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Pharmacy First eligibility in 2026: who qualifies for each of the seven conditions

Age limits, exclusions and when the pharmacist will refer you back to the GP, condition by condition.

By PharmSee · · 1 views

Pharmacy First has been running in England community pharmacies for just over two years. It lets a pharmacist assess, and where appropriate treat, seven common conditions without a GP appointment. Supply can include a prescription-only medicine where the clinical pathway allows it.

The rules, though, are more specific than the headlines suggest. Each of the seven pathways has its own age limits, exclusions and red-flag criteria that trigger a referral back to the GP or to urgent care. This guide walks through what each one covers in 2026, drawing on the published clinical pathways from NHS England and Community Pharmacy England.

The service in one paragraph

Pharmacy First sits alongside the older minor-illness referral service and runs in any community pharmacy that has signed up to the advanced service. Patients can walk in or be referred by NHS 111, a GP receptionist, urgent treatment centres or A&E. The pharmacist runs a structured clinical consultation, documents it against the published pathway, and either supplies an over-the-counter product, issues a prescription-only medicine under a patient group direction, gives self-care advice, or refers the patient on. The seven pathways cover sinusitis, sore throat, earache, infected insect bite, impetigo, shingles and uncomplicated urinary tract infection in women.

The seven pathways, age by age

ConditionEligible agesTypical supplyCommon exclusions
Acute sinusitis12 years and overSelf-care advice; phenoxymethylpenicillin if criteria metSevere facial swelling, systemic illness, immunocompromise
Sore throat5 years and overParacetamol/ibuprofen; phenoxymethylpenicillin if FeverPAIN ≥4Difficulty breathing, drooling, unable to swallow saliva
Acute otitis media (earache)1 to 17 yearsAnalgesia; amoxicillin if criteria metDischarge from ear with perforation suspected, systemic illness
Infected insect bite1 year and overFlucloxacillin or clarithromycin where appropriateFace or genital involvement, rapid spreading, systemic signs
Impetigo1 year and overHydrogen peroxide 1%; topical antibiotic if non-bullousWidespread, bullous, or recurrent disease
Shingles18 years and overAciclovir or valaciclovir within 72 hours of rashEye involvement, pregnancy, severe immunosuppression
Uncomplicated UTIWomen 16 to 64Nitrofurantoin or trimethoprimPregnancy, recurrent UTI, catheter in place, men

The age bands are deliberate. Shingles antiviral cover is confined to adults because the evidence base for community treatment of childhood zoster is thin. The UTI pathway explicitly excludes men and pregnant women because both groups need investigation rather than empiric antibiotics.

What triggers a referral

Every pathway includes a list of clinical features that mean the pharmacist will stop the consultation and send the patient on. These are not optional. They are designed to catch the small proportion of presentations that look minor but are not — meningitis masquerading as a sore throat, cellulitis masquerading as an insect bite, herpes zoster ophthalmicus masquerading as facial shingles.

Expect a referral if any of the following appear in the consultation: fever above 38°C with confusion or stiffness; a rash that is not blanching; swelling that crosses the midline of the face; a sore throat that prevents swallowing of saliva; earache with new-onset hearing loss after trauma; shingles affecting the tip of the nose or the eye; UTI symptoms with loin pain, fever or vomiting. Pregnancy is itself a referral trigger for most of the pathways.

Who pays and who records what

The service is free to the patient. The pharmacy is paid a £15 consultation fee per completed assessment, with additional fees for supply of a prescription-only medicine. Every consultation must be documented on the pharmacy's clinical system and, where consent is given, pushed back to the patient's GP record via the GP Connect update service.

The consultation fee is what makes the service economically viable for pharmacies, but it also explains why pharmacists will not use Pharmacy First as a workaround for an obvious minor self-care issue — the pathway requires a structured assessment, not just handing over paracetamol.

What Pharmacy First is not

It is not a replacement for the GP. The pathways are narrow by design. A persistent cough, a rash that doesn't fit impetigo or shingles, a child under one year old with almost any infection, chronic symptoms, and anything with red-flag features all sit outside the service. In those situations the pharmacist will advise where to go next — usually the GP, NHS 111, or an urgent treatment centre.

It is also not a diagnostic service. The pharmacist is working to a clinical pathway that assumes the presentation matches one of the seven conditions. If the symptom picture is ambiguous or atypical, the pathway ends at referral rather than supply. That is a feature, not a failure.

Finding a participating pharmacy

Almost every English community pharmacy has signed up, but not all. PharmSee's pharmacy finder lists the branch location, opening hours and chain for pharmacies in any postcode, and the NHS.uk pharmacy directory flags Pharmacy First participation explicitly.

For patients who want to understand the clinical reasoning behind a particular pathway — what nitrofurantoin is versus trimethoprim, why aciclovir has to start within 72 hours — the PharmSee library has separate explainers on UTI treatment, shingles treatment and sore throat.

Caveats

The eligibility rules above summarise the published clinical pathways as of April 2026. Individual pharmacists may, within clinical judgement, decline to supply even where a patient technically meets the criteria — for example, where the patient has declined a full history, or where supply would overlap with another treatment. The final decision rests with the clinician conducting the consultation.