Pharmacy First
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From vaccinations to health checks, our expert pharmacists are here to help. Schedule your appointment online at a time that suits you.
What is Pharmacy First?
Pharmacy First is an NHS service that lets you get professional advice, treatment, and — where clinically appropriate — prescription-only medicines for common conditions, directly from a pharmacist, without needing a GP appointment.
Pharmacy First builds on the original Community Pharmacist Consultation Service, allowing pharmacists to supply an NHS medicine, if clinically appropriate, for seven common conditions, as well as still seeing patients with other minor illnesses who are electronically referred to them. The aim is simple: faster access to care for common, self-limiting conditions, while freeing up GP capacity for more complex needs.1
What Common Healthcare Conditions Can We Help With?
Each condition follows a specific NHS clinical pathway, with age restrictions applying to some — for example, the sinusitis pathway is for patients aged 12 and over, and the UTI pathway is specifically for women.3 Our pharmacist will confirm whether you fall within the appropriate pathway for your condition during your consultation.
How Can I Access Treatment?
You can access Pharmacy First by simply walking into any Pearl Chemist Group branch — no appointment necessary. With 29 branches across South London, including Banstead, Byfleet, Cannon Hill, Cobham, Earlsfield, Epsom, London, Merton, Mitcham, Morden, Northcote Road, Streatham, Tolworth, Tooting, Wandsworth, Wimbledon, and Kingston upon Thames, you can choose the branch that's most convenient for you. You can also book in advance online or through our app.
You may also be referred to us by your GP practice, NHS 111, or an urgent or emergency care provider if they believe a pharmacy consultation is the right next step for you.4
What Will Happen When I Arrive at the Pharmacy?
Your pharmacist will see you privately in a dedicated consultation room. Depending on your symptoms, they may carry out a brief examination or ask to access relevant parts of your medical record to inform their assessment.
Following the consultation, your pharmacist will recommend the most appropriate course of action — which may include self-care advice, an over-the-counter remedy, or, where clinically indicated, a prescription-only medicine such as an antibiotic or antiviral, supplied under an NHS Patient Group Direction.5
Prescription Charges
Standard NHS prescription charges apply to medicines supplied through Pharmacy First for the seven conditions listed above. If you are already exempt from
prescription charges, that exemption continues to apply. The consultation itself is always free, regardless of whether a medicine is supplied.6
Important Information Before Your Consultation
Please let your pharmacist know if any of the following apply to you:
- You are pregnant and/or breastfeeding.
- You suspect you might be pregnant.
- You are taking any other medications.
- You have any known allergies.
This information helps your pharmacist recommend the safest and most appropriate treatment for you.
Frequently Asked Questions
Can I access Pharmacy First without an appointment?
Yes — Pharmacy First is available on a walk-in basis at any Pearl Chemist Group branch. You can also book in advance if you prefer.
Are there any charges for receiving advice from your pharmacists?
No. Advice and consultations are always free. Standard NHS prescription charges only apply if a prescription medicine is supplied, and existing exemptions still apply.
What if I am pregnant or breastfeeding?
Please tell your pharmacist before your consultation begins, so they can give you appropriate, safe guidance.
Can I get prescription medication through Pharmacy First?
Yes — if clinically appropriate, your pharmacist can supply prescription-only medicines, including antibiotics or antivirals, under an NHS Patient Group Direction.5
What if I have allergies or take other medications?
Please inform your pharmacist of any allergies or current medications so they can ensure any treatment recommended is safe and appropriate for you.
How does this help reduce NHS pressures?
Pharmacy First, alongside expanded Blood Pressure Check and Contraception services, aims to free up to 10 million GP appointments a year by treating common conditions directly at the pharmacy — giving GPs more capacity for patients with complex needs.7
What if I'd still rather see my GP?
That’s entirely your choice. Pharmacy First is an additional option for these seven conditions, not a replacement for GP care — you can still book a GP appointment if you prefer.
We Are Here to Help You
At Pearl Chemist Group, we make healthcare accessible, fast, and caring. Get in touch with our team for swift, expert assistance with your health concerns.
Download Our App
Available on the App Store and Google Play
Call us: 020 8672 2157
Find your nearest branch → pearlchemistgroup.co.uk/pharmacy-locator
Disclaimer: Pharmacy First is delivered by trained pharmacists following NHS-approved clinical pathways and Patient Group Directions. Treatment is only supplied where clinically appropriate. For symptoms outside the seven conditions listed, or for urgent concerns, please contact your GP or NHS 111.
References
- 1. Community Pharmacy England. Pharmacy First service. cpe.org.uk/national-pharmacy-services/advanced-services/pharmacy-first-service
- 2. Community Pharmacy England. Pharmacy First — Information for GP practice teams. cpe.org.uk/national-pharmacy-services/advanced-services/pharmacy-first-service/pharmacy-first-information-for-gps
- 3. Healthwatch. What can the Pharmacy First scheme do for me? healthwatch.co.uk/advice-and-information/2025-08-18/what-can-pharmacy-first-scheme-do-me
- 4. NHS England. Pharmacy First. england.nhs.uk/primary-care/pharmacy/pharmacy-services/pharmacy-first
- 5. NHS England. Community pharmacy advanced service specification: NHS Pharmacy First Service. england.nhs.uk
- 6. NHSBSA. NHS Pharmacy First Service (PFS). nhsbsa.nhs.uk
- 7. Healthwatch. What can the Pharmacy First scheme do for me? healthwatch.co.uk
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