclaimedGPhC registeredNHS

NHS Prescriptions · Pharmacy First · Flu Jabs

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Not Yet Rated

Community pharmacy in Dover · GPhC 1032729

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Frequently Asked Questions

What conditions does Pharmacy First cover?

In England: sinusitis (12+), sore throat (5+), earache/acute otitis media (1–17), infected insect bites (1+), impetigo (1+), shingles (18+), and uncomplicated UTIs in women aged 16–64. Each has its own age criteria and clinical pathway. The pharmacist decides suitability.

Do I need an appointment for Pharmacy First?

No GP appointment is required — visit a participating pharmacy or you may be referred by your GP practice or NHS 111. Calling ahead is still wise so a pharmacist and a private consultation room are available.

Is Pharmacy First available in Scotland, Wales, and Northern Ireland?

Scotland has its own NHS Pharmacy First Scotland scheme, which covers a wider range of conditions than the England service. Wales and Northern Ireland operate similar common ailment services under different names — ask your local pharmacy what is available.

Will the pharmacist always give antibiotics?

No. Many sore throats and sinus infections are viral. The pharmacist follows a clinical pathway and may advise self-care, a delayed prescription, or referral instead of immediate antibiotics.

Is Pharmacy First free?

Yes in England: the consultation and medicines supplied on the pathway are free on the NHS. It is not a private prescription service.