Health leaders across the West Midlands are making a direct appeal to the public this winter: for common minor ailments, your local pharmacy should be the first port of call, not your GP surgery or A&E.
What is Pharmacy First and How Does It Work?
Launched in early 2024, the Pharmacy First initiative is a key national scheme designed to relieve the immense strain on general practitioners and hospitals. It empowers qualified pharmacists to offer clinical assessments, professional advice, and even prescribe medication for a specific set of seven minor health conditions, all without the patient needing to see a doctor first.
This service is particularly vital as winter pressures intensify, with GP surgeries reporting they are at full capacity. Pharmacies provide a faster, more accessible alternative, offering drop-in consultations in private rooms that guarantee confidentiality. You do not need a referral from a GP or NHS 111 to use the service, though you may be directed there by them.
The Seven Conditions Pharmacists Can Now Treat
Following established clinical pathways, pharmacists can directly provide prescription-only medicines, such as antibiotics or antivirals, for the following conditions:
- Sinusitis (for patients aged 12 and over)
- Sore Throat (5+ years)
- Earache (1–17 years)
- Infected Insect Bites (1+ year)
- Impetigo (1+ year)
- Shingles (18+ years)
- Uncomplicated UTIs (Women aged 16–64)
If a pharmacist determines your condition requires a doctor's attention, they will provide an immediate referral to ensure you get the appropriate care.
Beyond Prescriptions: Vaccines, Checks, and Holiday Access
The role of pharmacies this winter extends far beyond treating these seven illnesses. In Birmingham, there has been a massive surge in demand for both NHS and private flu vaccinations, with many pharmacies offering convenient walk-in slots.
Furthermore, during the festive period when many GP surgeries close, numerous pharmacies will maintain extended hours. Key locations like Robin Hood Pharmacy in Hall Green and several Asda Pharmacies have confirmed they will be open on both Boxing Day and New Year's Day to provide emergency care.
Pharmacists undergo five years of intensive clinical training, making them expertly placed to assess and manage minor illnesses, potentially preventing them from escalating into serious emergencies. The service also acts as a crucial safety net for residents in deprived areas who may struggle to secure timely GP appointments.
Additionally, many pharmacies are offering free blood pressure checks for people over 40, a proactive measure to identify potential heart issues early and reduce future hospital admissions.
While the Pharmacy First consultation itself is free, standard NHS prescription charges apply for any medicines issued (unless the patient is exempt). Public feedback on the scheme has been overwhelmingly positive, with users highlighting the speed and convenience as major benefits, helping to break down the traditional 'GP-first' mindset for minor health concerns.
